emt123277

emt123277 specializes in Critical Care (ICU and ER).

Latest Activity

1. Conscious Sedation in PA

   emt123277 replied to jjjulianna's topic in Pennsylvania

   idk about the commonwealth's "laws" per say but in my facility there must be two healthcare providers in the room at all times, one of whom is acls certified. so, you and a doc and you have acls then your gin. also only providers with anesthesia priv...

2. jobs in allentown/easton area

   emt123277 replied to grateful77rn's topic in Pennsylvania

   Plenty of jobs but you need to look around. I know people who are communting to LVH and SLH from an hour away. You may need to expand your search beyond the greater Lehigh Valley. Aside: Pocono Medical Center has open positions listed. Also Hazleton...

3. Job openings - act quickly

   emt123277 replied to chuckster's topic in Pennsylvania

   Multiple positions open at Pocono Medical Center, Hazleton General Hosp, Berwick Hosp, & Wilkes-barre General Hosp. If you want to drive, there's positions available. Some of these folks need to spend more time looking and less time lamenting abo...

4. My reality of becoming an RN

   emt123277 replied to BettyBoop01's topic in General Nursing

   I'm sorry to hear that. I recall applying to 18 facilities to receive just 3 offers. I still see all these openings posted here at my faciity and wonder why we can't fill them despite all these new grads needing jobs. Our Med-surg/tele floor lost 6 R...

5. Blood: do you administer platelets or PRBC first?

   emt123277 replied to TJacob's topic in General Nursing

   Blood transfusion takes time. Platelets and FFP get pounded in. IMO it would be RBCs last unless the pts hgb is so low they're not perfusing... in that case you'd have multiple lines and be squeezing major fluids via a Level 1 Infuser or pressure bag...

6. charge nurse after less than a year of experience??!

   emt123277 replied to nurse441's topic in General Nursing

   imo the nurse's mindset, knowledge, skills, and ability determine whether they are cn material. i know efficient and effective leaders with a year's worth of experience and then i know nurses with 20yrs+ experience that couldn't lead the group to sav...

7. Nurse's aides are running the the floor.

   emt123277 replied to sprout2010's topic in Relations

   so, the infamous "low bp" of 79/37? i'm sure everyone's aware that manual cuffs are in even numbers only. i say that because i hope that someone did re-check that bp manually instead of just reading a machine and taking it for face value. the bp was ...

8. Nurse's aides are running the the floor.

   emt123277 replied to sprout2010's topic in Relations

   Wow, I mistakenly typed you're vs. your! Did you learn where the caps lock or shift key is yet? Are we done discussing spelling/grammar?

9. Nurse's aides are running the the floor.

   emt123277 replied to sprout2010's topic in Relations

   flame me for my post on page 1 all you want but it doesn't change anything. i don't think less of the cnas that work on the floor because they perform "menial tasks". i just get a little upset when i have to hear a congregation of them complain about...

10. Nurse's aides are running the the floor.

    emt123277 replied to sprout2010's topic in Relations

    That's fine, and they are overworked and abused by some other staff but here it is anyway: I can train anyone to answer a call bell, toilet a pt, get pts in and out of bed, peri-care, and fetch water. When they can assess, teach, hang blood, perform ...

11. Can 2% lidocaine be given IM?

    emt123277 replied to newnursealice's topic in General Nursing

    Not everyone in the ED gets an IV, especially in minor care. We typically mix our IM ABX with Lido. 1% or 2% may be an institutional policy, but we use 1%.

12. What states have a prehospital RN scope of practice??

    emt123277 replied to hopefullICUnurse77's topic in Flight

    PA requirements for PHRN as per EMS of NEPA: RN License EMT Certification 1 yr critical care exp BCLS ACLS PALS Submit all to the DOH, they issue an authorization to test for the NREMT-P. Then all you have to do is pass your NREMT-P. That's the offic...

13. Bicarbonate

    emt123277 replied to Jenisu74's topic in CCU

    it has to do with the transport of hydrogen vs transport of potassium across the cell membrane. i'm not 100% sure but i think for every .1 change in ph there is a .6 change in k. and it's inversely proportionate.

14. Does this follow ACLS guidelines?

    emt123277 replied to aCRNAhopeful's topic in CCU

    not a theoretical situation for me. we had a pt who had coded pre-hospital and had rosc. while in the er prior to icu admission the pt did brady down and the pt received 0.5mg atropine while they still had an electrical rhythm (20's). i was charge nu...

15. NaHCO3 lead to SVT?

    emt123277 replied to TangoLima's topic in MICU

    if i had a standing order for adenosine that didn't include hemodynamic parameters for holding the drug in the presence of svt then it would have been pushed. 30-40 minutes of svt as high as 210? you can't argue that the pt's heart didn't experience ...