sir.shocksalot

Latest Activity

1. Trendelenburg positioning

   sir.shocksalot replied to KBICU's topic in Critical

   I read a study where it was documented that trendelenburg caused no improvement in perfusion in settings of shock. Right now PHTLS and ITLS are both recommending that trendelenburg not be done at all. It sounds like it has gone the way of the MAST pa...

2. Blind/Non-English signing Hippa/billing forms

   sir.shocksalot posted a topic in HIPAA

   We recently got told by our billing people that a patient must sign our Hippa and billing authorization forms even if they are blind or don't speak English. My understanding was that if the patient can't understand what they are signing their signatu...

3. biggest gauge IV??

   sir.shocksalot replied to mmc51264's topic in General Students

   14g in the ACs are fairly common in traumas and cardiac arrests. Most AC veins in a relatively healthy person can accommodate a 16g, when you donate blood they use 16g needles. I would say my most common spot that I hit with a 14g is an external jugu...

4. New nurse with bad preceptor in the CCU

   sir.shocksalot replied to Emmy2001's topic in Critical

   What a kick to the groin! I agree with the other posters, you are better off out of that job. It almost sounds like you were set up to fail, how is your preceptor supposed to know that you aren't progressing if they are never there to watch you? Also...

5. Hospital wars in Denver

   sir.shocksalot replied to nurse2033's topic in General Nursing

   It seems like Denver Health is starting to get strained from the decrease in nearby hospitals. The west side of Denver, near where the old SAC used to be is quite ghetto and sees a decent amount of trauma that would usually go to SAC, now most of it ...

6. Can paramedic or EMT administer an IM med like Haldol or Ativan to help unruly pt?

   sir.shocksalot replied to ~Transplant Nurse~'s topic in Emergency

   Wow, I'm truly shocked at the EMS services in some areas. Paramedics absolutely can give Haldol prehospital, heck we even have Droperidol on the ambulance. We can also give Ativan or Versed to sedate combative patients. All without consultation with ...

7. BCLS (BART)

   sir.shocksalot replied to Marie1205's topic in General Nursing

   They really didn't think that acronym through did they?

8. PALS certification

   sir.shocksalot replied to JuneBugFL's topic in General Nursing

   You can also ask your local EMS agency. Since all Paramedics are required to have ACLS and PALS for employment, most agencies typically teach those courses.

9. Color blind/hearing restrictions for flight?

   sir.shocksalot replied to Trauma rn 1's topic in Flight

   OP, as a passenger abord the aircraft you don't have to pass any sort of "flight physical". Pilots have strict FAA requirements and color blindness is a no-go. However since you aren't flying the aircraft you won't have any such restriction. The only...

10. ASN or BSN???

    sir.shocksalot replied to pmarieee's topic in Pre-Nursing

    I would go for the BSN. The initial costs may be higher (you can offset them with loans as needed) but it will pay off faster. My understanding is that ASN graduates are having a tough time finding jobs right now, and hospitals are hiring mostly BSNs...