thelema13

thelema13

ED

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About thelema13

thelema13 has 3 years experience and specializes in ED.


Canadian

Latest Activity

  1. 2016 Salary thread

    Central FL, charge nurse in ED with 5 years experience. BSN, CEN. $28 base with 20% night diff, no diff for weekends. No bump in pay for BSN or CEN. I'm told compression raises due in April... but I'm not holding my breath. Nonunion, not for profit h...
  2. Sepsis

    Most of our docs stick with 1-2 litres as a bolus, and I have given 8 litres before. Our cardio and infectious disease docs agree, give more fluid and place BIPAP if you are causing HF or respiratory distress. Has anyone else noticed once you start a...
  3. Potassium Rates

    10 mEq K+/hr (you can ask the doc for a vial of Neut, which takes the burn out completely, its 5 mL added to 10 mEq, you are adding 5mL of sodium bicarb to raise the pH of the K+ bag).
  4. Ideas for improving flow...

    We are switching to a 'pull til full' model in a few weeks. We have done this before with bad results, mainly because our ED hires new grads and most of the charge nurses remain stagnant in their chair. Pull til full only works if you have great flow...
  5. IV sites for Abd CT

    20g for CT's, but some techs will use 22g. CTA's are 20g AC or higher, preferable R AC. Per policy.
  6. Know How to Improvise a Tourniquet

    We use a manual BP cuff and inflate to 30-60 points above the systolic value.
  7. Input about gastroparesis

    Have any of the above posters tried high doses of high quality probiotics? Like 500 billion+ a day as a maintenance regimen?
  8. Cannabinoid hyperemesis syndrome

    How 'bout some Zofran ODT and a sandwich?
  9. How to treat?

    If the patient is truly recovering from their addiction, you should not give opiates because they are an addict, and the patient should state that as well, having known first-hand. You will just substitute one addiction for another. Give tylenol and ...
  10. Patients who want to be admitted for minor things

    I once admitted a woman with a dx of morbid obesity.
  11. HCA salary

    My advice would be to RUN AWAY from HCA facilities. They have terrible management and treat their nurses like dog doo-doo. I worked for an HCA facility in South Florida, the ED was a joke (the rumor was most of the ED staff used cocaine and CCC's to ...
  12. Case study: emergent penis ring removal

    We did try using gauze wrap around his penis and testicles while he was sedated with etomidate to try to compress and push some blood back to his core, but that just made his HR jump to 130's and made him very uncomfortable.
  13. Case study: emergent penis ring removal

    The latter.
  14. Case study: emergent penis ring removal

    No urology coverage for over a month. If the Dremel didn't work he was going to try either injecting neosynephrine at the source or aspirating some blood out. I have seen priaprism reversed on a 24 year old by urology after doing a local block with l...
  15. 51 year old male with a very large metal cock ring that was purchased a few sizes too small. He put it on and had a solid erection for 4+ hours PTA. No other medical history. This is what we did: 1: Ice packs 2: Ice bath for penis and testicles 3: Co...