Latest Comments by 8jimi8ICURN

8jimi8ICURN 7,401 Views

Joined: Sep 19, '07; Posts: 243 (24% Liked) ; Likes: 142
Flight RN Rotor/Fixed HEMS/CCT; from US
Specialty: Flight RN, Trauma1 CVICU STICU MICU CCU

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    Do you know of any other RN to EMT-P bridges?

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    Not everyone requires 5 years. Air Evac (in Texas - san antonio area) requires 3 years and passing their test. I volunteered as an EMT-B then an EMT-I85 in texas with a third service 911 and a volunteer firefighting company. My prehospital experience was MINIMALLY relevant. I was asked one question about it in my interview, to which my answer was, i have earned my NREMT-I85. Get, Your TNCC and an EMT-B and you will be solid for what you "need to know" about scene work and concentrate on ther critical care aspects. Try to get in on a CVICU or a CCU that runs a lot of balloon pumps/impella/ or ECMO. Those skills will translate greatly to what a potential flight company (that does interfacility CCT). But DO get a least a year or two in the SICU. That will also help greatly.

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    UAMC in Tucson CVICU has had 3 managers in 4 years if that tells you anything.

    Quote from Vylince
    Hello to my nurse friends out there in Arizona! I currently work in Indiana in a Cardiovascular ICU and am getting burnt out extremely fast due to the hospitals freaking out over reimbursements and cost cutting. My hospital just laid off a ton of people and expects the current staff to pick up the slack. I've been a nurse for 11 years, and this change is a killer.

    So! I currently am considering an ICU position option in Arizona, right now in Phoenix, but I don't want to leave one mess to hop into another. Any opinions out there?

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    In Texas, my home state, there is a "safe harbor law" which allows a nurse to accept an UNSAFE assignment, but still have their license protected if there is a negative patient outcome.

    Is there anything like this in Arizona?

    http://www.bne.state.tx.us/practice/safe.html

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    You might do well to get some 911 EMS experience if you can.

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    Are you really stable if you are unresponsive? Bp or not, the patient is post code. Doesn't sound stable to me.

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    If you can hold your own on a CVICU, any Icu will take you . And you'll be guaranteed to float to your other units... Whereas.. You don't get to float to Cv /s cv experience.

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    i dont care how much they want. i give it . if they want it more often give them a pca. if the doc prescribed it they can have it. push it fast, sure. if they are trying to get high i document their request and notify the md.

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    Typically 1mcg/kg fentanyl /c a little versedOr propofol bonus on top of that.Plus or minus. Unless they are a ventilator PRO, one of the rare patients who doesn't mind and well tolerates alertness while intubated.

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    Every intensive care unit I have seen requires restraints for intubated patients. And +1 for dexmedetomidine induced bradycardia and hypotension.

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    Most residencies for RNs are @6 months tops for ICU. 2 year committment maybe but not on your own as an RN for 2 years is ridiculous

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    No one is judging. You DID ask for opinions. Part of Icu nursing is knowing when and how to ask for help. You didn't and a patients care suffered for it. Bottom line. Heartfelt analogies do not excuse your lack of care.I would have told another nurse or the house supervisor that I was unable to safely care for my second patient since it seems your charge nurse is against you. I've done it before. No one likes to admit they are overwhelmed but if you don't. People can die.

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    Quote from nohika
    But that's what she's saying - if she has one patient that's circling the drain, or becoming incredibly unstable, how is she supposed to justify leaving the one that needs her NOW? She did state that she had coworkers helping her out, she was in the room for at least an hour, etc. It never said that she never TOUCHED the patient, just that she had not found the time to turn him.When one patient's going to hell, it's hard to find time when you have two patients. It's why you depend on coworkers.
    And in accepting and depending on help, one must make specific requests such as hey, will you please turn so and so for me. Then follow up.

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    12 hours without turning is horrendous. I hope you learned that lesson. Write an incident report and request an arbitration with the disruptive nurse. She was out of line. You also need to write an incident report on yourself for providing substandard care. If this patient developed a dti. Likely that's on you.


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