4fill

Latest Activity

1. Ketamine for Depression

   4fill replied to wtbcrna's topic in CRNA

   Sounds the the M. Jackson thearpy of Dipravan as a sleeping aide. Since Ketamine is an analog of LSD I would wait for awhile to judge this. The dreams and halucinations may increase the depression and lack of control.

2. Computer linking

   4fill posted a topic in Critical

   I have been an RN for several decades, and have been up and down the pecking order of positions in large metropolitan hospitals. I have always had my heart in ICU. Currently I am working in a small rural hospital as staff ICU. Our hospital, and 3 oth...

3. Are CEU's Important?

   4fill posted a topic in General Nursing

   I just renewed my California license. On the back of the form was a box to be checked "if you have completed 30 CEU's". WELL, DUH YA. I checked the box and mailed the money. Just like that I r a Nurz agin. Previously when we renewed we would have to ...

4. Corpsman to Nurse

   4fill replied to Animal3's topic in General Nursing

   Also during the Viet Nam era, I worked with a guy that was a USN/USMC Corpsman. He came out, challenged California RN boards, and got his license, all without ever going to school. He was also a member of M.E.N.S.A.

5. Nurse = Co Dependent?

   4fill posted a topic in General Nursing

   I have just completed a home study course for 30 ceu's. The subject was Substance Abuse. Even with multiple decades in Adult ICU several factors have intervened and I am now working in a drug rehab center for L.A. County. (No, I didn't use.) The firs...

6. Accidental arterial stick !!!

   4fill replied to Li'lOne's topic in Emergency

   As someone else said, Arterial line position is toward the heart. The catheter does not occlude the vessel, it merely rests in it. The arterial set up has a pressure bag, which should be at 300 mm pressure, is used to force the solution (either 0.9 S...

7. Caring for Jehovah's witnesses

   4fill replied to cu-n-hvn's topic in Safety

   A while back we had a married couple of Jehovah Witnesses. They wanted to have their first child the “old fashion way”, and they did work for it! They decided to deliver in their home with a mid-wife present. There were complication and the mother...

8. Maybe nursing's NOT for me? :( Suggestions/Advice?

   4fill replied to NewYorkGirl's topic in General Nursing

   If you have been a health care provider for 4 years is it possible you are already burned out? (A combination of school, working and life) Nursing scenarios and EMT scenarios are different. In addition to the emergencies nurses deal a lot with just a...

9. Accidental arterial stick !!!

   4fill replied to Li'lOne's topic in Emergency

   Happened once to a friend of mine starting an IV, in ICU. She did the logical thing; hooked it up to a pressure line and explained to the MD that he didn't need to start an A-line. No problem.

10. City/County/Federal hospitals

    4fill posted a topic in General Nursing

    I am in the "September "of my career. (Well maybe mid-August.) When I began, it was a "given" that teaching hospitals were the forefront of modern medicine. At least in this area that doesn't seem to be the case. USC & UCLA are linked at the hip...

11. Roll Call

    4fill replied to Tweety's topic in Men

    My brother just bulit a chopper from an original Triumph twin & frame. Looks great. I'll stick to my GolWing, that way I can bring the beer & pizza. Farts & Stories are extra added attractions

12. New Grads in NICU?

    4fill posted a topic in NICU

    We have a girl in our primary care clinic that has just passed boards for RN. She has been a clinic LVN for several years, starting out as a CNA from So. America. We are in a county system so that the county does not have a slot for her at the clinic...

13. Is there form on how to give shift report in ICU ?

    4fill replied to gigi13RN's topic in MICU

    I like to use he same technique that CardioTrans uses except that all tubes and drains are mentioned at the end with the I&O. Don't even think about not doing at least one bed bath, but do it before the end of the shift so that you can organize y...

14. Union vs. Non-Union jobs- What should I know?

    4fill replied to truejewel82's topic in New York

    I have worked in both union and non-union hospitals. I have found that on a day-to-day basis that non-union hospitals are easier to function in. Example given: If you have a bed that needs to be cleaned for an emergency admission, you don't have to w...