MajorDomo

MajorDomo

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All Content by MajorDomo

  1. Propofol for conscious sedation?

    MajorDomo replied to EMTSNA's topic in Emergency

    The question in the ER is not really the drug given but the Doc. Is the "ER" doc a GP that hasn't intubated since before you were born? Do you know that this particular doc sucks at intubations...

  2. Scope of Practice?

    MajorDomo replied to flygirls2's topic in Emergency

    Most state BON have a statement to the effect that you can go outside your scope of practice for major mass cas incidents, the Katrina or 9/11 type incidents. "Normal" emergencies you should just...

  3. ICU RN to the ED

    MajorDomo replied to cardiacRN2006's topic in Emergency

    Agree with EMTSNA The ER is a disposition based nursing area, the treat and street philosophy. ER management tends to look more at pt numbers and times than acuity unlike the ICU. Wait times, Left...

  4. ER Nurses- Do You Access Mediports?

    MajorDomo replied to blondy2061h's topic in General Nursing

    Short answer Yes Longer answer is that if the primary nurse has never accessed one, they go to the charge or other nurse and asks the "Have you ever..." question. Usually, someone in the department...

  5. Your first Code Blue

    MajorDomo replied to MMARN's topic in First Year After Licensure

    When was your first code blue? As a nurse, about a month after I was off orientation. (I was a firefighter/EMT prior to becoming a nurse, so I worked a couple before that) Was it your pt? Yes Did...

  6. USAF nursing corps application process

    MajorDomo replied to meshell's topic in Government, Military

    I would start right now, as they say time heals all wounds and corrects all SNAFUs. The application process is a bunch of hoop jumping between the Air Force and your college, along with getting your...

  7. Thinking about joining the military. . .

    MajorDomo replied to R*Star*RN's topic in Government, Military

    To answer your first question, it depends on what type of culture you want to be part of. Each service has different traditions, attitudes, and expectations. Army tends to be the most military like,...

  8. Air Force Nursing

    MajorDomo replied to retuRN's topic in Government, Military

    retuRN, Sorry for the delay, just getting ready for my deployment. I would suggest getting at least a year of civilian ICU experience in a large teaching hospital before joining and ensuring that you...

  9. Suggestions for improvement

    MajorDomo replied to medichall's topic in Emergency

    Have the same type of nurse working at my place, all I can recommend is to document and document. If they are still in the probation period, then there would be enough info to get them moved to a...

  10. A few practice questions

    MajorDomo replied to 9309's topic in Emergency

    Lead Placement: We recently switched from a 3 to a 5 lead system where I work, mostly due to the fact that over the course of about 6 months four of our twelve monitored beds leads got broken or...

  11. Air Force Nursing

    MajorDomo replied to retuRN's topic in Government, Military

    Just to add on, I would recommend at least one year ICU on the civilian side prior to entering the AF if you are set on going to the ICU, that way you will better your chances of getting into the ICU,...

  12. USAF RN Compentancy

    MajorDomo posted a topic in Government, Military

    This is just an observation and a personal expercience I would appreciate input on. This is brought about by an incident when I attemped to call report on a pt from the ER to Med/Surg on a chest pain...

  13. Debate point: What IS nursing?

    MajorDomo replied to jjjoy's topic in General Nursing

    jjjoy, My belief is that formal nursing education only prepares new grads to be, hopefully, safe nurses. True nursing skills and knowledge occurs on the job. The rest of nursing classes are to give a...

  14. Any males working in Pediatric Med/Surg or PICU?

    MajorDomo replied to Lericalpoet's topic in Men in Nursing

    I worked 2 1/2 years on a pedi med/surg and chemo floor with a brief stint in PICU before moving to the ER. I had a blast, although I began to detest Barney, with the kiddies. The people I worked...

  15. Debate point: What IS nursing?

    MajorDomo replied to jjjoy's topic in General Nursing

    Quick and dirty: Nurses are the jack of all trades or the ultimate middle man in the Health feild. I know medications but not as much as a pharmicist I know ADLs but not as well as PT/OT I know vent...

  16. Why would a student be banned from a hospital?

    MajorDomo replied to leonidasrex2's topic in Men in Nursing

    There have been a couple of ex-employees that I know of that have been banned. The first was a tele-tech who showed up to work totally intoxicated, another time it was an RN found shooting up during...

  17. Protocols/Standing Orders

    MajorDomo replied to CraigB-RN's topic in Emergency

    1. What protocols do you use. i.e. Abd pain gets a line, labs, etc, We have abd pain, vag bleed, fever, CP, and SOB protocols. As standing orders we have deformed limb gets an x-ray and...

  18. USAF RN Compentancy

    MajorDomo replied to MajorDomo's topic in Government, Military

    Thanks for the responses, congrats on going to Willie's ER PRicanRN, I spent 2 years there and had a blast. Most of the AF Med/Surg floor has remote Tele, monitored by an ICU tech for the CP pts,...

  19. EKGs in triage?

    MajorDomo replied to etceducator's topic in Emergency

    Our mangement deems any cp to require an ecg, doesn't matter if they are 9, 19 or 90. When I'm charge, I tend to keep one bed open or use our hallway gurney for the protocols (CP, SOB, Abd pain, CAP)...

  20. You know you're a male RN when......

    MajorDomo replied to SteveNNP's topic in Men in Nursing

    Here are my two: 1. Parents glare at you like your Chester the Molester when you cath their febrile baby girl. 2. Your on a date and the girl finds out your a nurse and the conversation turns to...

  21. JCAHO and Time out

    MajorDomo replied to Dixielee's topic in Emergency

    I don't know if it is JCAHO or the managements fear of them. A time out for sutures... oops sorry doc, you sewed the wrong lac. Time outs are great for OR and Pre-Ops, other invasive procedures are...

  22. nebulized lidocaine

    MajorDomo replied to susi_q's topic in Emergency

    Instead of using the normal neb "peace pipe," I usually switch over to a neb mask, sorry for the confusion.

  23. nebulized lidocaine

    MajorDomo replied to susi_q's topic in Emergency

    When I am feeling nice, I tend to get the MD to order it prior to NG placement and nasal packing. Just remember to tell the pt to breath in through the nose and out the mouth. I have also used it for...

  24. Overdose senario questions

    MajorDomo replied to Lfransis's topic in Emergency

    Hope to answer your questions. The fluids were most likely for two things, one was his pressure, It was a little low, the second was that Benadryl can cause Rhabdomyolysis, big peices of protien...

  25. Scope of Practice?

    MajorDomo replied to lblondie1128's topic in Emergency

    Each state has their BON which tends to have a link to the state's nurse practice act on a .gov website. You also need to find each hospital's regulations on nursing care and job description as they...