usethehaldol

Everyone I've seen over 70 and with Covid is on a vent.

As a paramedic I used to use sedation as a last resort until I got a judo kick to the face

TL;Dr Is it okay to not run the pump dry? So I work in an ICU and a number of people have complained about pumps being run dry. For newbies like me who don't know; Running a pump dry is using up all the volume in a hung medication. Opposed to leaving just the right amount of in the drip chamber/tubing so you don't have to prime the tubing when you hang the medication again. You just spike the new bag with the old tubing and hop to it. I get it in continuous medications (duh) What about other medications? Isn't there 20 cc of medication in the drip chamber/tubing that you aren't giving each time you stop a med short? Is it somehow okay to not run medications dry? I only ask because the experienced nurses are the ones not running the pump dry and they probably know something I don't. I didn't ask yesterday because dude seemed genuinely pissed and I was trying my best not to drown.

For me it doesn't matter. I'd start forming an opinion of a person that asked me this question though. But I'm an old crotchety bastard at this point.

This. Even low tier medics can look at a patient and know its time to get their *** in gear. I remember my nursing clinical with a dude going into respiratory failure. You know, anxious, trying to scoot up in bed to sit upright, all the accessory muscles goin. New nurse proceeds to lay patient flat and cover with blanket while reorienting. Guess you don't have to be a medic though. Just takes time with patients till you can just look at em and know "yup, that ain't right"

Unless theres some new research Im not aware of, exogenous ketones dont speed up ketosis at all. You might be able to dodge keto flu at the very best. Most people in the keto community view exogenous ketones as a waste of money. But yeah, why risk it? I remember when the old C4 workout formula had basically adderall in it.

Medic 5 years, emt-I 5 years before that. As far as pay I'm getting, its awesome compared to what I made as a medic in a busy urban area. Got tired of pulling 300lbs+ patients out from between the toilet and the tub. As far as starting pay, I was credited 1 year of RN pay per 2 years of paramedic experience. Shop around, go to the big hospitals if you can. I must have did well in my interview because I landed right into ICU. The work is much harder and I definitely need to know much more. Its more than keeping patient till you get to the hospital and dumping them on the ER. And prolonged contact means more interaction with family. Then theres the fact that you have to interact with doctors and coworkers as well. I like it but it depends on the type of medic you are. I know a bunch of them that wouldn't have anything to do with nursing. I certainly feel like my knowledge level has increased 10 fold and Im still in my residency class. Don't regret it for a second.

When is keto? Seriously all hospital food sucks though. If vegan options will get people eating I'm all for it. I assume they can balance required nutrition.

Naw, shes gonna kill or at least maim someone for life. Stop her before its too late.

Go set a meeting with your teacher and ask what you can do and show that you are trying. They maybe more lenient on you. Ask your teachers directly what you need to concentrate on. That and study your *** off. You can do it.

I guess I've only had run ins at the understaffed nursing homes. I'm glad to see not all LTC facilities are understaffed and overworked.

I was originally under the impression nursing home RNs got paid A LOT more than hospital RNs. As a paramedic I would go to these facilities and there was usually 1 RN per "wing" of the nursing home. Caring for 20+? patients? So much medical hx to know and remember. Paper charting? I would assume the stress would be monumental. Everyone depending on you? TL;DR: What is the allure of working as an RN in a nursing home? I hear they get paid less than hospital nurses and I see the amount of patients they are legally responsible for. Props to you guys, I can barely handle two as it is.

Her skin is tenting now and I tried to give her a teaspoon of water when she was briefly alert, against my own judgement, and even that was a struggle. So no more water. It is distressing that I cant give her anything to drink. I use moisturized to keep her mouth and lips wet. Last thing I want is to see her choking. Hospice Nurse is an RN, I have no question shes looking out for all of us. She really is amazing Shes super lethargic, Her urine output is still good. She just sleeps. When she looks like shes in pain I give PO morphine around the cheek, its all we have. 94 years is a good run. Thank you for all of your input. Hospice nurses are a different breed.

I am not the power of attorney here. Hey guys. My grandmother is in the process of passing and I wanted to ask some questions on hospice care. I'm a new ICU nurse and a paramedic and I've never done hospice care. My Grandmother is 94ish and the major hx is middle stage dementia, CHF, and afib. I don't remember her ejection fraction but it was something low. Up until 4 days ago she could walk back and forth to the restroom (10ft?) but would have mild dyspnea. This was her baseline. So 2 days ago she fell twice and hit her head. No LOC, no external bleeding noted. Shes not on blood thinners. Hospice care came and said shes on the way out. Yesterday she had the coffee ground emesis. Now she'll try to open her eyes to voice and will occasionally scratch herself. Hot to the touch. I dunno guys, half of me wants to start some normal saline and call 911 but as I type I see that doesn't make sense. I guess I look at her and check her pulse it just looks like she has a fever and that I should be doing something besides giving a tylenol suppository.

Phew. I thought I was the only one that felt lost. I really wish I woulda went straight to the ER. I thought I wouldn't mind handling 2 patients and three at the most. That was 6 drips and 3 pressors ago lol. Im getting better but every time I think I'm starting to get the hang of it, something new pops up. On the bright side if you can work in the ICU you can work anywhere. Is that actually true?