Aliakey

Aliakey

Emergency

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All Content by Aliakey

  1. Intubation Question

    Aliakey replied to RN015's topic in Emergency

    Maybe a little off-topic, but with a rural hospital, you may want to see if backup airways are also available. I have used a King Airway a few times in the field without any difficulty. If you have...

  2. How to deal with Negative Nancys?!

    Aliakey replied to BrandNewbieNurse's topic in General Nursing

    In my EMS, about 90%+ of the medics are male, and we have our "Negative Nancys" or "Downer Di***" (er, scratch that thought ) as well. We have burn out in this field with the BS calls being the...

  3. Anyone work in a plasma center?

    Aliakey replied to BettyBoop01's topic in General Nursing

    In my area (west Texas), the plasma donors are paid for their donations. I work in EMS, and ran on one person at a center who probably had a reaction to the sodium citrate used during apheresis....

  4. RN vs. EMS

    Aliakey replied to CrazyScrubNurse's topic in Emergency

    LunahRN is very correct... there should be a set of protocols authorized by your medical director, not only for your paramedics, but your basics as well. Without them, the EMT-B's would not know...

  5. When you arrive on an accident scene

    Aliakey replied to canoehead's topic in Emergency

    I'm a paramedic with a large 9-1-1 EMS. I was in uniform and heading into work when I rounded a turn on a highway outside of the city and saw a group of people and an overturned pickup truck. EMS or...

  6. Paramedic triage

    Aliakey replied to klerrn's topic in Emergency

    I am a paramedic and I also work primarily in triage at a level II facility that sees about 200 patients per day. In our triage, the EMT or paramedic completes the triage process (hx, vitals, c/c,...

  7. Hospital based training

    Aliakey replied to MansTX's topic in Texas Nursing

    In Lubbock, there's a nursing program at University Medical Center (Texas Tech University) and a separate one at the Covenant Medical Center School of Nursing (hospital-based). Both are excellent...

  8. Triage sucks!!! Any tips??

    Aliakey replied to BrnEyedGirl's topic in Emergency

    I really enjoy triage as well. But, when things start getting busy and the waiting area is piling up, I dump the usual "What's going on today" question. The inital question asked of everyone who...

  9. add your funny TRIAGE complaints from pts

    Aliakey replied to er nursing's topic in Emergency

    "My hair hurts" (might want to loosen that ponytail there ma'am

  10. What do I ask my interviewer in the ER?

    Aliakey replied to onmywaytoRN's topic in Emergency

    8:1???!!!??? Hope there's *plenty* of help when you get that "lays on the nurse call button every five minutes patient" in one room, explosive "Code Brown" in the other, room #3 with the patient who...

  11. I'm cluless

    Aliakey replied to spanky999's topic in Emergency

    Over here (busy 40+ bed ED), only last semester nursing students of the hospital's School of Nursing program, EMT-B, EMT-I, EMT-P, and LVNs can become ED Techs, and the nursing students/EMT-B usually...

  12. Resources for ER Newbie

    Aliakey replied to Caralee's topic in Emergency

    It's a bit of a broad request. Any particular topic in mind, like cardiology, meds, documentation, procedures, triaging, labs, respiratory care, pediatric patients, geriatric patients, "Code Brown"...

  13. trouble triaging

    Aliakey replied to nursemoons14's topic in Emergency

    I've been on both sides of the fence... maybe I can explain why our ED policies are similiar (general entrance triage nurses must be experienced, while new ones can accept report from EMS). As an EMT,...

  14. What would you do?????

    Aliakey replied to banbulance's topic in Emergency

    Listen to the experience above... they know what they're talkin' about. As an EMT-Int. with a few years on the street, maybe these bits I had to learn myself will help. I'm guessing that you are...

  15. You experienced ED nurses will get a kick out of this.....

    Aliakey replied to ParrotHeadRN's topic in Emergency

    I agree with ya! Had an elderly patient in the other day with complaints of nausea, and her adult sons were with her. Since I'm new to the ER, one of the nurses told me that this patient is here any...

  16. Patient Volumes

    Aliakey replied to one_speed's topic in Emergency

    The hospital I'm at is a Level II serving a population of 201,000 (city) plus additional populations from the rural counties and even the neighboring state (Air Flights). There also exists a Level 1...

  17. EMS abandonment?

    Aliakey replied to UtErRnEmt's topic in Emergency

    Since the EMS crew in this instance was county-based, it might have been ALS or a BLS crew, not MICU. Very common in my rural area; paramedics are in short supply. Only Paramedics (at least in...

  18. Need help with article about EMS

    Aliakey replied to Ridryder 911's topic in Emergency

    Just wanted to thank you folks for the kind words, and for the link to the Pedi-Mate. We use Stryker stretchers, and although it appears to be designed for Fernos, I am going to see how we can make...

  19. Need help with article about EMS

    Aliakey replied to Ridryder 911's topic in Emergency

    If you have a link or some other source of info on that, I would appreciate it. I never heard of this product. I didn't make it clear... my appologies. Securing the car seat on the bench seat...

  20. Need help with article about EMS

    Aliakey replied to Ridryder 911's topic in Emergency

    As an EMT-I, I would love to have more detailed education and skill training on special patients and their devices/treatments, like dialysis (example: AV grafts), ports, trachs, and all those other...

  21. alcohol site prep

    Aliakey replied to blufoxtrot's topic in Infusion, Intravenous

    There are many times I'm proud to be an EMT-I, and then there are times when I wish all I can do is appologize over and over for us. Kelly911, if you haven't done so already, that instructor needs to...

  22. Any Austin Texas nurses here?

    Aliakey replied to dreatx's topic in General Nursing

    I used to live in Davis, California (neighbors to 'ya in Sacramento) and lived in California for most of my life before moving to Texas a few years ago. You'll find housing to be less expensive and...

  23. You can and will take it with you!

    Aliakey replied to Antikigirl's topic in General Nursing

    As an EMS service, we pay $300 per month for 90 gallons of biohazard removal, and in contrast, $34 per month for a big dumpster. Have your husband offer the Powers-That-Be this ultimatum: "Either...

  24. You can and will take it with you!

    Aliakey replied to Antikigirl's topic in General Nursing

    Oh geez... I laughed and grumbled at that post as well! Tell your beloved Paramedic to remind management that taking his dirty uniform home is a violation of OSHA regs. If needed, I can scan in the...

  25. Need nurse's advice for EMS policy development

    Aliakey posted a topic in General Nursing

    Our ambulance service treats and transports quite a few patients who have dialysis cathers in place, grafts, PEG tubes, foleys, trachs, etc. Although our close-knit, current crew has a lot of...