OH RN,BSN

Here's the situation: We get in the "doosie" pt having an AMI... and we start our protocol of MONA..although not always in that order;) . Then usually follows a beta blocker of some sort, obviously depending on what is wrong with the pt... usually metoprolol IVP x3. Simultaneously, in the critical pt... either heparin, reappro, integrelin.etc. is started. Now we find we need to transfer them out... due to no open heart available at our hospital if circumstances would arise during their heart cath. What happens after this??? Are you lovely techs out there and RN's cursing us due to the bleeding times and such, or are the half-lives short enough it doesn't matter? Wanting to know what goes on elsewhere.... after the transfer to YOUR facility;) . Can you clue me in? Thanks.

A fast track is like a "Minor Medical" area... less acuity of a pt.. supposed to be all level 5 (of level 1-5, 5 being less severe). Includes lots of lacerations, colds, c/o for lack of a better word "stupid" things, anything that is quick fix. Usually people are seen here that should not require anything other than a quick xray or rx. ie, no blood work done here or pt with possible admission status, etc. Although, sometimes pt's are placed here and then more info is found out that can then increase their triage level (1-5). Hope this helps!

Thanks for the articles.. I too am trying to decide which track to take. Can anyone say examples of jobs they have that might be out of the "traditional take" of what people see CNS(ie. hospital manager,college prof) or NP's (ie. Physician office) to have?

It's been interesting to read your post... I also am debating CNS or FNP. I'm currently an ED nurse and love it... but looking for that perfect job where I can have more autonomy. My understanding is that CNS areas were more for if you wanted something in the Acute care setting, or education. FNP more for outpt settings like a Dr's office. I've been debating doing fnp with a leaning more towards coronary... but I'm still not convinced of what to do. I plan on starting in the FNP track this year and hopefully will be in tune with which way to go before it's too late. An obvious goal would be to make a bit more than I am now... which may be difficult looking at other postings?? I told an instuctor of mine... if I could create my own position (that obviously doesn't exist) I would love to do some sort of rounds for a physician in the acute care setting from 9-5 M-F....I know I'm dreaming. Any suggestions by anyone for the correct route to go?