Medic/Nurse

Medic/Nurse BSN, RN

Flight, ER, Transport, ICU/Critical Care

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All Content by Medic/Nurse

  1. Nurses, Policemen and Firemen

    The BOND that exists in the FIRE SERVICE is very difficult to explain. IT is there - IT will ALWAYS be there and I am so GRATEFUL that I was admitted to this very EXCLUSIVE CLUB. Most of the time,...
  2. CEN exam tomorrow!

    IF you INSIST on studying tonight - do some review of chapter summations. Otherwise, call it an evening. Relax, good meal, hot bath and excellent sleep are very valuable. At this point, you will...
  3. Your biggest mistake was.......

    Not settling to just be a "trophy wife"! Getting "bit" by the EMS bug! Probably terminal, I'm afraid. LIMITS! Failing to recognize that ANY p*&%^$^ contest that I think I can compete in - well,...
  4. How long did it take for you to get your RN?...

    already had the degree and all preq. started on the excelsior challenge exams in nov and completed in march. = 5 months took some time off. registered for the cpne in september, took it and passed in...
  5. Lidocaine with Rocephin IM?

    Almost always reconstitute with 1% Lidocaine. Just make sure it is PLAIN 1% lido - and there is no allergy and then mix well. I think it takes a bit longer to mix, but the benefit to the patient is...
  6. Provigil for shift workers

    I have taken it before and had amazing results with night shift work/day sleep cycles. It started with back to back contract assignments. Would get off work at 7 am to the hotel and sleep till noon,...
  7. glass of water-stat

    ANY MD (speciality or not!) that writes for an INCIDENT REPORT is gonna get TWO - THE ONE HE INSISTS THAT BE WRITTEN and THE SECOND THAT WILL STOP THAT VERY PRACTICE Honest to God - I sometimes...
  8. Differences

    If a MD, other RN, Specialist is in the act of a process/procedure or order that I KNOW will HARM/KILL a patient I will stop them - I will use the least restrictive means. But, will take whatever...
  9. :) I am not a reactionary kinda person - I strive for responses instead! I'm really into CONTROL - just a terrible side effect of that paramedic part of me! Sorry if my posts were offensive to the...
  10. Nursing, not as rewarding as I thought...

    Hey there Wen83 and others - I know how you feel. I have been there and I stay really aware that I not ALLOW myself to get back in that place. It sounds almost like depression in its purest form -...
  11. Run. Get out of there - just try to forget the entire experience and hopefully, there will be nothing in the future to "remind" you. Just don't mention it - it was just a week. You will have a long...
  12. It is supply demand economy. Technical/legal/medical demands of the job. BUT, if you think that working for less wages makes your practice more "worthwhile" GO TO IT! Personally, I love saving things....
  13. Interhospital transfers

    Yes, CraigB - I will correct this - EMTLA does cover the ER patient and the OB patient in active labor. Even without EMTLA - I will still not load the patient - this includes NICU, Peds - well,...
  14. Interhospital transfers

    The RULES for LEGAL transfer of ANY PATIENT are clear. There are serious fines/penalty for those that do not follow them - this is a FEDERAL thing! I WILL NOT take any patient from ANY referring...
  15. is there anyone who didn't study for nclex

    TRUTHFULLY - no, not really. I did make an attempt to do the NCSBN on-line review, but I just wasn't too into it. The other "thing" is - it really can really p*** off folks that want to think you did...
  16. Paramedics in the ER

    This is the one topic that can be debated for the remainder of any of our careers. Paramedics in the ED, RN's in the "pre-hospital" area (FIELD). Well, this is the one topic that I have experience...
  17. Calling in sick??

    Ah, the FEDS. I know, it is kinda sucky to have to invoke this rule - but, if you have a legitimate illness and an irrational employer...it IS you best protection. FMLA will cover you or a family...
  18. If A Dog Were Your Teacher

    That was major cute. Reminded me of a "incident" recently - Got a call from hospital education that one of "your nurses" is over here in the OR saying that she is here to intubate for the day. (She...
  19. Do you get tired of taking ACLS/PALS/TNCC

    Tired? Not exactly. I teach most all disciplines, so I just look for ways to make it exciting for me and the students! Sometimes when you take a class outside of your facility - it can really add to...
  20. Is it too late for me?

    i have wrestled with the idea of going to law school. still may - got a job that "derailed" that plan for a bit, but... as i was whining about it, complaining that i'd be 42 when i graduated - my...
  21. Yep, I' with the Tazzi and CritterLover here! Just a part of an assessment. May have considered the a****** to appetite routes - or just took a look at the airway to determine Class as it relates to...
  22. Nurses who act incompetent...

    who says it is all an act! i believe that there are some who are incompetent! and for some they just get by - and others get the dump. i believe in responsibility and accountability! if we let...
  23. Diluting SQ Epi

    in the spirit of safe practice - i am going to try to explain this- it is easy to confuse these 2 concentrations - but the key is to remember how they are used in clinical practice. epinephrine is...
  24. worst clinical story please??

    WOW, some of these are bad. But, you asked for it --- here goes... As a medic, head on MVA. Bystander cradling the teen (my patient) beside road, obvious femur fx (leg bent at unnatural angle) teen...
  25. Desirable per the EMPLOYER? Well, just about any speciality. There are regional variations - but, critical care will always be in demand. An RN with excellent credentials will ALWAYS be in demand. ER...