RachetRN

Hi ya'll Absolutly everything that canoehead said AND: I live in a very rural area and our EMT's can give med's but only if a doc or ER charge RN is on the radio with verbel approval/orders. They do often give SL nitro and/or a GI cocktail to r/o heart vs. GI pain quickly. And of course the old failsafe... benzodiazepines for status epilepticus. But I do not recall narcotics given for pain before, so that aspect of it is a new thought for me. There is my two cents and just think, it was free AND worth every penny:p !!! Have a Good and Worthy day.

Hi I am a nursing student. On my first rotation to the ICU I watched an NP remove a chest tube. I guess it was my bad because I did not ask more questions about this and just assumed (and we all know what assuming does to U & ME!) she did it because she was an NP, as opposed to an RN. I guess I missed that day of check offs though. I am about to graduate and have not learned anything about removal of drains. In my schools' defense though let me say I was in Peds until last week and moved to Med-Surg at that time. If this is not addressed in this setting I will be sure to bring it up. I certainly do not want to be blind sided with a procedure I have never studied/performed when I get out into the real world. Thanks for all the info and the original question...you have all helped in preparing me for a safer future... Lisa T.

Hi I am an RN student, but find the same situation...the telemetry beds on the floor are monitered by the RN's or LPN's on the floor, but when I quizz them on the meaning of the report info., they are vague. They usually respond that the ICU would call if the readings were bad. It comforts me to know that thay are being watched by someone (ICU) in the know :) , however I wonder...'where is the double check system?' I guess there isn't one, huh?!? Being a student I do KNOW that telemetry patients are monitered constantly by a well trained/educated person in the ICU. It is difficult not to be concered though. I would want an ACLS cert. if it were my license on the line . Thanks for your time...