emtb2rn BSN, RN, EMT-B

Emergency

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All Content by emtb2rn

  1. emtb2rn

    Case Study #3

    So, ct negative, csf clear, tox screen + opiates (suboxone remember), repeat rectal 99.2, hr 80s, bp 120s/60s, peacefully milk of amnesiad, my shift is done. Conclusion: extubated 2 days later,...
  2. emtb2rn

    2 years experience wanting to venture to ER

    Change that
  3. emtb2rn

    Case Study #3

    We discussed this before administering & docs thought with this particular pt was low risk for acet to be in the
  4. emtb2rn

    Case Study #3

    We addressed the fever with tylenol 650mg pr. Pt was tubed to protect airway. And the doc was real interested in what csf might look like.... So what do think happened after
  5. emtb2rn

    Case Study #3

    cpap with possible ams? Might not end so well, but intubation, now that's a good move. Sinus tach in the 120's to 130's is the rhythm after a hefty fluid bolus through those 18's in the
  6. emtb2rn

    UltraScopes?

    Ultrascopes are great. Superb acoustics, lightweight, reasonably priced and you have hundreds of choices for
  7. emtb2rn

    Case Study #3

    And then the pt went for ct. No issues. We get back to room, hook everything back up. Hr 150's, bp 90s/50s, pulse ox 98% ra, rr 20, no neuro differences. 5 minutes later, sat 89%, starts having...
  8. emtb2rn

    Case Study #3

    Good thinking. Parents have list of meds which include suboxone, antabuse & seroquel. What are your nursing concerns? While the fluid is a good idea, any of those other vitals signs warrant some...
  9. emtb2rn

    Um... Can you hit before you get hit?

    I immediately thought of the line "I'd rather be judged by 12 than carried by 6" Still can't hit first. Anyway, unless you're very well trained & experienced, going against an armed assailant...
  10. Did you actually watch that segment? Kelly states that "some people consider the prevention of an egg being fertilized to be abortion". That's her argument. I'll stick with
  11. emtb2rn

    Is anyone else bothered by this? You should be

    Maintaining my CEN cert requires 100 CE's to renew. That's an average of 25 CE's/year for the 4 year cert. Easily covers the 30 needed for my 2 year state renewal plus my facility requirements have us...
  12. Yep, some pas & nps are awesome and some, not so much. Just like the
  13. emtb2rn

    Case study...

    We use CIWA with regularly scheduled librium along with prn backup. Ativan is sometimes added depending on the
  14. emtb2rn

    Um... Can you hit before you get hit?

    Still can't hit
  15. emtb2rn

    Emergency nursing or IMCU

    Advice? While I'm OK with a busy day, I'm not OK with choosing to not take lunch and saving charting until the end of your shift. You'll need to tighten up your time management. Staying late because...
  16. emtb2rn

    How different is ER nursing from floor nursing?

    Laugh a lot
  17. emtb2rn

    Each situation is different

    Fist vs gun? Unless you're Chuck Norris or Jackie Chan, that ain't ending
  18. emtb2rn

    An omen...

    Yep, it was a monday following a full moon. Kinda day where even the patients being coded needed a psych
  19. emtb2rn

    Afraid of starting nursing Pre reqs

    What if: You get hit by a car? The earth spins off its axis? Congress stops acting like grade schoolers? You turn left instead if right? As Esme12 the wise recently said (and I paraphrase): you can...
  20. emtb2rn

    If we had a conservative nurses forum

    @nurse said "Sometimes in life, it is refreshing to enjoy the similarities in others without having to defend your thoughts". OK, but doesn't that simply become an echo
  21. emtb2rn

    Bullying - What is it?

    The worst bullies I have encountered in several decades of work experience were executives just below the top of the pyramid. Those who delivered results and left behind a mound of broken spirits....
  22. emtb2rn

    Surrendering RN Scope!

    You need to have a list of orders that can be input under "nurse judgement". This requires putting a proposal into your nursing practice council & physician council. After they approve the list,...
  23. emtb2rn

    Nurses Share Your Empowering Scriptures :)

    Ezekiel 25:17. "The path of the righteous man is beset on all sides by the inequities of the selfish and the tyranny of evil men. Blessed is he who, in the name of charity and good will, shepherds...
  24. emtb2rn

    confidence

    That's part of a validation technique which is designed to show the other person that you are engaged and empathetic to them. You can couple that with "if I understand you, (paraphrasing what they...
  25. "The sea was angry that day my friends, like an old man sending soup back in a deli"