marty6001

marty6001 EdD, EMT-P, APRN

ER, Critical Care, Paramedicine

Member

All Content by marty6001

  1. Fluids vs Pressors?

    marty6001 replied to TigerGalLE's topic in MICU, SICU

    The only problem with Neo is that its pure alpha, which can cause more problems in the end. Of course it depends on the type oh shock, but the heart rate variability with Levophed is usually minimal...

  2. Just wondering NP & PA

    marty6001 replied to physio's topic in Nurse Practitioners, NP

    The 6 years was a joke, what I meant was the physical sciences course that built was a nightmare that felt 6 years long. Sorry you misunderstood what I was saying, but I am the last one who would ever...

  3. Is it worth it??

    marty6001 posted a topic in General Nursing

    Is nursing worth it to you? I've been everything from an ICU to CTICU nurse, an ER and ICU nurse practitioner, clinical faculty and paramedic... Recently I've begun wondering if the toll on my mind,...

  4. Deciding to call MD

    marty6001 replied to TangoLima's topic in MICU, SICU

    I'm not sure what you mean by this. The residents don't pull 36 hour shifts anymore. It shouldn't cause anxiety on the nurse to call for orders, updates, or just to ask for clarification on a patient....

  5. Fluids vs Pressors?

    marty6001 replied to TigerGalLE's topic in MICU, SICU

    5 liters is the suggested standard of early goal directed therapy. The intensivist I work with usually says if by 3 liters your not restoring perfusion to augment with vasopressors, so that is what I...

  6. What age will you retire?

    marty6001 replied to phlox's topic in General Nursing

    I don't think it's presumptuous at all. I look at nurse administrators and think they are out of their mind with the amount of work that they do. I find teaching at the bedside to nursing students...

  7. Help us answer this question!

    marty6001 replied to AKA_Glamour_Pearl's topic in General Students

    did you let her know we had heated debates on allnurses.com about it? She'd probably get a kick out of it... I'm so glad I changed my answer last

  8. Is it worth it??

    marty6001 replied to marty6001's topic in General Nursing

    Wow!! Nicely said... I think this is just what I needed to read right now. It's so easy sometimes to get caught up in all the negatives of the job and forget why we truly do this. I posted this...

  9. What age will you retire?

    marty6001 replied to phlox's topic in General Nursing

    I am retiring from being an APRN in 13 years when I turn 50. I will then go into teaching full time and enjoy a semi retired

  10. how much orientation

    marty6001 replied to pedspnp's topic in Nurse Practitioners, NP

    When I was a new grad APRN, I took a job in an inner city ER. They gave me 2 months orientation and asked at the end if I needed more. I still took patients, but had another APRN that I ran the case...

  11. Help us answer this question!

    marty6001 replied to AKA_Glamour_Pearl's topic in General Students

    I want to change my answer to D... The more I think about it, chicken is a soft bland food that won't stick to the ulcers, etc... Of course, just like when I was in school, now that I've changed my...

  12. Bad code

    marty6001 replied to sk8rn's topic in Emergency

    We dont routinely do a BGM during a code, although if I have any suspicion I will just order an amp (history, part of H/T, etc). I've seen blood via an ETT when compressions have ruptured something,...

  13. Recruitment call at work

    marty6001 posted a topic in Nurse Practitioners, NP

    So I get a call at 3am the other night at work, assuming it was a family member looking for an update I pick up the phone to be suprised that it's a recruiter on the other end. He is from an agency...

  14. Deciding to call MD

    marty6001 replied to TangoLima's topic in MICU, SICU

    As an APRN who works in an ICU with both seasoned nurses and new grads, bug the doc. I'd rather get 100 calls from a new nurse than miss the one call that matters. At worst you wake up the resident...

  15. Fluids vs Pressors?

    marty6001 replied to TigerGalLE's topic in MICU, SICU

    Sounds appropriate to start pressors in this patient. He sounds adequately volume resusitated. Continued use of NS can cause hyperchloremic non gap acidosis so just pounding the fluid is not an...

  16. Help us answer this question!

    marty6001 replied to AKA_Glamour_Pearl's topic in General Students

    I say C. Oral ulcers are aggrevated by salty, spicy, or hot foods. You were correct that A and B are certain. Peanut butter is a soft, bland food which should not make the ulcer worse. I suppose you...

  17. Not Understanding Train-of-Four Use

    marty6001 replied to Pachinko's topic in MICU, SICU

    You have to remember to get a baseline train of four before paralyzing the patient. If you don't get a baseline, the test is useless. And yes, it is a 4/4 TOF baseline. That way, when your drip is...

  18. What to wear to interview at Hosp for Central CT

    marty6001 replied to nesu0204's topic in Connecticut Nursing

    Overdress is best. Hospital want professional nurses who they can rely on to work on their

  19. Should I start my DNP immediately after finishing my BSN?

    marty6001 replied to ECrad64's topic in Nurse Practitioners, NP

    I think it's dangerous to go right into an APRN or DNP program right after graduating. It would help you both in the program and after if you get some experience in the field you want to practice in....

  20. LTC experience into NP programs

    marty6001 replied to GHOT-Anes's topic in General Nursing

    I'm of the school of thought that it's how hard you push yourself to learn and become relevant in your practice matters much more than where you have practiced. There are many factors to consider...

  21. Am I too old?

    marty6001 replied to frann's topic in Nurse Practitioners, NP

    Go for it. I've had many students over 50 who ran circles around everyone

  22. Just wondering NP & PA

    marty6001 replied to physio's topic in Nurse Practitioners, NP

    APRN's get all those classes. My immunology/biochem class was a combined nightmare of a course called biomedical sciences, which spanned one year of master's level time, which equates to about 6 years...

  23. how to gain confidence

    marty6001 replied to pedspnp's topic in Nurse Practitioners, NP

    click the email tab, then email it to yourself. it asks if you want to send a 30 day

  24. CURE FOR HIV

    marty6001 replied to healthstar's topic in General Nursing

    There is no cure, however, the newer combination medications have stopped the disease HIV from worsening into AIDS in most cases, allowing people to live a healthy, active

  25. how to gain confidence

    marty6001 replied to pedspnp's topic in Nurse Practitioners, NP

    hmm do you spend time in the hospital at all? Maybe you can get it from there. The other thing you can do is email yourself a 30 day trial of uptodate... I've had the same problem with marketing......