marty6001

marty6001 EdD, EMT-P, APRN

ER, Critical Care, Paramedicine

Member

All Content by marty6001

  1. New Grad Advice

    marty6001 replied to tc3214's topic in First Year After Licensure

    Remember that you have learned only the basics of nursing. Stay positive, ask questions whenever you can, and don't give up. It takes years to realize your

  2. ABG analysis

    marty6001 replied to nurse-in-learning's topic in Critical Care

    It looks like mixed acidosis to me. your ph is acidotic at 7.1, your pCO2 is elevated at 60, and your bicarbonate is low at 19. Another thing to question is how much O2 is your patient on as the PO2...

  3. Small air bubble in fragmin/arixtra

    marty6001 replied to marty6001's topic in CCU, Coronary, Cardiac

    No worries, it's probably me reading into it. I'm at work and its 2am here after a weekend with our 5 month old and have a 5 day stretch of working/teaching looming in front of me. The only reason I...

  4. Small air bubble in fragmin/arixtra

    marty6001 posted a topic in CCU, Coronary, Cardiac

    So we were having a discussion about this on the unit tonight and there was no clear answer. It is clear in the literature to keep the air bubble in the syringe prior to administration to ensure full...

  5. Small air bubble in fragmin/arixtra

    marty6001 replied to marty6001's topic in CCU, Coronary, Cardiac

    Got it finally. On one of the Arixtra prescribing information packets I found on this link: http://us.gsk.com/products/assets/us_arixtra.pdf it says, "Push the plunger rod firmly with your thumb as...

  6. PhD vs. DNP

    marty6001 replied to Moogie's topic in Nursing Educators, Faculty

    I've been putting a lot of thought into this as well. My future is in teaching, but right now I'm working as an acute care nurse practitioner. So, either I go and get my DNP and hope for tenure...

  7. Small air bubble in fragmin/arixtra

    marty6001 replied to marty6001's topic in CCU, Coronary, Cardiac

    SunnycallifRN, I'm not sure what I've ever done to irritate you as I may have posted 20 times in all the time I've been a member here, but I apoligize for whatever it was. Your second answer is much...

  8. NPs Losing Ground?

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

    Same here. The northeast is really progressive with APRN's, and last I've read they are trying to push out the "collaboration" from the

  9. Small air bubble in fragmin/arixtra

    marty6001 replied to marty6001's topic in CCU, Coronary, Cardiac

    let me try again, as i am not in outer space or underneath the patient. when you are administering the medication, do you inject the air bubble into the s/q space of the patient, or is it as you said,...

  10. To my preceptor, future students beware (rant)

    marty6001 replied to leekun2010's topic in General Nursing

    You need to report this to your school. Likely it is not the first time this has happened, and furthermore, if the staff saw this going on they will report it to your school as well. This type of...

  11. Burnout

    marty6001 replied to MistyDawnRN06's topic in General Nursing

    My first 5 years as an RN I work as an ICU nurse. Straight from school into the unit, where I worked 60 hours a week an average of 50 weeks a year. I knew I was going back for my masters as an acute...

  12. no nursing shortage but shortage of NP? MD? PA?

    marty6001 replied to sam1984's topic in General Nursing

    The need is there... Here's the thing.. It's tough as a new grad anywhere to find a position as the last I've heard it costs roughly 40k to train a new nurse. That's a big gamble when so many nurses...

  13. Any ICU ACNPs???

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

    I think my question got mixed with someone's response. In my case, the two that I did were for loss of volume and increased pressures with inability to ventilate. So using the bronch I found the...

  14. Any ICU ACNPs???

    marty6001 posted a topic in Nurse Practitioners, NP

    Hey all you acute care NPs.. This one is for you.. I recently took on a position as an ACNP in a small community ICU. I am the first to be hired, and in the last year we were successful enough in...

  15. Abusive and Cruel Clinical Instructors: Why??

    marty6001 replied to sallber's topic in General Students

    2 things that should never happen... Never, ever should a student be yelled at in front of a patient or staff, conversations should be taken off the unit, and 2, name calling is never ok. If those...

  16. Any ICU ACNPs???

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

    Hmm, 2 interesting points brought up here?? Who doesn't replace the ETT when the balloon ruptures?? In fact, its quite easy using a tube changer to do, can get it down in less than 20 seconds... As to...

  17. Lost

    marty6001 replied to delgadojbc's topic in General Nursing

    You went back to school because you weren't fulfilled with your life before... It is not easy, despite your background.. It will get easier with

  18. Lost

    marty6001 replied to delgadojbc's topic in General Nursing

    You haven't missed a thing... I've been watching since day 1 and still have no clue whats going

  19. Lost

    marty6001 replied to delgadojbc's topic in General Nursing

    That fear should never go away.. It's what makes a great nurse... once you can use it to your advantage and just get the work done.. You are psyching yourself out.. Let it go and come back stronger...

  20. Lost

    marty6001 replied to delgadojbc's topic in General Nursing

    I would say take Locke's side, he seems more in touch with the island!!! Really, show up the next day and try harder, its all you can

  21. need advice from fellow nurses

    marty6001 replied to marielina85's topic in General Nursing

    True its getting tougher for LPNs (I think that was a typo no??) to get hospital spots. So isn't this the perfect time for you to get your RN while working LTC?? there are so many options for getting...

  22. Resident called me a "cheap date"...

    marty6001 replied to NurseLoveJoy88's topic in General Nursing

    LOL I thought you were talking about a medical resident.. This story is much better and made me smile at 4am.

  23. No confidence...Please help!!!!

    marty6001 replied to *Butterfly8*'s topic in General Nursing

    What horrible responses?? Medical school does not make one have all the answers, nor does nursing school.. People ask you questions because they trust your education and your title. That alone should...

  24. need advice from fellow nurses

    marty6001 replied to marielina85's topic in General Nursing

    It's been said (yes, even by me to my students) that all nurses should work a year in med/surg, at least at the floor level (if not the ICU or ED) to really learn your critical thinking skills. I...

  25. 10 drugs every nurse should know?

    marty6001 replied to jbphburg's topic in General Students

    Here you go.. These are the top ten i give my students: Heparin Coumadin Lovenox Cardizem Metoprolol Lantis Insulin Aspart Insulin Regular Insulin Lasix Narcan All for different reasons, but really...