magicman

magicman

Emed, LTC, LNC, Administration

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All Content by magicman

  1. Removing patients from their vehicles

    magicman replied to FiestaRed's topic in Emergency

    I've called EMS more times than I care to remember to remove someone from a vehicle with neck/back/trauma complaints. I've placed a c-collar and done vitals and waited with the pt. until EMS could...

  2. TV in the ED

    magicman replied to RNCENCCRNNREMTP's topic in Emergency

    Msmercy: No need to appologize. I think we ALL want the same basic things you described. Adeuqate staffing among the HIGEST of desires all the way around. Unfortunately, that isn't going to happen in...

  3. TV in the ED

    magicman replied to RNCENCCRNNREMTP's topic in Emergency

    I've found that turning the TV off and telling them it's time to go works. Kind of blunt, but I've never been called on it yet. AFA seekers, I've had decent luck telling them they're always going to...

  4. Shouldn't all EMS systems be the same?

    magicman replied to RNin92's topic in Emergency

    Just an FYI, even privates respond to 911 calls. In a lot of systems, they are the ONLY ambulance responding. But that was why I quantified my statement to scene response only, as your situation was...

  5. What would you have done?

    magicman replied to Headhurt's topic in General Nursing

    It would seem this would be the best approach to use. HIPPA is a PITA, but can be used to our favor too!! Besides, it would seem to me that the staff has an expected level of privacy also....thus,...

  6. Shouldn't all EMS systems be the same?

    magicman replied to RNin92's topic in Emergency

    Lemme just take these one at a time. I'll preface it by saying that in a PERFECT world, ALL ambulances would be ALS and have TWO paramdeics on them. The reality is that only 30% (approximately) of EMS...

  7. ER ethics

    magicman replied to UMTXRN's topic in Patient Safety Issues

    I've had more people tell me they didn't even feel the IV when I start it. And this after they tell me they're a hard stick and their veins roll.......... :rotfl: EVERYBODY'S veins roll. They're made...

  8. Increase in minor complaints?

    magicman replied to MrsWampthang's topic in Emergency

    That's actually what COBRA says.......you're only obligated to treat something that threatens life or limb. Minor problems can be turfed out. Problem is, some docs see this (turffing the minor c/o's...

  9. Increase in minor complaints?

    magicman replied to MrsWampthang's topic in Emergency

    Oh man did I forget about that!! Some of the docs where I work will send in their pts knowing they need admitted so they can get the workup doen BEFORE admission. That way they know it's been done and...

  10. Increase in minor complaints?

    magicman replied to MrsWampthang's topic in Emergency

    There are enough stupid people in the world for that as it is. :rotfl: As for the increase in minor complaints, I agree. Even the doctors offices tell them to go to the E.D. when people call with...

  11. ER ethics

    magicman replied to UMTXRN's topic in Patient Safety Issues

    As for topical anesthetics, we use a mix of lido, epi, and tetracaine topically for pedi lacs and for on road rash, etc. BUT, you have to leave it on for at LEAST 20 minutes for it to work well. So...

  12. Shouldn't all EMS systems be the same?

    magicman replied to RNin92's topic in Emergency

    First and foremost, all good answers to this question!! I'm MUCHO happy to see many EMSers and previous EMSers around!! I am currently in a similar situation where I work almost daily. It is a...

  13. ER ethics

    magicman replied to UMTXRN's topic in Patient Safety Issues

    After working 20+ years in emergency medicine, I can tell you that MOST docs won't use lido at all for staples. The decisoin to use staples is beacaue of the place of the lac to begin with. There is...

  14. TV in the ED

    magicman replied to RNCENCCRNNREMTP's topic in Emergency

    First let me start by saying that I haven't read through ALL of the posts on this thread. :) With that said........... We moved into a new building two years ago and installed TV's in all of our rooms...

  15. Learning thread (ER medicine)

    magicman replied to TraumaInTheSlot's topic in Emergency

    You can use D50W instead of Glucagon too.

  16. Learning thread (ER medicine)

    magicman replied to TraumaInTheSlot's topic in Emergency

    Clipped for brevity..... I LOVE THAT IDEA!!!!! I may need to try this the next time I get one of these "special" people.

  17. Why, would any RN oppose requiring a BSN for all future nurses?

    magicman replied to Roland's topic in General Nursing

    So what do you see that is different? I don't mean that to sound sarcastic, I really would like to

  18. Why, would any RN oppose requiring a BSN for all future nurses?

    magicman replied to Roland's topic in General Nursing

    Okay, THIS I can agree with. Now, just HOW do we get the ANA to stop the esoteric work they ARE doing and START pressuring legislators to do this? Traditionally, nursing has played a subservient role....

  19. Why, would any RN oppose requiring a BSN for all future nurses?

    magicman replied to Roland's topic in General Nursing

    I would say yes to your question. But then the question comes up "could you enter a BSN program in the third year?" if you already HAVE a BS/BA? Also, if you have an ADN, then you don't have a BSN...

  20. Why, would any RN oppose requiring a BSN for all future nurses?

    magicman replied to Roland's topic in General Nursing

    I've been reading through this thread with just a LITTLE bit of apprehension at responding. As an ADN myself, I find this debate laughable at times, and downright deplorable at others. While I agree...