AnRNIam

Hi, I'm sure you hear this question a lot but I think the answers very over the years. How far in advance should you start studying for CCRN and what are the best materials out to aid in studying?

The simple fact is that the Paramedic has a medical director (MD) that they work under. This medical director sets the protocol that the Paramedic has to follow regarding any treatment they render not a HHRN. If the protocol the Paramedic has states to give the O2 to a patient with a Sat. of 73%, she had to give O2 to that patient. No choice, no argument. Had she deviated from what her medical director and medical control set as protocol she could lose her license. Again, no choice, no argument. As for the DNR status someone mentioned (not sure who), in quite a few states, if a DNR is in place and 911 is called the DNR becomes invalid. A call to 911 is considered a call for help and request for treatment and supersedes the DNR. So, in calling 911 the OP would have invalidated a DNR for this patient if one would have been in place (not cutting on the OP, just food for thought for everyone). Myself, I was a Paramedic for 15 years and decided to go into nursing after we had kids. In all that time, I have never shut down a COPD'er by using a higher flow of O2 during a short ride to an ER. As the Paramedic in the OP did, I also would have went with 6-8L O2 in that situation (what little of it I know). If the patient would have complained of SOB or had a decreased LOC I may even have went higher on the O's.

Yeh, what Burn out said!~

Ftgirl I feel your pain! I was in school, working full time, and had three kids at the time. Thank God my wife was real supportive. One thing that I found worked well for me was study groups. I found a few people who were feeling the same way and had the same dedication I did and got together to study with them weekly. The catch was that we never studied at someone's home. We found a nice coffee shop that would allow us to study there. I found this refreshing because it 1.) Helped me keep focused, 2.) Gave me something to look forward to each week, and most importantly 3.) I had other people to commiserate with when things got tough. I kept this up the entire last two years of school whether I needed to study or not. The neat thing about this is: Although all of our group moved to different areas of the state we still get together every other month at the same coffee shop to chat and vent if we need to. This helped me keep from going insane. So, for right now, take a deep breath and do your best.

15mg is a common dose of Prolixin Dec. given IM. The 150 mg is way off. I worked with many mental health patients in an AODA center and I've never seen more than 75mg given IM. Good job questioning the order and researching the med.

Being told to chart what someone else wants you to is not legal. Quit, report her to the State Board of Nursing, and the facility to the State. Back out of the facility slowly, quietly, and proudly displaying your middle finger during your escape.

This is standard concentration in ICU where I work, premixed. The correct answer to the calc is 45gtts/hr. The exam is wrong. Are they testing to see if the person taking the test is willing to stand up and be pro-active by challenging them?

Please e-mail me about this if you want to talk about it further.