MesaRN

MesaRN

ER, ICU, Flight

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All Content by MesaRN

  1. Nursing Student Site Selection

    MesaRN replied to asiyana's topic in Canada Nursing Programs

    If your ultimate goal is flight nursing your initial goal should be to aim for a critical care or ER position. From your list above I would vote for cardiology as a placement. This assumes that by...

  2. How old are the CFRN questions?

    MesaRN posted a topic in Flight, Surface Transport

    Wanted to ask those with recent experience with the CFRN as to how "new" (or old) are the questions you had. All the recommended study materials (Holleran's Patient Transport, Wingfield's ACE SAT,...

  3. Malpractice Insurance

    MesaRN replied to RNnowFNP's topic in Advanced Practice

    This question nearly always results in the following replies: 1. Don't rely on your employer's coverage as it is designed to cover them not yourself. Some may offer to pay for your individual...

  4. Responding to the ER for STEMIs

    MesaRN posted a topic in CCU, Coronary, Cardiac

    I am currently helping to develop a chest pain response team in our hospital.We are a 36 bed ER and regional medical center with interventional cardiology. Specifically I am looking at the role a...

  5. Patient fell and died a few days later, was it my fault?

    MesaRN replied to GlitterRN's topic in General Nursing

    This among the worst post I have ever seen anyone make, please do not take this seriously. It seems to say that if you knew the pt was going to get up themselves you should just let them do it when...

  6. What are your pet peeves when orienting a new ER nurse?

    MesaRN replied to NeoPediRN's topic in Emergency

    I have to say +1 one for the "we did it this way" folks. There is a time and place for improvement, but generally these comments are not exactly in helpful situations. My biggest per peeve as a...

  7. ER Preceptorship

    MesaRN replied to perkygyrl81's topic in Emergency

    The reason for your preceptorship is to help you understand how complex the question you just asked really is. Your preceptor is there to help you figure out the questions to ask and focused...

  8. What references do you you use?

    MesaRN replied to seamang2's topic in General Nursing

    I second the don't bother to save texts. Most text are out of date by the time there are printed. DO NOT buy a med dictionary, the web is quicker and with more info. Also it saves money to buy the...

  9. When hiring, do hospitals look at where you got your BSN?

    MesaRN replied to traceydolovesyou's topic in General Nursing

    Nope. Unless your aiming for director or CNO, RN is an RN. Most of the time even the BS part doesn't matter a bit. You can go to a private school and pay a lot more to make the same pay as those who...

  10. ED practicum

    MesaRN replied to nursing.mypassion's topic in Emergency

    This is what I send out to our senior students before their ER rotation: Items to Review Skills Whether you have done a lot of IV starts or none at all, don't worry!! Learning is what the...

  11. pediatric crash cart nightmare...

    MesaRN replied to rnbecky8085's topic in Emergency

    We use separate bins that are color coded to the Braslow. The bins contain larger items like ET tubes and OG/NG tubes, ect. that are appropriate for the weight group. The core cart itself holds the...

  12. IV Gauge for CT

    MesaRN replied to EDrunnerRN's topic in Emergency

    We are required to have 18G in a great vein (AC or better) for R/O PE (which I assume was the reason for the chest CT). This rule is so ingrained that even if you have a 20 in the AC they will not...

  13. Last Semester In Nursing School, ER Preceptorship

    MesaRN replied to redraider1977's topic in Emergency

    I am preceptor for students and nurses new to the ER. I have been giving my students this handout before thier rotation to help get them ready: Items to Review Skills Whether you have done a...

  14. Info for senior students in the ED

    MesaRN posted a topic in Emergency

    I have been putting together an information packet for students who are doing thier senior practicum or capstone experience in the ED. I am looking for help and advise in what to put in it. The goal...

  15. Failing to carry out a stat order in timely manner

    MesaRN replied to afteralltheseyears's topic in Emergency

    We are paid to use our nursing judgment and to be patient advocates. According to your post you were using your best judgment in order to obtain the best outcome for the patient. In retrospect the...

  16. Hyperkalemia and order of meds

    MesaRN replied to RoyalNurse's topic in Emergency

    I would second the poster above. Especially the Kayexalate. In the ER setting we tend to focus on intracellular K/NA exchange of K+ to decrease serum levels, but that it is only a temp fix, you still...

  17. CEN

    MesaRN replied to marlarn's topic in Emergency

    There is no raise or "bonus" at my hospital. Also keep in mind that you need CEs to keep in current after a few years or retake the test. My hospital will not pay for either, so you have to add that...

  18. Clinical calculations and what to expect first seamester of Nursing School?

    MesaRN replied to Scrub2Nurse's topic in General Students

    Nearly all nursing schools have some type of calculation textbook. Just grab a used copy of the one your school uses at the book store or on half.com and start working through it. None of the math is...

  19. PALS Pediatric Advanced Life Support

    MesaRN replied to johnedmyri's topic in General Nursing

    The PALS course should have the American Heart Association study guide (some call it a pre-test) that contains around 30 questions and rhythm examples. If your course did not provide it for you can...

  20. Nitro drips

    MesaRN replied to MassED's topic in Emergency

    50 mg/ 250ml tiriate with 3ml/ 10

  21. What do you use for conscious sedation in your ER ?

    MesaRN replied to BunkyRN's topic in Emergency

    We use propofal nearly exclusively for conscious sedation. New literature is showing promise with propofal/ ketamine combo for adults. A few EDPs use it and the combo has been the best conscious...

  22. Info for senior students in the ED

    MesaRN replied to MesaRN's topic in Emergency

    I will add monitor use to my clinical check off list, great idea! I have now added epi to the med list, thanks! I imply narcan and flumazenil on the questions below the list, it would indeed be a bad...

  23. cna work after passing nursing fund?

    MesaRN replied to Will-B's topic in General Students

    Please post which state you are in. CNA rules differ greatly between states. In Colorado you are eligible to take the state CNA exam after fundamentals. Once you obtain your 'license' you are able to...

  24. What else can I do to help my chances?

    MesaRN replied to soxgirl2008's topic in General Students

    itsmejuli is very correct is stating that you need to speak directly to the program you are applying to. Each program has its own criteria. The program I graduated from did not take any life or work...

  25. Pain is not a "vital sign"

    MesaRN replied to MikeyBSN's topic in General Nursing

    True, in your example of McDonald's man vs spleen rupture the pain scale was not very useful, but your comparing apples to oranges. The same could be said for HR, a athlete may be fine at mid 40s...