tinaree123

bougie is a good idea, we don't have portable vents but that becomes resp depts problem ( remember goverment and confusing illogical budgets). we are looking at a remote monitored laryngascope ( we currently use a fiber optic) ps we are shiprock nm

our hospital offers it but classes are constantly canceled due to the fact that education only offers it on their own schedule and won't work with the er to try to keep us up to date. there are 2 private hospitals who offer classes and i usually go there. our current medical director keeps us certed in pals and apls since he loves apls.

yes we are federal civilian employees but we also have commissioned corp and travelers. I keep certs in acls, pals, apls, tncc, enpc, and nals.

Yeah, or "DO NOT PUSH HERE" lol

Don't we all have an irrational fear of having an MVC on the way to or from a shift and ending up on a bakbaord in our our own trauma room with our clothes cut off and varous tubes including foley's, etc. That would be my nightmare.

I work in a hospital on the navajo indian reservation. We are not classified as a trauma center but tell that to all the traumas we stabilize and turf elsewhere. We are a mash unit. We get unimaginable MVC, A&B, GSW, penetrating wounds, cardic, burn, drug ingestion patients delivered to our door via chopper, EMS, POV, even horseback. We stablize and ship elsewhere but due to our rural location, we often sit on patients for hours/days sometimes until we've stabilized enough to go to our own ICU (or morgue). We often have transport issues like weather too bad for choppers, no transport crews available, no lights on our runway (so no night fixed wing). We have no nuero and often have no ortho on call. we also often run out of things like blood tubes, male end caps, sterile gloves, nebulizer masks, pacer pads, xray film, etc. Your basic mash unit, LOL. But this week we were told we are being handed a large budget for some equipment to deal with trauma. So I was hoping some of you would be able to tell me what you use and like or would put on your dream gadget list. We already have a blood/fliud rapid infuser, portable ultrasound and a fiberoptic layringescope. We have asked for MADs, a transilluminator and possibly a larger stryker (does anyone know of a good one) for all the increasingly morbidly obese patients we are seeing. Does anyone know of a better, easier lifter than a hoyer we could look at? All your help would be greatly appreciated.

I have been looking for a good drug program geared to rn's forever and finally found Davis's drug guide for nurses c integrated calculators on the palm site. It is free to try and only $50/yr. believe me when I say epocrates and the other popular programs are geared towards mds and don't give mixing or administration guidelines. this even tells ysite compatibility and filter requirements, common site reactions etc. Until I found this I was getting very frustrated with the so called nurse drug programs available.