matthewjdouma

matthewjdouma has 4 years experience and specializes in ED, Critical Care, Street Outreach.

Latest Activity

1. Cardioversion without 5-lead monitoring with Phillips Heartstart Mrx?

   matthewjdouma replied to matthewjdouma's topic in CCU

   Thanks so much for your reply. I love learning new stuff and challenging prior conceptions. Matt

2. Cardioversion without 5-lead monitoring with Phillips Heartstart Mrx?

   matthewjdouma replied to matthewjdouma's topic in CCU

   Without the leads the pads must identify the cycle and deliver shock, then continue to monitor. I'll keep you posted, thanks for your reply.

3. Cardioversion without 5-lead monitoring with Phillips Heartstart Mrx?

   matthewjdouma posted a topic in CCU

   Hi Everyone, I've been through a few monitors in my career now, codemaster, LP12, Zoll and now Phillips Heartstart MRX. This is the first monitor/defib that I've ever used where our education team is telling us it can provide syncronized cardioversi...

4. Triage Scores

   matthewjdouma replied to matthewjdouma's topic in Emergency

   Thanks for the replies. For those who do not change triage score how do you track acuity changes when it will be hours before the patient is seen? Thanks

5. Triage Scores

   matthewjdouma replied to matthewjdouma's topic in Emergency

   Thanks. That's what I think we need to start doing, moving the 4-5 up as required.

6. Triage Scores

   matthewjdouma posted a topic in Emergency

   Hi everyone, A debate is ongoing with my colleagues as to whether triage scores can be altered one they have been initially applied. We're an overcrowded inner city ED, patients wait in our waiting room for many hours, when their condition change do...

7. Spine board policy

   matthewjdouma replied to ermurse's topic in Emergency

   Well said ZippyGBR, very eloquent. I concur. Thank you.

8. Spine board policy

   matthewjdouma replied to ermurse's topic in Emergency

   there's evidence that rn's and medics can apply the canadian c-spine rules: [color=dimgray]podichetty, v. k, morisue, h. (2009). prediction rules in cervical spine injury. bmj 339: b4139-b4139 stiell, i. g, clement, c. m, grimshaw, j., brison, r. j...

9. Spine board policy

   matthewjdouma replied to ermurse's topic in Emergency

   This is not an uncommon nursing intervention. Trauma trained registered nurses initiate spine board removal frequently, all over the world. The original poster is correct to be writing a policy on this. The harm of immobilization is serious, often EM...

10. ED nurses with critical care knowledge & experience?

    matthewjdouma posted a topic in Emergency

    Hi everyone, Our busy inner city ED sometimes boards ICU & CCU patients for days. We often resuscitate pt's and hold onto them for a long time. We're a tertiary care center with about 55 beds. I want to know how many departments out there provid...

11. Management of violent Patient's in ED ?

    matthewjdouma replied to fawnsternurse's topic in Emergency

    I'm in the process of writing an interdisciplinary guideline for managing violent / aggressive patients in our Trauma Center. If anyone has any SOP / policies / guidelines that can be emailed to me, please PM me for my email address. Also if anyone c...

12. ACNP Trauma Specialization

    matthewjdouma posted a topic in NP

    Hi, I'm an experienced Canadian RN with ER/Critical Care experience, all the alphabet courses (ACLS, TNCC, CATN-2, PALS, ENPC, NRP, ATLS etc) and I'd like to contact ACNP's who work in trauma settings. I'm preparing my MSN-ACNP application and wish ...

13. CEN Exam Prep

    matthewjdouma replied to matthewjdouma's topic in Emergency

    Thanks, I found an interesting review guide and textbook on ena.org

14. CEN Exam Prep

    matthewjdouma replied to matthewjdouma's topic in Emergency

    Thanks for your reply, I'll keep the most right answer in mind. Did you use any specific resources to aid your studying?

15. CEN Exam Prep

    matthewjdouma posted a topic in Emergency

    I've just started studying for the CEN exam, any recommendations or tips from those studying or who have written the exam? Thanks!