EMSnut45

EMSnut45 BSN, RN, EMT-P

ICU and EMS

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  1. Skype Interview with Cruise Line

    EMSnut45 replied to EMSnut45's topic in Travel

    Yup, it's a video interview! I guess they are opting for video since their headquarters is halfway across the country from

  2. MD refuses to sign a telephone order.

    EMSnut45 replied to modernhippie_'s topic in Critical Care

    HIT= Heparin Induced Thrombocytopenia If HIT is suspected, a blood sample can be sent to lab to confirm or rule it out. OP-- A pending HIT test should be passed on in report. If not, you should have...

  3. How do you introduce yourself to patients? First name? Mr/Ms/Mrs X?

    EMSnut45 replied to LillyFish's topic in Patient, Colleague Relations

    My greeting changes depending on if my patient is conscious or sedated/vented. Conscious patients-- "Good morning/evening, Mr./Miss/Mrs. [last name]. My name is [first name], and I'll be your nurse...

  4. How far do you travel to your base?

    EMSnut45 posted a topic in Flight, Surface Transport

    Hi, all! I am making an attempt to break into the world of flight nursing. I unfortunately live in Maryland, where flight nursing opportunities are notoriously in short supply. I have applied for a...

  5. How to say no when someone asks for your stethoscope?

    EMSnut45 replied to emt... rn student's topic in Patient, Colleague Relations

    I have the same fears, and have known people who have gotten ear infections from what can only be attributed to sharing stethoscopes (we keep a stethoscope in each room due to isolation). If for some...

  6. How far do you travel to your base?

    EMSnut45 replied to EMSnut45's topic in Flight, Surface Transport

    Looks like I'm going to have to get used to a long commute for a little while!! I just got offered the job!!!! Never in a million years did I think it would pan out...Where is the little stick...

  7. Propofol & Cocaine = violent patient??

    EMSnut45 replied to RunninOnCoffee's topic in MICU, SICU

    Could you have resumed the precedex drip once the pt became violent? That's the beauty of precedex! It doesn't effect the respiratory drive and potentiates any benzos that are given. I find that...

  8. which shift 3pm-3:30 AM or 11AM-11:00PM

    EMSnut45 replied to Marisette's topic in General Nursing

    I used to work 11a-11p as an ER Tech and loved it! I did a short stretch of 3p-3a and hated it. Who knew 4 hours made such a difference! These are typical shifts offered in the ER. As pinkstethoscope...

  9. Does suctioning trach's ever get easier?

    EMSnut45 replied to MadpeysRN's topic in General Nursing

    Exactly why I wear a mask with eye shield when doing trach care!! One time when assisting an RT with extubation without a mask/eye shield, the patient bit down on the end of the ETT. The RT pulled...

  10. EKG tech vs ICU tech

    EMSnut45 replied to ngerste's topic in MICU, SICU

    There is a big difference between a PCA and an EKG tech. The PCA will be directly involved in caring for the patient. You will be able to ask questions, see treatment, be involved in codes, etc. An...

  11. end of life, please??

    EMSnut45 replied to RN-ing's topic in CCU, Coronary, Cardiac

    Check out this thread that was just started. It is tackling the same "ethics" issues that you are having difficulty with.

  12. Light hearted spot in busy day!!!

    EMSnut45 replied to SandraCVRN's topic in General Nursing

    Hahaha! Reminds me of this past week. Our new Director of Critical Care Nursing came to the unit and was asking our RT's what they thought could be changed in the unit. One of our RT's, who is very...

  13. end of life, please??

    EMSnut45 replied to RN-ing's topic in CCU, Coronary, Cardiac

    I have struggled with the same feelings, nursbrooklyn. The physicians that I work with will use the futility term also with families who are struggling with making a decision. They usually phrase it...

  14. Walking vented patients

    EMSnut45 replied to Verbatim's topic in MICU, SICU

    Yes, I have done this on multiple occassions. The trick is to get a patient that does not cough/gag on the ETT when off of sedation, strong enough, and stable enough. If they meet this criteria, then...

  15. Pradaxa

    EMSnut45 replied to Jenni811's topic in Patient Medications

    My ICU has had 6 SEVERE GI bleeders due to this drug in the past few months. They bleed for days with nothing to reverse the medication effects. We just pour in blood as they pour it back out from...

  16. That fantastically horrible night....

    EMSnut45 replied to NickiLaughs's topic in General Nursing

    My heart also sinks when I have to get report from L&D! The people you work with can definately make or break the job. Your team has all the reason to celebrate! The patient and her family are...

  17. terminal sedation

    EMSnut45 replied to shearernurse's topic in Rural

    As nurses, we do not "terminally sedate." We treat symptoms. If the patient is in pain, we medicate for pain. If they are anxious, we medicate for anxiety, etc. The only difference between...

  18. removal from life support question

    EMSnut45 replied to Erika LPN's topic in General Nursing

    I've seen what the intensivists have called myoclonus (not technically seizures, but seizure like in appearane) in people declared brain dead from brain flow scans. They usually only involve one...

  19. Vented Patient PEA

    EMSnut45 replied to whitecat5000's topic in General Nursing

    A quick and easy way to tell if your heart rhythm has perfusion (if you don't have an arterial line as someone else suggested) is to look at the heart rate on the pulse ox. If they don't correlate,...

  20. The last thing you want to hear when you get to work

    EMSnut45 replied to Tait's topic in General Nursing

    "You're being floated to..." "That patient rolling by is the new theraputic hypothermia post-code patient you're going to take." (They are 1:1 and are very labor intensive.) "You're the lucky one...

  21. Woo Hoo!!! I'm done!!!!

    EMSnut45 posted a topic in General Nursing

    For the past year, I have been running non-stop... Working full time and going to school full time for paramedic. This meant that every week I: -Worked 36+ hours -Attended class 24 hours...

  22. Woo Hoo!!! I'm done!!!!

    EMSnut45 replied to EMSnut45's topic in General Nursing

    thanks!! [blushing] i definately couldn't have done it without my very supportive family, coworkers, and of course, my allnurses

  23. Asked 100X how to Quit immediately

    EMSnut45 replied to Airidis's topic in General Nursing

    Oops, I missed that. I would think and hope that Canada has a similar

  24. Asked 100X how to Quit immediately

    EMSnut45 replied to Airidis's topic in General Nursing

    It is a law that you get paid overtime-- whether it is for all hours worked over 40/week and/or over a certain number in 24 hours, it depends on your state. If you are owed overtime, you should...

  25. questioning trauma doc's choice

    EMSnut45 replied to nursingmeatball's topic in MICU, SICU

    We call this a "poor man's wound vac." Our surgeons will frequently use this set-up for an abdominal wound with high volumes of output. As far as longevity... I have had patients with them for...