phiposurde

phiposurde

critical care,flight nursing

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All Content by phiposurde

  1. flying ventilator

    phiposurde posted a topic in Flight, Surface Transport

    I am new to the aeromedicine. I've been told you have to be cautious to use ventilator in rotary wing r/t Boyle law. So i was thinking, is it more safe to use pressure mode instead of volume mode?? Or...

  2. NG in little ones

    phiposurde posted a topic in Flight, Surface Transport

    I finally got my first mission. It was a month old baby with possible obstruction. At the sending hospital before transport I try to insert an NG but there was resistance and I sure didn't want to do...

  3. NG in little ones

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

  4. What is your ER like?

    phiposurde replied to rachelgp's topic in Emergency

    Back home ( Montreal), when i use to work there it was nightmare. My understanding is that it didn't improved. Minimal stay in the ER before admitting was almost 2 days I even saw one staying 6 days....

  5. How do you treat Meth OD?

    phiposurde replied to HopeItWorksDNP's topic in Emergency

    **** I went to a talk once give by a toxicologist and He was saying that paralyzing can become mandatory if we can't control the

  6. IV tips

    phiposurde replied to longjourneydream's topic in Emergency

    Oh No. It was going in direction of the heart but is arm was flex( hand toward the head) and no way we could undo that. So I had to stand up and start the IV that way.Sorry for the

  7. IV tips

    phiposurde replied to longjourneydream's topic in Emergency

    A few trick. First get use to the IV cath your using. Some of them require different technique. After a few years working with the one we use I came out with some little trick to make it better. But...

  8. just wanted to share

    phiposurde posted a topic in Flight, Surface Transport

    I read once:" a dream is a wish with an agenda". 14 years ago I started a journey to become a flight nurse. I did everything I could to become one. I read book about it, watch tV show about it and...

  9. Best ways to deal with the stress?

    phiposurde replied to HopeItWorksDNP's topic in Emergency

    I always say;" nursing is not a job but a way of life!" You know people in office the get out and they become regular people, nurse not so much. I remember when I use to work night shift and was in...

  10. What's your average nurse to patient ratio?

    phiposurde replied to loricatus's topic in Emergency

    4:1 none acute. 3:1 acute side. WE also have a "float nurse" there to relieve us during break. So unless she is in the trauma room, she's also

  11. Neonatal Flight Nursing

    phiposurde replied to SteveNNP's topic in Flight, Surface Transport

    Well couldn't find too much info, but we have a dedicated team at my center. Here a web page with some info. I'm sure you could get to talk to someone that would give you info. They actually get an...

  12. PDA in the ER

    phiposurde replied to malusport's topic in Emergency

    I found that one:

  13. shifting priorities

    phiposurde replied to blueinplaid's topic in Emergency

    let's say I get patient A, a chest pain with a positive history, has had two ntg, an IV, and NTP placed to chest en route via EMS; pressure is now a 4/10. While I am converting his IV to...

  14. shifting priorities

    phiposurde replied to blueinplaid's topic in Emergency

    I believe there not just one answer, it depends. I guess if we would have to come with basic rule: 1) Have a quick assessment( do they look sick vs none sick?) 2) always try to find ways to multi task...

  15. Cen Exam Question?!?!

    phiposurde replied to Rita_RN_BSN's topic in Emergency

    **** Will be, starting in August. I'm at the new base in Grande

  16. Cen Exam Question?!?!

    phiposurde replied to Rita_RN_BSN's topic in Emergency

    *** The canadian never get special

  17. Good book recommendations?

    phiposurde replied to louie5's topic in Emergency

    Depends the amount you are ready to pay. There of course the 3 tome encyclopedia on emergency medicine. But last year, I bought a good book that is concise and review most treatment and disease. I...

  18. Dropping temp too fast...

    phiposurde replied to ElizabethJRN's topic in MICU, SICU

    *** What's the physiologies of the

  19. why the cliques in nursing ?

    phiposurde replied to iLovemyJackRT's topic in Patient, Colleague Relations

    ****Been the boy in the world of the ladies, I have seen my share of clique. It's part of the job. Unfortunately it's the part that would make me leave it. At my job, they are so bad, that not in the...

  20. Cen Exam Question?!?!

    phiposurde replied to Rita_RN_BSN's topic in Emergency

    I found that website, maybe it could help you:

  21. SLAM and ABLS course

    phiposurde posted a topic in Emergency

    Anyone ever took the Street Level Airway Management or the Advance Burn Life support course?? Are they worth

  22. Disturbing incident in triage .....

    phiposurde replied to DiannaK's topic in Emergency

    As for metal illness. Like everything in life, when we do a change we have tendency to go to far on the opposite. We steer L before coming back to the middle. Right now we are to much on the L cause...

  23. Disturbing incident in triage .....

    phiposurde replied to DiannaK's topic in Emergency

    I found this: " Ninety percent of the children meeting criteria for mania also had a depressive episode, and 84 percent had the depressive episode overlap with the manic episode into a mixed state....

  24. Need Documentation tips-ED new grad

    phiposurde replied to RNcDreams's topic in Emergency

    Well I don't know if I chart the best way but here my 2 tricks. At the beginning of each shift I take a "picture" of my patient. I assess each system and spend more time on the system is in the ER...

  25. CO2 and hydration

    phiposurde replied to lovethechaos's topic in Emergency

    Last week I took care of a little lady that a nursing care center send her in pre-renal ARF( creat 580). So she was dehydrated ++ and I look at the CO2. of course, it was low as we spoke before. I...