wibobr

wibobr has 10 years experience and specializes in ER/PICU.

Latest Activity

1. Prior Service w/disability rating. Will it be a factor for Nurse Corps?

   wibobr replied to Mintyfreshness23's topic in Government

   I entered nursing after retiring from the USN. I too did the ADN program. After the service I was rated by the VA @ 60% for a variety of problems. As a nurse (ER), the only thing that has troubled me in practice is my back, blown out about a year ...

2. Advice Needed

   wibobr posted a topic in General Nursing

   This probably the wrong spot for this but.... I've been on medical leave for the past 6 months following a near emergent craniotomy to repair a large left cerebral aneurisym. I've recovered reasonably well all things considered but some defecits rema...

3. Can an LPN in FL legally have a Cardizem Gtt?

   wibobr replied to Gurhlygirl's topic in Florida

   I don't know about Florida, but here at home, if it's identified as a critical care drug and titrated no, an LPN is NOT allowed!

4. IV tips and tricks

   wibobr replied to kloock's topic in Emergency

   Try ultrasound! Its not very difficult, just takes practice.

5. IV Gauge for CT

   wibobr replied to EDrunnerRN's topic in Emergency

   Been using 20's almost since CT PE came into being. 18 is preferred but 20 will do just fine. You will need to check w/CT though about extension PRN adaptors. Those with tubing may not be able to take the pressure infusion of IV Contrast.

6. What do you call your "greatest" compliment?

   wibobr replied to Been there,done that's topic in General Nursing

   Just this past weekend, My wife and I were at a local tavern to watch the college football game. I stepped outside to have a smoke(I know...I'm bad) and a gent was holding the door open for the band that was unloading equipment. Out of the clear bl...

7. ER nurse to patient ratio

   wibobr replied to MGHERRN's topic in Emergency

   We are doing the same although our medics have been leaving slowly but surely. Staffing has been cut for economic reasons. What hurts is when we are at max patient load with NO back-up, NO "float"RN. Gettint the same from our managers. The er is ...

8. Confidentiality for children

   wibobr replied to wibobr's topic in Emergency

   Further research has relealed that there are three distinct area in which children can enjoy perfect confidentiality in all but two states. On ANY matter of self incrimination (drug use), sexuality to include birth control and STD care and last but ...

9. Confidentiality for children

   wibobr replied to wibobr's topic in Emergency

   Unfortunately, we do not have a firm policy within the dept. We have experienced multiple run-ins on this issue and in an in-service a couple of years ago we were told that under law, Once a child reaches the age of puberty, they could initiate care...

10. Confidentiality for children

    wibobr posted a topic in Emergency

    How are others treating parental rights to medical information for their own children, especially teens?

11. The trauma I cant let go of

    wibobr replied to ER_JEN_RN's topic in Emergency

    All I can tell you is to seek help IMMEDIATELY! I'm sure your employer has an Employee Assitance Program or something similar. Hate to say it but "been there, done that" all too many times. I can still remember the one trauma that lead to a major ...

12. Blood draw from IVs?

    wibobr replied to alkaleidi's topic in Emergency

    Look at the ENA websight, there have been numerous articles over the past couple of years on the subject. From experience I will tell you it is a learning curve but one that is easily mastered with practice. In our facility, we are allowed to draw ...

13. ED nurse with herniated disk needs advice in changing career...

    wibobr replied to Canadian Girl's topic in Emergency

    As the old song goes..."Welcome to my nightmare..." I too have had serious back issues both from my career as a paramedic and as an RN. I am currently on medical leave status post lumbar lam and per my surgeons advice, contemplating a "kinder, more...

14. Plan to transfer from tele to er

    wibobr replied to pandaboi's topic in Emergency

    With the poor economy and health care dynamics at the moment, there's not much difference in the ER. Census is up, staffing cut to the bone, demanding pts with primary care type woes and moans, those that are sick are really train wrecks needing eve...

15. Want to be ED tech

    wibobr replied to spooky64's topic in Emergency

    Sounds to me like you have the background to be a great tech! Good luck!