GilaRRT

Member

  • Content

    1,905

  • Visitors

    17,807

  • Followers

    0

  • Likes

    38

All Content by GilaRRT

  1. GilaRRT

    thug got shot and crying

    GilaRRT replied to C-DIFF PHIL RN's topic in Emergency

    Everybody passes judgment, everybody. You have a myopic and unrealistic world view if you really think we do not make judgments about people. In fact, I think you just made a judgment on a person...
  2. GilaRRT

    thug got shot and crying

    GilaRRT replied to C-DIFF PHIL RN's topic in Emergency

    The difference being, Finland has 5-5.5 million people versus the 300 million and change in the United States. Gangland shootings are very common here and it would be very difficult to tie the story...
  3. GilaRRT

    thug got shot and crying

    GilaRRT replied to C-DIFF PHIL RN's topic in Emergency

    I find it more depressing than funny. Then again, I am not at a point where I get my jollies watching people with critical injuries suffer. At least not at the point where I care to share it on a...
  4. GilaRRT

    Clinical Associate

    GilaRRT replied to kristinahcna's topic in General Nursing

    Hmmm, new terminology for my experiences in the States. In South Africa, a clinical associate is a physician assistant like
  5. GilaRRT

    Is nursing a sick , petty , vindictive world?

    GilaRRT replied to Bono Rose's topic in General Nursing

    Nursing is far from "as bad as it
  6. GilaRRT

    Is nursing a sick , petty , vindictive world?

    GilaRRT replied to Bono Rose's topic in General Nursing

    Guys are just as bad if not
  7. GilaRRT

    Is nursing a sick , petty , vindictive world?

    GilaRRT replied to Bono Rose's topic in General Nursing

    yes it is. Every vocation/profession has these problems. Nursing is not special. Does this make it right? Absolutely not; however, we need to stop pretending this is uinque to our profession. Humanity...
  8. GilaRRT

    Why did the doc switch from levo to neo?

    GilaRRT replied to Alford's topic in General Nursing

    That is a false assumption; "leaving them dead with Levophed" is not an accurate description. In fact, norepinephrine is often used as an agent of choice in specific types of shock such as septic...
  9. GilaRRT

    How do I stop getting my feelings hurt?

    GilaRRT replied to SuesquatchRN's topic in Geriatric, LTC

    Does not matter, set standards and benchmarks, get management to support you, let the troops know that standards, and hold everybody accountable regardless of any underlying
  10. GilaRRT

    Why did the doc switch from levo to neo?

    GilaRRT replied to Alford's topic in General Nursing

    I would not consider neo a step down per say. Neo is about as effective as levo as a
  11. GilaRRT

    Which phone pda or PDA are you using in the ER

    GilaRRT replied to MOTOXRN2004's topic in Emergency

    iPhone, and now that the iResQ critical care transport software is out, the platform is unrivaled in it's ability to deliver quality medical
  12. GilaRRT

    Why did the doc switch from levo to neo?

    GilaRRT replied to Alford's topic in General Nursing

    You pretty much answered your own question. It is reasonable to consider an agent with less beta effects. However, the real question being, what is the cause of the hypotension? I would hope fluid...
  13. GilaRRT

    Field Neuro Exam in Haiti; Why Bother?

    GilaRRT replied to Emergency RN's topic in Emergency

    Pretty standard assessment stuff IMHO. Would really suck to place in IV in a crushed limb because you failed to assess. Asking somebody to move their limbs provides more information than just...
  14. GilaRRT

    How do I stop getting my feelings hurt?

    GilaRRT replied to SuesquatchRN's topic in Geriatric, LTC

    Wish I had good advice. I am typically pretty direct and blunt when I communicate my intentions to other people. However, I am more of a "tell me what needs done and I will do it" kind of guy as...
  15. GilaRRT

    Is nursing a sick , petty , vindictive world?

    GilaRRT replied to Bono Rose's topic in General Nursing

    "Is nursing a sick , petty , vindictive world?" Yes, yes, and yes; however, the world as a whole is this way, so do not let that alone keep you out of
  16. GilaRRT

    Need advice for schooling! LPN vs A.A.S in Nursing

    GilaRRT replied to honeydewnyc's topic in Nursing Career

    Your friend is mistaken. If you have the time and money, I would always say go for more education. The RN will provide you with additional flexibility and
  17. GilaRRT

    changing healthcare careers

    GilaRRT replied to Sandpit3's topic in General Nursing

    What are your goals? You must have a specific goal in mind if you are willing to take a pay cut to be an RN? Nursing is in somewhat of a chaotic transition and I honestly do not know where the chips...
  18. GilaRRT

    Can NP do medical research?

    GilaRRT replied to rapidash425's topic in General Nursing

    You do realise that having your NP would not entitle you to medical school? You would need to obtain a pre-medical type degree, take the MCAT, and join in the queue of students competing for slots...
  19. GilaRRT

    What do I do to become a flight nurse

    GilaRRT replied to spat26's topic in Flight, Surface Transport

    Not really. I know large companies that pay flight nurses less than 20 bones an
  20. GilaRRT

    Question about DKA

    GilaRRT replied to Blackheartednurse's topic in General Nursing

    If you want to drive biology majors crazy, never utilise the term hydrogen ion. Say hydronium
  21. GilaRRT

    Question about DKA

    GilaRRT replied to Blackheartednurse's topic in General Nursing

    Unfortunately, DKA physiology and management is ill understood by many nurses. I have even seen flight nurses take intubated DKA patients and note a low CO2, then "correct" the CO2 into the 35-45...
  22. GilaRRT

    Question about DKA

    GilaRRT replied to Blackheartednurse's topic in General Nursing

    Its multifactorial: Potassium shift out of the cells in response to increased hydronium concentration (metabolic acidosis) with loss due to polyuria. It is very common to have extracellular shifts...
  23. GilaRRT

    Lovenox question.

    GilaRRT replied to LuVnLpN08's topic in General Nursing

    The OP did look in a drug guide and found no contraindications. The dose of the medication is not a question either. The OP was specifically told not to give Lovenox in two divided doses by the nurse...
  24. GilaRRT

    Lovenox question.

    GilaRRT replied to LuVnLpN08's topic in General Nursing

    Oh my, I am somewhat shocked that a nurse told you this. You received a STAT order for Lovenox. In my mind this typically equates to badness, like acute coronary syndrome bad. Why, when the patient...
  25. GilaRRT

    So nurses can only work under the MD's or DO's orders?

    GilaRRT replied to Inspired By Silence's topic in General Nursing

    Sure, why not. Nurses can administer treatments, modalities, and medications ordered by midlevel providers, the same will be true of "non physician" providers who are qualified and licensed to...