GilaRRT

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  1. GilaRRT

    Do people really look up at nurses?

    GilaRRT replied to tatara's topic in General Nursing

    We are talking about Media, not exactly the staple of intellectual thinking. You can find nearly every type of vocation and profession portrayed in Mediaography. Look at police officers, doctors,...
  2. GilaRRT

    Endotracheal Med Administration...Help!

    GilaRRT replied to stellina615's topic in Patient Medications

    http://circ.ahajournals.org/cgi/content/full/112/24_suppl/IV-58 American Heart Guidelines from "Circulation" circa 2005. Medications in an arrest situation are not all that important. Endotracheal...
  3. GilaRRT

    Where are your bronchoscopys perfromed and what is the protocol.

    GilaRRT replied to nlhnurse1982's topic in General Nursing

    The respiratory therapist was not monitoring the patient? Seems strange as an RT is more than up to the task of monitoring vitals and ensuring adequate ventilation, oxygenation, and maintaining a...
  4. GilaRRT

    New Grads and Clinical Hours

    GilaRRT replied to ilovenursing2009's topic in General Nursing

    I find the comparision with our European and Aussie/Kiwi colleagues
  5. GilaRRT

    are southern nurses better educated than northern educated nurse?

    GilaRRT replied to smartnurse1982's topic in General Nursing

    Ignorance perhaps? Nursing is full of such concepts. I still see nurses loose the plot when EMS brings a COPD patient in distress into the ER with a non-rebreather mask. Even though, it's common...
  6. GilaRRT

    Anyone had experience with this?

    GilaRRT replied to Blackheartednurse's topic in General Nursing

    I think they photocopy your
  7. GilaRRT

    Anyone had experience with this?

    GilaRRT replied to Blackheartednurse's topic in General Nursing

    No experience with it or the IUD. Nothing I will ever have to worry about
  8. GilaRRT

    are southern nurses better educated than northern educated nurse?

    GilaRRT replied to smartnurse1982's topic in General Nursing

    Oh brother, this sounds like the South is just regrouping and war of northern aggression comments I hear from time to time. Truth as I see it (anecdotal, I know), is you have a global crisis...
  9. GilaRRT

    Batadine vs Chlorhexidine

    GilaRRT replied to brain-nurse's topic in General Nursing

    Why not head over to PubMed and pull up the curent literature? You can find both prospective and retrospective literature on
  10. GilaRRT

    BCEN - to do or not?

    GilaRRT replied to htrn's topic in Emergency

    What do you mean by BCEN? BCEN is commonly known as the Board of Certification for Emergency Nurses, a section of the ENA that helps develop specialty certification exams for Registered Nurses....
  11. GilaRRT

    What are the components of Lactated Ringers Solution?

    GilaRRT replied to mlbdestined's topic in Patient Medications

    It is less about overall tonicity and more about the concentration of the chlorine ion within normal saline. You are giving somebody 154 miliequivalents of chloride per liter. This is 0.154 Eq/L, or...
  12. GilaRRT

    What are the components of Lactated Ringers Solution?

    GilaRRT replied to mlbdestined's topic in Patient Medications

    One example could include the concern over hyperchloremia and the development of hyperchloremic acidosis with the administration of 0.9% saline. In some ways, LR is a bit more balanced than normal...
  13. GilaRRT

    pH Acid Base question

    GilaRRT replied to dbarnes2's topic in General Nursing

    Sometimes the best thing to do is to let things go. I am having similar situations occur as a RN who is currently back in school and going through an allied health program. My big mouth and tendency...
  14. GilaRRT

    pH Acid Base question

    GilaRRT replied to dbarnes2's topic in General Nursing

    It is true that you can have respiratory compensation for a metabolic alkalosis. However, as stated the body rarely overcompensates. Therefore, if the underlying deficit was a true metabolic...
  15. GilaRRT

    What are the components of Lactated Ringers Solution?

    GilaRRT replied to mlbdestined's topic in Patient Medications

    This creates a conundrum that is great for theoretical debate. However, we must realize that in vitro versus in vivo can vary significantly and the final word is most likely all over the place. This...
  16. GilaRRT

    acidotic baby with cholestrone around mouth

    GilaRRT replied to whitebunny's topic in Ob/Gyn

    Metabolic acidosis and ketosis is not an uncommon finding in pediatric patients with volume depletion and/or dehydration. You can appreciate the pathology of the acidosis when considering the effects...
  17. GilaRRT

    pH Acid Base question

    GilaRRT replied to dbarnes2's topic in General Nursing

    This is a concept many people struggle with. Remember the following: A normal PH RANGE is 7.35-7.45 A normal PH is 7.40 So, when considering compensation and underlying problems, always consider what...
  18. GilaRRT

    Have they gotten rid of Respiratory Therapists where you work, also?

    GilaRRT replied to nervousnurse's topic in General Nursing

    Ok then. I will call for a nurse the next time a 26 weeker needs nitric oxide and oscillatory ventilator management, or how about setting up an ARDS patient for pressure limited or APRV ventilation....
  19. GilaRRT

    Nursing intervention for schizophrenic patient having sex?

    GilaRRT replied to robinslapsRN's topic in Psychiatric

    Hu? In what context? Competent and consenting adults are fairly free to express their sexuality. Schizophrenia is a disease, like diabetes. Do we have a problem when two diabetics engage in sexual...
  20. GilaRRT

    BSN not worth it?

    GilaRRT replied to nohika's topic in General Nursing

    I think if you have the time and money, go for the degree. It would be unwise to pass up a BS if you have the time and money. This will open oppertunities and ensure you can do graduate work if and or...
  21. GilaRRT

    BSN not worth it?

    GilaRRT replied to nohika's topic in General Nursing

    You conclude that BSN educated nurses are the least clinically prepared based on what? Posts on Allnurses? The truth is, most nurses who graduate have rather limited clinical experience. I cannot find...
  22. GilaRRT

    Sweat Shop

    GilaRRT replied to abbaking's topic in General Nursing

    Agreed, thermoregulation is for the benefit of the patients. Hypothermia is associated with many negative consequences. Coagulopathies, shivering, and altercation of the oxyhemoglobin curve are all...
  23. GilaRRT

    Non Q wave MI

    GilaRRT replied to lillysa1919's topic in General Nursing

    Non Q wave MI is no longer a common term. Three common types of acute coronary syndrome are currently accepted: 1) STEMI 2) Non-STEMI 3) Unstable Angina Non Q wave is now in the class of NSTEMI, a...
  24. GilaRRT

    "Continous" Telemetry Monitoring

    GilaRRT replied to starrigaven's topic in Patient Safety Issues

    Can you not set your monitors to alarm with sudden changes in rate and rhythm? Some can even be set to alarm when specific interval length parameters are not
  25. GilaRRT

    need help with Respiratory therapist

    GilaRRT replied to thongvo89's topic in General Nursing

    You are on the right track. RT's are considered allied health providers like physiotherapists. ( We call physio's physical therapists in the the United States.) However, the RT does not have any...