GilaRRT

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  1. GilaRRT

    some cardiology questions

    GilaRRT replied to Guest219794's topic in Emergency

    You can never go wrong with obtaining posterior views. Posterior wall infarct is commonly associated with multiple areas of infarct. With right dominate circulation, inferior wall MI and posterior...
  2. GilaRRT

    some cardiology questions

    GilaRRT replied to Guest219794's topic in Emergency

    Yes, you can perform modified chest lead monitoring with a three lead setup and even obtain a modified nine lead ECG; however, you need to look at your three lead monitor. You need to verify that the...
  3. GilaRRT

    100% pro-life, considering nursing school

    GilaRRT replied to Beebop25's topic in General Nursing

    interesting sweeping generalization, and a rather myopic view of the concept. most of us pro-lifers are against murder (to include abortion doctors.) nor do i consider myself part of any "movement."...
  4. GilaRRT

    New Grads and Temp Agencies

    GilaRRT replied to ilovenursing2009's topic in General Nursing

    It's unreasonable because experienced nurses are competing for positions, relocating for employment, and commuting to their place of employment. Your BSN theory is not as valid as you think. New grad...
  5. GilaRRT

    New Grads and Temp Agencies

    GilaRRT replied to ilovenursing2009's topic in General Nursing

    That may involve relocation. This concept is not unique for nurses. People all over the country are wiling to move for employment. We have fallen into hard times and the days of rolling straight...
  6. GilaRRT

    New Grads and Temp Agencies

    GilaRRT replied to ilovenursing2009's topic in General Nursing

    You will have to consider relocation. I had to move 1,100 miles from my home as a new RN in 2002 to work an ER position I wanted. Unfortunately, the answer is jobs are out there. If you are not...
  7. GilaRRT

    New Grads and Temp Agencies

    GilaRRT replied to ilovenursing2009's topic in General Nursing

    Sorry guys, agency is not the place to learn how to be a nurse. You already need to have a good grasp of nursing prior to agency. You will be expected to hit the floor running and a new grad will be...
  8. GilaRRT

    Evidence-based practice

    GilaRRT replied to sallieyaj's topic in General Nursing

    I was thinking about running my own study with regards to the parachute concept. Any volunteers for the control
  9. GilaRRT

    Nurse performs tracheotomy

    GilaRRT replied to ProgressiveThinking's topic in General Nursing

    We are involved in suits quite frequently; however, companies tend to settle out of court. I suspect the same is true in the hospital; however, many staff members have no idea because the hospital...
  10. GilaRRT

    Nurse performs tracheotomy

    GilaRRT replied to ProgressiveThinking's topic in General Nursing

    So, pulling somebody out of a potentially dangerous situation is considered out of our level of training? The legal difference appears to be all over the place and varies significantly from state to...
  11. GilaRRT

    Nurse performs tracheotomy

    GilaRRT replied to ProgressiveThinking's topic in General Nursing

    You can visit the thread for more information because this may go way off topic. However, things went really wrong with these nurses. They ended up transecting the trachea and causing massive...
  12. GilaRRT

    Nurse performs tracheotomy

    GilaRRT replied to ProgressiveThinking's topic in General Nursing

    Yes and no. Yes, for providing basic care until help arrives; however, amateur surgeons night in the field is a different situation. Clearly, I am trying to tie this back into the phantom scenario at...
  13. GilaRRT

    Nurse performs tracheotomy

    GilaRRT replied to ProgressiveThinking's topic in General Nursing

    I am not sure. I have a thread in the transport nurses forum specific to this situation. I am not clear on specific details; however, the cric did not go well at all. At one point the patients airway...
  14. GilaRRT

    Nurse performs tracheotomy

    GilaRRT replied to ProgressiveThinking's topic in General Nursing

    Unfortunately, such invasive techniques are well beyond what any nurse should do in the United States. If fact, very few nurses are even educated to perform such a procedure say for flight nurses and...
  15. GilaRRT

    Nurse performs tracheotomy

    GilaRRT replied to ProgressiveThinking's topic in General Nursing

    And there you have it, a story born out of a lovers spat. To emphasize proper terminology again, we do not perform a tracheal puncture, we go through the cricothyroid membrane. Hence the proper term...
  16. GilaRRT

    general question for male nurses around the world.

    GilaRRT replied to bipin_sam's topic in General Nursing

    I have either had a beard of goatee. Never had any
  17. GilaRRT

    Nurse performs tracheotomy

    GilaRRT replied to ProgressiveThinking's topic in General Nursing

    Sounds like material for a cheesy medical drama. I would be rather suspect of your friends story. As for a tracheostomy? If a surgical airway is required, a tracheostomy is not the typically...
  18. GilaRRT

    "Other" healthcare careers...

    GilaRRT replied to ONCRN84's topic in General Nursing

    Respiratory therapy may be another option to consider. While the pay not be on par with nursing in some areas, the RT education is highly technical and physiology based. In addition, your introverted...
  19. GilaRRT

    CPR on a person who is in rigor mortis?

    GilaRRT replied to ARRR10's topic in General Nursing

    Unfortunately, with rigor mortis, there is no chance. A person has been dead for so long that calcium has in essence "seeped" into the sacromeres of their muscle cells. That is why rigor mortis is...
  20. GilaRRT

    I love nursing.. not sure if nursing loves me

    GilaRRT replied to tdms's topic in General Nursing

    To the OP. It sounds like you have much to sort out with a new marriage, military, move, and job. As stated, calm down and realize that you cannot make everybody happy all of the time. We can get...
  21. GilaRRT

    Moving to El Paso Texas

    GilaRRT replied to sassye's topic in General Nursing

    Call them, the addition project and medical school plans are in full swing. Landing at their heli-pad is a bit tricky because of the cranes; however, UMC is a pretty busy place. Well, busier than...
  22. GilaRRT

    CPR on a person who is in rigor mortis?

    GilaRRT replied to ARRR10's topic in General Nursing

    Agreed. Families and lawyers will always be out and about, and you can easily be sued for any number of things. I absolutely agree that common sense and nursing judgment should be exercised. Responded...
  23. GilaRRT

    CPR on a person who is in rigor mortis?

    GilaRRT replied to ARRR10's topic in General Nursing

    Rigor Mortis is one of the obvious signs of death. We typically do not do CPR on somebody in rigor
  24. GilaRRT

    RN acting as a Mid-Level provider

    GilaRRT replied to xstraz98's topic in General Nursing

    So, similar to a paramedic working under a set of protocols and a physicians license? Curious concept for the hospital environment however. I worked in a mid level like role in Afghanistan; however,...
  25. GilaRRT

    ED nurses with critical care knowledge & experience?

    GilaRRT replied to matthewjdouma's topic in Emergency

    I did not do proper critical care until I started flying. In fact, I am only now learning just how complex ventilator management is. I did central & arterial lines as an ER RN; however, that was...