GilaRRT

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All Content by GilaRRT

  1. GilaRRT

    A Lot of Flight Nursing Jobs

    No surprise at
  2. GilaRRT

    CONFUSED ! HELP!

    Afraid I cannot answer your question. In addition, I have been out of school for nearly eight years. It has been over a decade since I took any science or humanities
  3. GilaRRT

    CONFUSED ! HELP!

    That's okay, I had to take algebra for dummies before I could take the transferrable math
  4. GilaRRT

    CONFUSED ! HELP!

    Every college will have core classes that every student will have to take as a requirement for graduating with a specific degree. Humanities credits are often among the requirements. Speak with an...
  5. GilaRRT

    Help - Lung Sounds

    Glad people found the link
  6. GilaRRT

    CONFUSED ! HELP!

    It seems you are confused. Most entry level nursing programs award either an associates of applied science or associates of science say for the bachelor's programs. With that, most of the allied...
  7. GilaRRT

    Help - Lung Sounds

    Yeah, a confusing subject, and in many cases quite subjective. The first order of business is proper terminology. Crackles are ~ rales. However, many experts do not advocate for the use of the term...
  8. GilaRRT

    Affairs rampant among nurses?

    Infidelity is rampant throughout our society; therefore, is should not be surprising that it is common place your work
  9. Just nit picking; however, it is physician assistant not
  10. Do not be fooled by the two year assumption. PA students will have two "full" years with few breaks. You may have a couple of clinical days a week as a studen nurse, you may have 60 hours a week as a...
  11. GilaRRT

    Nursing culture

    Humanity is an interesting dichotomy of good and bad. This is not unique to nursing. I met saints of human beings in Afghanistan while in the same environment, I saw taxi drivers load their cars with...
  12. GilaRRT

    hospital policy on Facebook, cellphones= suspension

    Agree. Using cellphones to take pictures and upload to Facebook while at work (Even if HIPPA is not violated) = FAIL. Take the punishment and learn from the
  13. GilaRRT

    Why/how do meds work?

    The drug does not "know" an infection exists. Antibiotics work on the principle of selective toxicity. For example, macrolide antibiotics such as Zithromax bind to the 50s subunit of bacterial...
  14. GilaRRT

    Morphine shortage?

    Fentanyl would work as well or better in a MI patient. This is especially true in the setting of RVI where the histamine release associated with morphine could be problematic. We are also...
  15. GilaRRT

    sub cut injections

    Again, not so much a cultural issue. Simply the interpretation of the current body of evidence. Unfortunately, we do many things that have little to no evidence to support
  16. GilaRRT

    sub cut injections

    Looking at the evidence base, alcohol wipes do not appear to make much of a difference if any in some cases. The commonly recommended procedure (wipe for a full 30 seconds & dry for a full 30...
  17. GilaRRT

    Why/how do meds work?

    This is well beyond the ability for us to explain on this forum. Some medications are chemical copies of our bodies own substances. Adrenergic meds for example. Some meds block receptor sites, open...
  18. GilaRRT

    Flight Nurse vs Flight Paramedic

    Unfortunately, some of your comments could be interpreted as attitude. However, I would like to believe it is more ignorance. I was ~ your age when I started nursing school, and I had about 5 years of...
  19. GilaRRT

    Flight Nurse vs Flight Paramedic

    No worries, we are having an adult conversation. This is nothing personal, nor have I attacked you personally. In addition, I post on SDN, therefore it is safe to say my heart is nowhere near my...
  20. GilaRRT

    Flight Nurse vs Flight Paramedic

    Point being? Take care of 40 patients and drop a few tubes in Fred the head and you are ready to hit the streets? I had a 160 hour didactic flight orientation followed by EMS field rotations and a...
  21. GilaRRT

    Flight Nurse vs Flight Paramedic

    CCRN is an ICU RN credential. While it is a difficult exam and a great achievment, it does not prepare the RN for the EMS or transport environment. Paramedics in fact do have an exam that tests their...
  22. GilaRRT

    Flight Nurse vs Flight Paramedic

    Absolutely disagree. I have many years of EMS and flight experience under my belt along with the typical alphabet soup and I do not consider my self the medical authority. You are sorely mistaken in...
  23. GilaRRT

    Flight Nurse vs Flight Paramedic

    Having EMT experience and nursing school is not equivalent to paramedic school. While a RN may be considered higher medical licensure in your neck of the woods, that is simply not the case in other...
  24. GilaRRT

    Is it hard to find a job after Nursing school?

    You have to be willing to relocate, work less than ideal hours, and take entry level positions. It seems people are rushing into nursing with the thinking that getting a job will be an easy score. The...
  25. GilaRRT

    Question about Renal Failure

    I do think people talk about an early oliguric phase when uremia and electrolyte imbalance occurs, a diuresis phase with return of renal function, and a recovery phase; however painting such a broad...