GilaRRT

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All Content by GilaRRT

  1. GilaRRT

    ADENOSINE ??

    GilaRRT replied to laurainri's topic in Emergency

    Remember, AHA does not make protocols. AHA publishes guidelines that physicians can can use when protocols are developed. In addition, some battles are not worth the time or effort. If you are...
  2. GilaRRT

    Common drugs given in the er..

    GilaRRT replied to sandypalma's topic in Emergency

    Symptom relief medications such as paracetamol and
  3. GilaRRT

    Ethical/Professional situation....

    GilaRRT replied to mwboswell's topic in Emergency

    I would always come in a little early and scope things out before I clocked in or took report from anybody. No warm fuzzie, no punch in or take report. Take care,
  4. GilaRRT

    help! anyone know anything about PAs?

    GilaRRT replied to nurse1219's topic in General Nursing

    Good links, thank
  5. GilaRRT

    ER or ICU to Flight Nurse?

    GilaRRT replied to 8jimi8ICURN's topic in Flight, Surface Transport

    Not the case at all, worked in a small US/Mexico border town ER off a major interstate. The amount of trauma we saw was staggering. It was not uncommon to do a couple of RSI's per shift. The...
  6. GilaRRT

    diaphoresis in CHF

    GilaRRT replied to cannoli's topic in General Nursing

    Anything that causes a sympathetic response can cause increased
  7. GilaRRT

    diaphoresis in CHF

    GilaRRT replied to cannoli's topic in General Nursing

    You must have a good understanding of receptor physiology to understand the core concepts of this question. Sweating occurs as a result of a sympathetic response. However, the exact answer is...
  8. GilaRRT

    How far would you go to help someone.

    GilaRRT replied to diane227's topic in General Nursing

    We were not there and cannot say how introducing other variables would have effected the outcome. A few things to think about: 1) Look at shooting statistics. I will use police officer involved...
  9. GilaRRT

    Get critical care experience before working ER?

    GilaRRT replied to ACRN06's topic in Emergency

    Your best overall experience will come from a busy medical/surgical ICU
  10. GilaRRT

    How far would you go to help someone.

    GilaRRT replied to diane227's topic in General Nursing

    Unfortunately, could you expect your fellow students or co-workers to back you up? In the sand box, I lived every moment with my colleagues and had no doubt that I could trust them; however, the...
  11. GilaRRT

    How far would you go to help someone.

    GilaRRT replied to diane227's topic in General Nursing

    Well, legally, I cannot see the other students having any problems. Morally, the decision is not really up to me. However, I find there are three general types of people when this kind of stuff...
  12. GilaRRT

    OR to ICU to flying?

    GilaRRT replied to BK-RN's topic in Flight, Surface Transport

    In that case, I would say, stay in the area you most enjoy. OR experience will not hurt, and hopefully you can transition into an ICU. PACU would be great experience and something else to
  13. GilaRRT

    Get critical care experience before working ER?

    GilaRRT replied to ACRN06's topic in Emergency

    I rather disagree. ER is a completely different animal, with a different pace, and a very diverse patient population. Unfortunately, medical surgical or ICU experience cannot prepare you for the ER...
  14. GilaRRT

    OR to ICU to flying?

    GilaRRT replied to BK-RN's topic in Flight, Surface Transport

    You need to have a strong foundation in critical care to excel as a flight nurse in most cases. Even ER experience will not provide as much critical care experience as working in a good ICU. I would...
  15. GilaRRT

    Have we sunken so low? Would you?

    GilaRRT replied to achot chavi's topic in Geriatric, LTC

    It sounds like employees other than nurses can opt to go with this plan. Plastic surgery = prostitution? You know, the hospital I worked at would not give me break on any lab or even cut a few bucks...
  16. GilaRRT

    Have we sunken so low? Would you?

    GilaRRT replied to achot chavi's topic in Geriatric, LTC

    Meh, clearly they are offering benefits that increase retention. I remember getting a cool hug a nurse button for nurses week as a bonus, who am I to cry bad and point my finger. In addition, we are...
  17. GilaRRT

    Emergency Nurse Relief Act 2009- Update

    GilaRRT replied to Ginger's Mom's topic in Activism, Healthcare

    Let's see the data supporting your statement. If this is true and backed up with good evidence, you can use this evidence to your
  18. GilaRRT

    Emergency Nurse Relief Act 2009- Update

    GilaRRT replied to Ginger's Mom's topic in Activism, Healthcare

    Why disagree? Is patient care and the positive outcome not the bottom line? My argument is more hypothetical; however, I still think it is valid. Currently, I cannot find any evidence that foreign...
  19. GilaRRT

    Emergency Nurse Relief Act 2009- Update

    GilaRRT replied to Ginger's Mom's topic in Activism, Healthcare

    I disagree, the bottom line is patient care. However, I doubt this is the case, regarding the discussion at
  20. GilaRRT

    Portable, Hand-Held CT Scanner

    GilaRRT replied to Vito Andolini's topic in General Nursing

    Can you quote your source? I am aware of an infrared scanner that can detect subdural and epidural hematomas. In addition, ultrasound technology is becoming smaller and some services may be doing...
  21. GilaRRT

    Emergency Nurse Relief Act 2009- Update

    GilaRRT replied to Ginger's Mom's topic in Activism, Healthcare

    Well, is there any evidence and outcome based research that supports better outcomes with foreign nurses versus nurses educated in the USA? The bottom line IMHO, is the outcome. It is true that...
  22. GilaRRT

    Fewer RNs, more support staff in the ED?

    GilaRRT replied to mwboswell's topic in Emergency

    The difference being, EBM is now a standard way of basing our medical decisions. Why should it be any different with staffing considerations? When debating the optimal staffing solution, would EBM...
  23. GilaRRT

    Fewer RNs, more support staff in the ED?

    GilaRRT replied to mwboswell's topic in Emergency

    I think you are on to something. When considering the latest and greatest idea, we as progressive professionals must look at the evidence. What does the evidence say about having less RN's and more...
  24. GilaRRT

    to fly or not

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

    Can you not obtain experience in your current facilities ER or ICU? In addition, I would not discredit your OR experience. However, having a solid foundation in critical care will be a key component...
  25. GilaRRT

    Para or Gravida

    GilaRRT replied to NiesyLuv0o's topic in Ob/Gyn

    The gravida/para concept was explained nicely. Let's talk about this "murmur." First, if the murmur was noted at the beginning of the third trimester, was it not documented and noted at that time?...