GilaRRT

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  1. GilaRRT

    to fly or not

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

    Generally, most good companies are looking for at least three years of ICU/ER experience. It sounds like you are on the right track
  2. GilaRRT

    Accredited vs. Nonaccredited

    GilaRRT replied to Vanurselpntorn's topic in General Nursing

    It could be a problem. Some schools and even some employers such as the military require graduation from an accredited school. Your best bet is to go to an accredited
  3. GilaRRT

    Oro pharyngeal airway question

    GilaRRT replied to b_segal_b_segal's topic in Emergency

    You want to place the OPA as soon as possible. In the ideal situation, it would be placed while you open the airway after establishing an unresponsive and apneic patient. In addition, placing a nasal...
  4. GilaRRT

    ACLS question

    GilaRRT replied to RNMeg's topic in General Nursing

    Why wait? ACLS is not exactly a class for the medical genius. BLS is the primary emphasis with medications significantly de-emphasized. Intubation is no more important than mask techniques or...
  5. GilaRRT

    Sinus surgery, Versed, and memory issues.

    GilaRRT replied to keithjones's topic in General Nursing

    Unfortunately, giving out medical advice is not allowed per the TOS
  6. GilaRRT

    Sinus surgery, Versed, and memory issues.

    GilaRRT replied to keithjones's topic in General Nursing

    This is something best discussed with your
  7. GilaRRT

    Whistleblower Blues in Fort Worth, Texas

    GilaRRT replied to crippersmom's topic in Activism, Healthcare

    So, "exposing" somebody in front of all kinds of people is not "obstructing their freedom of movement." Glad we have that cleared
  8. GilaRRT

    Whistleblower Blues in Fort Worth, Texas

    GilaRRT replied to crippersmom's topic in Activism, Healthcare

    So, we simply turn a blind eye if we hear reports of this kind of stuff? Sounds like a plan to me. Unfortunately, this hands off approach tends to backfire if things go south. If somebody finds...
  9. GilaRRT

    Whistleblower Blues in Fort Worth, Texas

    GilaRRT replied to crippersmom's topic in Activism, Healthcare

    Abuse is abuse IMHO. Does not matter who is on the giving and receiving end. You could get in trouble for not reporting. Even looking at somebodies medical records without cause is a serious...
  10. GilaRRT

    Whistleblower Blues in Fort Worth, Texas

    GilaRRT replied to crippersmom's topic in Activism, Healthcare

    I was told by EMS that this kid in my ER may have been abused. Clearly, I have no duty to report this finding as I do not have
  11. GilaRRT

    Whistleblower Blues in Fort Worth, Texas

    GilaRRT replied to crippersmom's topic in Activism, Healthcare

    Outstanding, good
  12. GilaRRT

    Cardiac Medicine Certification

    GilaRRT replied to kcbicurn's topic in General Nursing

    Before looking at CMC certification, make sure you meet the requirements. First, you must have specialty credentials such as CCRN. Next, you must meet the clinical requirements. Go to the website...
  13. GilaRRT

    Whistleblower Blues in Fort Worth, Texas

    GilaRRT replied to crippersmom's topic in Activism, Healthcare

    People can take offense to the "shut up" remark all day long; however, the OP stated that they have no options. I assumed people would understand the actual meaning behind my comments. Allow me to...
  14. GilaRRT

    Whistleblower Blues in Fort Worth, Texas

    GilaRRT replied to crippersmom's topic in Activism, Healthcare

    You have two options, I suggest taking both. 1) Shut up! (No more posts about this if you are serious about a case.) 2) Lawyer
  15. GilaRRT

    Stories from Recent return from being deployed

    GilaRRT replied to spawnupe's topic in Government, Military

    I deployed to Afghanistan as a civilian contractor and not a military officer; however, I experienced several "traumatic" situations such as VBIED's, casualties of conflict, and saw the effects of war...
  16. GilaRRT

    Allowing Family members to watch loved ones be resuscitated in the ER

    GilaRRT replied to gt4everpn's topic in General Nursing

    If you look at the evidence, it is beneficial to family members. Remember, this should not be a hap-hazard process. First, somebody would need to be dedicated to the family to answer questions,...
  17. GilaRRT

    Rh Factor question

    GilaRRT replied to Pineywoods's topic in General Nursing

    Such
  18. GilaRRT

    Allowing Family members to watch loved ones be resuscitated in the ER

    GilaRRT replied to gt4everpn's topic in General Nursing

    I would tend to agree that allowing family members to observe a code can be helpful. However, you need to have good mechanisms in place to provide family member support during the process. Reasons...
  19. GilaRRT

    correct terms

    GilaRRT replied to nebrgirl's topic in General Nursing

    Agreed. Dead is dead, and calling death anything else is rather silly IMHO. This is especially true when talking with friends and
  20. GilaRRT

    Clarification Please?!

    GilaRRT replied to Someday2bRN's topic in General Nursing

    Most likely, yes. Provided you graduated from an accredited program, you will not have to retake NCLEX. Obviously, money, background check, license check, and a bunch of paperwork is needed to...
  21. GilaRRT

    Stroke Patients

    GilaRRT replied to kpyers32!'s topic in General Nursing

    Easy way to remember: Dysarthria: Slurred Speech. Lip, tongue, and throat weakness from the inability of the cranial nerves to communicate. Aphasia: Actual difficulty using speech from a direct brain...
  22. GilaRRT

    12 Lead ECG in CEN

    GilaRRT replied to gs1976's topic in Emergency

    I still think the emphasis should be on V4R. By it's self, V4R is about 90% specific and sensitive to the detection of RVI. While a complete right sided ECG is good, V4R is the priority. While...
  23. GilaRRT

    12 Lead ECG in CEN

    GilaRRT replied to gs1976's topic in Emergency

    Assessing V4R in the setting of inferior wall MI to rule out RVI. Edit: This is not a new concept; however, it can easily be missed as the RV does not fall into the generic ISAL
  24. GilaRRT

    pursuing a DNP

    GilaRRT replied to Mzjez's topic in Doctoral Nursing Degrees

    Why push the DNP at this point? We clearly have a focus and an exam that has little to do with nursing. It seems we are really loosing sight of our profession with this push to validate ourselves by...
  25. GilaRRT

    12 Lead ECG in CEN

    GilaRRT replied to gs1976's topic in Emergency

    Do not neglect the RVI association with Inferior wall MI. The V4R question is making it's way into nearly every exam that tests emergency or critical care