GilaRRT

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  1. GilaRRT

    Alternative Airway Knowledge

    GilaRRT replied to GilaRRT's topic in Emergency

    Possibly sooner than I thought. I am currently home on leave and had an MRI because I have been having back soreness. Unfortunately, the findings were not to my
  2. GilaRRT

    Can Nurses Give Stitches?

    GilaRRT replied to swimincatz's topic in General Nursing

    Yes, nurses can suture in some areas/facilities. In fact procedures such as nail removal and laceration repair are techniques taught to many APN's such as FNP's. I did small laceration repair in the...
  3. GilaRRT

    Alternative Airway Knowledge

    GilaRRT replied to GilaRRT's topic in Emergency

    Good stuff. A few points: 1) I think a ventilator management course while a great idea, is in fact a topic all by it's self. 2) Many of the various airway courses are great. I went to SLAM a few...
  4. GilaRRT

    LVN to military nursing

    GilaRRT replied to vn gal's topic in General Nursing

    Actually, the Army National Guard will take AD nurses who graduated from a NLN accredited program as officers. However, you can only advance to O3 without a four year degree, so, in essence you are...
  5. GilaRRT

    What Happened To The Nursing Profession?

    GilaRRT replied to Anxious Patient's topic in General Nursing

    A rather sad state of affairs IMHO. The problem is multifactorial; however, the buck stops at education. We are simply cranking out sub-par providers. Many factors such as lack of qualified...
  6. GilaRRT

    What Happened To The Nursing Profession?

    GilaRRT replied to Anxious Patient's topic in General Nursing

    Yes; however, the OP is specifically addressing nurses in this thread. This is infact a great topic and people seem to agree that problems in fact exist. The conversation has been good until now, and...
  7. GilaRRT

    Alternative Airway Knowledge

    GilaRRT replied to GilaRRT's topic in Emergency

    Thanks for the replies. I would not support an airway class based on the EMT NCS with a NREMT like psychomotor station. This is due to the fact that the typical ER RN functions in a different...
  8. GilaRRT

    Nurses working harder than doctors?

    GilaRRT replied to lovehospital's topic in General Nursing

    Agree with the others. What you learn in nursing school only scratches the surface. I cannot begin to describe the education the last seven years of continued learning and experience has provided....
  9. GilaRRT

    Nurses working harder than doctors?

    GilaRRT replied to lovehospital's topic in General Nursing

    Pretty big words. You have proof other than a few anecdotal stories? However, you assume we are defending doctors? Many of us call it how it is. Doctors work hard, cannot really argue that
  10. GilaRRT

    Nurses working harder than doctors?

    GilaRRT replied to lovehospital's topic in General Nursing

    What is your point? He still has to work in the hospital because his patients are admitted there. As far as the ER, obviously his choice. However, he along with other local doctors are keeping the...
  11. GilaRRT

    Nurses working harder than doctors?

    GilaRRT replied to lovehospital's topic in General Nursing

    Anecdotes such as this are going to prove nurses work harder? Look, we all have a job to do. I can throw out anecdotal stories of lazy nurses; however, this does not make all of nursing lazy. On...
  12. GilaRRT

    Nurses working harder than doctors?

    GilaRRT replied to lovehospital's topic in General Nursing

    Agreed, it is truly difficult to understand their job. My PCP is an internist. He works five days a week at his practice. From about 0800-1900 in his office, to rounding on his hospital patients...
  13. GilaRRT

    Alternative Airway Knowledge

    GilaRRT replied to GilaRRT's topic in Emergency

    I agree, in fact the ability or predicted ability to perform effective mask ventilation should be on of the most important considerations in our airway management decision tree. I am not sure ACLS is...
  14. GilaRRT

    Alternative Airway Knowledge

    GilaRRT replied to GilaRRT's topic in Emergency

    Thanks for the reply. It does seem that we ship people off to a one day ACLS class, then expect them to provide care in every sort of emergency based on that one day class every two years. I am glad...
  15. GilaRRT

    Do we really need a "Certified Nurses Day" on March 19th each year???

    GilaRRT replied to NRSKarenRN's topic in Activism, Healthcare

    Meh, it seems every other type of nursing has a special day or week if they are especially
  16. GilaRRT

    Is nursing the hardest job you've ever had?

    GilaRRT replied to linda2097's topic in General Nursing

    Nope. Spent a summer as a teenager mixing and pouring cement
  17. GilaRRT

    Which Certification Exam should I take?

    GilaRRT replied to LilyBlue's topic in General Nursing

    1750 hours in the last two years working critical care. 875 in the past year. In addition, all 1750 hours must be in the same patient population. Adult, for example. You could have it covered;...
  18. GilaRRT

    Which Certification Exam should I take?

    GilaRRT replied to LilyBlue's topic in General Nursing

    You need to have a healthy number of documented hours of recent experience to take the
  19. GilaRRT

    Advice for British nurse wishing to emigrate.

    GilaRRT replied to gavspad's topic in International Nursing

    Yeah, with all the focus on many of our problems occurring even at the public level and a less than ideal economy, the industry is looking to be rather violate. If you are serious, I think you could...
  20. GilaRRT

    Advice for British nurse wishing to emigrate.

    GilaRRT replied to gavspad's topic in International Nursing

    No worries mate; unfortunately; aeromedicine is a mess in the United States and many companies are starting to tighten the belt and trim the fat so to speak. You may be hard pressed to find a company...
  21. GilaRRT

    question about Magnesium sulfate infusion

    GilaRRT replied to retiredlady's topic in General Nursing

    More concerned about a "runaway IV" than I am infiltration. Significant risks such as respiratory depression will result with overdose. Never a med to run on gravity without a pump and close...
  22. GilaRRT

    morphine IV

    GilaRRT replied to breaking_dawn's topic in Emergency

    Also remember, many providers tend to under-dose patients with morphine. I see people give little 2 mg squirts to major trauma patients. It would seem this is more therapeutic for the provider....
  23. GilaRRT

    Question about Elevated BNP in the absence of CHF..Help Im new to Cardiac!

    GilaRRT replied to Sehille4774's topic in General Nursing

    True; however, a change from 0-700+ in a few days makes me suspect something acute. Possibly, the other conditions have worked like a physiological "stress test" causing the
  24. GilaRRT

    Question about Elevated BNP in the absence of CHF..Help Im new to Cardiac!

    GilaRRT replied to Sehille4774's topic in General Nursing

    A BNP of 727 is rather profound. In addition, BNP assessment is a rather sensitive and specific test for the diagnosis of hear failure. However, me must understand the mechanisms behind BNP release...
  25. GilaRRT

    New MICN

    GilaRRT replied to ERnewbieRN's topic in Emergency

    Honestly, I thought MICN was some sort of pre-hospital provider title like the PHRN. Congrats on your new job as well. Medic, I hear ya. We had full scope paramedics working in the the facilities...