GilaRRT

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All Content by GilaRRT

  1. GilaRRT

    Fed Up With People Saying There Is a Shortage

    Agree, the shortage in some areas is critical. I was hired as a new grad RN directly into ER and that was seven years ago. Obviously, the shortage is rather relative, as there are many nurses....
  2. GilaRRT

    New MICN

    No worries; however, sometimes it is difficult for us to look outside of our little boxes and realize something common place in one system may be completely unknown in
  3. GilaRRT

    New MICN

    Because some of us may never work in a system or area that utilizes MICN's. I know it is hard to imagine things may work differently outside of your little
  4. GilaRRT

    Tired of EMS thinking they can walk in!

    No body is arguing your point. However, when we talk about a PM taking over an RN position in a hospital, the teamwork concept goes out the door somewhat. (Obviously I feel the same is true of...
  5. GilaRRT

    paramedic nursing

    Simple, the "typical paramedic is an uneducated UAP" argument will no longer be valid. In fact, the PM would have the same degree for entry into practice as an RN. Nurses can no longer use the...
  6. GilaRRT

    Anyone work as a Independent Nurse Contractor?

    What kind of "independent
  7. GilaRRT

    quick vallium question

    I really like it when other provider can share their wisdom. If only we could teach our patients that that they do not need a course of Zocin to cure them of the life threatening cold. I digress...
  8. GilaRRT

    paramedic nursing

    However, the definition of "paramedic" in the United States is changing. The Nationsl Scope of Practice is being instituted over the next few years and a paramedic will no longer be considered a...
  9. GilaRRT

    Intubation Preparation

    Actually, Etomidate has a range for storage that is generally considered "room temperature." This is considered 15-30 degrees Celsius or 59-86 degrees F. However, some of the paralytics may require...
  10. GilaRRT

    Is cath lab considered critical care?

    All this CRNA school says this and my hospital hires med/surge nurses that has nothing to do with the price of tea in Chine IMHO. I do not care if you have a perfectly hemodynamically stable person...
  11. GilaRRT

    Tired of EMS thinking they can walk in!

    No, you can fly in Texas as an RN without PM credentials. Specific flight programs may have other requirements
  12. GilaRRT

    Is cath lab considered critical care?

    Cath Lab is absolutely critical
  13. Hmmm, you are asking allot of information about kidney transplants. I just saw a thread about going to foreign countries for kidneys. I must remind you that the TOS forbids us from giving medical...
  14. GilaRRT

    Home Birth culture in your Area

    Agreed. There are actually a relatively large number of people who opt for home birth for a variety of
  15. GilaRRT

    Name Badge Credentials

    Agree, the less patients know about me the better. Obviously, they need to know my level of licensure and that I am qualified to provide care. Credentials after your name are great for forums or...
  16. Because they can have it done. What would you do to obtain an organ for your self or a close family member? I am not saying it is right; however, what would you do if push came to
  17. GilaRRT

    Best nursing specialty for overseas volunteering?

    You will most likely have to give up your full time job. Essentially, you will be giving up a part of your life to do this. My employer in the states has kept me on PRN, and I fly for them every three...
  18. GilaRRT

    Things you would like the ICU to understand

    I disagree. Backboards have a role in specific situations. While, I agree they are grossly overused and iatrogenic injury from being on a back board is a serious and often forgotten problem,...
  19. GilaRRT

    3% NS

    Close monitoring to include tele and seizure precautions is warranted on these patients. Especially patients with neurological effects and an acute cause for the hyponatremia. Sodium can effect...
  20. GilaRRT

    3% NS

    For the most part, yes. If you are in a situation where you are giving 3% saline (hypertonic saline), you have a critical patient. In many cases, this concentration is used in patients who are...
  21. GilaRRT

    Can an NP work as an RN?

    I have worked with several APN's who picked up floor work on the side. As far as losing money, I disagree. Many of these APN's worked contract or PRN positions without benefits. They actually made...
  22. GilaRRT

    Have you ever done IO IV Placement?

    Really depends on the situation. I am not sure about a code. (At least the first several minutes.) Since medications in an arrest really do not improve outcomes, having access to give something that...
  23. GilaRRT

    TNCC or not

    ITLS was called BTLS several years ago. It is similar to PHTLS. TNCC could be considered the in-hospital equivalent to ITLS/PHTLS. It is actually a good course and like PHTLS, you should have...
  24. GilaRRT

    Working as a stripper AND a nurse

    Ok, then. However, the OP stated that this is not something that makes her particularly proud. In addition, she admitted that the environment has many problems such as drug abuse. She went so far...
  25. GilaRRT

    Working as a stripper AND a nurse

    Depends. Many of the so called "right to work" areas have a clause built into the paperwork you sign when you are hired. Many people can be fired or quit for no specific reason. Obviously, your...