GilaRRT

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All Content by GilaRRT

  1. GilaRRT

    Cpen

    GilaRRT replied to NativeSundance's topic in Emergency

    Yes, it is a new exam offered by the BCEN. The beta testing of the exam was completed not too long ago and it is now being offered in addition to the CEN, CFRN, &
  2. GilaRRT

    National EMS Scope of Practice Transition

    GilaRRT posted a topic in Flight, Surface Transport

    It is now 2009. From what I understand, significant changes to EMS educational and curriculum guidelines will begin to occur this year. This will effect our EMS colleagues and many of us nurses who...
  3. GilaRRT

    Hard times all around.

    GilaRRT posted a topic in General Nursing

    Link to a sobering video. Daniel is a physician from Uganda and currently works with me in Afghanistan. He is working to save money and working toward a MPH via distance learning. He hopes to return...
  4. GilaRRT

    Tired of EMS thinking they can walk in!

    GilaRRT replied to TraumaNurseRN's topic in Emergency

    They do exist; however, certificate programs are still quite
  5. GilaRRT

    Diprivan: push or not to push

    GilaRRT replied to time4meRN's topic in General Nursing

    Agree. The issue has been resolved IMHO. The BON SOP is simply a set of guidelines that facilities and providers can use to create their policy. Theoretically, an RN could work up the the fullest...
  6. GilaRRT

    ER Nurse is Being a JERK to EMS...

    GilaRRT replied to flashpoint's topic in Emergency

    It is an old and frankly boring concept. Something with more originality would at least make things interesting. But, RN versus PM? In reality, I really do not see true animosity among RN's and...
  7. GilaRRT

    National EMS Scope of Practice Transition

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

    From what I understand, this will effect individuals who are registered with the NREMT. The states may be slow to implement changes; however, people who want to maintain NREMT registration will have...
  8. GilaRRT

    Nursing school and emt-b at the same time

    GilaRRT replied to LV2BME's topic in Flight, Surface Transport

    I would focus on nursing school at this point in time. While EMT-B is not a particularly difficult course, the focus should be on doing your best in nursing school. Graduate, pass the NCLEX, then...
  9. GilaRRT

    where do you get your rotor stuff?

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

    What to you mean by helmet lights? Are you talking about a lip or mic light? In addition, you need to make sure all of these accessories are allowed by your employer. Another consideration is...
  10. GilaRRT

    Tired of EMS thinking they can walk in!

    GilaRRT replied to TraumaNurseRN's topic in Emergency

    ROTFL, Trauma, you are killing me. Time to let this one go. The novelty of PM versus RN wore of many threads
  11. GilaRRT

    Tired of EMS thinking they can walk in!

    GilaRRT replied to TraumaNurseRN's topic in Emergency

    I have to disagree with you on that one big dog. EMS providers follow protocols, guidelines, and online medical direction. Nurses follow hospital policy, procedure, and direct physician orders. It...
  12. GilaRRT

    Tired of EMS thinking they can walk in!

    GilaRRT replied to TraumaNurseRN's topic in Emergency

    I think I see where you may be coming from, and agree to an extent. I have absolutely no problem working with PM's. This is especially true when I fly. In fact, I am not sure I would want to fly...
  13. GilaRRT

    Paramedics in the ER

    GilaRRT replied to errneducator's topic in Emergency

    No worries. Fly
  14. GilaRRT

    Paramedics in the ER

    GilaRRT replied to errneducator's topic in Emergency

    I see we have gone beyond "mine is bigger than yours" to "my dad can beat up your dad." Better yet, "spider man can beat up bat man." Anybody see a trend
  15. GilaRRT

    Paramedics in the ER

    GilaRRT replied to errneducator's topic in Emergency

    Mine is bigger than yours! Cannot say anything productive is developing from this topic. The bottom line still remains: PM's are not educated to provide nursing care and RN's are not educated to...
  16. GilaRRT

    The ANA really doesn't like non-BSN Nurses

    GilaRRT replied to SuesquatchRN's topic in Diploma, ADN, BSN

    With a dedicated four year program, I would like to see the final year dedicated to solid clinical experience. One of the biggest obstacles new RN's face (AD and BS) is the fact that they receive...
  17. GilaRRT

    The ANA really doesn't like non-BSN Nurses

    GilaRRT replied to SuesquatchRN's topic in Diploma, ADN, BSN

    I actually would support BSN for entry into nursing. I work with nurses from around the world, and I have to admit I feel a little... strange explaining the concept of a two year RN to them. Even...
  18. GilaRRT

    The ANA really doesn't like non-BSN Nurses

    GilaRRT replied to SuesquatchRN's topic in Diploma, ADN, BSN

    Depends on the organization. I am a member of the ENA. I am able to keep updated on the world of ER nursing and receive a monthly journal. The CE's alone are worth the membership. The ENA is...
  19. GilaRRT

    The ANA really doesn't like non-BSN Nurses

    GilaRRT replied to SuesquatchRN's topic in Diploma, ADN, BSN

    What kind of specialty? The ANA is not a significant force in the "specialty certification" market IMHO. The big one being, the ABNS. Well known credentials such as CEN and CFRN are all ABNS...
  20. GilaRRT

    Paramedics in the ER

    GilaRRT replied to errneducator's topic in Emergency

    Sorry brother, you can make a field diagnosis, working diagnosis, or provisional diagnosis; however, the final verdict is up to somebody else. It is still true today. We have 6 month shake and bake...
  21. GilaRRT

    a story someone told me about AAA

    GilaRRT replied to oramar's topic in General Nursing

    Had a patient present to the EE where I worked about 5 years ago. I was off shift and not involved with his care. The patient was initially worked up for renal colic. His AAA decided to blow in CT...
  22. GilaRRT

    AAA rupture

    GilaRRT replied to DMBFAN4EVR's topic in General Nursing

    Not a doc, but I think you have it
  23. GilaRRT

    AAA rupture

    GilaRRT replied to DMBFAN4EVR's topic in General Nursing

    Well, yes and no. The specific question is not geared toward relevant nursing considerations. However, understanding the physiology of the immune response, cell response to injury, and the role of...
  24. GilaRRT

    AAA rupture

    GilaRRT replied to DMBFAN4EVR's topic in General Nursing

    I understand the question; however, I am challenging you to turn this into a learning experience. You gain nothing by reading "this is the answer," do some research and find out why. This will help...
  25. GilaRRT

    AAA rupture

    GilaRRT replied to DMBFAN4EVR's topic in General Nursing

    Ok, well you need to do a little more research into the immune system and the immune response. There is more than hypovolemic shock going on. Assuming the patient survives the initial rupture and...