GilaRRT

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  1. GilaRRT

    Wife with BSN with NO drive, what to do??

    GilaRRT replied to Tony1790's topic in General Nursing

    What is so wrong about working at Safeway and McDonalds? Sounds like your wife has a great support system at home however. IMHO as
  2. GilaRRT

    Which Strips Are MOST Dangerous?

    GilaRRT replied to pagandeva2000's topic in General Nursing

    In addition, inverted T waved and depression can mirror injury in other areas of the heart. Reciprocal changes for example. In the case of posterior wall infarct, you may only see inversion unless you...
  3. GilaRRT

    Which Strips Are MOST Dangerous?

    GilaRRT replied to pagandeva2000's topic in General Nursing

    An isolated unifocal PVC in many cases is quite benign. In fact, PVC's are quite common in healthy people. The etiology of the PVC should be the real concern. A healthy person has ten cups of coffee...
  4. GilaRRT

    Doctors without Borders/MSF

    GilaRRT replied to nursern07's topic in General Nursing

    There are indeed many other organizations that have people providing remote medical care. I never knew what a huge complicated animal this area was until I started working remote medicine. Even more...
  5. GilaRRT

    ER Nursing, Is it considered critical care?

    GilaRRT replied to NicNac's topic in Emergency

    It is all rather amusing. We are like little kids arguing on the playground. "My dad can beat up your dad." Hmmm...so, if spider man and bat man got into a fight who would win? Now that has been the...
  6. GilaRRT

    Against vaccines:

    GilaRRT replied to Gavsmom's topic in General Nursing

    You should consider another career. I had a needle stick early on in my career and was exposed to HEP B. Had I not had the HEP B series, I may have been dead as a door nail by now. A wife left to...
  7. GilaRRT

    Combat Medic to Civilian Nurse

    GilaRRT replied to Watanabe_Joey's topic in General Nursing

    Very True. The right way, the wrong way, and the Army
  8. GilaRRT

    Combat Medic to Civilian Nurse

    GilaRRT replied to Watanabe_Joey's topic in General Nursing

    I would be very careful about cutting any corners. For example a 68W without additional education is not qualified to function as a LPN. However, a 68W-M6 ASI (Army LPN) does have the necessary...
  9. GilaRRT

    paramedic nursing

    GilaRRT replied to mcgill01's topic in Flight, Surface Transport

    Not sure I understand your statement. I am a little dense at times. Again, I am not sure what is required for PHRN credentials in your state. You very well may have completed an intense program that...
  10. GilaRRT

    Wilderness/expedition nursing

    GilaRRT replied to wildernessgal's topic in General Nursing

    Another route to consider is remote medical support. I recently started working for a company that provides remote medical solutions in various areas throughout the world. After a brief stay in Dubai,...
  11. GilaRRT

    ER Nursing, Is it considered critical care?

    GilaRRT replied to NicNac's topic in Emergency

    Again, I really think it is irrelevant what adjective you use to describe your role as an RN. Other than silly pride and some machismo, I simply cannot see why we are getting our little feeling hurt...
  12. GilaRRT

    Tncc

    GilaRRT replied to crb613's topic in Emergency

    TNCC is not a difficult course. Remember it is Trauma Nursing Core Course. You will learn the core or foundational elements of caring for the trauma patient. I find most people like the course....
  13. GilaRRT

    paramedic nursing

    GilaRRT replied to mcgill01's topic in Flight, Surface Transport

    Agree and disagree with your stance. First, I think it is possible for most anybody to learn how to do anything with proper education and motivation. I disagree that RN's can transition into the...
  14. GilaRRT

    18-gauge vs. 20-gauge

    GilaRRT replied to solneeshka's topic in General Nursing

    Hmmm, ER nurses get your flame throwers out. Why oh why in the world of today does every patient need a large bore IV? Sure, 20 year old with massive pipes, throw in a 14 or 16 to boost your ego....
  15. GilaRRT

    ER Nursing, Is it considered critical care?

    GilaRRT replied to NicNac's topic in Emergency

    Many threads on this topic. It depends on how you define critical care. The honest answe is, depends on the patient. As far as the setup on this forum. Please, you guys are killing me. ER is in the...
  16. GilaRRT

    Chest Tube Question

    GilaRRT replied to TigerGalLE's topic in General Nursing

    Agreed, provided the under water seal is functional, you have a one way valve. One think I like to do is place a heimlich valve between the patient and the pleurevac that can act as a backup. My...
  17. GilaRRT

    does age REALLY matter?

    GilaRRT replied to pinkynbd_99's topic in General Nursing

    You can call it caustic all day long if you want; however, I beg to differ. I called it how I saw it, no personal attack. When you say old people getting accepted into nursing school is helping to...
  18. GilaRRT

    does age REALLY matter?

    GilaRRT replied to pinkynbd_99's topic in General Nursing

    Not sad, true. Many nurses take off after a year or so and do not return to nursing. This has nothing to do with age and everything to do with the sad shape of health care in the US. As far as...
  19. GilaRRT

    does age REALLY matter?

    GilaRRT replied to pinkynbd_99's topic in General Nursing

    Well, first you need to understand the facts. People are not retiring from nursing. The shortage is not because the old geezers are buying the farm in masse or retiring in number to buy a RV and...
  20. GilaRRT

    thoughts on only Paralytic while intubated....

    GilaRRT replied to MassED's topic in General Nursing

    I am not sure why he would want to use that excuse. We have analgesic medications that will not alter hemodynamics. Fentanyl, for example. In addition, medications such as ketamine could also be...
  21. GilaRRT

    Mass Effect

    GilaRRT replied to NurseyPoo7's topic in General Nursing

    Mass effect is a general way to describe the several findings that indicate some type of mass (blood, tissue, etc) is large enough to change the normal anatomy of the brain tissue. Midline shift and...
  22. GilaRRT

    thoughts on only Paralytic while intubated....

    GilaRRT replied to MassED's topic in General Nursing

    This is a pretty serious problem. If a patient was awake during this experience and found out that they were paralyzed without sedation or analgesia, they would have a very good civil case against...
  23. GilaRRT

    Crap, I should've paged the MD.

    GilaRRT replied to NurseyPoo7's topic in General Nursing

    Ok, did you talk to the doc the next day? Did the nurse who questioned you talk to the doc? Somebody let the doc know, yes? Possibly a very important bit of information. A bulls eye rash does not...
  24. GilaRRT

    Flight Nurse vs Flight Paramedic

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

    I could not agree with you any less! First, spend any time in an ICU? What about with a critical patient? Say a massive anterior/lateral MI with posterior wall involvement. Intubated, sedated,...
  25. GilaRRT

    Web Site of Info to Explain Metabolism

    GilaRRT replied to pagandeva2000's topic in General Nursing

    Not a