GilaRRT

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All Content by GilaRRT

  1. GilaRRT

    Intubation

    GilaRRT replied to rnwithtof's topic in General Nursing

    Then it is not so easy. You see, once you push your NMBA of choice, you have crossed the airway Rubicon so to speak. You essentially have three outcomes: First, a tube in the trachea. Second, gork for...
  2. GilaRRT

    Intubation

    GilaRRT replied to rnwithtof's topic in General Nursing

    I am not even going to touch the subject of Basic EMT's intubating... I guess independence is a very subjective concept. I know ICU/CCU nurses that care for cardiac cripples on a regular basis. These...
  3. GilaRRT

    Intubation

    GilaRRT replied to rnwithtof's topic in General Nursing

    Actually, you do have physician orders in the form of protocols/guidelines. Your physician medical director dictates your companies
  4. GilaRRT

    Intubation

    GilaRRT replied to rnwithtof's topic in General Nursing

    Telling people that "intubating a dude" is easy, is not informative. For people who do not know better, it is dangerous. Why does every well known airway pathway go to a failed airway after three...
  5. GilaRRT

    Intubation

    GilaRRT replied to rnwithtof's topic in General Nursing

    Yes. Endotracheal intubation is not a "core" nursing procedure. Work on developing excellent BLS airway management techniques. The ability to position the airway, perform ELM or cricoid pressure, use...
  6. GilaRRT

    Intubation

    GilaRRT replied to rnwithtof's topic in General Nursing

    I agree. As a flight RN, I am able to intubate. However, in most hospitals, the Doc/CRNA and in some cases the RT will do the intubation. Trust me, in a busy ER, you will have enough on your plate...
  7. GilaRRT

    I was a victim of sexual assault.

    GilaRRT replied to wildmountainchild's topic in General Nursing

    I am sorry. I do not know what else to say. Take
  8. GilaRRT

    Power or nursing

    GilaRRT replied to ifunes's topic in General Nursing

    Power...what power? A rather subjective concept without adding the question of centralized versus
  9. GilaRRT

    Intubation Preparation

    GilaRRT replied to punkstar's topic in Emergency

    Yeah, I feel ya. My companie's RSI protocol calls for lidocaine premedication; however, we are not to premedicate with an opiate. We ask the medical director if we can give fentanyl during the two...
  10. GilaRRT

    Florence Nightengale's Notes on Nursing...

    GilaRRT replied to stephlucasrn2008's topic in General Nursing

    I understand that she had psychological issues stemming from her experiences during the Crimean war. I do not think that her experiences during this time are well understood by most; however, she saw...
  11. GilaRRT

    Intubation Preparation

    GilaRRT replied to punkstar's topic in Emergency

    Yes, liodcaine is used for the potential benefit of blunting ICP changes. However, real evidence supporting this thought is lacking. I know when I go to OR, the anesthesia providers will give a...
  12. GilaRRT

    Army vs. AF

    GilaRRT replied to hildreth80's topic in Flight, Surface Transport

    Yep, go AF. This statement is from a prior service Army bubba. As an RN you will have some great opportunities with the AF
  13. GilaRRT

    Weight Requirements/Physical

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

    My service has an across the board limit (rotor and FW) of 225 pounds in full gear. I know of some services that have limits of 200 pounds or less in some cases. Work on your weight and get a few...
  14. GilaRRT

    Intubation Preparation

    GilaRRT replied to punkstar's topic in Emergency

    Actually, not an incorrect way to go about an RSI if you have the time. Many people advocate a procedure of "pre-medication" prior to the prcedure. However, little evidence supports the thought that...
  15. GilaRRT

    Nimbex IVP

    GilaRRT replied to OKRN's topic in General Nursing

    What kind of bedside procedure requires the use of a NMBA? Unless the question is related to intubation. However, I cannot see many docs wanting to use a NMBA that takes several minutes to produce...
  16. GilaRRT

    Is there an age cutoff for flight nursing?

    GilaRRT replied to mt3's topic in Flight, Surface Transport

    I agree, my wife can throw down in the plane like a big dog all day and night long and she is pushing
  17. GilaRRT

    Flight Nurse Interview and Test

    GilaRRT replied to nurse6936's topic in Flight, Surface Transport

    Depends on the service. I took a 150 queion test that was similar to the CCEMTP exam. Then, I had to complete three scenarios and do a "sim man" RSI exercise. Next, I did an interview where several...
  18. GilaRRT

    Hypoglycemia and Asystole

    GilaRRT replied to Ni_Ni's topic in General Nursing

    I am not sure you can say that hypoglycemia is a common or even uncommon cause of asystole. I have seen hypoglycemia and asystole coexist; however, other factors in addition to asystole did exist in...
  19. GilaRRT

    What would you do in this situation?

    GilaRRT replied to camay1221_RN's topic in Ob/Gyn

    First, congrats on realizing that your past situation may effect the way you look and react to the situation at hand. However, I agree with your assessment. I know we would admit these patients to...
  20. GilaRRT

    Domestic Abuse/Assault patients in the ED, how do you get through to them?

    GilaRRT replied to deeDawntee's topic in Emergency

    I hope that you can appreciate the fact that other people may not respond to or experience a situation in the same way that you did. This behavior is documented among many abuse victims and should not...
  21. GilaRRT

    Domestic Abuse/Assault patients in the ED, how do you get through to them?

    GilaRRT replied to deeDawntee's topic in Emergency

    I would agree that feel is much too generalized of a word to describe my thoughts. These people are most likely terrified, confused, and depressed. All feelings we experience; however, the behavior we...
  22. GilaRRT

    Domestic Abuse/Assault patients in the ED, how do you get through to them?

    GilaRRT replied to deeDawntee's topic in Emergency

    Please read my second post in this thread. Why do you resent my thinking? I am simply trying to understand how how people think. These "people," because more than just women are abused, are not...
  23. GilaRRT

    Domestic Abuse/Assault patients in the ED, how do you get through to them?

    GilaRRT replied to deeDawntee's topic in Emergency

    I stand by my statement. Your situation may have been different; however, many of the abused people I have seen deny any problems and go as far as to place blame on themselves for the abuse Most...
  24. GilaRRT

    Domestic Abuse/Assault patients in the ED, how do you get through to them?

    GilaRRT replied to deeDawntee's topic in Emergency

    It is pretty hard. However, do not look at these people as "normal." Anybody who allows somebody to smack them around time after time has complex phychosocial issues. Many of these people do not think...
  25. GilaRRT

    Removing collars and backboards

    GilaRRT replied to eRbarto's topic in General Nursing

    Hard to say. Many times the decision will vary from physician to physician. Generally, I find a big push to get people off of the board as soon as possible because of the serious complications...