GilaRRT

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  1. GilaRRT

    Why do we devalue our "soup?"

    GilaRRT replied to Miss Mab's topic in General Nursing

    Santhony44, who cares what she thinks. If she does not want to talk to you over a stats grade, then I can only conclude that her opinion does not really count. Not putting BSN behind your name over...
  2. GilaRRT

    Patient Beats Up Nursing Staff Member

    GilaRRT replied to pagandeva2000's topic in General Nursing

    Yeah, pretty pathetic. We are a nation of wimps who only care about ourselves. Just read the threads about drivers yelling and screaming about traffic hold up while their brothers and sisters lie on...
  3. GilaRRT

    nitroglycerin drip

    GilaRRT replied to gonzo1's topic in Patient Safety Issues

    Fentanyl is actually a good medication to consider when B/P is a concern. Fentanyl is not associated with the release of histamine and drop in B/P, where morphine is well know for causing histamine...
  4. GilaRRT

    nitroglycerin drip

    GilaRRT replied to gonzo1's topic in Patient Safety Issues

    Allot will depend on the patient. Some patients will respond to low doses, while other patients can easily tolerate scary high doses. In addition, the location of the MI can tell us how sensitive a...
  5. GilaRRT

    Rudeness from EMTs and Paramedics

    GilaRRT replied to TheCommuter's topic in Geriatric, LTC

    This seems to be a topic I see on the EMS forums quite frequently, only the posts are negative toward LTC facilities and nursing homes. I think you have bad apples on both sides of the coin that feed...
  6. GilaRRT

    recommendations

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

    If you have the time and money, you may consider taking the UMBC CCEMTP course. It is an 84 hour basic introduction into critical care transport. The CCEMTP was part of my initial flight...
  7. GilaRRT

    What does it take to be an ED nurse, and should a new grad even try?

    GilaRRT replied to futurecnm's topic in Emergency

    Meh..not a big deal. You will have to learn the area like any other area. I never understood the 1 year on med/surge before moving to a specialty mentality. Regardless of where you go as a new...
  8. GilaRRT

    Use of Diprovan in your ER

    GilaRRT replied to TRAMA1RN's topic in Emergency

    There is a significant delta between emergency airway management and elective procedures. Scattycarrot hit the nail on the head. When we RSI a person with these meds, we are doing so because an...
  9. GilaRRT

    What would YOU Do?

    GilaRRT replied to mh3136's topic in General Nursing

    Go where you want. I am not sure about burning a bridge over taking a job or backing out of an offer, even after accepting. Hospitals are like WalMarts for health care providers. People are...
  10. GilaRRT

    Use of Diprovan in your ER

    GilaRRT replied to TRAMA1RN's topic in Emergency

    This is good where you work; however, my experiences have not been very positive. In addition, I have never worked at an ER that actually provided comprehensive education regarding airway management....
  11. GilaRRT

    Use of Diprovan in your ER

    GilaRRT replied to TRAMA1RN's topic in Emergency

    My concern would be related to the airway management abilites of the nurse who is giving these medications. Allot of nurses have very little knowledge when it comes to managing an airway. How often...
  12. GilaRRT

    I Saw that Commerical Again!

    GilaRRT replied to RNSC's topic in General Nursing

    Capitalism. If he can actually provide the service advertised, then his clinic will have an edge. If not, word will get around and people are free to go to other
  13. GilaRRT

    Use of Diprovan in your ER

    GilaRRT replied to TRAMA1RN's topic in Emergency

    This is a similar debate when considering the use of etomidate for procedures. I tend to agree that bolus doses of induction agents such as diprivan and etomidate should be given by an anesthesia...
  14. GilaRRT

    What would you do??

    GilaRRT replied to IngyRN's topic in General Nursing

    First, we need to appreciate the situation for what it is. If the guy is in arrest due to trauma, he has almost no chance of surviving regardless of what you do. I think compressions without mouth to...
  15. GilaRRT

    Flight Nursing

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

    The specific requirements such as PHRN will vary from state to state. For example; in Nevada, you will need to obtain an RN-EMS endorsement, while in New Mexico, no additional licensure is required...
  16. GilaRRT

    recommendations

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

    Solid experience will be your best asset. If I could do it all over again, I would have obtained solid ICU experience in addition to my ER experience. Most companies will want at least 3 years of...
  17. GilaRRT

    Getting back to the ED

    GilaRRT replied to hollowt's topic in Emergency

    Good luck. I am in a similar situation. I have been out of the ER for about a year and a half. I am currently in my 3rd week of a 13 week ER assignment and doing quite well so far. Give it some...
  18. GilaRRT

    Disposable Items

    GilaRRT replied to nyapa's topic in General Nursing

    I am far from being a left leaning tree hugger; however, this is a good point. You would be foolish to deny that pollution and overuse of specific resources is a problem world wide. IMHO Some method...
  19. GilaRRT

    Will I really be qualified enough?

    GilaRRT replied to mickjordmoll's topic in General Nursing

    Are there any specific tasks that concern you? It is impossible to cover every modality, medication, and illness. The class room should provide you with a good foundation. Your instructors were...
  20. GilaRRT

    NARCAN - what's your policy

    GilaRRT replied to 33-weeker's topic in Ob/Gyn

    I am not specialized in OB; however, I try to take a conservative approach if possible. From the OP, I gather that the kiddo was improving with stimulation and blow by oxygen? It does not sound like...
  21. GilaRRT

    That Phantom Nurse

    GilaRRT replied to fancee free's topic in General Nursing

    Yep, I put up with this type of behavior all the time in the ER. My BS detector is beeping. Pretty pathetic, but I can give them points for giving it the old college
  22. GilaRRT

    How would you explain a family member the concept of ABG

    GilaRRT replied to Shantas's topic in General Nursing

    Huh? Keep it simple. BIPAP is a machine that will help her breath. It may prevent her from being placed on a ventilator.Still confused? You need a tube down your throat for a ventilator. No tube down...
  23. GilaRRT

    Ethics: Does it bother you when people are in nursing to make money?

    GilaRRT replied to CaLLaCoDe's topic in General Nursing

    I am not sure there is anything else to discuss when GilaRN and somebody with the phrase "Evil Liberal" after their name
  24. GilaRRT

    Nursing Judgement...A thing of the past?

    GilaRRT replied to Jelli_Belli's topic in General Nursing

    Defensive medicine that plays to the least common denominator dressed up as EBM. this is the way of the
  25. GilaRRT

    Ethics: Does it bother you when people are in nursing to make money?

    GilaRRT replied to CaLLaCoDe's topic in General Nursing

    We live and work in a capitalist country. Nothing wrong with somebody taking advantage of this concept. Provided you do you job well and provide good care, why should it matter if you are in it for...