GilaRRT

Member

  • Content

    1,905

  • Visitors

    17,814

  • Followers

    0

  • Likes

    38

All Content by GilaRRT

  1. GilaRRT

    Does a patient have the right to refuse to allow students to witness their procedure?

    GilaRRT replied to Jo Dirt's topic in General Nursing

    I agree, check the fine print. Many facilities have student exceptions in the fine print. I do not have a problem with students. I remember that somebody let me watch when I was a student. I remember...
  2. GilaRRT

    signs and symptoms of a concosion???

    GilaRRT replied to studentIVlife's topic in General Nursing

    I am unsure why people think sleeping equates to death with head injuries. Perhaps it stems from the fact that we are always waking people up and assessing them. This is not to prevent death, this is...
  3. GilaRRT

    Too many attempts at a spinal tap?

    GilaRRT replied to Moe75_Rn's topic in Patient Safety Issues

    What are the facility policies regarding neonatal LP's? Prior to making an issue, obtain as much information as possible regarding the facility policy and guidelines regarding the procedure and...
  4. GilaRRT

    Career Change .. can't do nursing anymore :(

    GilaRRT replied to sandlewood_nurse's topic in General Nursing

    Nursing is not for everyone. I am glad you found a job you enjoy. Nothing wrong with changes. In fact, I think allot of Nurses stay in the field and make themselves miserable instead of finding a job...
  5. GilaRRT

    Should I become a nurse???

    GilaRRT replied to ijuanabhappy's topic in General Nursing

    I am not sure that Nursing is any more or less dangerous than any other job. Any time you hop in your car, your chances of getting killed or seriously injured increase substantially. I would bet back...
  6. GilaRRT

    websites for updates in nursing profession

    GilaRRT replied to ritaPHIL's topic in General Nursing

    I agree. I know the ENA is pretty good about informing it's members of changes in emergency Nursing practice. ( clinical, research, and legislative) Several organizations have their own publications...
  7. GilaRRT

    SLAM and ABLS course

    GilaRRT replied to phiposurde's topic in Emergency

    The lectures were well done and delivered by experts in the field. Ramsey himself did a lecture on sedation. Time at the skill stations was a little more limited than I would have figured. In...
  8. GilaRRT

    Needlestick from a HIV+ Patient.....I am so upset :(

    GilaRRT replied to RiaRN's topic in General Nursing

    You need to report this period. You stuck yourself, nothing you can do about that now. You must take care of your self. who cares if you are new or what people think. This is about getting the care...
  9. GilaRRT

    EMT or CNA

    GilaRRT replied to Mom2Eight's topic in Emergency

    Not sure what is required for ER tech's in your area. From my experiences, CNA's make more money. I made over two dollars an hour more working as a CNA than I did as an
  10. GilaRRT

    flying ventilator

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

    I use the Crossvent 4. I agree that on rotor wing, altitude is not as much a problem as it is on a fixed wing. Adults will usually be volume ventilated. I start my initial settings at: Mode: SIMV...
  11. GilaRRT

    Monitoring Plateau Pressures

    GilaRRT posted a topic in Flight, Surface Transport

    Over the last year or so I have seen allot of new info on ARDS. One of the concepts that people are starting emphasize is the plateau pressure. I know most people monitor the peak insp. pressure. I...
  12. GilaRRT

    Have you ever done IO IV Placement?

    GilaRRT replied to UM Review RN's topic in General Nursing

    My employer currently uses both the adult and pedi BIG. In addition, the sternal IO FAST and good old jamshidi (sp?) are utilized. Aspiration of marrow will often not be possible. You can feel a pop...
  13. GilaRRT

    SLAM and ABLS course

    GilaRRT replied to phiposurde's topic in Emergency

    I took the SLAM course in Dallas TX back in 2005. It was pretty expensive, but the cadaver lab was worth the experience. Hands on time was pretty
  14. GilaRRT

    Highest paid nursing field?

    GilaRRT replied to NoeIssa's topic in General Nursing

    Nursing is a career and I equate Nursing to a service. We are paid to provide a service to our customers. A vital service, but a service none the less. I do not see a problem with people who want to...
  15. GilaRRT

    Monitoring Plateau Pressures

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

    Thank you. We are also trying to ventilate with much lower tidal volumes. We calculate our initial settings at 6-8 ml/kg of lean body
  16. GilaRRT

    CO2 and hydration

    GilaRRT replied to lovethechaos's topic in Emergency

    The physiology does support this scenario; however, what do you think of this scenario? I do see metabolic alkalosis in GI patients; however, this seems to be in people who receive ongoing or...
  17. GilaRRT

    CO2 and hydration

    GilaRRT replied to lovethechaos's topic in Emergency

    A carpet commando is just another name for a kid. http://www.aemj.org/cgi/content/abstract/9/12/1373 http://pediatrics.aappublications.org/cgi/content/abstract/118/1/260 These are the links to the...
  18. GilaRRT

    Monitoring Plateau Pressures

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

    It is good to see somebody else using it. I do not see it catching on down where I live and work. Is this a trend in
  19. GilaRRT

    CO2 and hydration

    GilaRRT replied to lovethechaos's topic in Emergency

    just looking at labs, i would say one lab that could help differentiate uncomplicated dehydration from a hypovolemic shock state would be the serum lactate. in addition, abg findings and serum...
  20. GilaRRT

    Amiodarone and Cardizem drip??

    GilaRRT replied to MedicRN151's topic in Emergency

    Hard to say without actually caring for the patient. It sounds like he was in failure. CCB + B blockers can be a very bad combination with failure patients. What were the patients pressures? If...
  21. GilaRRT

    CO2 and hydration

    GilaRRT replied to lovethechaos's topic in Emergency

    I do understand your point. However, you need not do an ABG to obtain a venous CO2. This vaue shows up on your average everyday SMA-7 or SMA-12. (BMP/CMP) So, if I had a dehydrated patient (especially...
  22. GilaRRT

    CO2 and hydration

    GilaRRT replied to lovethechaos's topic in Emergency

    Is dehydration not hypovolemic
  23. GilaRRT

    CO2 and hydration

    GilaRRT replied to lovethechaos's topic in Emergency

    I do not think you can make a direct correlation between dehydration and CO2 levels. However, dehydration can lead to hypoperfusion and lactic acid production. A degree of metabolic acidosis can be...
  24. GilaRRT

    Highest paid nursing field?

    GilaRRT replied to NoeIssa's topic in General Nursing

    I also agree that money matters. It may not be the most important consideration for some people; however, making ends meet is very high on my to do list. No shame in researching and finding out where...
  25. GilaRRT

    CO2 and hydration

    GilaRRT replied to lovethechaos's topic in Emergency

    I agree. A low CO2 can indicate a metabolic acidosis with respiratory compensation. However, one must be careful with generalizations. I would never assume all people with a low CO2 would be...