FlyingScot

FlyingScot RN

Peds/Neo CCT,Flight, ER, Hem/Onc

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All Content by FlyingScot

  1. Sure signs your pt. is sick

    :lol_hitti
  2. Power port/mediport

    Oh,Oh,Oh!!! I can answer that. There is a new power port called a Smart Port (made by Angiodynamics) that unfortunately is round and feels just like a regular port (unlike the triangular Power Port...
  3. Is it possible to be a GOOD RN with a BAD KNEE?

    In 1992 I rotated my femur 180 degrees on my tibia (foot pointing north, upper leg and remainder of body pointing south) I have had two arthroscopic surgeries and one 6 hour open procedure to...
  4. ACLS question

    Of course I was going with the "whack-job nurse who kills patients to save them" theory not so much the "lack of experience" theory because it's way more
  5. ACLS question

    How many time has this nurse "heroically" pushed un-ordered drugs on patients? Sounds kind of fishy to me. Or maybe I've just watched too many crime
  6. ACLS question

    An ACLS certification does not cover you in any way to push code drugs at any time even during a code. It's your facility's policies that do. The AHA is pretty clear about this. The "certification" is...
  7. Once a woman I had just met asked me what I did for a living. I told her I was a flight nurse who transported sick babies. Her response, which totally shocked me, was "How can you stand a job where...
  8. Should I Continue Fighting For What I Want?

    I'd keep everything in the document but the exercise and social networking stuff. The study and test taking plans are very well done. That is what the school is going to want to see. I understand that...
  9. Should I Continue Fighting For What I Want?

    If you want them to take you seriously I would lose the "I don't have a social life" part of the letter. Quite frankly they don't care whether you have tons of friends or live with 40 cats. It makes...
  10. Online CPR Certification

    I doubted it but since CNN endorses it well it must be good:banghead:. Seriously, go to the American Heart Association website and take it
  11. How do you handle bad odors in a clinic setting?

    I was going to post this but you beat me to it. This really works folks and it doesn't violate the "no scent" policy many hospitals are going to. I've used it in the ER with wounds, vagrants, dirty......
  12. Case study...Peds...GI

    It might show up on a regular x-ray. Doubtful on a barium swallow unless they did a follow through which is watching (with subsequent x-rays) the barium go through the entire GI tract. Might have...
  13. Case study...Peds...GI

    Maybe this is one of those examples about overthinking something but if so it was certainly a lousy one. I, for one, would like to hear the instructors rationale for the
  14. Case study...Peds...GI

    NOPE!!!!!!!!!!!
  15. Case study...Peds...GI

    Well now that's just ridiculous. The first sign of constipation is lack of bowel movements which wasn't mentioned. In addition if the kid is so backed up that he's vomiting there would be other...
  16. Case study...Peds...GI

    Terrific!! Reglan does increase motility but it is thought to also tighten the LES. An abdominal film would be a good idea too. The Nissen procedure is not all that rare in children. It is, however,...
  17. Case study...Peds...GI

    Great job. I think a plain old chest film would be in order as well to rule out (or in) chronic aspiration. What medication is commonly used to treat reflux due to a weak LES? Hint...it's been around...
  18. Case study...Peds...GI

    Well, he's clearly aspirating. If he was underweight I'd be thinking of CF too but I think it's unlikely given his nutritional status. It might be worth investigating if everything else comes up...
  19. Case study...Peds...GI

    You are one smart cookie. Your critical thinking skills are excellent. The medications he is on treat the SYMPTOMS of GERD but don't address the problem. A weak LES is common in children although it...
  20. Case study...Peds...GI

    You are doing a great job analyzing this. I think your diagnosis of slow gastric motility is very likely correct. Especially in light of the fact that he is regurging undigested food 4 hours after...
  21. Case study...Peds...GI

    Second leading question. Why do you think the patient has not improved while on Zantac, Prevacid and Protonix (hint: what do these drugs do)? What do you think is anatomically going on with this...
  22. Case study...Peds...GI

    So are you trying to do a nursing care plan? Critical thinking exercise? Not sure what you are asking for. If it's a nursing care plan here's a leading question. What would a young child with frequent...
  23. Paramedics are taking our Nursing job!

    Actually, the only person that works under an RN's license is the RN herself. As the RN it is my responsibility to delegate appropriately. The only time my license would be on the line would be if I...
  24. Paramedics are taking our Nursing job!

    I tried Sharrie, really I did (see post #12). I think maybe those of us who have seen this topic over and over are trying to insert a little humor to throw some water on the inevitable flame war....
  25. Paramedics are taking our Nursing job!

    Anybody else thinking of that South Park episode where the humans from the future came and took all the jobs? "They took ar jobs!" I've been cracking up all day. Where's my plaid flannel shirt?...