granite109

granite109

ED, trauma, flight

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All Content by granite109

  1. Partying after work

    granite109 posted a topic in Emergency

    Just wondering, how does everyone feel about management drinking with staff? I always felt it was bad practice, especially when shop talk came up. Even if the manager doesn't participate, it seems...

  2. Partying after work

    granite109 replied to granite109's topic in Emergency

    I would be lying if I said I didn't throw a few back with my colleagues, docs included. I have seen, however, nursing management get absolutely plastered and talk shop with those that he/she...

  3. just wanted to share

    granite109 replied to phiposurde's topic in Flight, Surface Transport

    Congratulations! I remember when I got word. Gives me chills just thinking about it! It's a blast, the bet job ever, oh and nomex makes everyone look good-lol! Best of luck and fly

  4. ER Morale

    granite109 replied to littleRNthatcould's topic in Emergency

    We've been through a lot of change where I work. We have had some very dynamic leaders and some, well, not so much...I'm not sure how your department is run or structured, but I imagine like most...

  5. Failed Airway

    granite109 replied to GilaRRT's topic in Emergency

    About 3 years ago, our institution initiated the airway cart. It's like a code cart with the drawers and all. All of the RSI meds are in there, the standard ETTs and laryngoscopes; in addition to...

  6. Scranton or Allenstown Nurseries / NICUs?

    granite109 replied to rnpilot's topic in Pennsylvania Nursing

    Good for you! Wishes for success and

  7. Patients on Vacation????(long)

    granite109 replied to emsboss's topic in Emergency

    Ugghh! The penalty box of triage is bad enough; when this happens it's a game misconduct! No, it's not just tourists, vacation is just the excuse for not having the info. I have tried to make use...

  8. I just cant decide

    granite109 replied to mercurymama's topic in Nursing Career

    You can do this! If it is in your heart, than you must! Your kids will be fine. As a matter of fact, pursuing your dreams and being happy is probably the greatest gift you can give them. Of course,...

  9. Why are emergency nurses not considered critical care nurses?

    granite109 replied to JessicRN's topic in Emergency

    This topic, while heated, brings up many important issues. In my experience, ENA has historically been realistic regarding ratios and considering the CC component. On an academic note, it seems the...

  10. what's a good stethoscope for nursing school?

    granite109 replied to jnmoore02's topic in Scrubs, Uniforms, Gear

    I would recommend the Classis or Classic II also as a starter. They are lightweight and the earpieces are nice. The Cardiology III or Master are excellent but heavy and pricey. Also, they often get...

  11. do you need a BSN to work at Penn. Hosp? Salary Ques

    granite109 replied to glamgalRN's topic in Pennsylvania Nursing

    I work for HUP and they do require a BSN. I am not sure about Pennsylvania Hospital. Considering they are both part of the Univ. of PA Health System, it may be a problem. Jefferson, Temple, Hahnemann,...

  12. Anyone not making med errors?

    granite109 replied to fleur-de-lis's topic in General Nursing

    Emmanuel- Very, very valid point,

  13. How important is Chemistry, really?

    granite109 replied to EGKB's topic in General Nursing

    Best Wishes to you on your final! I have an AAS in Chemical Technology and have found the concepts extremely useful in nursing, especially in cardiology; ie sodium-potassium pump, conductivity,...

  14. Fibromyalgia

    granite109 replied to veetach's topic in Emergency

    OK, this is an old thread, but I feel a need to clarify, so please indulge me. My first post on this thread was apparently inflammatory. That was the opposite of my intention, so my apologies for my...

  15. Fibromyalgia

    granite109 replied to veetach's topic in Emergency

    My sincerest apologies for coming of offensively-that was absolutely not my intent!!! In fact, my intention was just the opposite. There have been studies correlating male pattern baldness to heart...

  16. Prehospital RN for Lifeflight

    granite109 replied to TRAMA1RN's topic in Pennsylvania Nursing

    EMIs course is excellent. It starts in January, concludes in July. It costs $1000 and can be paid in 2 payments. If you call 610-969-0259, they can hook you up. If you'd like, you can e-mail me...

  17. Scranton or Allenstown Nurseries / NICUs?

    granite109 replied to rnpilot's topic in Pennsylvania Nursing

    don't know if you've moved yet...I work at LVH and for HUP. LVH has a great NICU and PICU. Level I trauma, peds and burn specialty certs. We receive patients from everywhere. LVH is considered on...

  18. Fibromyalgia

    granite109 replied to veetach's topic in Emergency

    Oh, the joy of FM!! what a hot topic, but something that should be addressed. It seems apparent that there are real instances of FM, often with prior injury. In my youthful idealism, I would like...

  19. SLAM and ABLS course

    granite109 replied to phiposurde's topic in Emergency

    I took ABLS and was not impressed. Granted, it was new at the institution, 2nd time I think. However, the place I work at already offered their own in house course and it was very in depth, so the...

  20. Why are emergency nurses not considered critical care nurses?

    granite109 replied to JessicRN's topic in Emergency

    I agree with you, that it is amusing and that I, too get carried away. However, in the institutions I work at, it is an issue due to critical care pay and job opporunity. ED has to do the exact same...

  21. Learning thread (ER medicine)

    granite109 replied to TraumaInTheSlot's topic in Emergency

    Don't know if this was placed anywhere, but I had a patient with a scorching genital herpes outbreak and she couldn't pee. The doc told me to NEVER cath a patient with active herpes d/t the risk of...

  22. Learning thread (ER medicine)

    granite109 replied to TraumaInTheSlot's topic in Emergency

    Hmmm, do tell. My first thought was myxedema coma, but the head CT and PE protocol threw me

  23. Why are emergency nurses not considered critical care nurses?

    granite109 replied to JessicRN's topic in Emergency

    Ok, I had to join in. This critical care issue has been my albatross for years. I have not read every thread, as I do not have all day. I do have this to add. I have worked ED and trauma at the...

  24. interosseous access (IO)

    granite109 replied to Christie RN2006's topic in General Nursing

    We utilize I/Os in the air as a last resort. HOWEVER, a last resort on a critical kid is 3 attempts at an IV, no longer than 90 seconds total (good luck!) We are also allowed to use them on adults....

  25. Anyone not making med errors?

    granite109 replied to fleur-de-lis's topic in General Nursing

    Anyone who says he/she hasn't made an error is either a liar or didn't know he/she did so. The latter is much scarier. It's important to recognize the potential severity of a med error, but not to...