JohnnyGage

JohnnyGage

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All Content by JohnnyGage

  1. RN transporting pt. across state lines

    JohnnyGage replied to imenid37's topic in Flight, Surface Transport

    The company I fly for routinely does interstate transport. Because the company is licensed in Minnesota, and we as nurses are licensed in Minnesota, we are covered. Basically, while the patient is...

  2. Start Flight Nursing October 4th...

    JohnnyGage replied to TI2Grr's topic in Flight, Surface Transport

    Congrats! As for this... I have two words: Rotor

  3. Chest Tubes---Help!

    JohnnyGage replied to VivaLasViejas's topic in General Nursing

    While I am quite comfortable with chest tubes and the questions you've raised, I don't think I could adequately answer the questions in a forum like this... I'm much more of a hands-on teacher and for...

  4. What exercises are good for nursing?

    JohnnyGage replied to danu3's topic in General Nursing

    Overall fitness is key. A good fitness program will include flexibility (especially back and hamstring stretches), strength (we all know about the increase in "bariatric" patient populations), and...

  5. Another flight crew pays the ultimate price...

    JohnnyGage replied to DMoon's topic in Flight, Surface Transport

    They died as heros. May they rest in

  6. Having heart (hard) time studying the heart

    JohnnyGage replied to mandykal's topic in Cardiac

    What parts are you having trouble

  7. ? about narcotic admin

    JohnnyGage replied to nursewratchet's topic in MICU, SICU

    We waste every time unless we're "actively treating or titrating". Basically it comes down to: if you feel confident enough about your patient to leave the bedside you should waste. That is, if...

  8. You know you're a neuro nurse if.....

    JohnnyGage replied to Elenaster's topic in Neuro Intensive Care, ICU

    When the creative commercials for Listerine Strips give you ideas of how to deal with "neuro

  9. Personnal lives or reckless?

    JohnnyGage replied to Still Riding's topic in General Nursing

    flyeeng and wurking Trahma prety much rooned all of my dangrus hobees. I still luv to rok clime, tho. I never rid motercykles and sertianly wont ever. Spelling purposely changed out of

  10. stepdown description

    JohnnyGage replied to cursenurse's topic in General Nursing

    Sounds good. Just remember to tell them if you feel more orientation is needed! However, also remember that orientation is not to make you a "great" nurse, just a "competent" nurse. The "great" is...

  11. Changing needles prior IM injection

    JohnnyGage replied to sharon holcombe's topic in General Nursing

    I never give IMs any more, but when I did, I always changed needles. Mostly for the fact that going through the rubber on a vial will slightly dull the needle and I always wanted to give my patient...

  12. CCU vs. CVICU vs. CICU

    JohnnyGage replied to NsgTiger's topic in CCU, Coronary, Cardiac

    Hard to say, but I would guess: CVICU is a surgical unit taking open heart patients, probably also any aortic surgeries, possibly thoracotomies (ie cardio-thoracic stuff). CICU is probably a cardiac...

  13. advanced care unit question

    JohnnyGage replied to rileygrl11's topic in MICU, SICU

    Well, it seems to me that "advanced care" is just another name for "step down" or "progressive care". One more term to throw into the mix to make the public think that it's innovative. Yup. Our...

  14. advanced care unit question

    JohnnyGage replied to rileygrl11's topic in MICU, SICU

    What does an "advanced care unit" consist of? Is it the same as stepdown or "progressive

  15. Chest Tubes and Clamping

    JohnnyGage replied to nightingale's topic in General Nursing

    Never strip pleural tubes. As I mentioned before, we strip mediasteinal tubes to prevent clotting and tamponade. Yes, it can bruise the heart, but what's your other option --

  16. Chest Tubes and Clamping

    JohnnyGage replied to nightingale's topic in General Nursing

    OK... Yes, I've clamped chest tubes for a couple of hours -- in a patient with a previous pneumo. We do it occasionally for a couple of hours and then get an x-ray to see if the pneumo will return...

  17. Nurses Don't Accept Gifts

    JohnnyGage replied to roxannekkb's topic in General Nursing

    No, I have not. Interesting... I'd like to a) see the actual documentation and b) see how they go about proving something like that. I'd like to clarify something I mentioned earlier... A bribe is...

  18. Nurses Don't Accept Gifts

    JohnnyGage replied to roxannekkb's topic in General Nursing

    I know lawyers that have accepted gifts. Gifts are just that -- gifts. Bribes are different in that they are given and a favor is expected in return. While I am a firm believer in ethical practice,...

  19. Nurses Don't Accept Gifts

    JohnnyGage replied to roxannekkb's topic in General Nursing

    I agree that you shouldn't expect a gift, but there are many times when I think it is appropriate. When a patient is discharged from your unit and give candy and a card, that's OK. If the little old...

  20. 2 Nurses needed???

    JohnnyGage replied to BrandieRNq's topic in Patient Safety Issues

    I think if you have a lot of patients you should be checking more often. You definitely don't want to give one patient another's insulin or heparin dose by

  21. What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?

    JohnnyGage replied to yazisizit's topic in Nursing Humor

    Ow. Ow ow ow ow ow! I mean really... Just the proportions involved (even for a >ahem! I once worked triage in ER on a very busy night. There were two of us working the desk to maintain traffic...

  22. 2 Nurses needed???

    JohnnyGage replied to BrandieRNq's topic in Patient Safety Issues

    It didn't used to be a policy at out hospital -- "old school" was the line of thought. However, after a couple of sentinel events, it is once again strict policy for both heparin and insulin. I do...

  23. Heparin and Nitro Compatability

    JohnnyGage replied to RNCENCCRNNREMTP's topic in CCU, Coronary, Cardiac

    My standard response in situations like this, whether dealing with an MD or another nurse (and when I have done my research and know I'm right) is: "Show me the proof." That is, find the article,...

  24. What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?

    JohnnyGage replied to yazisizit's topic in Nursing Humor

    I was helping turn a patient when she projectile vomited into another nurse's mouth (she was talking).

  25. What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?

    JohnnyGage replied to yazisizit's topic in Nursing Humor

    Really? Huh. The things you