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getoverit BSN, RN, EMT-P

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getoverit has 18 years experience as a BSN, RN, EMT-P and specializes in ER/ICU/Flight.

getoverit's Latest Activity

  1. getoverit

    Staff Nurses Who Refuse To Precept Or Teach?

    Your opinions are meaningless to me. You seem to have an elementary school approach to debate, you clearly don't even understand what I've written. You use my quotes back at me in ways that don't even make sense and show your profound lack of basic understanding as you still can't explain what my position actually is. you have proven me correct, but your intellect will probably prevent you from understanding this as well. I tried to keep it civil and light, you aren't interested in anything other than trying to bait me and I'm not going to sink to your level anymore (regrettably, I did for awhile). I'm not going to respond to your childish/ignorant comments but that's not to be interpreted as you "winning" whatever it is you think you're doing. I honestly feel sorry for anyone with the misfortune of having to spend time around you.
  2. getoverit

    Staff Nurses Who Refuse To Precept Or Teach?

    I'm not being petty about anything. You have characterized and judged me without understanding what I've written, even after I explained it to you in details I think are easy to get. I don't care who agrees or disagrees with me and some people try to argue the same point that's already been made. It's like talking in circles and clear you're more interested in some kind of back & forth, I was just trying to lighten it up because you made me laugh. So whatever...cheers to you sir.
  3. getoverit

    Staff Nurses Who Refuse To Precept Or Teach?

    Oh no!!!! This makes me re-think everything!! It must feel good being in the "majority" (of people responding)
  4. getoverit

    Staff Nurses Who Refuse To Precept Or Teach?

    You're entitled to your opinion and I'm entitled to think you're wrong
  5. getoverit

    Staff Nurses Who Refuse To Precept Or Teach?

    not sure why you feel that is a hard concept to grasp based on my post. I never said anyone should be tasked to precept when they don't want to, in fact I believe that they shouldn't have a student or new orientee assigned to them if that's the way they feel. I've had many nurses say they don't want a student and many students/orientees request a new preceptor. there's nothing wrong with that, I haven't suggested there is and your charge of me "judging" is totally off-base and ignorant (in my opinion, not a characterization of you, just of your comment about me). I'm not one who has said it's selfish or not being a team player. But I will say that if a nurse doesn't want to help someone learn a new skill/concept/procedure/etc then they don't appreciate the ones who taught them in a way that makes them want to return the favor for someone in a similar boat-to use your philosophy given what you wrote. That's not derisive, just a professional observation. But no one should be forced to precept someone else, it's not fair to either person.
  6. getoverit

    Staff Nurses Who Refuse To Precept Or Teach?

    Ruby Vee, I have read your posts for many years and am a little taken aback by this one. I have been a preceptor for over 20 years and have received more than a couple awards for teaching/precepting. Not bragging on myself, just giving a little context for me to use your words back to you: clearly YOU don't know what you don't know and it would be best for YOU not to rush to judgment.
  7. getoverit

    Staff Nurses Who Refuse To Precept Or Teach?

    Quote by LLG: Just because I have needed work done by a plumber (or substitute electrician, dentist, lawyer, car mechanic, etc.) in the past doesn't mean I am obligated to provide that service to others who need it now. I agree with your response with the above exception, I think you're kind of comparing apples to oranges on this one but here's another step to the progression of your comparison: if you happened to have used a plumber for work, then in the future needed a different plumber who seemed to have difficulty completing the job...if you knew a pointer or tip to help them you would be wise to do so. but I agree that you are not technically "obligated".
  8. getoverit

    Staff Nurses Who Refuse To Precept Or Teach?

    I've always wondered if the nurses who don't like teaching or precepting also didn't like it when their teachers and preceptors were helping them learn new things.... Seems like a double standard at times
  9. getoverit

    What is the funniest thing a doctor has said to you?

    Before an exam a patient asked the doctor where they should put their clothes, the doctor said "Just leave them on the floor next to mine." I was introducing a patient to a different doctor (who wasn't paying any attention), I said "This is Mr. Smith." The doctor looked at the patient list, then said "How do you pronounce your name?" The patient said, "Um...Smith. Like he just said."
  10. The needles we use take about 0.7cc to prime. We don't "push" the epi with saline, epinephrine is the only thing going through the needle. We have 10cc of 1:10,000 and we inject until the MD tells us to stop. We determine how much epi is left in the syringe, account for the 0.7cc remaining in the needle tubing, subtract from 10cc and that's how we calculate the amount of epi. We rarely ever give a full mg of epinephrine to a single site for a bleed. Often I give between 0.3-0.5mg to a bleeding site. Hope that helps.
  11. getoverit

    Ethical Issues

    MunoRN asks a good questions, just DNR or comfort care? Huge difference. 4 mg MSO4 q15m isn't that much and with an order like that I'm assuming they were comfort care. Also still intubated at time of death? Was he trying to extubate himself as he died? Some details aren't real clear. As far as dealing with death, it may sound callous but it comes with repeated exposure. The few times when I've felt like I was somehow responsible for a patient's death I've spoken with the physician to get their impression and opinion. I've always been glad for those conversations and they stay with you for the next time something similar happens. Believe me, I've had plenty of shifts where I thought I was going to go insane if I had to work another code. Some of the things we do or say during those events are ways of dealing with it, things we say to each other we'd never say in front of a family member (or certain MDs for that matter!!) File these experiences away, lock them in the vault or however you call it because eventually you will be the preceptor and a new grad will be looking toward you the same way. The wisdom and experience you gain between now and then will be what shapes your response.
  12. getoverit

    How long did you study for CCRN?

    It's a very broad test for general critical care knowledge. I took the PassCCRN review CD, the areas I scored the lowest on I studied for a couple weeks (Ignoring areas I scored >90%). I took the test quite awhile ago and don't know if/how it's changed since then but it was MUCH easier than I thought it would be. If you have a general working knowledge of ICU nursing you should be fine. the questions are not intricate or detailed, just very general. Here's an example: I have never taken care of a patient with a ventriculostomy but the questions about neuro were easy to understand and without the experience you can still figure out what they're getting at (e.g. troubleshooting, anatomy, etc).
  13. getoverit

    Being Deposed - Help!

    I've been deposed once. Kid in a car wreck, ejected through the open side window. Agonal when we arrived and dead within a couple minutes from a terrible head injury. Don't assume that being deposed guarantees being named in a suit. One advice I haven't seen given here is to ABSOLUTELY get a copy of your incident report. That's the only thing you should refer to, if it isn't contained in the report then there's no way/reason to comment about it. Especially after 3 years. Minimalistic answers are usually the best idea. I did elaborate in my deposition, but only because the details were very ingrained in my mind. After I provided a brutal description of the child's head and the moments preceding his death the family elected to not pursue any further. I hope your case goes well.
  14. getoverit

    Respiratory acidosis/failure s/s

    You're right, it isn't easy to pick up on subtle hints at times. Respiratory acidosis is a pCO2>45, regardless of the pH. If the pH is normal, then the acidosis is being compensated. Your body wants to blow off the excess carbon dioxide so tachypnea is an early sign. Along with tachycardia as the heart tries to increase it's output to meet an inadequately supplied metabolic demand. Remember one of the important things about blood pH is that it affects the oxyhemoglobin dissociation. when the blood becomes acidic, the RBC has an increased affinity for oxygen and won't exchange gas at the cellular level as effectively. So if you have a patient that is ventilating well and complaining of "smothering", one of the first things to consider is an ABG. these problems are often vicious circles and the patient will continue to decompensate until we intervene. Because of this, the O2 saturation is often of little use because the hemoglobin is well-saturated with oxygen but it doesn't release it to the cells in exchange for CO2. Hence the build up in the blood reflected in the ABG. Hope this helps somewhat, I'm sure someone else can come along and give a more complete answer.
  15. getoverit

    Correct way to take a carotid pulse

    I've heard the same thing from instructors, the only rationale anyone ever provided was that checking the pulse on the opposite side may increase the risk of occluding the vessel or manipulating his larynx. I don't buy either argument. As for the left hand, I would want to know how it could possibly make any difference which hand you used. If someone were able to palpate it with their big toe it would be fine with me.
  16. getoverit

    What is the most interesting case you've seen in the ER?

    strange aneurysm around the aortic root, closest surgeon who would accept the case was 1000+ miles away (Baylor). He exsanguinated right in front of us as we were loading him into the plane, gone in less than 3 sec. young child needed a heart transplant (and successfully received it). his cardiac silhouette filled the cxr. he was so fatigued that his lips would turn blue and his hr increased 200+ just lifting his arm for a bp cuff or sat probe. and flyingscot, I've also coded someone and ran into them a few days later in the grocery store holding a case of budweiser and carton of marlboros. nothing like getting a new lease on life!!

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