getoverit

getoverit BSN, RN, EMT-P

ER/ICU/Flight

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All Content by getoverit

  1. CASE STUDY??? Anyone interested in an interactice one??

    getoverit replied to Medic/Nurse's topic in General Nursing

    sorry, a little slang term there. we usually say a chem 8 when it's to include mg+ level, but yeah, a chem 7 is our routine

  2. CASE STUDY??? Anyone interested in an interactice one??

    getoverit replied to Medic/Nurse's topic in General Nursing

    What a great idea! I love reading Mike's on flightweb! Anyway, the other posters have some good initial thoughts. I'd want a CBC, Chem 8, UA c&s, 12 lead, talk to the daughters (tell them...

  3. NREMT-P to RN? Hi I'm Conate :)

    getoverit replied to Conate's topic in General Nursing

    very nice reply and i'm not trying to argue with you, but i don't think it's fair to imply that paramedics only deal with "simply basic care". endotracheal intubation, running codes, initiating...

  4. add your funny TRIAGE complaints from pts

    getoverit replied to er nursing's topic in Emergency

    Me: "what brings you to the ER today?" Pt (with flat affect): "I need my peanut butter balls." Me: "I see. and what happens when you don't get your peanut butter balls?" Pt: "I fall out" here began...

  5. I am a new paramedic... In some hot water, need some help? In trouble?

    getoverit replied to paramedic_t's topic in General Nursing

    hey, sorry about your partner...everyone's worked with someone like that at some point in time. she probably waited until you got to the ER because she didn't want the nurses to think she had...

  6. MICU/SICU vs. other units?

    getoverit replied to Joe NightingMale's topic in MICU, SICU

    I think what they might have been referring to is that it's easy to treat the monitors rather than your patient, and that happens on occasion (seems to be recurring themes with some nurses?). Make...

  7. Your least favorite patient.

    getoverit replied to errn7's topic in Emergency

    23 y.o. guy shows up at the ER wanting a script for Paxil because he has a job interview tomorrow and is afraid he "might" have a panic attack....and his girlfriend is with him who also wants a script...

  8. Rushville, IN Helicopter Crash

    getoverit replied to sjt9721's topic in Flight, Surface Transport

  9. ICU differential pay

    getoverit replied to icyounurse's topic in General Nursing

    i live in the south, our differential is a percentage of our base pay. i think it started out at

  10. Pseudo-seizures

    getoverit replied to Lucyinthesky's topic in General Nursing

    an MD told me one time that a seizure and an intact reflex are mutually exclusive events. his advice was to test a corneal reflex, if the pt was apparently having a tonic-clinc sz and a present...

  11. bundle branch blocks

    getoverit replied to NurseyPoo7's topic in General Nursing

    A bundle branch block has a long qrs complex (>120ms). A right bundle branch block typically causes prolongation of the last part of the QRS complex, and may produce a slight right axis deviation....

  12. Highest BP you have ever seen on a pt

    getoverit replied to nckayaker's topic in Emergency

    360/250. 45 y.o. obese gentleman who overdosed on crack cocaine. he was having a brisk cerebral bleed and we obtained that pressure with an a-line. we could only obtain diastolic pressures with a...

  13. flight nurse

    getoverit replied to unknownfuture's topic in General Nursing

    there's a lot of trauma but usually few and far between. most of the day involves checking the aircraft, helping the pilots, checking all your equipment, CLEANING, doing pr events, planning community...

  14. EMS services, EMTALA, self-pay accounts

    getoverit replied to RN1204's topic in General Nursing

    it sounds a lot like the EMS didn't really want to do the transport in the first place. i've seen services try to "get out of doing their job" in many different ways. was the ambulance service a...

  15. death experience

    getoverit posted a topic in General Nursing

    I intended to write this yesterday but was kind of drained when I got home (and our internet was on the fritz!) but I want to share something that happened in the afternoon. To make a long story...

  16. EKG and Axis

    getoverit replied to mcmars's topic in CCU, Coronary, Cardiac

    sorry, i hadn't seen joeyzstj's posting. bob page is one of the most dynamic speakers in the country and his 12 lead course is better than any i've ever sat

  17. EKG and Axis

    getoverit replied to mcmars's topic in CCU, Coronary, Cardiac

    not stupid at all...and you have linked to a very good website. the axis can be insignificant but it is important to understand what it means. axis refers to the electrical pathways of the heart,...

  18. V-fib after Asystole

    getoverit replied to Shell5's topic in CCU, Coronary, Cardiac

    i don't believe there is a max dose on epinephrine according to acls guidelines. of course there is the "point of diminishing returns" where you have to ask yourself if it's pointless or not. you may...

  19. 3rd Degree Block with Junctional Escape

    getoverit replied to Spatialized's topic in CCU, Coronary, Cardiac

    tom, ekg's can be weird sometimes, can't they?? one thing you didn't mention in your description was the width of the qrs, i'm assuming it was a junctional rhythm can have a rate 70-80 or higher,...

  20. Do You Want Universal Healthcare?

    getoverit replied to DanFNP's topic in Activism, Healthcare

    I've been thinking about a lot of the posts on this thread. My question to the ones who are against it (and I understand your arguments-whether I agree with them or not) is: What is a reasonable...

  21. V-fib after Asystole

    getoverit replied to Shell5's topic in CCU, Coronary, Cardiac

    If it was v-fib on the monitor, then shock it. one of the purposes in giving epinephrine during a code is to alter the fibrillation threshold, in order to produce a more shockable rhythm. remember...

  22. inservice ideas

    getoverit replied to whatnext's topic in MICU, SICU

    why don't you send a staff email to the nurses in your unit or post a sheet in the breakroom and find out what they feel would be the most valuable topic. ask them to list the top 3 inservice topics...

  23. I've been an RN for 3 years and I just made my first medication error.

    getoverit replied to mikeyswife's topic in Patient Safety Issues

    first, sorry that happened to you. second, yes, anyone professional with a conscience has felt similarly. you mentioned that you were having an awful day...think about what things contributed to...

  24. Got any funny acronyms at your ER???

    getoverit replied to RNin92's topic in Emergency

    IFS- idiot family syndrome. as in "they would be much better off if they didn't suffer from chronic IFS" INS- interference with natural selection. This person has untowardly altered the gene pool by...

  25. What was the WORST thing a patient has been brought to ER for?

    getoverit replied to SteveNNP's topic in Emergency

    the worst was a triple homicide where a crackhead had killed a prostitute and her daughters. In the living room, the mother had been stabbed 35-40 times, mostly in the torso. Small, bloody...