getoverit

getoverit BSN, RN, EMT-P

ER/ICU/Flight

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All Content by getoverit

  1. Nurses Defibrillating???

    I'm not trying to argue but I don't beleive a nurse has to complete an ACLS course in order to use an defibrillate with an AED (which is contained on most non-ER/OR/PACU/ICU crash carts). In my...
  2. Tell me about your job

    alvincctrn, hey. what type A/C do you use? how do you configure your NICU transports? RN/RCP? EMT-P? fly
  3. Yes. another ECG question

    ekgs can be pretty tough because there's 1000+ different variations. whenever you look at one, look at the rate then the rhythm. then look at the relationship between the p waves and qrs (this will...
  4. Yes. another ECG question

    ekgs can be pretty tough because there's 1000+ different variations. whenever you look at one, look at the rate then the rhythm. then look at the relationship between the p waves and qrs (this will...
  5. A few practice questions

    I haven't clicked on the link to the study, but I beleive that Trendelenburg was developed by an Army surgeon for traumatic battlefield injuries during WW1. In fact the surgeon himself later recanted...
  6. STUPID interview questions, add yours here

    Yeah, my wife is a social worker and was director of HR for her agency. You definitely can't ask questions like that, in fact she has a whole list of "off limits" questions. Some of the questions...
  7. My mom took off for 10+ years when I was a kid. Kept her RN license and went straight back to work when she was ready. Went from L&D to Occupational Health. Also was surprised that she no...
  8. How To Determine ET Tube Placement

    end-tidal capnography is the gold standard. bilateral breath sounds will help to tell if it is in one mainstem bronchus or the other, the chest film will only confirm the tube's position relative to...
  9. chf question

    we have been discussing this today and have not come up with an answer. I currently have a patient admitted with diffuse CAD and CHF. He is on a Natrecor gtt @ .005 mcg/kg/min. He is 104 kg and BNP is...
  10. chf question

    thanks for your responses. I guess I should have given more details. He presented with BNP>6500 without Natrecor and is now trending down, while on the Natrecor gtt. I do understand that it is a...
  11. ICU Nurse role...

    disaster preparedness class wants to know how an ICU nurse's role would change? I"ve been through a lot of disaster/mass casualty classes and never been asked that. but in answer, it depends on the...
  12. AED Patch Placement

    anywhere that the current will pass through the myocardium and avoid the device in his chest. I"d personally choose AP. XB9S (who has an AWESOME motorcycle) put it best...it's all about risk...
  13. Do you let ambulances drop off in triage?

    I think it's perfectly fair to triage ambulance patients depending on their complaints. On occasion we let paramedics decide whether they are "triagable" or not, of course these are good medics with...
  14. Intubation & Chest Tube skills

    Some paramedics are allowed to place a modified chest tube, called a pneumothoraseal. Kind of a trocar hooked to a Foley bag. I've never used one but have seen the video. Some flight nurses can...
  15. Family members that work your nerves!!!

  16. Family members that work your nerves!!!

    I wonder if it was a HIPAA violation if the patient's wife was there and agreeable to the exam. We've had similar experiences in our ICU also and debated whether or not it was illegal. If the wife...
  17. Cardiac Meds-so confused

    another book that I've carried for about 10 years is a Tarascon Pharmacopeia. The pocket version is sufficient, they update it every year. Have different versions for critical care, emergency, gen....
  18. Palpating blood pressures?

    I have heard the same thing in BTLS/PHTLS, we had this discussion at work and one of the docs said that it was more accurately a reflection of the MAP to produce a pulse at the different sites. the...
  19. Funniest thing a confused pt. has told you...

    I had a talking dog once, but I sold him for $25 because he was nothing but a
  20. Funniest thing a confused pt. has told you...

    a co-worker told me about a woman having a colonoscopy, after she was sedated the doctor begen to insert the scope and she moaned "It's too big Earl...take it out!!!" After looking on her chart, Earl...
  21. Funniest thing a confused pt. has told you...

    we were loading an elderly woman into the helicopter during an interfacility transfer when she grabbed my collar and asked if either me or my partner would "please ride with me". I told her that we...
  22. Tell me about your job

    Hey there. part of it is emergent situations, "Scene calls" responding to out-of-hospital trauma. also are interfacility transports, either from ER/OR/ICU to ER/OR/ICU. Some very interesting...
  23. Nurse Phobias?

    my phobia....eyeballs. It sounds weird but I think they're gross. I"ve taken care of people who's eyeballs have come out, or been burned by acid, impaled with a screwdriver,etc and that doesn't...
  24. Interesting Flight stories

    just saw this thread. man, hard to pick a story. we've had security guards waving us into parking lots with a chain being whipped around by the rotor wash, we couldn't believe the guard wasn't...
  25. Funny - Why is it that people say they.............

    and what happens if you get scared half to death....twice? if your car travels at the speed of light, will your headlights work? I have HD-ADD, it's hard for me to pay attention but when I do it's...