I just saw this thread so I"m late getting into it. Your are right about reading too much into the question. Over 20 minutes doesn't mean more than 20 min., it means exactly 20 min. You are putting...
getoverit replied to mom2michael's topic in Emergency
hey there. I know what you mean, it's a universal problem. I"ve always wondered if it's a lack of education to the general public, a symptom of what seems to be wrong with our culture (demanding to...
no, you read it right the first time. i've been fortunate with intubations. there has never been a patient that i did not intubate and later regretted not doing it, but there have been patients that i...
sorry that happened to you. you shouldn't feel incompetent at all. Have you thought about speaking with the night nurse and asking her why she did it? I think writing each other up is a last...
I have one of the world's best managers. Basically said he needs at least 5 RNs for each shift (we work six 12 hr and one 8 hr shift every 2 weeks). We don't have PT staff in the unit but if we did...
If there's a RT (or RN if allowed) present who can intubate then the airway compromise isn't that much of an issue, but absolutely don't give the paralytics until you're ready to tube. As far as...
you are right about the politically correct way of dealing with it. never degenerate down into an arguement or raise you voice in return, even if you're right you'll end up looking bad...and you'll...
getoverit replied to RunningWithScissors's topic in General Nursing
I've seen the same article about atypical chest pain without any diagnostic findings (cath lab, enzymes, etc.) and you have to take chest pain seriously. But there are lots of people who know how to...
Neti pots are small tea-pots, you can brew a herbal mixture and then you pour it into one nostril. The mix circulates up in your sinuses and then can drain out the other nostril. My wife used to use...
yeah, that's what I thought. with all the walking around the beach in high heels, CSI guys entering a house with the SWAT team, etc... I like the Forensic Files on CourtTV the best. and the old FBI...
getoverit replied to stillpressingon's topic in General Nursing
Finding any ICS on an obese patient is hard. You just have to eyeball it if you can't actually palpate it. I've seen 12 leads applied that were way off the mark, with an obese patient you have to...
They really manually defibrillated him 20 times? that's a lot. do you know if it was biphasic or not? were they defibs or cardioversions? internal vs. external shocks? I've worked a lot of codes and...
today this one was written "Referred to our service for evaluation of 3 day hx-n/v/d. patient seen at 10 am and stuffed with Dr. ____ at 1030." another weird abbreviation. "bbs-gntb", when asked we...
yeah, not only is the cleavage unrealistic but my wife always laughs when the women are walking around on the beach in high heels! SVU is great, I like Criminal Intent a little better. We are...
getoverit replied to webbiedebbie's topic in General Nursing
It is a policy that you are supposed to observe universal precautions everytime you perform a finger stick. Does my manager yell at me if I don't have gloves on occasion?...no. Do I wear them all...
I can't really watch any of those shows because they're all so far-fetched. In the first few years, ER was great because it focused on symptoms. We used to watch it and try to guess the diagnosis...
There are lots of great advice posted above. Sometimes you'll miss the easy ones and hit the ones that are just "anatomical sticks" (you can't see or feel it but you know it has to be around there...
Yeah, flush with NS, then Heparin. If it won't draw or flush then we give a drug called Alteplase (Cathflo). It's a thrombolytic and it should resolve the problem. As far as a checklist, we will...
getoverit replied to Christie RN2006's topic in General Nursing
mcknis, glad you're a volunteer too. In answer to your question, I'm a registered paramedic as well so I can pass ET tubes, defibrillate, nstart IVs and give any medication in the formulary when I"m...
getoverit replied to jRN4now's topic in Nursing Humor
Late last night the doors to the ICU swung open, when we looked we saw a pizza delivery guy standing thers with an XL meat lover'a. Assuming one of our co-workers had ordered it we asked who it was...
a lot of people have told the OP to find a different career and slammed her pretty hard. not that I disagree with their message, but I just truly hope that she takes all the replies to heart (I"ve...
getoverit replied to SoonerTreasure's topic in General Nursing
Hi. I think you are referring to Narcan, which is an opiate reversal agent to stop the action of his pain medication. It has a very short half-life, 10-15 minutes in some cases depending on the...
Like some other posts have said, you've taken responsibility for it and you probably won't make the same mistake again. One thing Oramar said that is good advice is to periodically look through the...
getoverit replied to Karynica, RN's topic in General Nursing
Absolutely! That's good advice. Not only is the medical director on a power trip, but it's not putting the patient's best interests in front. What kind of person would do that? I didn't think the...
getoverit replied to Christie RN2006's topic in General Nursing
Like Scott said, ACLS is a course completion card and does not license individuals to perform certain skills beyond the scope of nursing practice acts. For EMT-Bs passing ET tubes on a confirmed...