getoverit

getoverit BSN, RN, EMT-P

ER/ICU/Flight

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All Content by getoverit

  1. HELP With Med Math Problem

    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...
  2. How do you deal with Non-Urgent Patients

    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...
  3. Rapid Sequence Induction

    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...
  4. Nurses writing up nurses?

    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...
  5. Self-Scheduling

    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...
  6. Rapid Sequence Induction

    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...
  7. Docs yelling at nurses....

    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...
  8. Chest Pain "Addicts"

    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...
  9. How infectious is MRSA really??

    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...
  10. Medical shows vs the real thing?

    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...
  11. EKG's on morbidly obese

    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...
  12. Number of shocks

    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...
  13. Doctors' Chart Bloopers

    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...
  14. Medical shows vs the real thing?

    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...
  15. Accuchecks

    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...
  16. Medical shows vs the real thing?

    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...
  17. I am terrible at IV's!!

    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...
  18. Central Line ocluded or sluggish?

    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...
  19. Attention all EMTs

    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...
  20. Funny things that pts say

    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...
  21. Resident with STD

    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...
  22. About the drug Narcon

    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...
  23. .... I made another mistake :( Need encouragement.

    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...
  24. Doctor refuses to acknowledge VA doctor

    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...
  25. Attention all EMTs

    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...