getoverit

getoverit BSN, RN, EMT-P

ER/ICU/Flight

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All Content by getoverit

  1. EKG assume 35 year old male?

    getoverit replied to brownbook's topic in Cardiac

    It can make a difference based on the input of a patient's age and gender. I did a 12 lead EKG class for the fire department and one of the officers volunteered to be a patient. When we entered his...

  2. EKG Interp. and Axis

    getoverit replied to Schuur451's topic in CCU, Coronary, Cardiac

    Determining axis deviation is important because of bi- and tri-fascicular blocks. A patient with an extreme right axis deviation is at a higher risk of developing a complete heart block, regardless of...

  3. Question about flushing lines

    getoverit replied to R!XTER's topic in General Nursing

    good point. when I wrote that I had a patient with a large LA thrombus, chronic AF, etc and I was thinking about him. although, very few things are completely

  4. Bedside Nursing and Families

    getoverit replied to jlamarev's topic in General Nursing

    Family-centered care, open visitation or any of the other names has pros and cons. I am polite but will reinforce some basic rules about visiting, e.g. please call us from the waiting room before...

  5. Becoming a flight nurse?

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

    Wow! that's too bad about the new grads not finishing their contracts in order to go to anesthesia school! and yeah, there's no way anyone can predict based on initial education...but we've seen a few...

  6. Question about flushing lines

    getoverit replied to R!XTER's topic in General Nursing

    Remember, the diameter inside an IV catheter is bigger than some capillaries/collaterals. A dislodged clot from there could easily occlude a coronary or pulmonary

  7. Just let me go!

    getoverit replied to OhioCCRN's topic in General Nursing

    Yes, I see things all the time that introduces me to a new boundary of my own ethics. and I think to myself "If my family did that to me, I would haunt them after I'm gone!!" there are times that I...

  8. Position difference between RN vs. BSN

    getoverit replied to kalevra's topic in General Nursing

    Annaiya, Thanks for posting the link to the studies. I read a couple of them when they came out. I'm definitely not arguing against furthering education, but my issue with the studies (only the ones...

  9. Becoming a flight nurse?

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

    thanks for replying. That's interesting about your hospital and the SICU nurses. Where I work, it's the same thing but for MICU nurses. True, the swans and LVADs are more common in SI, but to be...

  10. Becoming a flight nurse?

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

    I'm sorry. I intended to respond to your post earlier but got distracted. I wanted to ask about your program hiring CCU/Medical ICU nurses? I've found that these nurses are just as familiar with...

  11. Is there a nurse on the plane?

    getoverit replied to Brian's topic in General Nursing

    One of the nurses I work with just came back from a vacation and a lady on the plane suffered a cardiac arrest. Apparently, the plane had a defib, IV supplies, O2, ACLS meds, etc... I had no idea...

  12. Becoming a flight nurse?

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

    You make a few good points. but I am not "bragging" about my experience and connections--which happen to be my co-workers, I don't think it's out of line to offer their opinions on the topic, you may...

  13. Becoming a flight nurse?

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

    While I agree with the rest of your post, I take exception to the following (and I quote): "The CCEMTP is designed for people who have had no or very minimal exposure to critical care and most of it...

  14. Becoming a flight nurse?

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

    Is there a local/regional flight program you're interested in working for? If so, introduce yourself to them. A great opportunity to do this would be when you're taking a course like TNCC, ACLS, etc....

  15. why double chart?

    getoverit replied to grneyes676's topic in General Nursing

    Good question. I've asked that for a long time. We were all taught in school that redundant charting can set you up for an inadvertant discrepancy, but seems like some places require it. I don't...

  16. MD order needed to double concentrate gtts?

    getoverit replied to vicarious's topic in MICU, SICU

    we don't need an order to change the concentration. i think you're exactly right, your co-worker has confused concentration and dosage. sometimes I ask the pharmacist to double the concentration...

  17. lung sounds with vent

    getoverit replied to muffins20's topic in Pulmonary

    dmc/rrt is probably right, sounds like water in the circuit. I'm sure you know this already, but make sure your stethescope tubing isn't touching the circuit at all and the "vent pushing the air in"...

  18. Case Study

    getoverit posted a topic in General Nursing

    A few months ago we had a case study presentation of a cardiac episode in the ER and I was wondering if anyone was interested in another one? I'll try to present this one as best I can (I've never...

  19. Tips on securing a nasal ETT! and other advise :)

    getoverit replied to AnnieOaklyRN's topic in Certified Registered Nurse Anesthetist, CRNA

    I never implied it was inappropriate to intubate and your second description of the patient was much more detailed than the first. and the "foaming out of the ET tube" is the fulminant edema I was...

  20. Tips on securing a nasal ETT! and other advise :)

    getoverit replied to AnnieOaklyRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Hi. I'm not a CRNA, any of them good provide a wealth of good advice but the title of your post intrigued me. You can secure a nasal ETT with tape, similar to an oral tube, but having the EMT hold it...

  21. Why do some Medstudents love to belittle nurses?

    getoverit replied to LPNweezy's topic in Patient, Colleague Relations

    The med students are telling a lot more about themselves than they are about nurses. No respected physician would talk that way or allow a student to belittle nurses like that. And if a doctor does,...

  22. Misdemeanor for assault???

    getoverit replied to Angelfire3's topic in Licensure: Criminal History

    angelfire3, if that just happened last night, it's probably not too late to press counter charges. You can probably contact the local magistrate to clarify any details. I'm sorry this happened to...

  23. Misdemeanor for assault???

    getoverit replied to Angelfire3's topic in Licensure: Criminal History

    why don't you try pressing counter-charges? if she was in your face too and cussing you then she'd be guilty of a misdemeanor assault (creating an unwanted situation, feeling of apprehension, etc)....

  24. Updating drug guide

    getoverit replied to WillowNMe's topic in General Nursing

    I still have a 1998 Tarascon (for old time's sake if nothing else). I usually look anything up on Micromedex, they update it and it's

  25. Need some Precedex advise

    getoverit replied to EyeSeeYouRnOhio's topic in MICU, SICU

    This is really good info on precedex. We use it occasionally, only on patients who are mechanically ventilated, I don't understand how any physician could understand the medication and still believe...