getoverit

getoverit BSN, RN, EMT-P

ER/ICU/Flight

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All Content by getoverit

  1. RN to Paramedic Bridge Course

    getoverit replied to ironjohn929's topic in Flight, Surface Transport

    To begin with: you haven't been called a name. I made a comment about the content of your post, if you choose to take it as a personal insult that's your prerogative. Although your original response...

  2. RN to Paramedic Bridge Course

    getoverit replied to ironjohn929's topic in Flight, Surface Transport

    As an RN/REMT-P with about 20 years of experience in both hospital and fire departments, I have to say that your post is one of the most ignorant statements I have read on this website. I doubt you...

  3. How often do you take a vacation?

    getoverit replied to PAERRN20's topic in General Nursing

    I take 2 weeks off in February. 2 weeks again in June or July, then 2 weeks again in late September/early October. I also am lucky enough to have a 4 day weekend every week, sometimes it works out...

  4. questions about your first code.. from a student nurse

    getoverit replied to tinker72's topic in General Nursing

    after reading your post, it sounds like you're a very empathetic person...which is a wonderful emotion that lots of people don't really have. I think you do "get used to it" in a way, not that it...

  5. last night

    getoverit posted a topic in General Nursing

    Okay, so last night I was charge and had 2 patients. One was chronic renal who was lucid but kept getting out of bed. Wanting to sit in a chair for 20 min, then get back in bed, then back in the...

  6. how to deal with this intensivist

    getoverit replied to fiveofpeep's topic in MICU, SICU

    sorry you had that experience and like others have said, you definitely should not be made to feel like you're expected to "throw yourself under the bus"...especially if you're in an environment where...

  7. Help with ECG interpretation???

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

    good questions and good explanation. also remember that the electricity is always trying to get back to the isoelectric line, as the na+ and k+ exchange across the cell membrane. basically what goes...

  8. dopamine drips and MAP

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

    start increasing by 1 mcg/kg/m. If the pressure doesn't respond then you could go up by 2. some people are so affected by dopamine, i've seen patients who had a map>65 with 6.3mcg/kg/m and when...

  9. Does this follow ACLS guidelines?

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

    good example. ACLS guidelines are just that....guidelines. they aren't set in stone. they're recommendations. Over the years I've seen people who get so wrapped up in "do this first...then this...

  10. Use of morphine for tachypnea

    getoverit replied to Menji's topic in General Nursing

    Like woodenpug said, "it depends". that's such a great answer. look at the cause of the tachypnea. in this case it's CHF, but what if it was an acid-base derangement instead? then slowing down the...

  11. Question about morphine

    getoverit replied to pharmgirl's topic in Emergency

    Wow! Like MassED stated, that nurse needs some education. #1) I think he was guilty of not trying to alleviate the patient's suffering. Not a crime, but I don't see how anyone could ethically...

  12. What do you consider a positive troponin?

    getoverit replied to jax22's topic in CCU, Coronary, Cardiac

    negative values at my institution are 0.6-1.5 ng/dL are generally consistent with the criteria for AMI. I'm surprised that anyone with a trop of 0.1 or more is admitted to critical care though. Some...

  13. Dilaudid IV Push

    getoverit replied to hdreserve's topic in Emergency

    Wow. what prompted your administration to make this decision? Like others have posted, I bet you guys will be swamped with seekers. At least you'll be able to meet some interesting, new

  14. When nursing staff ask for medications

    getoverit replied to dblpn's topic in Geriatric, LTC

    Yes, I started off innocently with a benadryl one day...hay fever, I was exaggerating my symptoms. Wasn't long before I was taking 2 tylenol before getting out of bed each morning. I hit rock bottom...

  15. looking back, are there courses that you thought were not necessary?

    getoverit replied to nowIamRN's topic in General Nursing

    Statistics is an important class. The main thing I learned from it is that I would never apply for a job that required me to do anything like that. I would rather get kicked in the teeth than...

  16. Nursing Gear- Essentials

    getoverit replied to greenwithme's topic in Scrubs, Uniforms, Gear

    steth penlight kelly clamp shears tape meconium aspirator o2 christmas tree electrodes sat probe tegaderm these are in a small pack that I carry around. In my pocket I only carry a pen and

  17. Would you ever own a motorcycle? YES or NO?

    getoverit replied to borinick1492's topic in General Nursing

    I"ve ridden for years, got an old V65 and I love my bike. I've taken care of people with terrible, permanent injuries and I've seen plenty more with fatal accidents. You can take classes, get all...

  18. Cardioversion without 5-lead monitoring with Phillips Heartstart Mrx?

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

    correct, they do that in a fraction of a second and then continue to monitor the rhythm. that's how they work. the difference comes when you use the pacer and it's not able to continuously monitor...

  19. What is your Nursing Kryptonite?

    getoverit replied to Lunah's topic in General Nursing

    eyeballs. It's weird but I'm almost phobic about them. I've seen people with their eyes burned out by acid, popped out from various traumas, etc and didn't bother me at all...but a contact lens got...

  20. Cardioversion without 5-lead monitoring with Phillips Heartstart Mrx?

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

    interesting. I don't know about Phillips specifically, but a monitor shouldn't need the leads in order to cardiovert. In my experience you only need the leads attached when you're going to pace. I've...

  21. Multidisciplinary rounds

    getoverit replied to CNL2B's topic in General Nursing

    I work predominantly in MICU and, like you said, our MDs are present for rounds everyday. The difference is the rounding was initiated by the pulmonologists. The SICU rounds are essentially the same...

  22. White Supremacist patients

    getoverit replied to vashtee's topic in General Nursing

    I was reading this thread last night and before I left work a patient made some very strange racist comments. One was "n----s look like apes" and others that don't bear repeating. So my witty reply...

  23. Arterial Line Question

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

    Interesting. In almost 20 years I've never heard of leveling to the aortic root. I did a google search of it and after looking at the first 20-30 hits, every single one of them said to level the...

  24. RN to Paramedic Bridge Course

    getoverit replied to ironjohn929's topic in Flight, Surface Transport

    For the most part, I disagree. If you're talking about calls like ACS, CVA, acute abdomen, etc then yes, an RN would probably feel comfortable working like an EMT-P. But no amount of nursing critical...

  25. Tomorrow is my first day off of orientation.... nervous!

    getoverit replied to TigerGalLE's topic in MICU, SICU

    Yeah, congrats on finishing your orientation! You'll get the hang of all the things you're nervous about now. And the dream of having patients on opposite sides of the unit is probably a prediction...