getoverit

getoverit BSN, RN, EMT-P

ER/ICU/Flight

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All Content by getoverit

  1. Interpretations please

    getoverit replied to Student2Registered's topic in General Nursing

    in all seriousness....I think it was a sarcastic insult. kind of like when people have asked me about a certain co-worker and I've said "there's just not enough good things to say..." but a family...

  2. Interpretations please

    getoverit replied to Student2Registered's topic in General Nursing

    I don't know....there was a Clydesdale who befriended a hound dog and they would play football together. Over the years, they....wait....I think that was a beer

  3. How to introduce change to the ward?

    getoverit replied to KaeAskavi's topic in General Nursing

    Introducing change ain't easy. I think the way that gets hospital administration's attention is the almighty $$. You can present ideas that can potentially improve safety and patient outcomes, but...

  4. Drug Seekers

    getoverit replied to al7139's topic in Addictions

    We might we work in the same facility!!! hahaha. I am in the rural South too. I think it depends on the doctor, sometimes they cater to the patient and give in to their demands, other times they...

  5. Drug Seekers

    getoverit replied to al7139's topic in Addictions

    Admittedly, I'm not an addictions nurse but most of us have encountered plenty of addicts. the thing that's always bothered me is the phrase "pain is what the patient says it is". I just don't believe...

  6. Being notified of elevated troponin....

    getoverit replied to Blondie Nurse's topic in CCU, Coronary, Cardiac

    Wow. Yeah, your lab needs some policy change. There are plenty of articles about early detection and intervention on MIs. If you google it, you'll get about a million hits. I'd just present it as...

  7. Lidocaine for v-tach thru IV line?

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

    or intrathecally....depending on the doctor's preference....but I'd definitely ask!! Not to rag on the OP, but I would like to know what the "bet" is they're trying to

  8. smokers

    getoverit posted a topic in General Nursing

    I'm not a Nazi about anti-smoking, it's a personal choice and I don't believe there are any healthcare professionals who smoke without understanding the potential ramifications. Here's my thing: Am I...

  9. difference between cardiac tamponade and pericarditis?

    getoverit replied to Blackheartednurse's topic in General Nursing

    From my experience, pericarditis can present with either fever or elevated WBC (in addition to other signs and this may not always be the case); but cardiac tamponade shouldn't cause a fever or...

  10. Wedding Band Tattoo

    getoverit replied to Ddestiny's topic in General Nursing

    Or wear long sleeved shirts at work. if anyone asks you about your wedding band tattoo, you can tell them all about it. Tats will always strike some people the wrong way, but I think "If you don't...

  11. smokers

    getoverit replied to getoverit's topic in General Nursing

    Wow...two people fired?? You'd think that the example of the first person would be enough to make the next person not do it. But then I'm sure you (like myself) have watched people during the last few...

  12. RN vs. EMS

    getoverit replied to CrazyScrubNurse's topic in Emergency

    Maybe this website can help you find the answer. http://www.dshs.state.tx.us/emstraumasystems/default.shtm. I believe TX is a licensure state for EMT-Ps, which can make things different depending on...

  13. Intangible

    getoverit posted a topic in General Nursing

    I work part-time as a paramedic with the local fire department. I pulled a shift there a few days ago and wanted to share a very humbling moment. There is a young man (almost 18) who comes down to...

  14. Intangible

    getoverit replied to getoverit's topic in General Nursing

    Thanks to everyone. I have seen a special olympics opening ceremony and it was incredibly moving. For all the comments about finding something for him to do at the firehouse: he does small things...

  15. Do you admister oxygen on your floor to a pt complaing of chest pain?

    getoverit replied to Blackheartednurse's topic in General Nursing

    Gila, I've had the exact same arguments (or discussions, rather) about COPD and O2 delivery. Even patients in failure, someone will point out to "remember their hypoxic drive". So you actually have...

  16. Patient asks my opinion...what's appropriate???

    getoverit replied to jorla9903's topic in General Nursing

    Whenever this happens to me, I always say "it doesn't matter what my opinion is, what are your expectations for your outcome?" then I have a better idea of where they want to be, also maybe get a...

  17. Heart beating 60/20

    getoverit replied to nursinger's topic in Cardiac

    never heard the term "60/20". don't know why anyone would need to be cardioverted if either of those numbers was their heart rate? to be honest, it sounds like maybe you have misunderstood or...

  18. How do I protect airway when trach gets pulled out?

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

    The best way to protect their airway is to reinsert the Shiley and you don't need a doctor to do it. If you're unfamiliar with this, no big deal...I'm sure anyone of your co-workers or RTs could help...

  19. everyone is stumped

    getoverit replied to **LaurelRN's topic in MICU, SICU

    I'd want to know her CBC/differential and a blood gas as well. Organophosphates are a good consideration but it doesn't sound like this woman is "sludging". I agree with sunnycalifRN, the agents in...

  20. HELP with Cdiff in lovely 87 y/o patient

    getoverit replied to muffin7's topic in MICU, SICU

    Clostridium difficile is an extremely virulent bacteria. the family has to practice the UTMOST care in handwashing and general contact precautions or else it will continue to be a recurring problem....

  21. The worst code you've seen?

    getoverit replied to jesshopper12's topic in CCU, Coronary, Cardiac

    Guy who bled out from ruptured esophageal varices (undiagnosed until the bleed started). That was pretty bad. A 4 y.o. was in a wagon that got run over by a large pickup truck. She had an open skull...

  22. weaning

    getoverit replied to bjaeram's topic in MICU, SICU

    I'm so sorry to hear about your sister-in-law. I understand how frustrating and confusing this whole ordeal must be. About the tracheostomy...it's generally not done for comfort as much as for...

  23. RN to Paramedic Advice

    getoverit replied to EMSnut45's topic in General Nursing

    Congratulations and good luck on the flight thing...great job and it sounds like you've got a good plan for yourself. As far as the portions of paramedic school that you can opt out of, I wouldn't...

  24. Is this a problem? taking your neighbors blood pressure

    getoverit replied to HappyNurse2005's topic in General Nursing

    For all the people who think they might get sued....what kind of case would someone have??? Now, if you inflated a cuff over her fistula then that would be negligent and she would have a valid legal...

  25. Is this a problem? taking your neighbors blood pressure

    getoverit replied to HappyNurse2005's topic in General Nursing

    I don't think there's anything wrong with doing that. your friend isn't trying to adjust her medications or disagree with her physician's advice. Taking the BP could alert her to the need to make a...