getoverit

getoverit BSN, RN, EMT-P

ER/ICU/Flight

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All Content by getoverit

  1. Radiology, probably MRI technician. Or maybe hospital administration....so whenever I did something stupid the board would give me a new car and $100K bonus. Outside of healthcare, probably an author....
  2. Good CCRN review

    PassCCRN. Can't remember the author's name. You can get it at any bookstore or order it online. Thick book, 1000+ questions on cd-rom, extremely detailed down to the minutia. the only drawback is...
  3. cardiac nurse needs help understanding ABGs

    do you understand compensated vs uncompensated? after learning resp vs metabolic and acidosis/alkalosis, that's the next important thing. also, Bipap is a great device to assist people in avoiding an...
  4. V-tach

    Without seeing the 12 lead, it's tough to talk about the rhythm. Many times the telemetry equipment is "fooled" by various intraventricular conduction delays. I don't know how many times I've seen...
  5. treating hyperkalemia

    as long as the D50 and insulin are given at the same time, it doesn't matter which one goes in
  6. IABP blood pressure question

    With IABPs you'll find two schools of thought when it comes to blood pressure. 1) use a peripheral arterial line. there are several studies correlating radial art lines and nibp/iabp measurements. I...
  7. treating hyperkalemia

    You ask good questions. Yep, D50 is just to prevent hypoglycemia. the insulin is the active transport to move the k+ across the cell membrane. 10 units of R is a pretty good sized dose. Sometimes we...
  8. Junctional Rhythms

    thanks, most would probably say I'm filled with useless trivia!!.....at least that's what I hear at home a lot!!! In answer to your question, like CRNAhopeful said, deflections on ekg tracings are...
  9. Junctional Rhythms

    Hey. Good question. Atropine is a vagolytic, meaning it suppresses vagal tone throughout the body. In a heart transplant, the vagus nerve doesn't innervate the transplanted heart. There's no way a...
  10. Coping with ICU Ethics

    Welcome to ICU nursing, I think most everyone has this same moral distress. I have definitely experienced it many times, seems to happen with some doctors more than others. Some have suggested...
  11. Junctional Rhythms

    A junctional escape rhythm is technically supraventricular. the p wave can be inverted if there is retrograde depolarization of the atria because the focus of the heartbeat occurred in the AV node....
  12. good deal. the only thing the shyness could hurt is that CCT has a lot of public speaking and teaching as part of the job (unfortunately we can't be riding around all the time!!). another thank you...
  13. Working with EMTs vs CNAs/techs

    I've had CNAs who didn't want to do what I had asked them (note: I didn't give them an order because I don't like "telling people what to do"). I just did the task myself. It says more about them...
  14. I'm very disturbed by this

    Like others have said, it's a learning experience on the part of the new nurse and she obviously was trying to do her best to help. You are correct that doing compressions while waiting a few seconds...
  15. I"ve read your post several times, you mention that you debated on posting it...I'm glad you decided to post it. Karma is real and I think this kid is the reason you were filling in at that school...
  16. Assisted Suicide

    Great topic, cuts straight to the core. People are afraid of "death panels", yet they're not afraid of being abducted in a UFO (which, in my opinion is a much more likely event). I guess it speaks...
  17. Hey, Congratulations on a good interview, I would take the "shadow" experience as a good sign. They probably wouldn't invite you to do that if they didn't feel you'd be a good addition to the team....
  18. I'd learn what type of aircraft they use, ask about configuration. Likes and dislikes about it, how long have they been in it. If they have their own webpage I'd read it carefully and choose points...
  19. rough night

    The other night we had a man emergently transferred to our unit for hypotension and altered mental status. He got a SC triple lumen cath and started on dopamine. I was looking at the remote tele...
  20. rough night

    You're probably right about the "instant termination". In 18 years I can't count how many times a situation has flared up all of a sudden, the thing to keep in mind is that unless your life is truly...
  21. rough night

    Thanks everyone for your responses, I appreciate it. I didn't mention the "after-action" report because I thought it was immaterial, but yeah I filed a report only to get him flagged as an assailant....
  22. Solutions for Belligerent Patients

    Wow, that has the potential to be a YouTube masterpiece. As for the "getting seen immediately because I rode in an ambulance" demand, I've definitely told people: "just because you rode in one...
  23. The continuing saga of nurses vs. EMTs...

    Wow...more about nursing vs EMS.and just when you thought it was safe to get back in the water..... to the OP, I'm sorry you had to deal with people that acted like jerks. It's difficult to see both...
  24. When I was at Camp LeJeune I got a compound fracture of my left radius. In pre-op the anesthesia doc started pushing something cold into my arm (I was 18...22 years ago so I have no idea what it...
  25. Middle aged men are such babies!!

    I've always wondered the same thing. In fact, when my co-workers complain about these types of people I usually say, "In a few hours, we're all going home and they're not going to be there, but some...