getoverit

getoverit BSN, RN, EMT-P

ER/ICU/Flight

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All Content by getoverit

  1. Just some funy things,,can be related to medical field :)

    A school teacher told her class she wanted them to each tell something about a family member and then relate it to a common moral. Billy stands up and says "My dad's a dairy farmer. We milk the cows...
  2. so much hypokalaemia?

    Hey, happens everywhere. My understanding of the gut and po K+ is the same as yours, we just had a bedside discussion about that a couple hours ago. It shouldn't be easier for the doc to write a ivpb...
  3. Paramedic triage

    Intubate89, I agree, triage is more than deciding life or death. where I begin to disagree with you is on the spectrum of patient care. While nursing is definitely able to handle a much wider scope...
  4. Intuition??

    Good job everyone! that little "gut" feeling makes all the difference in the world sometimes. Last week, I had a patient with chronic liver failure in septic shock, went into DIC. He had been tachy...
  5. ACLS

    I'm definitely not trying to start some kind of argument or put-down here, but this comment along with the one about "they're already dead....you won't make them any worse" is absolutely the worst...
  6. For those who have worked as EMT's...

    Yeah, I think it's just a vent too. Some of the LTC nurses I've known were great, wonderful people and I've always been impressed by how much work gets done with so little staff and the amazing...
  7. Real 911 calls.....

    At the fire dept, we got requested by a police officer to respond to a notorious drug-infested neighborhood about 2 am. A man in his 20s had a bloody mouth, very intoxicated (when I asked him how much...
  8. HIPAA violation wanted more responses

    Sorry about your friend. But I'm not sure where you feel there was a HIPAA violation? Are they moving her around because of the ongoing investigation? It may be ethically questionable, but I'm not...
  9. Nurses presenting patient on rounds

    Hey. yeah, we present our patients every morning during rounds. I think it's a good idea, definitely can strengthen the relationship between the doctors and nurses. Our Critical Care doctors also...
  10. We had a patient who was bowel-obsessed and he happened to have a hemhorroid. He kept asking everyone who came in his room to do something about it (I reduced it later)...but one of the guys I work...
  11. Pre-hypertension--- systolic BP 120-139?

    I do think that's an exaggerated proclamation. How far could that be taken? It wouldn't surprise me about the conspiracy theory...I see those commercials for drugs (which is one of the main reasons...
  12. My God, these family members!!

    I hear you, and all the posters who said you have to set limits and demand the respect you deserve are exactly right. We had a lady on the vent for 60+ days with pulmonary fibrosis, and every day you...
  13. Inverted QRS

    Could be, I think you'd really need more information (12 leads, clinical picture, etc) because this could theoretically be a tracing of a neonate with a congenital problem....I doubt it, but it is...
  14. Case Study

    ganglionic blockade in the
  15. Inverted QRS

    Before anything, we need to know what lead it
  16. Case Study

    You're right, you can be septic without growth but I was just saying that he wasn't septic. Not a blanket statement. This gentleman had developed acute crystal nephropathy from Acyclovir. He...
  17. Toxic Healthcare Personalities

    I was thinking about the know-it-all forum too. As far as toxic personalities, there are some who are chronically negative, habitually late, immune to constructive criticism, etc. and I just try to...
  18. I think I'm losing it

    I just read "The Shack" two weeks ago. It was one of the most powerful books I'd ever read, couldn't put it
  19. I think I'm losing it

    As everyone has said, you're not losing it. I remember flying out to a car wreck one morning and finding a 2 y.o. in traumatic arrest with an open skull fx. We resuscitated her and she lived for...
  20. Case Study

    Very good thought process, What else has he received that could cause this problem? And good thinking about the line sepsis, but cultures reveal no growth. He's not
  21. Case Study

    That's cool. And it is tough to lose track without being there and seeing it. You're right he's trying to compensate. His K+ is 4.4 Once he's sedated and tolerating the vent an LP is obtained and the...
  22. Case Study

    Good calls. I forgot to mention, he had a head CT wtih contrast showing encephalopathy which prompted the anti-virals/abx. His cxr shows left lower lobe infiltrate/atelactasis. Pertinant labs are Cr...
  23. Know it all Nurses

    I know exactly what you mean. Fortunately, we only really have one such nurse in our unit and she's had some humbling experiences. I relieved her to find a patient profoundly hypotensive, she was...
  24. troponin question!

    If he's in the ER, resting on a bed with supplemental O2, etc and still having chest pain you can pretty much rule out stable angina. There are a lot more pieces of info that would be nice, like...
  25. Nurse and Firefighter

    I am both as well. I work full time as an ICU RN and part time as a firefighter/paramedic. It's great! I love it and wouldn't change it for anything. Critical care nursing is my main passion, but...