getoverit

getoverit BSN, RN, EMT-P

ER/ICU/Flight

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All Content by getoverit

  1. Staff Nurses Who Refuse To Precept Or Teach?

    getoverit replied to All4NursingRN's topic in General Nursing

    Your opinions are meaningless to me. You seem to have an elementary school approach to debate, you clearly don't even understand what I've written. You use my quotes back at me in ways that don't...

  2. Staff Nurses Who Refuse To Precept Or Teach?

    getoverit replied to All4NursingRN's topic in General Nursing

    I'm not being petty about anything. You have characterized and judged me without understanding what I've written, even after I explained it to you in details I think are easy to get. I don't care who...

  3. Staff Nurses Who Refuse To Precept Or Teach?

    getoverit replied to All4NursingRN's topic in General Nursing

    Oh no!!!! This makes me re-think everything!! It must feel good being in the "majority" (of people

  4. Staff Nurses Who Refuse To Precept Or Teach?

    getoverit replied to All4NursingRN's topic in General Nursing

    You're entitled to your opinion and I'm entitled to think you're

  5. Staff Nurses Who Refuse To Precept Or Teach?

    getoverit replied to All4NursingRN's topic in General Nursing

    not sure why you feel that is a hard concept to grasp based on my post. I never said anyone should be tasked to precept when they don't want to, in fact I believe that they shouldn't have a student...

  6. Staff Nurses Who Refuse To Precept Or Teach?

    getoverit replied to All4NursingRN's topic in General Nursing

    Ruby Vee, I have read your posts for many years and am a little taken aback by this one. I have been a preceptor for over 20 years and have received more than a couple awards for teaching/precepting....

  7. Staff Nurses Who Refuse To Precept Or Teach?

    getoverit replied to All4NursingRN's topic in General Nursing

    Quote by LLG: Just because I have needed work done by a plumber (or substitute electrician, dentist, lawyer, car mechanic, etc.) in the past doesn't mean I am obligated to provide that service to...

  8. Staff Nurses Who Refuse To Precept Or Teach?

    getoverit replied to All4NursingRN's topic in General Nursing

    I've always wondered if the nurses who don't like teaching or precepting also didn't like it when their teachers and preceptors were helping them learn new things.... Seems like a double standard at...

  9. What is the funniest thing a doctor has said to you?

    getoverit replied to jodispamodi's topic in Nursing Humor

    Before an exam a patient asked the doctor where they should put their clothes, the doctor said "Just leave them on the floor next to mine." I was introducing a patient to a different doctor (who...

  10. How do you give diluted epinephrine (1:10000) through an injector needle?

    getoverit replied to Aquarium2006's topic in Gastroenterology

    The needles we use take about 0.7cc to prime. We don't "push" the epi with saline, epinephrine is the only thing going through the needle. We have 10cc of 1:10,000 and we inject until the MD tells us...

  11. Ethical Issues

    getoverit replied to ShanHK's topic in Critical Care

    MunoRN asks a good questions, just DNR or comfort care? Huge difference. 4 mg MSO4 q15m isn't that much and with an order like that I'm assuming they were comfort care. Also still intubated at time...

  12. How long did you study for CCRN?

    getoverit replied to EMEddie's topic in MICU, SICU

    It's a very broad test for general critical care knowledge. I took the PassCCRN review CD, the areas I scored the lowest on I studied for a couple of weeks (Ignoring areas I scored >90%). I took...

  13. Being Deposed - Help!

    getoverit replied to Nurse Beth's topic in Career Advice Column

    I've been deposed once. Kid in a car wreck, ejected through the open side window. Agonal when we arrived and dead within a couple minutes from a terrible head injury. Don't assume that being deposed...

  14. Respiratory acidosis/failure s/s

    getoverit replied to Aurora77's topic in CCU, Coronary, Cardiac

    You're right, it isn't easy to pick up on subtle hints at times. Respiratory acidosis is a pCO2>45, regardless of the pH. If the pH is normal, then the acidosis is being compensated. Your body...

  15. Correct way to take a carotid pulse

    getoverit replied to BonnieSc's topic in General Nursing

    I've heard the same thing from instructors, the only rationale anyone ever provided was that checking the pulse on the opposite side may increase the risk of occluding the vessel or manipulating his...

  16. What is the most interesting case you've seen in the ER?

    getoverit replied to BigDiesel's topic in Emergency

    strange aneurysm around the aortic root, closest surgeon who would accept the case was 1000+ miles away (Baylor). He exsanguinated right in front of us as we were loading him into the plane, gone in...

  17. Drug choice during intubation

    getoverit replied to IheartICUnursing's topic in MICU, SICU

    My personal experience: I usually use etomidate on a medical intubation (copd exacerbation, resp failure, CVA etc). I haven't seen etomidate work well on a trauma patient, esp a closed head injury. A...

  18. Is there anything good that being a nurse has taught you???

    getoverit replied to juzme's topic in General Nursing

    I agree with the above posters who wrote about proof of God and the importance of a second opinion. I've witnessed too many miracles to doubt either one. Knowing when to pick your fights and when to...

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

    getoverit replied to borinick1492's topic in General Nursing

    I've had a motorcycle for a long time, mostly antique cruisers and I don't ever see myself not having one. and believe me, I've seen more than a few people torn to bits...many times we'd fly the...

  20. Nitro vs Morphine

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

    i work in the areas you describe and have for many years. i am very comfortable in my understanding/working knowledge of taking care of these patients. your blanket statements include some patients...

  21. Nitro vs Morphine

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

    what about unremitting chest pain caused by esophageal vasospasms? or costochondritis? an incomplete assessment and workup can overlook things like that. even though ntg has been documented to...

  22. Nitro vs Morphine

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

    It depends. Everyone with chest pain obviously doesn't need to go to the cath lab. Was the pt's troponin elevated? Did he have a NSTEMI? Is the pain reproducible? Aggravation/alleviation? If he was...

  23. Titrating and Bolusing

    getoverit replied to TexRN08's topic in MICU, SICU

    You mentioned that the levophed was at 0.5mcg/kg/m. I've never heard of weight-based dosing for norepinephrine. Our max is ~30mcg/m. We see levophed used as a 1st line pressor mostly in sepsis....

  24. Using technical jargon with patients-EYE OPENER

    getoverit replied to JeneraterRN's topic in General Nursing

    I have overheard MDs/RNs etc "explaining" things to patients and their families as if they had the same level of understanding as us.I told a CRNA once: "the family knows that you know what you're...

  25. Simple IV Questions

    getoverit replied to MAL, RN's topic in General Nursing

    Insulin deserves it's own primary line, I wouldn't ever piggyback it into another IV line for any