RNCENCCRNNREMTP

RNCENCCRNNREMTP

Emergency Nursing Advanced Practice

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All Content by RNCENCCRNNREMTP

  1. Ultrasound for Peripheral IV's

    RNCENCCRNNREMTP posted a topic in Infusion, Intravenous

    Is anybody using an ultrasound machine (like the Sonosite) for finding/starting peripheral IV's. I did my first one the other night, deep brachial in a man who had bilateral forearm trauma and marked...

  2. Those that have taken CEN - a few questions

    RNCENCCRNNREMTP replied to klmfbp3's topic in Emergency

    Graduated 1991. Took CEN 1992. Passed. Take it every 4 years. Celebrating 20

  3. "Accurate" Charting of Profanity

    RNCENCCRNNREMTP posted a topic in Emergency

    Does anybody else in the ER/ED do this? If a patient is using foul language directed at staff (calling us names, every other word is F**K or Motherf****r, etc) I chart, in quotes, exactly what the...

  4. TV in the ED

    RNCENCCRNNREMTP posted a topic in Emergency

    We are re-designing our ED. It has been suggested to put TV's in the patient rooms. I am against the idea as our ED is disrupted enough and feel that TV's will encourage more visitors at bedside...

  5. ATCN vs TNCC

    RNCENCCRNNREMTP replied to mommatrauma's topic in Emergency

    The new (6th edition) TNCC which rolls out this year does dedicate a lecture and skill station to airway management and is up to date with ETT position verification. Problem with ANY course is that...

  6. ATCN vs TNCC

    RNCENCCRNNREMTP replied to mommatrauma's topic in Emergency

    I have always had a dream of creating a common trauma course, one that was taken from hospital to hospital so that the teams that worked together in the smaller community ED's would take the course...

  7. Anyone heard of any NP to MD programs?

    RNCENCCRNNREMTP replied to kittyw's topic in Nurse Practitioners, NP

    Yes, it is called medical

  8. 8:1 ratio in the ED?

    RNCENCCRNNREMTP replied to TamrRN07's topic in Emergency

    Agreed. However, administration (in my experiences) rarely sees that nurses have limitations. Often there is a feeling that "a nurse is a nurse is a nurse" and there is no difference in capability,...

  9. Beng told not to become an NP!

    RNCENCCRNNREMTP replied to HudsonValleyRN's topic in Nurse Practitioners, NP

    I am an acute care NP and all of my preceptors ere physicians. My choice. I have never fully subscribed to the nursing model and nursing Dx, even as an RN. Do what you want to do, there will be a

  10. Any Indiana NPs?

    RNCENCCRNNREMTP replied to 7starbuck7's topic in Nurse Practitioners, NP

    I just graduated from University of Southern Indiana (Evansville) ACNP program. ONline with clinicals set up locally (and approved by professors). Very good preogram. High pass rate and high...

  11. Scheduling lunch breaks in the ED

    RNCENCCRNNREMTP replied to Elle2's topic in Emergency

    I do not need a scheduled break. I have repeatedly gone a 12 hour shift with none, not even toilet break. But the common 8+:1 and sometimes 12:1 ratio got old and I felt the level of care by MD's and...

  12. 8:1 ratio in the ED?

    RNCENCCRNNREMTP replied to TamrRN07's topic in Emergency

    That is one of the reasons why I left where I had worked for over 24 years. Too unsafe and administration did not care. Now they have temporary docs and agency nurses and so things are even worse. A...

  13. 8:1 ratio in the ED?

    RNCENCCRNNREMTP replied to TamrRN07's topic in Emergency

    Ridiculous? YES! [EVIL]Dangerous? YES!![/EVIL] Uncommon? Increasingly NO. Where I used to work we were so poorly staffed and so very busy that if a critical patient came in that needed 1:1, the other...

  14. do you think...?

    RNCENCCRNNREMTP replied to haa's topic in Indiana Nursing

    Nope, I researched post rape options for a paper for my MSN. Many Catholic hospitals allow for post sexual assault counseling including providing medication to prevent pregnancy. SSFHS opted to go to...

  15. do you think...?

    RNCENCCRNNREMTP replied to haa's topic in Indiana Nursing

    Striict adherence to Catholic dogma (no tubal ligations, no plan B for rape victims, etc) poor insurance plans, poor management, blinders to what is going on in the real world, poor management again....

  16. Learning thread (ER medicine)

    RNCENCCRNNREMTP replied to TraumaInTheSlot's topic in Emergency

    Also hair tourniquets on fingers, toes and

  17. Learning thread (ER medicine)

    RNCENCCRNNREMTP replied to TraumaInTheSlot's topic in Emergency

    Marfan's

  18. ATCN vs TNCC

    RNCENCCRNNREMTP replied to mommatrauma's topic in Emergency

    If you have read the book, worked in an ER x 5 years (that sees a fair amount of trauma, pay attention during presentations and practice all that you can during the skill sessions I can almost...

  19. what is your nurse to patient ratio?

    RNCENCCRNNREMTP replied to paphgrl's topic in Emergency

    I have had 12:1 before, and no, that is not fast track. Real ER with real sick

  20. RN and Paramedic

    RNCENCCRNNREMTP replied to ben123's topic in Emergency

    No. In fact, the fact that I am a paramedic also (23 years) in addition to an ER nurse (15 years) means absolutley nothing to nursing administration (even though my paramedic skills has saved the doc...

  21. Is Indiana RN allowed to give Ketamine for procedural sedation ??

    RNCENCCRNNREMTP replied to samaritan's topic in Emergency

    It must not be total crap if a couple of well known anesthesiologists subscribe to it. I agree that this is new ground but I think it is physiologically reasonable ground. I am not advocating a slug...

  22. intentional overdose

    RNCENCCRNNREMTP replied to anonymous207's topic in Emergency

  23. Is Indiana RN allowed to give Ketamine for procedural sedation ??

    RNCENCCRNNREMTP replied to samaritan's topic in Emergency

    Some quotes from a critical care listserv regarding sedation: In most sedation situations, obstruction leading to lack of ventilation rather than total apnea is more common, although certainly apnea...

  24. propofol

    RNCENCCRNNREMTP replied to popbob's topic in Emergency

    We use propofol a great deal for our CS procedures (as well as for our vented pts in ED). Works great, doctor is at bedside at time of administration, all equipment set up to manage any airway issue...

  25. TNS or CEN?

    RNCENCCRNNREMTP replied to TZRNER's topic in Emergency

    I was just at an ATCN course in St. Louis and was taught by many Illinois nurses who wore "TNS" on their badges. TNS is indeed a class but it ends with a very difficult written and practical trauma...