Medic946RN
specializes in Emergency/Critical Care Transport.
Emergency provider with 30 yrs experience as a firefighter, EMT, Paramedic and Emergency Nurse. I also enjoy quiet walks on the beach and Star Trek, go figure!
Medic946RN replied to nursejennie76's topic in Emergency
Had a patient like that years ago. Came in from the ECF in deplorable condition, had thick crud under his nails that also seemed to coat most of his body. Guy was brain damaged after an MVC bed...
Medic946RN replied to blufoxtrot's topic in Emergency
We had techs that were EMT-I's (Higher than an EMT-B but short of being a Paramedic) They were huge helps, did vitals, inserted IV's, NG tubes, foleys. Great bunch of guys and gals as
I got the one from ENA. It's a Kendall-Hall title. I thought it covered the material well, it's also a good refresher of whole nursing education. It covers all the systems and sub fields from GI to...
Medic946RN replied to BrnEyedGirl's topic in Emergency
I must be strange because I love working triage. It's almost as autonomous as working in the field. You get to examine, diagnose and sometimes treat if there are established clinical pathways. Sure...
Medic946RN replied to bjr3645's topic in Emergency
As you can tell from the screen name I also hold dual licenses, as a paramedic and prehospital nurse. My medic skills and experiences were great for the ED. Where I sometimes felt out of place on a...
Whenever a doc raises his voice to me. I tell him "You can stop right now. I am an adult. You want to discuss this issue as adults, then fine. But you do NOT yell at me." Has worked everytime. But I...
Medic946RN replied to matt033174's topic in Emergency
you can intubate in pa if you hold a prehospital rn certificate. i know the ed i work out of as a phrn allows the ed rn's who are phrn's to intubate if medical command physician allows
Medic946RN replied to MikeyBSN's topic in Emergency
I've worked both sides of the stretcher for a more than two decades now and I can tell you that it takes a lot more than an ACLS/PHTLS class for an RN to function effectively in the field. It also...
In the Endoscopy center I now work in RN's cannot push propofol or fentanyl. However when I work in the ED. I do it all the time. We give it for pt's placed on vents and use it for conscious sedation....
I once worked with an ER doc who would call the Doctor who sent the patient in and tell him to come to ED to write the patient's orders. That put a kink in a lot of the stupid ER visits. God how I...
In some states there is no provision for this. In my home state of Delaware you're either a Paramedic or Nurse, they have an unofficial MICN but they can't do prehospital only interfacility. But where...
Where I work the CRNA's and Anesthesiologist are using propofol, with little versed and fentanly. It works great, the people are out like lights and wake up and recover quite quickly. We used to use...
I took my son to our pediatricians office for a sore throat. I just wanted a rapid strep done, and abx if needed. I took him right after school about 3:30. Our peds guy is great he knows I'm a nurse...