Medic946RN

Medic946RN

Emergency/Critical Care Transport

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All Content by Medic946RN

  1. Need info

    Was a paramedic for 20 yrs, went to nursing school. Worked primarily in an ED for last couple of years doing the medic thing part-time. Kept up my NREMTP. Now working full time for a Critical Care...
  2. Medicaid. Is it being abused?

    Is Medicaid being abused? Well name a federal program that isn't abused in some way. I think the problem is societal in a holistic manner. We tend to look at the Governments money as "free money" when...
  3. Question about Emergency Techs

    I didn't want to go there, but yes, there is great difference in education (and a heck of lot to be said for experience) and training and type of pt contacts between EMT, Paramedic, LPN, RN, NP, PA,...
  4. Granny Dumping

    Yes. Sad but true. Had several regular whose children called 911 and you had to step over their suitcases and wheel Granny past their vacation supplies loaded van. They would kiss grandma and wave,...
  5. Emerg. Nurses Opinion about this please

    With the news everything's a crisis! It part of that "Watchdog of the Common Man" attitude they learn in Journalism school. You know the same place where they learn to ask the cop's widow how she...
  6. customer satisfaction in the er

    In some ED's in my area it's a standard 6 hour wait before you even go back to the core or fast track, let alone see a RN/MD/PA. I'm about fed up with our fast food, fix-it-right-now, no patience,...
  7. 8:1 ratios in the ER???

    In the ED i work they try to keep it down to four pt per RN, but when were getting slammed you might end up with more, the triage nurse and charge nurse try not to pummel any single nurse with a lot...
  8. Question about Emergency Techs

    Not to cause a "measuring contest" to erupt here. But as an EMT and Paramedic for the last 25 years, I can say that EMT's are NOT the masters of triage, at least in the sense of ED triage which is an...
  9. Is there a need for more male nurses?

    I heard this all through my nursing school from instructors, administrators, other nurses and even patients. I still don't know why. We need more nurses, period, gender is
  10. Drug Seeker Antics and Dramas

    When I was working as paramedic the hospital that was our medical command facility had a clinic and pharmacy on the second floor. One day I come down with conjuntivits from my new contact lenses. I...
  11. Granny Dumping

    Most of our drops come from the local nursing homes. You can always tell when a Holiday weekend is coming up. The nursing homes run short staff on those days and they start sending their "labor...
  12. Scripts

    You know I'd go along with that if I could just write them the script in triage and send them on their way. Unfortunately I have to run them thru the system and have them seen by the PA or MD in order...
  13. Reducing misuse of Emergency Departments!

    Another nurse and I were talking the other day and decided that this might curb ED abuse. 1. Remove all creature comforts from the waiting area. No snack/soda machines. Replace with chairs with a long...
  14. DEA Attempting to Reclassify Hydrocodone

    So right. I mean outlawing has worked so well for heroin, cocaine. And then of course there was that whole alcohol prohibition thingie...
  15. DEA Attempting to Reclassify Hydrocodone

    So right. I mean outlawing has worked so well for heroin, cocaine. And then of course there was that whole alcohol prohibition thingie...
  16. Tubing Vs. Cutting airways

    Hope, Pretty much the same protocol, except everyone who can intubate, ground medics, flight medics and flight nurses get two attempts. An attempt is anytime the ETT tube passes the lips of the pt....
  17. Tubing Vs. Cutting airways

    Hope, Pretty much the same protocol, except everyone who can intubate, ground medics, flight medics and flight nurses get two attempts. An attempt is anytime the ETT tube passes the lips of the pt....
  18. What would your EMS have done??

    Like above, it varies from state to state even sometimes from county to county and then even various cities inside their respective counties can have diffrent protocols/criteria. In Delaware where I...
  19. tension between EMT and LTC nurses?

    I think my greatest tension between myself when practicing as a paramedic and the LTC nursing staff was that in 25 yrs of EMS I can count on one hand the number of times I have been met in the pt's...
  20. What not to say / do while you are in the ER...

    During this winters flu season seige. (Thank you mainstream media for telling everyone who has cough that they may die should go immediately to the nearest ER!) I'm working out at triage and I call...
  21. Pt's C/O in the ER (funny)

    Honesty would be so refreshing. "I just wanna a work note and few percocet for the weekend." I think I would just smile and hand it over. "Y'all have a nice
  22. STR8 vs Gay Male RN

    When pts ask me if I am a male nurse I just reply: "No, I treat women
  23. mandatory scrubs?

    Yep, my ED requires RNs to wear navy blue or white or a combo of white and navy. The techs wear teal and the clerks maroon. No they don't issue scrubs or do they give you a clothing allowance. I don't...
  24. 10/10 pain..venting!

    Someone metioned earlier in this thread that they have to use the 1/10 scale for Quality Assurance purposes. The problem with a lot of these measurements are that they are great for quality...
  25. Frequent Flyers in the ED

    My dad was one of the toughest guys I have ever known. I think maybe he missed 5 days of work in his entire life for illness. If he injured himself while working, he'd wrap the injury with his...