Medic946RN

Medic946RN

Emergency/Critical Care Transport

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All Content by Medic946RN

  1. ACLS for experienced providers

    Medic946RN replied to RN-RD's topic in General Nursing

    We hold a course bi-annually at the paramedic service where I part-time, it's a four hour course, (though it rarely takes that long) basically there's an update lecture then test and megacode and...

  2. ER vs ICU, how did we get there?

    Medic946RN replied to RNin92's topic in Emergency

    That's another thing. If you got the request to hold off on a pt every once in a while, that would be okay. I held one off till after shift change last night without even being asked. But there seems...

  3. ER vs ICU, how did we get there?

    Medic946RN replied to RNin92's topic in Emergency

    Us ER Nurses are crafty little devils! The other day i get this pt who comes in being bagged by EMS. Doc tubes him, goes on a vent etc. Now I have tried to learn to what the ICU likes in their...

  4. Controlling Alphabet Soup

    Medic946RN posted a topic in General Nursing

    Does anyone understand all the gobbledygook that we as nurses like place behind our names? I'm not talking about various levels of nursing like LPN, RN, NP. But can you tell me the difference between...

  5. Schedule Change for Hydrocodone

    Medic946RN replied to Dave ARNP's topic in Pain Management

    Dave, What's a legend drug, if you don't mind me asking a naive question. Ultram in my humble opinion is one of the best pain meds I've ever received. I injured my back a few times working on the...

  6. GETTING WRITTEN UP: What is the most ridiculous thing you have been written up for?

    Medic946RN replied to greeneggsnham's topic in General Nursing

    When I was a street medic my partner and I got written up for going to a mulit vehicle, multi-patient accident where there were six comfirmed traumas and 18 more unspecific injuries. We were the...

  7. 10/10 pain..venting!

    Medic946RN replied to NYCRN16's topic in Emergency

    Oh yeah. Had one the other day who proceeded to tell me that i should mix 2mg dilaudid with "whats the stuff that keeps you from throwing up, begins with a 'p'?" (phenergan) in one syringe and push it...

  8. Tele transports from the ER

    Medic946RN replied to Surfnurse's topic in Emergency

    I always chuckle when the Doc okays pt to go off monitor to tests, but has be fully packaged with 02, monitor, running IV line to go to PCU even their admitting hasn't ordered half that stuff. The...

  9. Your last day in the ER

    Medic946RN replied to teeituptom's topic in Emergency

    We're not saying that these people "fake" the seizure well, we just know they're faking. When I was street medic back in the dark ages we got sent to seizure in a pick-up truck. On arrival an obese...

  10. mcdonald's is not us

    Medic946RN replied to Uptoherern's topic in Emergency

    Sing it girl! The truth shall set us free! And if those tighta** ICU or too tenderhearted Nurse Purists out there don"t understand.

  11. Personalities of an ER Nurse

    Medic946RN replied to harry Krishna's topic in Emergency

    I'm not sure which one I am yet, but I do know that I want to be just like athomas when I grow

  12. transport/flight pay

    Medic946RN replied to jalarms's topic in Flight, Surface Transport

    I make $4 more an hour to do transports than when I work in an ED. Now they're two different hospitals so I'm not sure if this helps, but from what I've seen the transport RN's seem to make a little...

  13. patient lingo...

    Medic946RN replied to athomas91's topic in Emergency

    Had one yesterday, told me she has "high blood" for which she takes "antanol and lesintor" which came out to be Atenolol and Lisinopril. She then proceeds to tell me. "I takes them medicines so's I...

  14. just another burning question......

    Medic946RN replied to MAGIK GIRL's topic in Emergency

    Oh yeah! We play the "Room's not clean yet. Oh it smells bad, The bed isn't made yet, The nurse is at lunch, Oh she's with another patient, We can't find the report you faxed up," game here

  15. Anybody ever seen this?

    Medic946RN posted a topic in Emergency

    We've seen pt's that can take a ton of narcotics and not even slow their resps or even get drowsy. I am always amazed at the people who I give 8-10mg of Dilaudid to over a few hours that are still c/o...

  16. Why is the term client used instead of patient?

    Medic946RN replied to LauraLou's topic in General Nursing

    Ooooooh! That "client" or "customer" thing drives me crazy. A patient is someone in need of medical assistance for which I provide care. It is a special relationship. A client is someone who seeks...

  17. Left-handed nurses

    Medic946RN replied to Wuiteroz's topic in General Nursing

    'Nother Lefty here, no problem with equipment, or anything else. I've adapted very well to the Right Hand

  18. litman for trucks

    Medic946RN replied to cafr's topic in General Nursing

    When I started out in EMS I had low end Littmann that was issued to my class in paramedic school. It worked fine but only lasted a year or two from the constant abuse EMS gives everything. I had a...

  19. just another burning question......

    Medic946RN replied to MAGIK GIRL's topic in Emergency

    and ativan, and geodon, and haldol

  20. Anybody ever seen this?

    Medic946RN replied to Medic946RN's topic in Emergency

    Yeah I know about the receptors thing. It still amazes me though. With the propofol once I got to 15mcgs her BP was dropping, she was in failure so I didn't want to have to bolus her with fluids if...

  21. Medics in the ER

    Medic946RN replied to Surfnurse's topic in Emergency

    The paramedics that work in the ED I'm familiar with operate to their scope of practice as determined by the state's paramedic law. They can intubate, start IV's, IO's, do 12 leads, chest...

  22. why do we baby our pts

    Medic946RN replied to MAGIK GIRL's topic in Emergency

    "Yes, thank you for choosing Jones Memorial Hospital where our motto is 'Don't let the door hit ya where the Good Lord split

  23. Possible OD?

    Medic946RN replied to tiredfeetED's topic in Emergency

    Narcan was the right order, the doseage you didn't mention. After 24 years on "the bus" I can tell you I have standing orders that cover the OD presentation. "In them they state 2mg narcan IVP...

  24. On-line Pharmacy

    Medic946RN replied to jonas42's topic in General Nursing

    I saw a commercial for an upcoming newscast where the announcer said basically, "Buying vicodin online, film at eleven!" So I went to my computer and searched Vicodin, I probably got about 10 pages...

  25. emergency room patient education campaign

    Medic946RN replied to ensense's topic in Emergency

    We try to educate pt's in the triage process to have a realistic expectation of their ER experience. "No the doctor isn't going to give you an antibiotic for your virus." "No, we can't pull your tooth...