Medic946RN

Medic946RN

Emergency/Critical Care Transport

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All Content by Medic946RN

  1. Adults Who Can't Swallow Pills

    Medic946RN posted a topic in Emergency

    Where I work now we seem to have cornered the market on adults who can't swallow pills. I'm not referring to children or eldery people with dysphagia. I'm talking about gagging and crying like they...

  2. "Tips for the ED Drug Seeker"

    Medic946RN replied to loricatus's topic in Emergency

    Love the line about never ever mess with an ED

  3. I was horrified today!!!!

    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...

  4. Stethescope

    Medic946RN replied to Caralee's topic in Scrubs, Uniforms, Gear

    I have both the Cardiology III and the Master Cardiology. I prefer the Master, I have no trouble listening to little lungs and

  5. paramedics in the ER

    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

  6. CEN studying material...Lippincott?

    Medic946RN replied to AC439's topic in Emergency

    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...

  7. Triage sucks!!! Any tips??

    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...

  8. does being a paramedic complement an EDRN?

    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...

  9. Docs yelling at nurses....

    Medic946RN replied to ClassQ1's topic in Men in Nursing

    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...

  10. RN intubating in the ED

    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

  11. EMT-P Question

    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...

  12. Propofol

    Medic946RN replied to czipp's topic in Gastroenterology

    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....

  13. ER abuse was encouraged last night

    Medic946RN replied to Snowy's topic in Emergency

    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...

  14. RN-Paramedic Bridge

    Medic946RN replied to tknrn's topic in Emergency

    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...

  15. ERCPs, EUSs and sedation

    Medic946RN replied to december's topic in Gastroenterology

    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...

  16. ER abuse was encouraged last night

    Medic946RN replied to Snowy's topic in Emergency

    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...

  17. How do you feel Paramedics can improve?

    Medic946RN replied to Medic_78's topic in Emergency

    That's what I thought too. You'd think that someone who had enough gumption to take PHTLS would understand EMS a little better. PHTLS, I understand your frustration and I feel your pain. I have...

  18. Ambulance pts in waiting room

    Medic946RN replied to gotaluvtheER's topic in Emergency

    After riding "the bus" (paramedic slang for ambulance) for many years I can tell you that I've gotten out of my nice cozy bunk at 3 in am for toothaches, sinus congestion, lacerations that don't even...

  19. How do you feel Paramedics can improve?

    Medic946RN replied to Medic_78's topic in Emergency

    As a nurse that was (is) a practicing paramedic for the last 25 years. (I know, I'm old) I can tell you one of the best things to do is seek out the nursing staff or even the MD when you have one of...

  20. Icu Or Ed Nurses Make Better Flight Nurses?

    Medic946RN replied to SOCALRACERX911_RN's topic in Flight, Surface Transport

    Depends on the service and their primary type of call. If your flight team does mainly 911 scene response, ED or Paramedic experience is going to help your best. If they are doing primarily...

  21. Seizure pts 101

    Medic946RN replied to RN92's topic in Emergency

    I always kinda thought this was basic stuff, but maybe because I was medic for year and years, but the two pt's you never let walk to the bathroom are seizure patients and cardiac patients. You can...

  22. Differences between male ER nurses and Females?

    Medic946RN replied to TraumaInTheSlot's topic in Emergency

    I agree, I don't multi-task well either, I prioritize very well. Thereby decreasing the amount that I have to multitask. But I found as male in the ED it sort of fell to me to be the "enforcer" If...

  23. What was the MOST ridiculous thing a patient came to the ER for?

    Medic946RN replied to JUSTYSMOM's topic in Emergency

    I always seem to get the ones who come to ED for routine illnessess, chest colds, strep, etc that have just come from their doctor's office. You see the doc examined them and gave them an rx but they...

  24. medications: take home packs

    Medic946RN replied to MAGIK GIRL's topic in Emergency

    Lets be serious. The only reason Bill Clinton was interested in nurses is the fact that the vast majority of them are chicks. (Yeah baby!!!......Oh Hi Hillary, No! No!, I was just helping the girls...

  25. Frustrated by extended journey times

    Medic946RN replied to UK2USA's topic in Flight, Surface Transport

    I routinely transport "no lights/no siren" though usually my rides are only an hour or two in length. I don't go Code 3 unless it's a true emergency. Even in my practice as a paramedic. If I have the...