TheSquire

TheSquire DNP, APRN, NP

Urgent Care and Occupational Health NP

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All Content by TheSquire

  1. Oxygen at Camp

    TheSquire replied to Laceyjones's topic in Camp

    I did read it, but you keep referring back to hospital settings - which a non-health camp does not resemble by any means.At camp, I may or may not have another provider to help me cover 4,900 acres...

  2. Sepsis in your facility/ED

    TheSquire replied to Lev's topic in Emergency

    It's included as part of the long list of competency skills during orientation at my ED. When we added the TropI and Lactate cartridges, those of us who were there at the time were reeducated and...

  3. Male nurses in OB

    TheSquire replied to Jake_snake's topic in Male Nursing Students

    There's at least one man who's a nurse in my facility's L&D, and I know an FNP who started as a man working as a nurse in L&D. It's not the norm, but there's only cultural biases against

  4. Will my EMT experience help get a job as an ER-Nurse?

    TheSquire replied to Socal_EMT's topic in Emergency

    No, they were responding to you minimizing what medics can do skills-wise, which aren't taught in nursing school and even more rarely done in practice by RNs. While orders had something to do with...

  5. IO + Lab work

    TheSquire replied to applesxoranges's topic in Emergency

    Dunno about your department, but in mine there's a sizable minority of RNs trained in U/S PIV placement (small enough that they do enough of them to keep their hands in, but large enough that you're...

  6. Inferior vs anterior wall MI's

    TheSquire replied to miamiheatrn's topic in Emergency

    So have I, but the pt had pericarditis with ST elevations in all leads, so I couldn't blame the

  7. Will my EMT experience help get a job as an ER-Nurse?

    TheSquire replied to Socal_EMT's topic in Emergency

    The latter's what I meant - the programs I've seen all teach it first-thing, while the nursing programs require you to have it done

  8. Sepsis in your facility/ED

    TheSquire replied to Lev's topic in Emergency

    Abbot makes them; our ED uses them to run POC BMPs, Troponin Is, and Lactates - each on its own cartridge. I'm sure they have a couple competitors, I've just not run across them

  9. Will my EMT experience help get a job as an ER-Nurse?

    TheSquire replied to Socal_EMT's topic in Emergency

    You're expected to come to nursing school (or, at least, the one I teach at) already holding a Healthcare Provider cert, whereas most EMT programs don't have that

  10. IO + Lab work

    TheSquire replied to applesxoranges's topic in Emergency

    God created the pressure infuser for a reason. That being said, yes, I can probably run fluids faster with a 16g and a pressure infuser than an IO...but if I need an IO, it's on a patient that...

  11. Inferior vs anterior wall MI's

    TheSquire replied to miamiheatrn's topic in Emergency

    Even simpler: if inferior wall MI (i.e. II, III, aVf), then no

  12. Chest Pain Protocols in triage

    TheSquire replied to MidnightSun1's topic in Emergency

    We have practice guidelines on top of the general chest pain protocol of EKG with read by the doc

  13. IO + Lab work

    TheSquire replied to applesxoranges's topic in Emergency

    Other than the time requirements, everything else in this paragraph is refuted in the literature, especially for humeral IOs but even for proximal tibial IOs as well. I can get more volume in faster...

  14. IO + Lab work

    TheSquire replied to applesxoranges's topic in Emergency

    Just don't draw a CBC off the IO; remember, it's in the marrow and thus whatever you draw is going to have immature cells in it. If you do, lab's going to call you back and tell you that the patient...

  15. Sepsis in your facility/ED

    TheSquire replied to Lev's topic in Emergency

    Our facility has the best sepsis mortality rate amongst our nationwide chain. While the floors have a code sepsis, the point of a code is to pull resources from outside the unit; the ED is a mostly...

  16. Will my EMT experience help get a job as an ER-Nurse?

    TheSquire replied to Socal_EMT's topic in Emergency

    Agreed. Knowing how EMS (and, by extension in most places, some of Fire/Rescue) operates is a boon in the ED, since you have a better idea of what happened prior to the patient arriving, plus it...

  17. Oxygen at Camp

    TheSquire replied to Laceyjones's topic in Camp

    You should know what you're talking about before you speak. Well, that's a relief to hear that the silver stems of the oxygen tanks in my Health Lodge will magically have built-in regulators come...

  18. DNP Fellowship - what's the point?

    TheSquire posted a topic in Student Nurse Practitioner

    When I started my DNP back in 2013, I was told that, having had a prior MS in General Nursing due to my entry program, that my DNP program could cut me a post-master's certificate and then I'd be on...

  19. Studying for CEN

    TheSquire replied to dee789's topic in Emergency

    I went to one of Jeff Solheim's classes to review before taking the exam. Have you done your TNCC and ENPC

  20. Oxygen at Camp

    TheSquire replied to Laceyjones's topic in Camp

    If you're going to have portable oxygen, you'll also want a proper carrying bag for it, based on the size of tank you'll have. Remember, a damaged compressed gas cylinder becomes an uncontrolled...

  21. Paying for clinical placements?

    TheSquire replied to travelRN555's topic in Student Nurse Practitioner

    You might be so lucky; however, standard practice is that schools may have agreements in place with some locations, but you're on your own in finding a preceptor...at least, until you're so close to...

  22. Camp Nurse Salary

    TheSquire replied to BuckeyeRNMomma's topic in Camp

    As Health and Safety Director, I got about $2500 last year for a full summer (6 wks camping, 2 weeks pre-camp setup), plus room and board. My assistant got about $1800. That said, we were both...

  23. How long do you keep records?

    TheSquire replied to kellbell23's topic in Camp

    BSA requires all camps to keep a copy of a scout's physical while in-camp, and discourages retention. However, the state of Michigan requires retention of physicals for three years, so that's what we...

  24. E.D. Protocols

    TheSquire replied to Pheebz777's topic in Emergency

    If the patient isn't able to tell you who these people are, why are you letting them out of your department, "responsible adult" on hand or

  25. What is the drug of choice in your area?

    TheSquire replied to Momma1RN's topic in Emergency

    West Side of Chicago, so TONS of heroin. Some EtOH and crack as well, with some occasional