Calfax

Calfax

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All Content by Calfax

  1. mcdonald's is not us

    Let them eat lima beans....brussels sprouts and cold salsbury steak! With tapioca
  2. negative attitude

    Here's one. It's all true. I swear. Really. The JCAHO inspector for the hospital I used to work at was a real bulldog. Somehow, my ER supervisor must have offended her or irritated her...
  3. It seems to me that no one is asking why are there so many ICU holds in the first place? Why are all these (usu.) gomers clogging up the system? Were they always there? What disease processes are...
  4. Critical Incident Stress Debriefing

    I dunno, I've been to one..........it was held about 3 days after the incident. Briefly, the patient was a psych patient pesenting to the ED for "depression" on a busy day. Triaged to WR where...
  5. just another burning question......

    A buddy of mine once said the ER nurse are "the bastard children of critical care". This is also the guy who defined nursing "as the unknowing doing the unnecessary to the ungrateful". Which is why...
  6. etomidate

    We use etomidate and succ for RSI too.......but what's the best post-intubation sedation? I've used fentanyl and versed drips and as IV pushes. With a little vec as a paralytic if necessary. We've...
  7. Critical care procedures

    It's within our nursing scope of practice in at least 2 states to put in EJ's (AL and NC respectively). I had a disagreement with a physician about it one night and looked it up. An EJ is a great...
  8. whats your nurse pt ratio for ED?

    I'm a military ER nurse, and I'd classify the facilty I work at as a level 3 community hospital. My standard patient ratio is 9:1 (18 beds total) If I'm lucky and we have an extra reservist RN, then...
  9. Tele transports from the ER

    I'm a military RN, for our tele patients, the official protocol is that an ACLS trained nurse and corpsman with a monitor and a jumpbag must transport patients to and from the ward or to x-ray or...
  10. Personalities of an ER Nurse

    I'd be the toolguy if I could remember where I left everything. Got a couple more: the Burnout.....similar to the saltydog but owes money to the mob or is on the third divorce or something. Works...