TakeBack

TakeBack

Member

  • Content

    203

  • Visitors

    4,748

  • Followers

    0

  • Likes

    1

All Content by TakeBack

  1. What do ER's hire more: PA-C, FNP or ACNP ?

    TakeBack replied to treejay's topic in Nurse Practitioners, NP

  2. What do ER's hire more: PA-C, FNP or ACNP ?

    TakeBack replied to treejay's topic in Nurse Practitioners, NP

    This is because for a long time Mississippi has been one of the most restrictive states for PA practice (in particular prescriptive authority). Prescriptive ability is now in all 50 states but Miss....

  3. Cordis/Introducers

    TakeBack replied to kc4nrsng's topic in CCU, Coronary, Cardiac

    If they are taking PO, have a PIV, and don't have infusions running then just take the line

  4. What do ER's hire more: PA-C, FNP or ACNP ?

    TakeBack replied to treejay's topic in Nurse Practitioners, NP

    Again, explains the reason why so few PAs or NPs go into clinic

  5. What do ER's hire more: PA-C, FNP or ACNP ?

    TakeBack replied to treejay's topic in Nurse Practitioners, NP

    This speaks to a couple of things: -The heterogeneity in NP curricula, particularly the clinical component. How can you transpose this model of education to a program that doesn't have an incoming...

  6. Can the NP assist in surgery?

    TakeBack replied to cassowary's topic in Nurse Practitioners, NP

    So did you have surgical training as part of your NP Program? Were you scrubbing/assisting in your NP clinical

  7. What do ER's hire more: PA-C, FNP or ACNP ?

    TakeBack replied to treejay's topic in Nurse Practitioners, NP

    Just to clarify a few things here: PAs are licensed, they don't practice "under an MD license". They have their own license to practice medicine (at least that's what my WA state license says). We...

  8. What do ER's hire more: PA-C, FNP or ACNP ?

    TakeBack replied to treejay's topic in Nurse Practitioners, NP

    Interesting that the rates of NP independent practice remain so low. A political battle, it seems, to overcome the legislation in the majority of states which still require

  9. What do ER's hire more: PA-C, FNP or ACNP ?

    TakeBack replied to treejay's topic in Nurse Practitioners, NP

    Is this state-dependent, especially when an hospital

  10. How long do you apply pressure when d/c a balloon pump

    TakeBack replied to faithmarie's topic in CCU, Coronary, Cardiac

    Probably a waste of time. At my place I pull the sheath and put the femostop on directly, then the RNs manage the device. There is a good illustration of the pressure-directed compression protocol in...

  11. Chest Tube Clogging

    TakeBack replied to Chestdoc's topic in CCU, Coronary, Cardiac

    This doesn't make sense from a conceptual standpoint, and we haven't seen it in practice for the last 4 yrs we've been using blakes. A standard arglye tube has 3-4 isolated ports at the end. These...

  12. Levo and pH

    TakeBack replied to Maevish's topic in CCU, Coronary, Cardiac

    You need to correct the acidosis first. If we're talking about real world approach to this problem (not textbook), you normalize the ABG, aggressively administer volume (using CVP to guide your...

  13. Levo and pH

    TakeBack replied to Maevish's topic in CCU, Coronary, Cardiac

    We don't know alot about the pt but I don't think a swan is going to help in this situation based on the info provided. 7.19 isn't "ridiculously low" but is more than low enough to cause refractory...

  14. Milking chest tubes

    TakeBack replied to CleioRN's topic in CCU, Coronary, Cardiac

    Agree. I use ETT suction caths to evacuate CTs all the

  15. IABP removal

    TakeBack replied to SLP12's topic in CCU, Coronary, Cardiac

    Pull them together. Hold heparin, wait 45 mins and check an ACT. If normal, then pull

  16. Milking chest tubes

    TakeBack replied to CleioRN's topic in CCU, Coronary, Cardiac

    A few liters in 10-15 mins. We didn't wait the full hr to get the chest

  17. Milking chest tubes

    TakeBack replied to CleioRN's topic in CCU, Coronary, Cardiac

    I've been doing this a while and have NEVER seen a negative outcome from any sort of CT maneuver- milking, stripping or suctioning. I HAVE seen tubes that drain several hundred ccs after clearing them...

  18. Chest Tube Clogging

    TakeBack replied to Chestdoc's topic in CCU, Coronary, Cardiac

    I see it infrequently. If it occurs I either use manual milking (alcohol prep or skin cream on the tube and strip it) or run an ETT suction cath up the tube to evacuate it. FWIW we have started using...

  19. CVP readings

    TakeBack replied to sazza's topic in CCU, Coronary, Cardiac

    CVP measures the right atrial pressure but is not always a measurement of volume status. It is a surrogate for volume status but there are several conditions (tamponade, tricuspid disease etc) where...

  20. PA to NP

    TakeBack replied to PAGuest's topic in Nurse Practitioners, NP

    Curious- is there a particular practice or setting that you are trying to get into the the NP would make easier? Or is it to lose the "dependent"

  21. Levo and pH

    TakeBack replied to Maevish's topic in CCU, Coronary, Cardiac

    Vasoconstriction of the smooth muscle cells on your vessels requires appropriate enzyme function. As your bloodstream is flooded with H+ (in your pt's metabolic acidosis), the enzymes deform and the...

  22. PA to NP

    TakeBack replied to PAGuest's topic in Nurse Practitioners, NP

    Agree with above- you won't earn much more as an NP so the change would have to be for perceived independence. The debt you would incur would take a while to pay down and might not be worth the...

  23. PA speaks poorly of RN's

    TakeBack replied to heavenbound's topic in General Nursing

    Best.....................

  24. PA speaks poorly of RN's

    TakeBack replied to heavenbound's topic in General Nursing

    There are two issues here, which I was trying to get at in my previous post 1. PA education is competency based, which means that regardless of the academic credential awarded, the clinical skills of...

  25. PA speaks poorly of RN's

    TakeBack replied to heavenbound's topic in General Nursing

    well well well. i am a pa so take my comments from that perspective. a few things to clear up. degree: there are three basic different academic credentials that pas are awarded- certificate, bachelors...