NP's and PA's are hostage to the nursing vs. medicine feud. I wish to understand that a little better. I haven't met any PA's who regret the necessary relationship with a physician, but I see a lot...
PA-C in Texas replied to z's playa's topic in Emergency
Everyone is right. We can't know for sure whether a patient is in pain. But I DO get to make a decision on how that pain is treated. And quite frankly, if you walk into the ED complaining of a...
PA-C in Texas replied to nocturne716's topic in Emergency
With increased autonomy comes increased responsibility. Protocols are inherently inflexible, and require someone on the other end to make judgments about when to apply them. Those who undertake that...
PA-C in Texas replied to LPN47331's topic in Emergency
I am really confused after reading this thread. It sounds to me like there might be significant involvement of the right ventricular wall. I am a big advocate of getting right-sided leads in ALL...
PA-C in Texas replied to bellehill's topic in Pain Management
Let me rephrase: A review of the relevant literature will indicate that oral ibuprofen is equally effective as Toradol injection for relieving most types of
PA-C in Texas replied to bellehill's topic in Pain Management
I think that other countries have some other NSAIDs and salicylates for parenteral admin. in their formularies. I like Toradol, and I think it works, but numerous studies have indicated that it is...
I am not sure what opportunities exist for PNP's working in a hospital, but there has to be something out there. I have worked in small ED's most of my career, and I basically chose what I wanted to...
PA-C in Texas replied to bobnurse's topic in General Nursing
This is the most assinine thing I have ever heard in my life! I never knew floor nurses couldn't defibrillate. Even if you have older monitors around, I bet that most nurses can recognize v-fib when...
PA-C in Texas replied to shanneff's topic in Emergency
The treatment sounds appropriate, even if I would have chosen something different. Certainly no reason to admit for what sounds like a borderline partial thickness from your description. I probably...
PA-C in Texas replied to thanatos's topic in Emergency
I started ordering Versed but switched almost entirely to etomidate followed by fentanyl after the tube. You really can't beat it's hemodynamic profile. And always sux for paralysis- have never had...