PA-C in Texas

PA-C in Texas

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All Content by PA-C in Texas

  1. difficult IV starts

    PA-C in Texas replied to Spider Cat's topic in General Nursing

    There's nothing wrong with going for the saphenous. It's always

  2. Differences (Educative/Clinical) between NP & PA

    PA-C in Texas replied to jstuben's topic in Nurse Practitioners, NP

    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...

  3. migraine faker at the ED!

    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...

  4. Pulseless patients: shock or drugs

    PA-C in Texas replied to EricTAMUCC-BSN's topic in Emergency

    LOL. Aren't you the one who thought you should be able to step onto an ambulance right after nursing school? Good luck with

  5. RN Functions

    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...

  6. Anferior MI and NO order for NTG drip...

    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...

  7. Is there something comparable to Toradol that can be given IV for pain?

    PA-C in Texas replied to bellehill's topic in Pain Management

    I am not sure how that is relevant to efficacy, but I am aware of the practical

  8. Is there something comparable to Toradol that can be given IV for pain?

    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

  9. Is there something comparable to Toradol that can be given IV for pain?

    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...

  10. Retaining Clinical Skills as a PNP

    PA-C in Texas replied to brina's topic in PICU, Pediatric

    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...

  11. Nurses and Defibrillation

    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...

  12. Neosporin and EMLA for 2nd degree burn?

    PA-C in Texas replied to shanneff's topic in Emergency

    Poor kid! These things will inevitably happen. Don't be afraid to use the Neosporin. It certainly won't do him any

  13. Neosporin and EMLA for 2nd degree burn?

    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...

  14. suturing information required

    PA-C in Texas replied to barrabird's topic in Emergency

    It's a Masters program. Mine was a little less than three years long (including

  15. RSI meds

    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...

  16. suturing information required

    PA-C in Texas replied to barrabird's topic in Emergency

    I don't mean to offend you, but this sounds like a disaster waiting to happen. Suturing isn't difficult, but good suturing is not something that you just up and decide to do. Do you know which...

  17. EMT-P Question

    PA-C in Texas replied to MikeyBSN's topic in Emergency

    HAHAHAHAHA!!! You think taking an ACLS class or any of the other alphabet soup classes prepares you to effectively treat a patient experiencing a medical or trauma emergency? I can see nurses who...

  18. MD, DO, NP, DC, OD -- Who deserves the title PCP?

    PA-C in Texas replied to RMARTINNC's topic in Nurse Practitioners, NP

    Ummm....... I agree with most of what you are saying, but be careful. We don't need to sensationalize things to prove a point. If your state really would pull your husband's license for treating a...

  19. Pharmacists refusing to fill orders for The Pill

    PA-C in Texas replied to KarenAR's topic in Activism, Healthcare

    "Separation of church and state"? What in the hell does that have to do with anything? Oh wait.... that's just a code for "not letting your faith influence anything you do outside of going to...

  20. Phenergan?

    PA-C in Texas replied to RN92's topic in General Nursing

    I think that giving Phenergan IM is one of the most inhumane things you can do to a person. It's more sensible to give it slowly in a line that is running with NS. Generally, if you don't give it in...

  21. Opportunities for RNs in the Field

    PA-C in Texas replied to EricTAMUCC-BSN's topic in Flight, Surface Transport

    Actually, you are mistaken. Nurses cannot challenge the NREMT-P exam by virtue of their RN license. They can apply to have their credentials evaluated at a college/university for possible credit...

  22. Opportunities for RNs in the Field

    PA-C in Texas replied to EricTAMUCC-BSN's topic in Flight, Surface Transport

    Eric, As a Licensed Paramedic in Texas, I can tell you that there's not an easy way for you to just jump into the field. I wish I had better news for you , but Texas generally does not allow nurses...

  23. Differences (Educative/Clinical) between NP & PA

    PA-C in Texas replied to jstuben's topic in Nurse Practitioners, NP

    Hi all, I haven't posted in a while, so what better way to update everyone than in a contentious NP/PA debate? I am just finishing my first year of medical school, and I have to say, I've got it easy...

  24. Is It Possible to Feel Surgical Procedure

    PA-C in Texas replied to nightingale's topic in Certified Registered Nurse Anesthetist, CRNA

    First off, I am NOT on the level of the CRNAs around here. Anesthesia providers really float my boat because what they do is very technical and at the same time an art in and of itself. I mean I can...

  25. Who controls the certification of scrub techs?

    PA-C in Texas replied to at your cervix's topic in Operating Room

    In Texas, the Board of Medical Examiners is responsible for credentialing surgical