PA-C in Texas

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

That's what I want to know, and I believe a study that looks at polysomnographic data will be able to more thoroughly characterize the quality of sleep that a patient has when in pain. We also need to remember that this is a partially-induced sleep, ...

Well this is damned if you do, damned if you don't; as I've said before. They may sue you for not adequately treating pain, and they may sue you for contributing to their addiction. So let's just ignore the legal aspects for a moment and concentrat...

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 of NP's who constantly scream "independent practic...

Has anyone looked at a typical ER bill lately? It makes me feel guilty. The ones I really feel sorry for are the ones who can only afford to send in $20 per month, but never miss a payment. They get a $700 bill for suturing a minor lac, and you j...

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 "migraine", and are sitting up laughing and eating exc...

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

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 responsibility need to be prepared for when someo...

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 inferior MI's, but I know that this is frequently no...

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

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 pain.

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 no better than oral ibuprofen for most types of pai...

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 do when we weren't busy. For instance, I made it a...

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 they see it. If not, its not hard to teach. I c...

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

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 would have gone with some Tylenol w. Codeine syrup...

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

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 a problem with it. Even with burns, as long as th...

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 techniques to use if you are concerned about adequate ...

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 have experience in critical care becoming paramedics...

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 child, then there are serious problems. However, ...

"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 church". I believe that this pharmacist has a right not ...

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 the 22g that you put in between someone's knuckle...

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 toward paramedic educational requirements, but it is ...

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 to work on an ambulance (with the exception of int...