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Guest374845's Latest Activity

  1. Guest374845

    What would you do

    It depends: is it closer to the start of my shift, or toward the end?
  2. Guest374845

    COT and timeline

    Your experience may differ from mine, but I recall something in my credit check paperwork saying that if it was being run, authorization to oath was ~1 month away max. You may be asked to complete SF86 soon which is the very long document to start your security clearance investigation.
  3. Guest374845

    New Trauma Nurse Help

    I'd worry about codes for now. If you're at a level 1 or a high-volume level 2, it will be a long time before you do any trauma.
  4. Guest374845

    Improving ED flow

    You'll need to get some solid data to find your true bottle neck(s), e.g. door to doc, door to room, door to dispo, etc. Unfortunately, the ED is becoming something we treat like a patient in and of itself and we rush patients through in order to see more, faster. If you can audit your EMR for these metrics, you'll have an easier time figuring out if it's a provider staffing issue, a nurse staffing issue, a transport issue, an inpatient staffing issue, etc.
  5. Also, consider that it's likely you could float between all of them after enough time off orientation, thus none of them are disproportionately more challenging than the other.
  6. Guest374845

    Air Force Reservist and Civilian Position

    I'm not quite following either but I'll assume you're referring to funneling your civilian and reserve income into the same retirement. If that's the case , look at the VA.
  7. Guest374845

    IV insertion: 20 gauge vs 22 gauge

    The larger the IV, the further back the catheter sits behind the neeedle bevel (we're talking no more than 1mm most of the time, but read on). If you can visualize it, what can happen is that you're getting a flash upon needle tip/bevel entry into the vein but might be threading the catheter while it hasn't been advanced into the lumen yet. When using a 22, because of the smaller gap between the catheter tip and bevel, both may happen near simultaneously and you're used to it, whereas the 20 might require an extra mm push in after you see a flash. This isn't necessarily what's going on in your case, but it's plausible and it does happen when going from smaller to larger gauges.
  8. Guest374845

    Path to CRNA/ ICU, please help!

    On an application to a CRNA program, an ICU at FMC may not look any different than an ICU at Duke, but your experience vary to a large degree. I know several ICU nurses at FMC who have to cross-train to the ED or PICU to keep their hours. So on one hand, you may get everything you need to jump ship from FMC straight into a CRNA program. On the other, you may find yourself wishing you'd had a more robust experience. I'll give them credit for their education department though. It's pretty well-organized/well-run. Of note, FMC is only designated as a level 2 trauma center by the American College of Surgeons. They just meet the criteria to call themselves a "state" level 1 in Arizona. They (and a few others) humorously manage to leave that detail out in their marketing.
  9. Guest374845

    Path to CRNA/ ICU, please help!

    FMC is a joke and you won't find a true academic medical center in Phoenix except maybe MMC. You're best bet after school is UMC in Tucson (double the trauma volume of anyone in the state + heart/lung transplants, ECMO etc) or go straight to Cali.
  10. Guest374845

    Clinical question?

    Code 3 means lights and sirens. Was it a cardiac arrest or just a lights and sirens arrival? Not right or wrong depending on how you manage your time.
  11. Guest374845

    As a PA, how can I be better for the nurses in the ER?

    For public consumption, enjoy! March 2018 - ED Flow/
  12. Guest374845

    Patient waking up during CPR

    I've had to put a pt in restraints during a code. He was pulseless without chest compressions, and trying (poorly) to fight us off during compressions.
  13. Guest374845

    Flight nursing in reserves

    Military flight nursing is very different from civilian flight nursing. It's primarily and Air Force mission and something you can do in the reserve. You would be doing long distance, fixed-wing transports of med-surg patients. Your training would emphasize logistics over patient care. There are a few - veeeeery few - rotary wing, point of injury med-evac type of jobs. Air Force TCCET teams and the US Army might be the only two branches that utilizes nurses in some limited role for this, and I don't believe the reserve components fill either of those missions.
  14. Guest374845

    Living Will Tattoo

    The case study published by that patient's physicians is far better than the layman editorializations in the media. Other questions raised in the ethics consult were things like, "what was his states of mind at the time he got the tattoo... drunk, depressed, joking?", and "what if the tattoo does not reflect his current wishes?". Safer to work that code and let it get sorted out in the ICU.
  15. Guest374845

    Need a good review for the CCRN

    The Laura Gasparis videos are tough to beat, but the Barron's CCRN book is a lot of her stuff verbatim. Those were all I used and - I can't remember my score exactly - but I passed in the first try with something like 113/125.
  16. Guest374845

    IV Benadryl

    Regarding IV valium and precipitate in NS: the precipitate is immediately unbound in plasma so it's actually ok to give it via a med port or diluted. The way around the precipitate altogether is to draw it up in a larger syringe (5 or 10ml) and dilute it with the pt's own blood via IV aspiration, then essentially administer/autotransfuse.