Guest374845

Guest374845

Member
  • Content

    207
  • Visitors

    5,342
  • Followers

    0
  • Likes

    10

All Content by Guest374845

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

    For public consumption, enjoy! March 2018 - ED
  2. 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
  3. USAF Nursing CCATT/TCCET

    SqrB3ar, There is a difference between active duty CCATT and reserve CCATT. Gptgirl did a great job describing what CCATT is like as an active duty nurse; it is a side-gig to your primary Air Force...
  4. I've actually heard really good things. I was considering it too until I found out that I can submit a request to my state's EMS body for permission to challenge the NHTSA psychomotor skills at my...
  5. An ER nurse who passed CCRN!

    I have my CEN and CCRN. ED and ICU touch on a venn diagram but they're otherwise a world apart. I've personally found more ICU nurses wanting to play ED than the other way around, and few who can...
  6. As a PA, how can I be better for the nurses in the ER?

    Here you go: March
  7. As a PA, how can I be better for the nurses in the ER?

    I have a good podcast on ED patient progression if you're interested (from docs at my own hospital,
  8. Legalities in Flight Emergencies

    Most major domestic carriers contract with companies that give the pilots near-instant radio contact with an emergency medicine physician for guidance. In the rare instance where you respond to an...
  9. Oxygen therapy in ED

    Try to 'treat the patient in front of you' and pick your delivery device based on their sat and how short of breath they appear. A pt's O2 sat alone shouldn't always be how you decide your treatment....
  10. Flight Nursing in Air Force Reserves

    Brutal honesty incoming: if you submitted all of that this month, you're looking at taking your oath December 2019/Jan 2020. Each step in the process happens in 1-2 month intervals. It's totally...
  11. CEN

    I mean... you techinically only need to be an RN for 1 day to sit for the CEN exam (again, if you're referring to Certified Emergency Nurse certification), but unless you've got a great photographic...
  12. Adenosine administration

    Ultimately, all of the fuss over flushing contraptions for adenosine is unnecessary. All you need is your dose drawn up in 20-30cc of NS in a big syringe and giving it as a big bolus through a...
  13. IV TXA

    The package insert says it can cause hypotension if given too
  14. Flight Nursing in Air Force Reserves

    If you're asking about the Reserve, Scott AFB has (I believe) 2 CCATT teams: 126th ANG and the 375th Medical Group (AFR). They are separate military branches in terms of commissioning. Just tell...
  15. Ultrasound Guided IV's Keep Blowing

    How many cm deep are you usually seeing these failures? The 1.88 are too short beyond ~1.5cm in my opinion, which is at least half of the basilics I measure. Also, if you're even slightly mashing...
  16. Inappropriate scoring of GCS in acute stroke patients

    This is completely correct but the culture at some hospitals (mine...) is that it is superior to GCS at all times (or mayb it's something to do with the CMS stroke metrics and all the charting...
  17. Books for trauma nurses?

    The ATLS manual is another good
  18. Mixing Medications

    Drawing up levophed or epi or vanco and shooting it into a bag doesn't rise to the level of "compounding" in my opinion. That may be the superficial definition of this everyday practice, but I work...
  19. Inappropriate scoring of GCS in acute stroke patients

    The gold standard remains the NIHSS score. That could be the reason you might not be coming up with much information outside of an initial ED GCS or so!e scored in the ICU for neuro checks and...
  20. Cannulating right or wrong

    This is where it pays to know your anatomy. The cephalic vein is on the lateral half of the bicep and has no artery or nerve near it. The basilic vein on the medial side can, but sometimes it's...
  21. Air Force Reserves Flight Nurse Process

    Your whole commission package has been awaiting a quality check and HQ approval since
  22. Do you value being the least educated licensed person involved in your paients'
  23. Mistake

    It's a standard of care in transfusion medicine that PRBCs be infused over ~2 hours in hemodynamically stable pts who aren't exsanguinating. So maybe anticipate a similar order in the future when...
  24. Stroke/ER Nurses' Input Needed

    Is the ED involved in the project? They'll be the best ones to identify barriers to physically getting the pt to IR. Your hospital should also have some kind stroke coordinator-type RN job that...
  25. Your ER policy on giving rides home

    Our state medicaid plans have a transportation benefit, so it's sometimes pretty easy to actually get them a ride. BUT, they'll only transport to the current mailing address listed in their plan and...