Guest374845

Guest374845

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All Content by Guest374845

  1. Ratios changing in my department

    Guest374845 replied to montecarlo64's topic in Emergency

    We used to be straight 4:1 except trauma and now we have a 3:1 area, 1 or 2 4:1, and 2 awful 5:1s. And we're supposed to shuffle patients around when a 5:1 is surprise sick (gets tubed or whatever) or...

  2. Flight Nursing in Air Force Reserves

    Guest374845 replied to GuelnRn's topic in Government, Military

    I believe jfratian is correct, but I work with a Lt Col who is in charge of a reserve unit with a casf and CCATT component; I'll ask him and get back to

  3. Metabolic Acidosis and Renal Failure

    Guest374845 replied to Cowboyardee's topic in Critical Care

    Uremia is in the MUDPILES, so an elevated uric acid puts that on the table. Too much bicarb can also make high gap acidosis persist or

  4. Addicts in the ED

    Guest374845 replied to amyjm333's topic in Emergency

    I don't pray, just a turn about of Kooky's post. I hope it never happens to anyone, but more often than not, it's poor personal choices that lead people down that road. My sympathy runs pretty low...

  5. Addicts in the ED

    Guest374845 replied to amyjm333's topic in Emergency

    I find that interesting, given that I pray no one experiences it despite my hardened

  6. Flight Nursing in Air Force Reserves

    Guest374845 replied to GuelnRn's topic in Government, Military

    And the selection committee before

  7. Flight Nursing in Air Force Reserves

    Guest374845 replied to GuelnRn's topic in Government, Military

    Alright, here's the big copy/paste from AFI 48-307 V. 2 for CCATT qualifications which is current as of January. "3.2.3.2. Nurse. Nurses nominated for assignment to an ERCC UTC must have a minimum of...

  8. Flight Nursing in Air Force Reserves

    Guest374845 replied to GuelnRn's topic in Government, Military

    2 years ICU or ED experience + 800 critical hours (vented, invasive monitoring, or vasoactive drips) within the last 2 years. They also like CCRN, CEN, or CFRN. I'll quote the documentation

  9. ESI question

    Guest374845 replied to peaches88's topic in Emergency

    Count me in JKL's camp with regard to rating this pt or a moderately distressed asthmatic a solid 2. My department would have 10-20 1's a day if we scored that highly that

  10. Addicts in the ED

    Guest374845 replied to amyjm333's topic in Emergency

    I think we, as nurses, SHOULD debate. So, not all EDs have 24/7 social workers, check. It's not ethical NOT to help out a patient with a substance abuse problem, check. Both good discussion points....

  11. Addicts in the ED

    Guest374845 replied to amyjm333's topic in Emergency

    That's what social work is for. You said yourself the pt was there seeking drugs, so I'd lose no sleep over a discharge. If the pt was there seeking help, detox, etc then I'd find them something....

  12. Air reserve flight nursing

    Guest374845 replied to Weeksrachn's topic in Government, Military

    I contacted a recruiter in December and had my scroll approved by March. I should be taking my oath in Aug/Sept following a family medical thing (that they've been understanding of). All in all, not...

  13. ESI question

    Guest374845 replied to peaches88's topic in Emergency

    It's splitting hairs at a certain point because your supervisor could argue, "What immediate life saving intervention did the pt require?", but if she ended up on pressors or something that's deep in...

  14. PALS renewal today was downright frightening

    Guest374845 posted a topic in Emergency

    Our renewal classes have nurses from clinics, wards, heme/onc, EDs and PICU at the same time because we are a tertiary center. For our scenarios, my group consisted of floor and clinic nurses, some...

  15. Question about Septic Shock

    Guest374845 replied to caleggitt's topic in Emergency

    I haven't seen the videos you're referencing, but Solheim may be using nomenclature that doesn't accurately describe the physiology. Hyper- and hypodynamic are terms universally applied to cardiac...

  16. PALS renewal today was downright frightening

    Guest374845 replied to Guest374845's topic in Emergency

    I agree. I'm constantly annoyed at AHA's expectation that any PALS provider be able to essentially diagnose ARDS, order imaging and/labs, inotropes and pressors,

  17. Flight Nursing in Air Force Reserves

    Guest374845 replied to GuelnRn's topic in Government, Military

    There are 30+ reserve CCATT teams and I'm actually in the process of gaining with one. Your recruiter may not be able to see open CCATT slots because many of them are authorized as "overages" by...

  18. Flight Nursing in Air Force Reserves

    Guest374845 replied to GuelnRn's topic in Government, Military

    You're not training for forever, and your civilian employer is required to retain your position until you return. You'd be eligible for CCATT in 6 more months which doesn't have nearly as rigorous of...

  19. Backup/Trauma Teams working scheduled cases

    Guest374845 replied to Loxam10's topic in Operating Room

    I work in a level 1 and there are trauma team response standards that have to be met depending on the activation level. So if your facility has a bunch of high(er) level activations in which the team...

  20. PALS renewal today was downright frightening

    Guest374845 replied to Guest374845's topic in Emergency

    I'm not there to teach, and each scenario is intended to test the "team leader"; giving away answers as a team member doesn't help them. These weren't small mis-steps that I could politely interject...

  21. SRNA considering Army Reserves

    Guest374845 replied to emb92250's topic in Government, Military

    I recently went through (struggled through?) MEPS and I hate to tell you... MEPS is the point of medical clearance for all the uniformed services. If you contacted a different recruiter from a...

  22. What goes on in an ED?

    Guest374845 replied to BlueBoxSearcher's topic in Emergency

    You mostly chart í ½í¸‚ We put in a hell of a lot of IVs, that's true. But we use those IVs to give drugs, blood products and manage drips. The floors don't usually appreciate it when you...

  23. TNCC and CEN

    Guest374845 replied to mickeyrose912's topic in Emergency

    I bought the online version of the CEN exam review book and took the practice exams (~50 questions a night) and studied the rationales. Took the test after about 2 weeks and

  24. TNCC and CEN

    Guest374845 replied to mickeyrose912's topic in Emergency

    TNCC is just a standardized framework for approaching trauma patients, similar to how ACLS is your algorithmic starting point for brady, tachy, or pulseless. Don't stress too much about preparing for...

  25. Air reserve flight nursing

    Guest374845 replied to Weeksrachn's topic in Government, Military

    According to my recruiter, the only reserve nursing positions eligible for a bonus are flight and mental health nurses. If that's any indicator of