Guest374845

If his experience is like mine, he can expect to oath 30 days or less from the when that credit check gets run alongside the SF86.

You report to your first duty station. Many people at COT had their luggage in their cars.

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

From what I've seen and heard in the Air Force, peds, OB and L&D will either become staffed by non-mil (or atleast non-AF) nurses or moves off-base altogether. For example, Langley has already closed all their inpatient services. I don't know how this will effect recruitment, retention or possible retraining of theses nurses though.

Absolutely. I've seen ports with alternate placements, like in the groin and even in a patient's forearm - ones where you'd obviously avoid distal placement - but the ones in the chest are generally tunneled up over the clavicle, into the IJ and down SVC right above the right atrium. You can even place an IV distal to a PICC with good judgement.

Did you really just resurrect your own 5-year-old thread? Anyway, same sentiment now as in 2013: The military doesn't need you, but you need us. You enjoy dissent from the comfort of your home, safe from the very real threat of being blown up or dismembered by these prisoners and those like them. You clearly have no knowledge of the legal and ethical obligations of commissioned officers, let alone the Law of Armed Conflict and how it guides our decisions and behaviors. This thread is nothing more than a testament to your ignorance and an insult to our intelligence.

Intoxication isn't a legal basis to hold a patient. Steady gait, wants to go, free to go. Your triage obligations are GCS, +/- LOC, +/- seatbelt sign, pain/tenderness, and extremity CMS. All good to go, or clinically sober as above and wants to leave... bye.

Ma'am, I'm already FQ. I heard about the extension during a talk at Maxwell AFB from the command staff in charge of the overall TFOT program.

Just FYI, I recently found out that the current COT class is going to be the last 5-week one that they do. Beginning with the one in January, it's going to be 8-weeks, in line with the other TFOT officer training programs that run at Maxwell.

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.

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.

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.

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.

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.

Concur with jfratian, but am I understanding correctly that depression is on the problem list in your EMR records from the accident that you have to submit? If that is the case, upon seeing it MEPS will probably just kick it back to you via your recruiter requesting additional documentation or info. A nice note from your PCP on office letterhead attesting to what you stated here is sometimes all that's required. You are correct however that mental health is scrutinized, so be prepared to have to push this.

Warm IV crystalloid, OG or bladder lavage with warm water, bilateral chest tubes with warm saline instillation, conductive warming via room temp and towels soaked in warmed fluids.

There are multiple papers published citing CVC and PICC rate reductions of 70-80% at major US medical centers. I can't find it but my ED published some data as well. Ultrasound makes a huge difference, but getting a large enough percentage of staff to enthusiastically buy into it has always been difficult.

Each branch is represented here, so you'll get some good and current information. Broadly speaking, it's going to take at least a year from the time you contact a recruiter to the time you swear your oath, but if you're serious about pursuing the military, this is a GOOD thing. Use this time to get a civilian nursing job in the speciality you want in the military. Also use your first year or two to get a board certification (CEN, CCRN, CNOR).

I didn't personally do ROTC so I don't want to give you bad information, but I believe it's a combination of pre-nursing classes and military science classes for your freshman and sophomore years, followed by core nursing school and weekly/monthly ROTC things like morning PT, weekend field training, leadership classes, etc. You'll be busy, but most people complain about not having a life during nursing school anyway, so you're not sacrificing much. Then you take your NCLEX before you can commission.

I believe grade is calculated based on AFI 36-2005. Nurses get credit for 50% of their civilian nursing experience toward TIG, so a nurse with 4 years civilian experience comes in at O-2. That may be where it caps without an MSN too. Also, I'm not 100% sure about a CCATT bonus, unless that's ANG only.

An enlisted recruiter is most definitely going to try to sell you on enlisting. The reality is that's it's very hard to turn an enlistment into a nursing commission without either a gap in service to go to school or a fairly competitive transition program. Have you considered doing ROTC while in nursing school? That would firmly set you on the path to getting your BSN while giving you constant exposure to military life without getting you off-track from either one.

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.

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.

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.

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.