emt123277

emt123277

Critical Care (ICU and ER)

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All Content by emt123277

  1. Conscious Sedation in PA

    emt123277 replied to jjjulianna's topic in Pennsylvania Nursing

    idk about the commonwealth's "laws" per say but in my facility there must be two healthcare providers in the room at all times, one of whom is acls certified. so, you and a doc and you have acls then...

  2. jobs in allentown/easton area

    emt123277 replied to grateful77rn's topic in Pennsylvania Nursing

    Plenty of jobs but you need to look around. I know people who are communting to LVH and SLH from an hour away. You may need to expand your search beyond the greater Lehigh Valley. Aside: Pocono...

  3. Job openings - act quickly

    emt123277 replied to chuckster's topic in Pennsylvania Nursing

    Multiple positions open at Pocono Medical Center, Hazleton General Hosp, Berwick Hosp, & Wilkes-barre General Hosp. If you want to drive, there's positions available. Some of these folks need to...

  4. My reality of becoming an RN

    emt123277 replied to BettyBoop01's topic in General Nursing

    I'm sorry to hear that. I recall applying to 18 facilities to receive just 3 offers. I still see all these openings posted here at my faciity and wonder why we can't fill them despite all these new...

  5. Blood: do you administer platelets or PRBC first?

    emt123277 replied to TJacob's topic in General Nursing

    Blood transfusion takes time. Platelets and FFP get pounded in. IMO it would be RBCs last unless the pts hgb is so low they're not perfusing... in that case you'd have multiple lines and be squeezing...

  6. charge nurse after less than a year of experience??!

    emt123277 replied to nurse441's topic in General Nursing

    imo the nurse's mindset, knowledge, skills, and ability determine whether they are cn material. i know efficient and effective leaders with a year's worth of experience and then i know nurses with...

  7. Nurse's aides are running the the floor.

    emt123277 replied to sprout2010's topic in Patient, Colleague Relations

    so, the infamous "low bp" of 79/37? i'm sure everyone's aware that manual cuffs are in even numbers only. i say that because i hope that someone did re-check that bp manually instead of just reading a...

  8. Nurse's aides are running the the floor.

    emt123277 replied to sprout2010's topic in Patient, Colleague Relations

    Wow, I mistakenly typed you're vs. your! Did you learn where the caps lock or shift key is yet? Are we done discussing

  9. Nurse's aides are running the the floor.

    emt123277 replied to sprout2010's topic in Patient, Colleague Relations

    flame me for my post on page 1 all you want but it doesn't change anything. i don't think less of the cnas that work on the floor because they perform "menial tasks". i just get a little upset when i...

  10. Nurse's aides are running the the floor.

    emt123277 replied to sprout2010's topic in Patient, Colleague Relations

    That's fine, and they are overworked and abused by some other staff but here it is anyway: I can train anyone to answer a call bell, toilet a pt, get pts in and out of bed, peri-care, and fetch water....

  11. Can 2% lidocaine be given IM?

    emt123277 replied to newnursealice's topic in General Nursing

    Not everyone in the ED gets an IV, especially in minor care. We typically mix our IM ABX with Lido. 1% or 2% may be an institutional policy, but we use

  12. What states have a prehospital RN scope of practice??

    emt123277 replied to hopefullICUnurse77's topic in Flight, Surface Transport

    PA requirements for PHRN as per EMS of NEPA: RN License EMT Certification 1 yr critical care exp BCLS ACLS PALS Submit all to the DOH, they issue an authorization to test for the NREMT-P. Then all you...

  13. Bicarbonate

    emt123277 replied to Jenisu74's topic in CCU, Coronary, Cardiac

    it has to do with the transport of hydrogen vs transport of potassium across the cell membrane. i'm not 100% sure but i think for every .1 change in ph there is a .6 change in k. and it's inversely...

  14. Does this follow ACLS guidelines?

    emt123277 replied to aCRNAhopeful's topic in CCU, Coronary, Cardiac

    not a theoretical situation for me. we had a pt who had coded pre-hospital and had rosc. while in the er prior to icu admission the pt did brady down and the pt received 0.5mg atropine while they...

  15. NaHCO3 lead to SVT?

    emt123277 replied to TangoLima's topic in MICU, SICU

    if i had a standing order for adenosine that didn't include hemodynamic parameters for holding the drug in the presence of svt then it would have been pushed. 30-40 minutes of svt as high as 210? you...

  16. Weekend Supervisor :(

    emt123277 replied to prettyinblu's topic in General Nursing

    Yeah, we've all been down that road and it sucks. I had one of these supervisors tell me one day "It's spelled J-O-B not F-U-N, suck it up buttercup". And you know what, I did. Later on she was fired...

  17. Hep c + needlestick

    emt123277 replied to johnson88aj06's topic in Patient Safety Issues

    No antiviral

  18. Moved to PA -- Need FBI Fingerprint Checks (???)

    emt123277 replied to SirJohnny's topic in Pennsylvania Nursing

    Didn't have to go to PSP for my prints. Took forms from my employer and went to the UPS store. They have the digital fingerprint submission to the FBI for Childline abuse screens and background...

  19. Philadelphia Area "New" RN: 30 applications rejected : When will my dream come true?

    emt123277 replied to HelloNurse_RN's topic in Pennsylvania Nursing

    Sometimes you need to apply outside the area in which you live. I work with several nurses who are commuting 1 to 1.5 hrs each way. There are several open positions at St. Luke's and LVH Systems in...

  20. how do raises work at your hospital??

    emt123277 replied to doglvr's topic in Pennsylvania Nursing

    I'm fairly certain that the ACLS and PALS courses at Luzerne are for the medic program only. I know Jim Johnson (Director) and was told I could be "squeezed in" to the ACLS and PALS classes as a...

  21. Inappropriate ICU admissions

    emt123277 replied to sunnycalifRN's topic in MICU, SICU

    Happens all the time. Our docs think the staffing on the floor, between GNs and lazy nurses, is unsafe. We had a TURP admitted for CBI and the doc justified the admission because "If I put him on the...

  22. How much lorazepam have you given....

    emt123277 replied to sassyrn333's topic in MICU, SICU

    Answering your Librium question, I was dosing 25mg q 2hrs and the pt didn't even slow

  23. Intensive Care Patient Gowns

    emt123277 replied to Jennifer Opie's topic in General Nursing

    Our facility uses 4 types of gowns. The standard gown hospital wide has shoulder snaps and a front pocket to accomodate tele. We use these in the ICU as well. There are larger gowns for bariatric pts...

  24. Dopamine calculation

    emt123277 replied to ernbabjr's topic in NCLEX Exam, Programs

    It's not on NCLEX and it's also a thread that died in 2007 which I just realized

  25. My vent and What I will learn from it?

    emt123277 replied to SmilesNoir's topic in General Nursing

    alcohol doesn't sterilize the prepped area, but blowing on it isn't kosher either. "wait till the alcohol dries so it doesn't hurt" - you really said this to the ma? like seriously thinking that it's...