emt123277

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 your gin. also only providers with anesthesia priv...

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 Medical Center has open positions listed. Also Hazleton...

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 spend more time looking and less time lamenting abo...

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 grads needing jobs. Our Med-surg/tele floor lost 6 R...

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 major fluids via a Level 1 Infuser or pressure bag...

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 20yrs+ experience that couldn't lead the group to sav...

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 machine and taking it for face value. the bp was ...

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

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 have to hear a congregation of them complain about...

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. When they can assess, teach, hang blood, perform ...

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 1%.

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 have to do is pass your NREMT-P. That's the offic...

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 proportionate.

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 still had an electrical rhythm (20's). i was charge nu...

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 can't argue that the pt's heart didn't experience ...

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 and I'm still at the J-O-B. Karma.

No antiviral therapy?

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 checks. Had a copy of the results in ten business days. ...

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 Bethlehem and Allentown and I know several new grads...

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 favor. go on www.bccc.edu under their EMS section. Look...

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 floor they'll let the bags run out and he'll clot ...

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

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 but they also have the same snaps and pocket. Ther...

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

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 not the needle going into your arm that made it so...