matt033174

matt033174

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About matt033174

critical care nurse in rural oklahoma

Latest Activity

  1. MRSA policy

    I think CDC would laugh at you if you called them on a MRSA. Our policy is like some of the others 2 cultures from an infected site 4 hours apart showing neg. We also have to show a neg nasal swab from the same patient to confirm no colonization.
  2. RN intubating in the ED

    Thanks for all of the input. We have decided after looking at everything that we will not proceed. It will just require to much CE and followup. Just wouldn't be benificial. Thanks for everyones help.
  3. Expert nurse

    I've been an ED nurse for 12 years and I can't think of a single field of nursing where you do not need to keep learning. Thinks change in medicine all of the time. I have been in medicine for only a short time and have seen medicines come and goproc...
  4. RN intubating in the ED

    Now I am confused. Was this quote form the above web site in agreement or disagreement of my quote. Because when I do a little search I see Physicians and even Dentist that used anesthesia before the end of the 19th century. So a nurse did challenge ...
  5. RN intubating in the ED

    First off I am a Guy not a Girl. Second I wasn't wondering who had the bigest set or who has seen the worst stuff. I asked for thoughts on the subject. I am glad for everyones thoughts. Mike I agree that this is not something to take lightly. I ha...
  6. RN intubating in the ED

    This wouldn't be someone who never did it anyway. This would be continued training that included working with a CRNA for several months on intubation. Then they would have to perform X number with that CRNA to show competency. They would then need to...
  7. RN intubating in the ED

    13 times was a bit of a exaggeration. The more we look the more we don't really think we want to do it. By the way what is PH-RN.
  8. RN intubating in the ED

    Thanks for your thoughts. The more we get into it the more we really don't want to get into it.
  9. RN intubating in the ED

    See I'm not sure you could really include RSI or induction drugs in. Just seems like there are so many thoughts on what you use. I don't think we would include this as something our RN's could do. What we are really looking at is last resource situat...
  10. RN intubating in the ED

    Sorry above was responds
  11. RN intubating in the ED

    well here is the deal though. We only have a total of 8 doctors at our hospital. We have 1 surgeon and 1 CRNA on call. We look at a mass casualty situation the surgeon and CRNA will be in cases most likely so that knocks out the most qualified intuba...
  12. best advice for new ER nurse

    I can't speak to a big ED, but in mine (rural oklahoma, 4 trauma beds, 6 exam/minor beds) we work as a team. You kinda rotate through who gets the next trauma or emergent patient, seeing non-emergent, and triage patients. We don't really assign who g...
  13. best advice for new ER nurse

    Welcome to the family. Start looking at your critical care classes. ACLS, PALS, TNCC, ENPC. They will clear up alot. And I agree quiet kids are dead kids. Find a good person in your ED to mentor you. And keep every text, flyer, hand put you ever get ...
  14. I had one guy who told me in triage he had a bee sting on his arm and he had an allergie to them. When asked how long ago ut had happen thinking at the most a hour, he told me 3 days earlier. Needles to say you couldn't find the sting on his arm I al...
  15. Spouse of an Er nurse needs help

    I've only been married for 9 years but I agree with you. You need to help her with the stress anyway you can. Show her how pround you are and how much you love her. My wife knows if I come home and talk about anything other than maybe the nurses I wo...