matt033174

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.

Do any of you work at hospitals where RNs intubate patients in the ED under certain situations? We are looking at this at our hospital. What training do you require of these nurses. I've heard some say ACLS, but I teach ACLS and don't feel it rovides...

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.

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...

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 ...

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...

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...

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.

Thanks for your thoughts. The more we get into it the more we really don't want to get into it.

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...

Sorry above was responds

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...

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...

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 ...

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...

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...

after speaking to the obn intubation doesn't seem to be forbidden. competency must be determined though. i just want to get a feel of what other hospitals and nurses think. i don't think it is something any nurse should do but i don't feel it should ...

Well we do have RT that intubates at times. we have checked with our state board and there is nothing in our practice act that is against it. And it is not something we want to occur routine. Our problem is we are a rural hospital. We have a 10 bed E...

Oh and by the way Congratulations. Glad to have you in the family. ED will be the best and worst job you have ever had and sometimes all in the same day. Good thing is the good almost always outweighs the bad by a long shot. Just to rememer and enjoy...

Nice Gauge/DeSoto reference.

This is not mine My brother is a Xray tech. He went to Nuclear Med school in Memphis and while in school he worked weekends as a tech. One night he got a call at 2 a.m. to do a barium enema on a 92 year old women who was DNR and on lots of MS. He fea...

we had a dead body come in for M.E. exam to b done. He had been dead for somewhere around 2 weeks at home. One problem. He had a dog. A mexican hairless. We it got hungrey. It started at the guys groin and went up into his abdomen. He also ate anythi...

glucose of 1600s with new onset 12 yr old. Been sick 4 days at home came to ED BUN of 120s Ph of 6.89 in a pt that lived. DKA ETOH of 628 in one of our frequent flyers that never was below 300 Trop of 190s

I love golf, like to mountain bike also.

I'm a male nurse and get called stuff like honey, buddie, bubba, etc...Who cares. What ever makes the patient feel good. I might even call them some of those back.