TraumaSurfer

TraumaSurfer

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All Content by TraumaSurfer

  1. Pay rates vs staff rates

    TraumaSurfer replied to travelnursebeth's topic in Travel

    Traveling is not for everyone. Traveling is an option. You do not have to travel. Stay at home and take a staff position. People who travel do it to see other parts of the country. Are you able to...

  2. Interested in an RN to Medic Bridge Program

    TraumaSurfer replied to jrutan's topic in Flight, Surface Transport

    The NREMT part is not exactly true. A state can verify that an RN has met the equivalent training to test for Paramedic. Note: This is directly from California's website. Other states also have...

  3. Pay rates vs staff rates

    TraumaSurfer replied to travelnursebeth's topic in Travel

    Are you paying for your own rent and utilities out of that $23? What about mileage? Stipend? Airfare? The staff must exist on what their base pay is which includes paying all of their bills. $28 is...

  4. New to traveling- What's your favorite way to meet people in each location?

    TraumaSurfer replied to kgpatterson87's topic in Travel

    On the west coast there will be many wine events at the wineries or breweries if that is your choice. These events are not a bar scene but a gathering of professionals and average working class....

  5. housing stipends san francisco

    TraumaSurfer replied to globetrotterRN's topic in Travel

    Check out the little city of Alameda which is an island between SF and Oakland. Rents are cheaper and easy access to transit including trans bay and local buses, BART and ferry. A lot of our...

  6. housing stipends san francisco

    TraumaSurfer replied to globetrotterRN's topic in Travel

    There is a lot to consider for SF. Parking both at the apt and at the facility might be expensive if it is even available. Street parking in a neighborhood would require a city permit. If your car is...

  7. Travel nursing- Car question?

    TraumaSurfer replied to adzam08's topic in Travel

    This rating system might give you some clue about the transit systems in different cities. Ranking of best transit systems finds Sacramento lacking - Sacramento Business

  8. Travel nursing- Car question?

    TraumaSurfer replied to adzam08's topic in Travel

    Mileage is a big deterrent. Some lease cars also have prepaid maintenance contracts which are not good in any other state or dealership except at the place of

  9. Travel nursing- Car question?

    TraumaSurfer replied to adzam08's topic in Travel

    It will depend on what city you are in. It is a mistake to get a full time rental car if you are in the San Francisco Bay area. 1. You probably can not park it at the apartment without an additional...

  10. ETT Securement and Position Change

    TraumaSurfer replied to SticU <3's topic in MICU, SICU

    Sometimes the "old school" way should not be forgotten. Recently I was doing a transport from a rather large ED when another patient nearby was intubated. OMG! the Hollister bin was empty! The ED...

  11. Mechanical Ventilation- what's the difference between settings?

    TraumaSurfer replied to Steph, RN's topic in MICU, SICU

    Both modes can be either Volume or Pressure. Both modes allow for spontaneous breathing. However, AC allows for more synchrony with each breath being delivered more consistently. SIMV has "a big"...

  12. ARDS: Should We Be Prone to Prone?

    TraumaSurfer replied to Corey Narry's topic in MICU, SICU

    Still lives on in Hollywood for many TV/movie life support scenes although it is usually hooked up to a nasal cannula. Good

  13. CDC: 1 in 5 in US visit ED each year

    TraumaSurfer replied to Anonymous865's topic in Emergency

    There are many articles written about this and just some observation will give someone a clue as to who and why the ER is used. Many feel they have no place else to go and most of the time they are...

  14. Tech vs. RN

    TraumaSurfer replied to ER Soldire's topic in Emergency

    Isn't checking glucose part of most RRT protocols? You seem to make it sound like they saved the day because they thought to check the glucose. Or, maybe you meant that to be insulting. The nurses in...

  15. Trach cuff inflation and deflation issues

    TraumaSurfer replied to PCATabatha's topic in Pulmonary

    What is the fluid you are using? If it is saline then the port valve and/or tubing is messed up and the trach will have to be changed. Only sterile water should be

  16. Tech vs. RN

    TraumaSurfer replied to ER Soldire's topic in Emergency

    This is exactly my point. Even some Paramedics themselves are convinced they do not need to know any of the "whys" and all that book learning stuff is crap. You just do the tech skills and run the...

  17. Tech vs. RN

    TraumaSurfer replied to ER Soldire's topic in Emergency

    Nurses are exposed to much more than you think but then that is where the confusion begins. EMTs and Paramedics believe RNs should know what their scope of practice and prtocols are even though they...

  18. Tech vs. RN

    TraumaSurfer replied to ER Soldire's topic in Emergency

    I think this bears some clarification since it is often misunderstood what extension of a physician actually is and often confused with Physician Extender. Neither in the hospital nor prehospital is...

  19. Bipap/Cpap

    TraumaSurfer replied to %)'s topic in Pulmonary

    It depends on the level of support. V60s are considered BiPAP machines and ventilators. They can be hooked up to an ETT, trach or face mask. The Vision and most BiPAP or CPAP machines can be also...

  20. Nebulizer and Oxygen via nasal cannula

    TraumaSurfer replied to nurseirene112's topic in Pulmonary

    Sure if you want to decrease the amount of medication given to the patient. The purpose of a nebulizer is to get the medication to the lungs. If the nares are plugged with nasal cannula prongs, unless...

  21. CCEMT-P?

    TraumaSurfer replied to traumasurgRN's topic in Flight, Surface Transport

    After 20 years as a Paramedic with a FD I moved on to getting a BSN to work as an RN. I already had a Bachelors in another field which was heavy in the sciences. Advancing one's education is a great...

  22. To Suction, or Not to Suction

    TraumaSurfer replied to IKnowYouRider's topic in Pulmonary

    Another thing to consider is aspiration and this should be assessed thoroughly. Treated for GERD? Is the patient on cuff deflation trials? It may take awhile for the patient to get tolerate air...

  23. To Suction, or Not to Suction

    TraumaSurfer replied to IKnowYouRider's topic in Pulmonary

    LTAC? Was the aerosol a venturi humidifier? If so, you need to track the FiO2 rather than the liter flow to give you a better indication of his oxygenation status. SpO2 refers to oxygenation and...

  24. CCEMT-P?

    TraumaSurfer replied to traumasurgRN's topic in Flight, Surface Transport

    After reading what other countries put their Nurses, RRTs and Paramedics through, I see some CCT transports as a band aid offering a speedy transport while hoping the patient doesn't die or require...

  25. CCEMT-P?

    TraumaSurfer replied to traumasurgRN's topic in Flight, Surface Transport

    Let's take "love" out of the equation here. Personal preferences should not blind you on the job. How much training do your Paramedics receive in an actual ICU working with IABP and Ventilator...