TraumaSurfer

TraumaSurfer

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All Content by TraumaSurfer

  1. O2 bad if pt already 100% RA?

    There is not much argument about hyperoxygenation or hyperoxia. The problem is in assuming an SpO2 of 100% means the patient has a PaO2 high enough for the definition of hyperoxia. For post...
  2. O2 bad if pt already 100% RA?

    Did anybody actually look at the references used for this article? Sometimes it is difficult to use an article such as this one by Mr. McEvoy which is composed of exerts taken to support his own...
  3. O2 bad if pt already 100% RA?

    Never assume the SaO2 is 100% just because of an SpO2 number with or without symtoms. Unless you understand the components measured, your assumption could be wrong. The other components are measured...
  4. Respiratory question for a patient with a trach...

    It is this "understanding" of O2 liters and FIO2 which appears to be causing the problems. It is best to have a working knowledge of the basic ptinciples and equipment. But, unless a doctor is a...
  5. Highest PEEP you've seen?

    Per ARDSnet protocol you can use a PEEP of 24 cmH2O. Anybody who has worked the ICUs for 20+ years might remember PEEPs of 50 or more in trauma
  6. O2 bad if pt already 100% RA?

    It depends on the clinical situation. Some situations may have a need for the "risk of free radical" damage to offset a more immediate
  7. Nursing and c-spine procedure

    The injury is now known and steps have probably already been done surgically to stabilize the neck. Now, before you make any judgment, you need to find out some information about the patient but that...
  8. Don't you know about tax districting and state legislatures for funding? Please post a Bachelors degree which only requires 120 quarter hours. That is barely an Associates degree. You have no...
  9. Fantastic that your ASN program taught you everything where you could come right out of graduation and take over an open heart unit. But, you are the exception. Some seem to put the ASN on a...
  10. No more phlebotomist in the hospital?!

    These are ALL nursing duties. They were nursing duties long before we had the luxury of having techs when reimbursement was going well and they have continued to be nursing duties in several hospitals...
  11. Being trialed as tasks and reading to learn more about the advances might also be two very different things. How many times have you said or heard said, "can't tell you why", "don't know how it works...
  12. Did you miss the last sentence where ESME12 said the BSN is worth getting for new grads? I have posted links to support my statements. You have bragged about yourself while trying to discredit the...
  13. We have parent/staff educators and case managers who are salaried and work in the hospital. We also have nurses associated with the informatics department to help resolve issues and do training who...
  14. No more phlebotomist in the hospital?!

    Aren't you at the bedside? If a hospital does have a Phlebotomist, EKG tech or RT it might only be 1 per 300 patients. Do you really want someone with chest pain to be #10 in the line of other chest...
  15. Your posts are amusing but difficult to follow. You flip flop on your history and contradict yourself in your own personal timeline. ADN does not equal BSN. Your school allowed you to be an RN...
  16. No more phlebotomist in the hospital?!

    We haven't had phlebotomists, EKGs techs nor RTs in some areas for a long time. Patient care has actually improved. RNs don't have to page someone, wait for them to decide to return the call and...
  17. What do you believe the education level for teachers should be? A 6 month certificate? Did you know that the salaries of teachers depend on tax base and public funding through tax amendments? I bet...
  18. Did you know that the teachers educating your kids in the US school system need at least a Bachelors and most have a Masters just to teach elementary school but are paid half of what RNs make in some...
  19. This can be deceiving for pay since Magnet level hospitals are trying to restructure their pay scales. There also fewer ADNs at some steps and units so you won't notice a differential since the pay...
  20. What is your definition of education? A university can not do it all but can give one the resources for a good start. Some of the responsibility has to fall to the individual. What exactly are you...
  21. You may laugh at the advancement of education for nurses in the future but I still believe the BSN is possible as the entry. Are you working in NZ now? Working in another country is on my bucket...
  22. Don't fear the future. Nurses in the US are lagging behind what other health care professions and nurses in other countries have already gone
  23. Is it because the ADNs are paid less or that employer knows they will not be job hopping since other hospitals may prefer BSNs? Interesting that a Magnet hospital is not promoting higher education....
  24. Please post some links. I was not aware only an ADN was all it takes to get into NP school. Is this true in all states or just your
  25. What are you talking about? Do you not understand the difference between semester and quarter units? The UCLA system is quarter as I pointe out. At minimum some colleges have 160 units but UCLA just...