TraumaSurfer

TraumaSurfer

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All Content by TraumaSurfer

  1. Ribavirin exposure

    That is great the hospital has that policy for visitors. Unfortunately that is not always true in peds. Good luck to you and I hear where you are coming from. I also started another topic so I don't...
  2. I came across a person in distress at an amusment park...

    You do not have to identify yourself as a nurse. In fact I would not. You can be a concerned bystander who is there to offer comfort and initiate CPR if it comes to that. If there is family who is...
  3. Ribavirin exposure

    RTs also handle the medication and equipment directly which brings them into contact with splashes. They also probably see many more patients on Ribavirin than you at one time. If they have 5 patients...
  4. Ribavirin exposure

    I hope you are wearing a gown, N95 and gloves when you enter the room. I can not imagine any other unit still using Ribavirin since it is now just used as a last ditch effort for those in Oncology or...
  5. Ribavirin exposure

    Your best piece of evidence is the consent form the patient or parents sign for the Ribavirin therapy. It should list all of the potential complications or long term effects of the medication which...
  6. If a person codes at Walmart..

    I would want the police to verify this. It is a strange world and this could just be a boyfriend or girlfriend posing as a spouse because they thought that is what your waated. For those who haven't...
  7. If a person codes at Walmart..

    Most states want a signed form. Anyone can get a DNR tatoo...even your child if old enough. There are a couple of companies which do issue bracelets and have a copy of the DNR scannec. But this might...
  8. One more round of "What Would You Do?"

    The best part is the EMTs or Paramedics will wait at the school for the parent to ask mom or dad about 30 minutes of questions. These will be some of the same questions you will be asked in the ED....
  9. If a person codes at Walmart..

    You or your DPOA could try to sue but it won't go far. The laws are very clear in all the states about this. Even in ICU we don't stop a code unless the IDENTIFIED DPOA and/or doctors agree. You...
  10. You really think education is crazy? That means over 1.5 million nurses who hold at least a BSN are crazy. There have been many comparisons done for the education levels of nurses in several other...
  11. One more round of "What Would You Do?"

    Wow where do you live? You mean anyone who twists an ankle or bruises a finger tying their shoes can get a free ambulance ride? I bet some hobble across the street to a city park just for the free...
  12. Next to EMTs and Paramedics, RNs in the US have the least professional education requirements of all health care professions. Even "Assistants" (PT, OT) require a minimum of an Associates. Nursing in...
  13. O2 percentages and liters

    The principles still apply for O2 delivery devices regardless of location (ICU or SNF). You just have to know what type and have some working knowledge of each device. Most of my info and references...
  14. O2 percentages and liters

    The physician might write orders for 10 different hospitals, facilities or units. All might use different equipment. Have the doctor write for SpO2 (>/) and your facility or unit should have a...
  15. O2 percentages and liters

    I agree with most of your post but there are some major concepts which need to be cleared up. The "FiO2" dial on oxygen devices are not allowing "air to escape". These O2 devices are ran by what is...
  16. Mobile/Cell Phones at the bedside??

    We use the hospital issued smart phone which has a few apps for calculations and medical reference. The advantages of a hospital issued smart phone: You don't get your own phone into nasty messes...
  17. One more round of "What Would You Do?"

    Call parents, There is nothing an EMT or Paramedic can do for this except give a very expensive ambulance ride to the closest facility. But, I would make sure the parents know what would be the most...
  18. who can carry o2, with the intent to administer?

    If a Paramedic is working under a different title or not for the ALS agency which normally employs them, then they must abide by the job description they were hired for and currently working at. If...
  19. How to welcome a new staff member to the ED

    A team? If your team is a group of like pranksters I doubt if you would be asking for advice here. A "team" of pranksters could easily come up with their own pranks. I bet your ER is as diverse as...
  20. How to welcome a new staff member to the ED

    If they aren't on the same page expect HR to add their perception as they are handing you your last paycheck. It only takes one person to claim a prank is offensive and it does not have to be the one...
  21. How to welcome a new staff member to the ED

    Pranks? Rather silly and stupid if done in the patient care area. You must have a lot of nothing to do if you can have someone stand idle waiting for a nonexistent patient. Taking someone from...
  22. What more do I have to do to get a job in the ER?

    I read your other posts in the School Nursing section. You are NOT a nurse. For some reason you seem to believe you are just like a nurse. To be a school nurse you should have a BSN, RN and maybe a...
  23. What more do I have to do to get a job in the ER?

    Paramedics are usually limited to only a few meds by their scope of practice. There training is usually only for those meds. They usually do not even get the same college level A&P classes. Would...
  24. Vent settings

    CMV? What ventilator are you using? Again as stated before, many different ventilators use similar terminology but to represent totally different modes. Many ventilators do not use the term CMV at...
  25. Pulling out the trach

    Swelling is not normal. The stoma might close quickly depending on the method the opening was made but it is not due to swelling. If there is swelling it could be a sign of infection or trauma....