TraumaSurfer

TraumaSurfer

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  1. Hang in there CP2013. Your efforts will pay off eventually and I hope being an RN will give you the career you want. The healthcare business and economy stinks right now. The baby boomer nurses will...
  2. I never said you made a typo. I was referring to the website and their cookie cutter weekend certs and lax spell checking. I didn't say you couldn't take it. I stated RNs can not be certified in...
  3. You can always tell the "warm body" websites. I like CalStar's website better since it gives a more detailed list of expectations. https://home.eease.adp.com/recruit2/?id=1096571&t=1 CPR comes...
  4. You just graduated in August? Many new grads have been looking for an RN job for well over 2 years. This also includes the aspiring CRNAs from that group. The problem I see is a lack of flexibility....
  5. I only know one state where it is an actual state mandated requirement for the RN to have at least EMT. That is Florida. What are the other states Don1984? There must be at least a couple more since...
  6. when to suction?

    The mom may also want you to make sure the trach is patent and in place. If you go online and look at all the adverse events related to this you might understand the mother's reasoning for being a...
  7. Considering a career in nursing (EMS background)

    A few things to consider.... You are a volunteer EMT now. Are there many paid EMT jobs in your area and how many applicants per 1 opening? Do you have to be a firefighter to get a job as a Paramedic?...
  8. R.N. Going To Massage Therapy School

    Totally not true. Certification is voluntary. There is not even a basic knowledge test required. Lax Enforcement of Massage Industry Allows Illicit Spas to Proliferate - Police & Fire - Petaluma,...
  9. I have posted links. I have quoted from the links. I don't know how many more ways I can come up with to make this easier so you can understand it. The NREMT is an organization which most states use...
  10. End of CCT Nurses in California?

    Keep up to date. All of this is now in the Advanced Paramedic's scope of practice. Also refer to the link I just posted. This is nothing new since we have been kicking this around for over 3 years....
  11. End of CCT Nurses in California?

    Unfortunately for the patient, it is all about the money. California Paramedic Expansion Encounters Opposition - News - @
  12. Question: AMBU vs. Ventilator

    When you think the pt will desat with a procedure preoxygenate for a few minutes prior and
  13. Paramedic function in ER in Florida

    Get away from the notion that nursing is holding Paramedics back. That is just another ******* match used by those who do not understand JCAHO, CMS and licensing. The State EMS administration wrote...
  14. Paramedic function in ER in Florida

    Florida EMS statutes are pretty specific in their definition of "PRE-HOSPITAL" which defines the Paramedic scope of practice only for that area with recently defined amendments for interfacility....
  15. Question: AMBU vs. Ventilator

    Unfortunately when using the BVM, hyperventilating is also a complication and can cause more problems. Oxygenating is normally the goal in a desat situation unless you know what the PaCO2 and pH are....
  16. Question: AMBU vs. Ventilator

    1. Are there any alarms going off on the ventilator? 2. What are the other vitals? 3. What are the ventilator settings? 4. Was this patient being weaned either on mandatory settings or FiO2? 5. What...
  17. How does your facility treat ARDS?

    Probably because APRV is not understood by physicians or even some RTs. There are too many set notions about certain modes so it is hard to grasp how APRV actually works. They understand it as just...
  18. Changing a trach cannula...?

    Metal trachs are for long term care. You will find them in acute rehab and home care. Many ENT physicians also prefer them for the neck surgery patients during recovery. The stainless steel, comfort...
  19. How does your facility treat ARDS?

    I am going to quote Juan for the 6 ml/kg comment. Most hospitals now follow ARDsnet and start with at least 8 ml/kg and titrate to plateau pressure. A knee jerk blanket protocol does not work for...
  20. I need some advice

    Being brash and being knowledgeable are not the same. You don't even have 2 years in an ICU and you want to drop it. The ED is not the same. You might be able to strut it in the ED which is obviously...
  21. I need some advice

    What exactly do you think safety means and what it involves? Ever hear of things flying into the rotor? What about leaving things behind either at the scene or the station? What about cleanliness...
  22. I need some advice

    What do you think safety involves? It can include everything from weather checks with the pilot to keeping the helicopter and equipment stocked and clean. You can not page housekeeping. These tasks...
  23. How does your facility treat ARDS?

    If you have only seen one HFOV (which have been very common in adults for about 10 years), chances are your doctors are not aggressive enough. If you don't utilize the other therapies first like...
  24. Job Upgrade- level 2 to a level 4!

    There have been a lot of threads addressing this including: https://allnurses.com/nicu-nursing-neonatal/neonatal-reference-books-854848.html There are also threads started by Adult and ED nurses...
  25. Job Upgrade- level 2 to a level 4!

    double