TraumaSurfer

TraumaSurfer

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All Content by TraumaSurfer

  1. I need some advice

    TraumaSurfer replied to TexanTough's topic in Emergency

    Working flight or any type of transport is about adaptability. Flight is not all glamour and glory. It probably has more tasks which you might consider menial or even ridiculous but they all serve a...

  2. Are we tyrants?

    TraumaSurfer replied to Bortaz's topic in NICU, Neonatal

    Waving a PT off because the pt is medically unstable is not the same as these bullies. Unless you are actively in the face of every staff member and the family, you are no where close to these nurses....

  3. Are we tyrants?

    TraumaSurfer replied to Bortaz's topic in NICU, Neonatal

    Your example is not the same. You will still allow that PT to assess and do their job fully. Often PTs will ask or even postpose therapy if they feel it is inappropriate even though you are chasing...

  4. Are we tyrants?

    TraumaSurfer replied to Bortaz's topic in NICU, Neonatal

    Read some of the support forums for mothers of NICU infants or the complaints made about nurses who cross the line of ownership. Bottomline, these babies are in NICU for a reason. The baby is not...

  5. Are we tyrants?

    TraumaSurfer replied to Bortaz's topic in NICU, Neonatal

    Spend 8 years in a progressive NICU and see what a team approach can do for a baby. Time to enter the 21st century and bring your NICU

  6. Are we tyrants?

    TraumaSurfer replied to Bortaz's topic in NICU, Neonatal

    [QUOT Oh- and if the kid accidentally extubis for privacy so they can play on the internettes, in my experience at facilities, it's not on the RT, it's on the RN. So yeah, we're super protective of...

  7. Are we tyrants?

    TraumaSurfer replied to Bortaz's topic in NICU, Neonatal

    Surely you have read what you have written. Keep up with the journals. The NICUs (or any ICU) which have adopted an interdisciplinary team approach have the best outcomes. The units which maintain...

  8. Are we tyrants?

    TraumaSurfer replied to Bortaz's topic in NICU, Neonatal

    It also sounds like he would prevent others like PT and OT from doing their job or making them hurry which would not be in the best interest of you baby. I also would rather have the nurse who...

  9. Are we tyrants?

    TraumaSurfer replied to Bortaz's topic in NICU, Neonatal

    The only problem with that is YOU do not hold a license in their professions. If something happens to the airway or ventilator YOU will be the first to throw the RT under the bus. If the Xray is...

  10. Patients who ask if you got a flu shot

    TraumaSurfer replied to RxOnly's topic in Ambulatory Care, Clinic

    It is a very valid question especially if the patient has been through a cardiac or pulmonary rehab, chemo or rad tx, tranplant recipient or on the candidate list or any other immunosupressive...

  11. Would like to be a PHRN. Which to get first... RN or EMT-P?

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

    Let's look at this realistically and from a more employability stand point. What exactly is your goal as a PHRN? In Florida as in other states, RNs who work outside of a hospital are usually CCT...

  12. Would like to be a PHRN. Which to get first... RN or EMT-P?

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

    Florida does not have the PHRN. But, the state does have an outdated rule about RNs needing the EMT or Paramedic cert for some types of prehospital or out of hospital transports. To make this easier,...

  13. ya just gotta sigh......

    TraumaSurfer replied to JBudd's topic in Emergency

    People not in the medical profession may not know what a foley is or where it goes. Many patients may not know what it is called even if they have one because some healthcare professionals don't...

  14. What do ICU nurses do with ventilators in USA?

    TraumaSurfer replied to StevenSwife's topic in MICU, SICU

    In the US, a "vent" comes with a complex list of other skills and responsibility. The RTs are responsible for the alarm systems and doing their own cleaning and decontamination as well as set up for...

  15. End of CCT Nurses in California?

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

    The paperwork is now being finalized in California. California County Expands Role of Private Ambulances - News - @ JEMS.com Bye-Bye CCT-RNs. Orange county will be the first to start eliminating RNs...

  16. Documentation of EKG in ED for reimbursement purposes

    TraumaSurfer replied to Jennifer Boston's topic in Emergency

    How much do you like your job? Healthcare is a business. If you don't like to work for money, try to live off of a volunteer job. And stupid stuff like your statement is why hospitals don't get...

  17. Incorrect 12 lead interpretation

    TraumaSurfer replied to nursej22's topic in Cardiac

    Discussing a specific incident which could be identified by a co-worker or someone who knows your workplace and they know people to ask "out of curiosity" can place this in the same category as...

  18. Incorrect 12 lead interpretation

    TraumaSurfer replied to nursej22's topic in Cardiac

    HIPAA does not have to apply for something to be a privacy violation either/or/and state or facility. If the OP has ever posted something to identify where he or she works that narrows it down.. The...

  19. Changing a trach cannula...?

    TraumaSurfer replied to EGVnurse's topic in Pulmonary

    Are you in a homecare setting or a facility? Facilities will have trach care policies. Home care will have orders sets. The frequency of actually changing the cannula will vary but it still must be...

  20. Failure to maintain sats on ventilator

    TraumaSurfer replied to nurseJinicu's topic in MICU, SICU

    The MEDICAL DIRECTOR of respiratory therapy is a DOCTOR. That is why I suggested the RT contact his MEDICAL DIRECTOR (DOCTOR). If the hospital can not come up with a better alternative then...

  21. NG tube in an intubated patient

    TraumaSurfer replied to stephynic21's topic in Emergency

    Something to also remember is the cuff on an ETT does not keep things out. The cuff is only inflated to a minimal leak or just enough of a seal to help with ventilation. It also does not prevent...

  22. Failure to maintain sats on ventilator

    TraumaSurfer replied to nurseJinicu's topic in MICU, SICU

    Too bad this RT did not suggest another ventilator like even the HFOV and maybe nitric oxide long before now. FAIL. The RT should have been calling his medical director to get advice on getting the...

  23. ARDS common in your ICU?

    TraumaSurfer replied to RNnewbie2014's topic in Critical Care

    Your instructor is looking at old statistics. The death rate is now about 40%. This is due to advances in recognizing and providing more effective therapies. www.ardsusa.org For individual hospitals...

  24. Interested in an RN to Medic Bridge Program

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

    The part you quoted is for entry level brand newbies with ZERO other medical training. Read what I quoted from California. Also look up the other states which allow RNs to take the NREMT-P exam and...

  25. Interested in an RN to Medic Bridge Program

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

    I think you did not read what I quoted. The RN can be qualified to take the NREMT (Paramedic). If the state says the RN meets the equivalent requirements, the RN can take the NREMT. Most states...