GreyGull

GreyGull

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All Content by GreyGull

  1. *Vent* RN's make toast?!?!?!

    GreyGull replied to WickedRedRN's topic in General Nursing

    We had been making toast for patients (and staff) for many years...until they took the toaster away from us and stated it was a fire hazard. Not many of our patients can even have toast so it wasn't...

  2. Need suggestions for Ett taping methods to help reduce self extubation rates

    GreyGull replied to tracyter's topic in Critical Care

    Patient comfort will prevent most of those unplanned extubations. CXR confirmation is also an absolute necessity. Many patients come out of the OR with the tube high to where it just takes one cough...

  3. Physical Therapy in the ER Setting

    GreyGull replied to LegzRN's topic in Emergency

    It seems some of you may have seen PT doing only a very limited amount of services like walking a patient. The are also the masters of pain relief and have keep many people from going under the knife...

  4. Physical Therapy in the ER Setting

    GreyGull replied to LegzRN's topic in Emergency

    Any particular reason why? PT will usually determine by assessment what therapies and treatment the patient will require before OT can see the patient. We don't see OT in the ICUs or acute floors but...

  5. Physical Therapy in the ER Setting

    GreyGull replied to LegzRN's topic in Emergency

    Do all of your patients need a PT consult? Not every patient needs a PT consult and PT's resources should not be wasted either. However, if it prevents repeat visits or an actual Physical Therapist...

  6. As if it isn't hard enough to find a job....

    GreyGull replied to SDALPN's topic in General Nursing

    It's craigslist and not a professional recruiter. I put finding a decent job on that website with the same class as picking up one of the free papers in the vending boxes on street corners with health...

  7. Physical Therapy in the ER Setting

    GreyGull replied to LegzRN's topic in Emergency

    Often when a patient comes into the ED with a complaint of pain, either chronic or acute, they are given a script for pain meds and told to consult their PCP about getting physical therapy. Rarely are...

  8. Physical Therapy in the ER Setting

    GreyGull replied to LegzRN's topic in Emergency

    Excellent idea! Phyical Therapy is one of the leaders in forward thinking for health care alternatives. I believe PT has made the ED part of their vision statement and are going for that goal. Kudos...

  9. PLEASE HELP, confused

    GreyGull replied to Courtcatt's topic in General Nursing

    Bowel sounds, size, firmness, the amount coming out of the NG, skin warm, cool or damp, signs of hypovolemia and urine urine put should be checked. Since the patient had adominal surgery, there are...

  10. PLEASE HELP, confused

    GreyGull replied to Courtcatt's topic in General Nursing

    What was the SpO2 when this "ABG" was drawn? If this is a VBG, the Saturation is still low which indicates other issues. What was the anion gap? Gap or non gap acidosis? *glucose 383 (confirmed by...

  11. ER. A Clinic?

    GreyGull replied to JSlice.'s topic in Emergency

    What do you suggest we do to those who use the ED as their PCP? Put them in prison which then costs another $20k - $45k per year plus several more thousand for medical expenses? What referral...

  12. ER RN vs EMS

    GreyGull replied to dreso1021's topic in Emergency

    You will probably start to see this more and maybe even in your area. California uses RNs on almost all transports that are considered CCT due to the limited Paramedic protocols by the state and the...

  13. cardiac profusionists

    GreyGull replied to creativetype2007's topic in General Nursing

    The job market for Perfusionist is very competitive and limited. Part of the benefit package you would have to look at is how much of the liability insurance your employer pays especially if you...

  14. ER RN vs EMS

    GreyGull replied to dreso1021's topic in Emergency

    Check out the state that you want to live in first to see what your options are. Many states are mostly Fire Based EMS so you would need to become a FF to find decent employment as a Paramedic. These...

  15. Heated debate between Civilian ED RN and FMF Hospital Corpsman.

    GreyGull replied to testing109's topic in Emergency

    post

  16. Tips for arterial sticks?

    GreyGull replied to putmetosleep's topic in Certified Registered Nurse Anesthetist, CRNA

    I do both so I still try to put myself and the patient in the best position possible. Placing the line in a position that can create discomfort for the patient may shorten the life of that line and...

  17. Tips for arterial sticks?

    GreyGull replied to putmetosleep's topic in Certified Registered Nurse Anesthetist, CRNA

    Make sure you have good collateral circulation by doing a modified Allen's test. Pt should be in a position of comfort with arm relaxed and supported. Something like a gauze roll or towel should be...

  18. RN/Paramedic on a Rig?

    GreyGull replied to Zalan's topic in General Nursing

    No. Whoever is interested should be monitoring their state EMS website. As I stated already, each state is different. The official testing for the levels will be in 2014. However, changes are already...

  19. NRB & COPD your input please

    GreyGull replied to crb613's topic in Emergency

    If you work around intense pulmonary patients such as in the ED or ICU, you should be able to do a few simple pulmonary calculations yourself or at least understand what they mean. The only thing the...

  20. RN/Paramedic on a Rig?

    GreyGull replied to Zalan's topic in General Nursing

    Needless semantics only if you don't know what is going on. I posted the links to get you updated. They will give the information needed for a prospective student to ask the appropriate questions...

  21. ER. A Clinic?

    GreyGull replied to JSlice.'s topic in Emergency

    Many who are uninsured would probably love to have a book of doctors to choose from like most of us instead of getting the luck of the draw at the ED. They might also enjoy having a scheduled...

  22. RN/Paramedic on a Rig?

    GreyGull replied to Zalan's topic in General Nursing

    No, it is not speculation nor should it be of any surprise since these changes have taken 15 years to come around. What is required for each level and the NREMT testing starting in 2014 has been out...

  23. ER. A Clinic?

    GreyGull replied to JSlice.'s topic in Emergency

    Many of our clinics, both county and private, have closed due to budget issues. Some of the health care providers including RNs who worked in those clinics would now more than likely be using the ED...

  24. RN/Paramedic on a Rig?

    GreyGull replied to Zalan's topic in General Nursing

    Very little will change for the Paramedic with the new levels. The EMT-Intermediate with go away. They will either be Advanced EMTs or take a few more hours to bridge to Paramedic. As for the APN...

  25. NRB & COPD your input please

    GreyGull replied to crb613's topic in Emergency

    I am going to elaborate a little more on this. One of the few and probably the ONLY time you ever need a room air ABG is when you are qualifying someone for home oxygen near the end of their hospital...