GreyGull

GreyGull

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  1. Do you think the CDC is biased?

    2003 Pres. Bush's smallpox vaccination fiasco. This project did not have the full support of the IOM and ACIP. And then there's the Cutter/Salk vaccine that is well documented in history. Those are...
  2. What would you do? or what should you do?

    I would say don't work a patient who is a DNR that has no signs of life. However, a patient shouldn't die from something that is easily reversible either such as a little too much medication or fluid....
  3. What would you do? or what should you do?

    Our Rapid Response Team is sent to an unstable DNR patient. If they have no signs of life, then, no. A code team can be initiated when the need for resuscitation is a possibility. If the patient is...
  4. Just wondering...

    Computers have eliminated alot of these problems and the pharmacists will call the physician if the order was entered by the physician. However, it the hospital still uses hand written orders, the...
  5. getting walked on

    Telling someone not to yell may work well if the patient has some capacity for reasoning or rational behavior. However, many of the patients we see may not be on their psych meds or should be on psych...
  6. New to EMS & starting nursing school

    Be warned that is an extremely competitive position especially now and literally hundreds of EMTs are applying for these positions. We get at least 200 applications for each opening. I don't want to...
  7. New to EMS & starting nursing school

    You haven't worked in EMS yet with your EMT certification. Therefore you probably don't have too many expectations for either EMS or nursing to compare. The EMT course is first aid at a basic level....
  8. getting walked on

    Don't make their problem become your problem. The patients don't know you and whatever they yell at you should not be taken personally. Maintain a professional attitude until it is determined if...
  9. I do thank you for your compliments but my knowledge is probably the same as many others with gray hair or for each strand of hair lost while being in health care. I am going to ramble on a little...
  10. For Wake County, their EMS system is not that much different except for the way it is funded and that it is not Fire Based. They use an extra Paramedic in a fly car who is trained to do RSI, initiate...
  11. Respiratory Therapists work under a Medical Director just like all the other departments including PT, OT, and Radiology. AND, just like RNs who have protocols in placed signed by the Medical Director...
  12. Now that is insulting! Nurses in hospitals don't have to think as much? An RN on a Flight team, CCT or Specialty team is hired for his/her knowledge and experience in critical care situations. They...
  13. I think there is a misconception when it seems medics identify with physicians because they do a couple of "physician like skills". Very few medics are actually trained by physicians in their...
  14. The thing with being a Flight RN, you really need to have a wide range of critical care knowledge and experience. The patient may need a ventilator, VAD or a wide range other other devices and meds....
  15. How mny umbilical lines did you place in the back of an ambulance as an EMT or Paramedic? You are still counting "skills" and missing the big picture of knowledge and experience. Flight or CCT will...
  16. Hospital Closing??

    People don't all leave because they have their pensions at stake and want to see if a severance package will be offered. Not everybody is mobile and can immediately job hop. Some also know that the...
  17. Pulse oximeter

    We do not use pulse oximeters for continuous monitoring on the floors where there is not a central monitoring system. If it can not be heard and responded to in a timely manner, that device will make...
  18. trying to keep track of the trach threads. i also posted this on the other thread. the main thing is to know is what type of opening the patient has and where it goes or doesn't go. then you can more...
  19. The main thing is to know is what type of opening the patient has and where it goes or doesn't go. Then you can more easily refer to the proper P&P in your manual. This depends on the type of...
  20. I think we just went through this topic a few days ago. https://allnurses.com/nursing-student-assistance/when-trach-tube-509301.html The main thing is to know what type of stoma and procedure your...
  21. Trauma!

    It is not a matter of "hoping" you can keep a patient's chart confidential. It is a matter that you WILL keep patient information confidential or you will be hoping you can keep your license and not...
  22. Trauma!

    Sexual Assault Forensic Nurse http://www.amrn.com/faq.html Yes but it is a very patient focused job full of meticulous assessment, data collection, caring and compassion...not
  23. Trauma!

    Remember these patients may be true victims of a very violent crime. They are not there just for your excitement. Keep in mind that you can be called to court if they disclose too much about the crime...
  24. If a trach comes out for a patient who is a tracheotomy, have someone occlude the stoma with a nonporous dressing if available and use the regular BVM (Bag and Mask) to ventilate over the face as you...
  25. quick questions about trach care

    If you allow an airway to plug just because a "doctor's order" says one per day, you are negligent...period. You can still maintain a patent airway and abide by the physician's orders. To allow a...