GreyGull

GreyGull

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  1. Things that make you go hmmm...Nurse on Twitter?

    This has been addressed where I work since we have many young patients who are technology dependent. Those who are family members or authorized direct care givers are given personal updates on medical...
  2. Yahoo once again touting RN Jobs

    These articles are misleading and probably placed by an ad agency working for the private votech schools and very expensive colleges listed on the site. For any profession you click on you will get...
  3. Can an RN be be an nursing assistant?

    It will depend on your state and hospital. We do have employees who worked as CNAs, Transporters and Phlebotomists during nursing school and are still working in those positions after being licensed...
  4. Dealing with adverse events in the ER.

    The hospitals I work at prefer to have individuals see a qualified counselor. While group sessions can be useful, they sometimes bring up individual emotional issues that were triggered by an event...
  5. Wow...just wow.... Saw the scene in the daylight on the news. It is fatiguing and stressful for all involved in situations like this. There was no warning or time to prepare. The residents literally...
  6. I am watching the horrific events happening in San Bruno, CA tonight. San Bruno is by the San Francisco Airport. A high pressure gas line explosion has devastated a neighborhood and has put several...
  7. Sad... The count so far is 1 confirmed death, at least 5 critical burn patients, several more burn and smoke injuries, 53 homes destroyed and 120 damaged on 10 acres....
  8. Dual license?

    For different employers it will probably be possible without any conflicts. However, for any perceived conflicts, it would be best to contact the licensing boards for each. Others have had concerns...
  9. Interesting topic....

    Right. According to the CDC site the 2010-2011 flu vaccine will protect against an influenza A H3N2 virus, an influenza B virus and the 2009 H1N1 virus that caused so much illness last
  10. Only 1 Oxygen/Vacuum outlet in semi-private rooms

    I've been in newer hospitals where the design was so flawed it didn't matter how many outlets there were. They were either unreachable or placed where they were unusable or at least not to be used...
  11. How to contact a local legislative official

    House of Representatives http://www.house.gov/ Senate http://www.senate.gov/ Also, the nursing associations will have the latest issues being addressed on their websites. They may also have the...
  12. Interesting topic....

    If you register for Medscape, which is free, you can pull up the article. Medscape is a decent site to access the latest medical articles and you can customize it to what area interests you. I'm mixed...
  13. Only 1 Oxygen/Vacuum outlet in semi-private rooms

    Most of our semi-private rooms have only one O2 and vacuum outlet. Y connectors are used. A couple of our ICUs are also older with limited O2 outlets so a rail system is used along with Y connectors....
  14. Field Start IV policy

    That is interesting. In our ICUs, RTs used to change the ventilator circuits q48 hours and the inline suctions q24 hours. Now, the circuits are once a week (with most pts being extubated by then) and...
  15. Field Start IV policy

    Unfortunately, aseptic and clean technique often get blended and are open for interpretation especially when not specifically spelled out. Unlike many hospital P&Ps, EMS protocols can be written...
  16. Do not spare me..

    No, that is not correct. You can take the NREMT and apply for another state's certification to work. Just about every state allows you to do this with the NREMT certification. LVNs can also move from...
  17. It probably isn't that they don't recognize you, they are caught up in dozens of issues that go along with the day to day activities of running a business. Healthcare is a business, like it or not....
  18. Do not spare me..

    In most states, EMT is still about 110 hours which could be completed in less than 3 weeks and there are no prerequisites involved except for a high school diploma or GED. If the ED hires either CNAs...
  19. Do not spare me..

    Have you checked the state or community technical colleges for this program? Any school that doesn't post its prices but just gives a link to the loan officer probably charges way more than it...
  20. Question re ACLS

    Check with the AHA for an ECG course which is recommended for those preparing to take ACLS. It is usually a weekend course which may include the pharmacology. Class locator:...
  21. National Patient Safety Goals 2010 http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/ Other safety resources: 5 Million Lives Campaign (formerly 100,000 Lives) by Institute for...
  22. Field Start IV policy

    what about the studies that have shown ems ivs to be started and never utilized? or, just started because they felt they had to because they are "als"? or, for billing purposes? or the emt-bs who...
  23. SPIT AT....AGAIN!

    That's not the way BiPAP works unless you are using one of the cheap prehospital models. For home care and the hospital models, the IPAP and EPAP along with the rate control flow as does the rise and...
  24. SLPs are actually in big demand. However, it may not be a good fit for you either. Patients sometimes gag and vomit during their swallow studies. You'll have to suction and clean that up. Also, if the...
  25. ACLS mnemonics

    A blast from the past to go with that bretyllium. Elvis (epinephrine) Loved (lidocaine) Big (bretyllium) Mama (magnesium sulfate) Presley (procainamide). Seriously the hardest thing to remember is the...