GreyGull

GreyGull

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All Content by GreyGull

  1. O2 Sat 88%-90%, MD no action, opinions.

    GreyGull replied to NocturneNrse's topic in General Nursing

    Here is a good link for those who are not familiar with the Oxymizer. http://ccn.aacnjournals.org/cgi/content/full/22/4/41 Remember COPD may not be the only disease process you are

  2. O2 Sat 88%-90%, MD no action, opinions.

    GreyGull replied to NocturneNrse's topic in General Nursing

    I addressed that in my first post. I also expanded when some may not have seen a 5 L oxymizer as significant amount of O2 regardless of SpO2. The RN was correct in calling the physician and...

  3. O2 Sat 88%-90%, MD no action, opinions.

    GreyGull replied to NocturneNrse's topic in General Nursing

    Respectfully, If the patient is hypoxic, you can not use the hypoxic drive theory as a reason for "knocking out his respiratory drive". I believe Dr. Kamen had his glory days in the 60s. For the...

  4. O2 Sat 88%-90%, MD no action, opinions.

    GreyGull replied to NocturneNrse's topic in General Nursing

    Since this patient is on a 5L oxymizer with an SpO2 of 88%, that is significant and indicates a widened A-a gradient. This does not appear to be just the run of the mill 2 L NC COPD patient. It was...

  5. Cool Jobs to do after you gain ER experience

    GreyGull replied to yankee nurse09's topic in Emergency

    Back to the topic. Universal Studios and Disneyland employ RNs. I recently saw at ad for an RN at Universal Studios, Hollywood. I've heard that working for the Mouse has some decent perks and...

  6. Cool Jobs to do after you gain ER experience

    GreyGull replied to yankee nurse09's topic in Emergency

    Some of my posts may come off as "cocky" or "know it all" if you do not have much experience in the areas of the topic. Looking back I asked you about nursing education in your profile and you stated...

  7. Cool Jobs to do after you gain ER experience

    GreyGull replied to yankee nurse09's topic in Emergency

    Being a FF is a totally different career. Many have made the move from health care to another occupation such as IT, machinist or bus driver for whatever reasons. If an EMT or Paramedic cert is...

  8. Cool Jobs to do after you gain ER experience

    GreyGull replied to yankee nurse09's topic in Emergency

    Several reasons and most have to do with pay and pension plans. Few hospitals can match a FD pension plan. The hours or days works and benefits at the FD also leaves an RN open to work a hospital job...

  9. Cool Jobs to do after you gain ER experience

    GreyGull replied to yankee nurse09's topic in Emergency

    For CCT and especially Flight nursing you should have at least 3 years of experience in some progressive ICUs. The IFTs rely heavily on critical care experience which you will not normally get in the...

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

    GreyGull replied to testing109's topic in Emergency

    To be a nurse in each state requires a amount of minimum education. That is usually a minimum of an ADN or two year degree. You can list all the "skills" you want but the minimum requirement for a...

  11. Qick question about Excelsior

    GreyGull replied to jamienR's topic in General Nursing

    Make sure your state BON is on board with Excelsior. Also, due to the expense of Excelsior, see what classes are online at your community college. You might be surprised at how easy it is now to...

  12. personal cell phone and the internet and impact on staff moral

    GreyGull replied to 24 yrs and counting's topic in General Nursing

    True. A few medication errors and unanswered call lights may not harm the patients. However, when other coworkers must interrupt what they are doing to correct your mistakes, take care of unit...

  13. Nurses, do you immediately take bath after duty?

    GreyGull replied to ms.pebbles's topic in General Nursing

    This is one of the reasons why you wear shower slippers in the locker room at the gym. And rinse them well before putting them back in your

  14. Help with Xrays

    GreyGull replied to nurse2033's topic in General Nursing

    There are many online courses for nurses and other healthcare professionals. Ex. http://www.learningradiology.com/ This CE article is best viewed with a split screen so you can look at the images...

  15. Nurses, do you immediately take bath after duty?

    GreyGull replied to ms.pebbles's topic in General Nursing

    Troll or not, this is actually a very interesting question. When I first started working in the hospitals, they were doing the studies on employees for MRSA or whatever pathogens we might be carrying....

  16. What do you call the Doc?

    GreyGull replied to Flipper911's topic in General Nursing

    In front of patients we will us address the doctors by their title and last name even if they are a resident. Outside of the room we can call them by their first name. We may use first names with some...

  17. RN/firefighter policies and procedures

    GreyGull replied to ERRN324's topic in General Nursing

    Do you have anything constructive to offer or a rebuttal that says something different? You have made it clear about how limited EMS is in your area and you seem to be fine with that. Don't restrict...

  18. LPN requiring about massage therapy field

    GreyGull replied to iwanna's topic in Nurse Entrepreneurs, Innovators

    MT is now licensed in your state (PA?) and requires a minimum of 600 hours. However, if you just do Reiki, which is considered energy work, with no physical manipulation of tissue it may be exempt....

  19. RN/firefighter policies and procedures

    GreyGull replied to ERRN324's topic in General Nursing

    Unfortunately the protocols will be set for the least educated or training. If the minimum required is 600 hours from a 10th grade Paramedic text, that is the level the Medical Director will have to...

  20. RN/firefighter policies and procedures

    GreyGull replied to ERRN324's topic in General Nursing

    My scope narrow? Not near as narrow as what you have described. It sounds like EMT-B is the highest level in EMS for you. Here we utilize mostly Paramedics and RNs with very liberal protocols. No...

  21. RN/firefighter policies and procedures

    GreyGull replied to ERRN324's topic in General Nursing

    Thank you. You have just provided the examples I needed to illustrate the difference between "trained" and "educated" Paramedics. Without the additional education and retraining, there is no reason...

  22. RN/firefighter policies and procedures

    GreyGull replied to ERRN324's topic in General Nursing

    You might be surprised as to what Paramedics could do in the 80s and it wasn't just limited to one town. Physical Therapists are not considered technicians. The reason the education has advanced is...

  23. RN/firefighter policies and procedures

    GreyGull replied to ERRN324's topic in General Nursing

    Texas does model some of its programs after the less is better theory although for some reason they offer the title of Licensed rather than certified to a Paramedic who has an Associates degree in...

  24. RN/firefighter policies and procedures

    GreyGull replied to ERRN324's topic in General Nursing

    Aren't RNs now dealing with domestic violence and assaults in the hospital? In fact with the large number of patients they are responsible for and without the Police present at all times, they are at...

  25. RN/firefighter policies and procedures

    GreyGull replied to ERRN324's topic in General Nursing

    Until you've seen what highly educated professionals like PTs can do for rehab patients, I wouldn't complain about their education level. Their DPT is not much different than a lawyer's education...