GreyGull

GreyGull

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All Content by GreyGull

  1. RN/firefighter policies and procedures

    GreyGull replied to ERRN324's topic in General Nursing

    I was referring to 12-lead ECGs and thrombolytic trial in EMS. Now that is a little behind for the times even for some of the rural areas. LifePak 2 was around by 1972. Alabama had Automatic...

  2. RN/firefighter policies and procedures

    GreyGull replied to ERRN324's topic in General Nursing

    Ever read this little article? Many states, ambulance services and FDs still live by it. It gets passed around alot on the forums and has been used as a valid argument when the idea of more...

  3. Airborne Precautions

    GreyGull replied to 6mostogo's topic in General Nursing

    Let's slow down a little here. Where is the drug resistant infection? Is it colonized or active? Is the patient trached? Is the patient in a high risk group for TB? Are they now being treated for an...

  4. Exposure to Medications

    GreyGull replied to Little_Mouse's topic in General Nursing

    Excellent advice in Esme12's post. Don't forget the aerosolized meds and gases given by Respiratory Therapists. Know what the medication is that is being given rather than "just a neb". RTs have...

  5. RN/firefighter policies and procedures

    GreyGull replied to ERRN324's topic in General Nursing

    It is great that your area actually teaches 12-lead since according to the AHA less than 50% of the EMS agencies utilize them. Do they teach interpretation also or just placement? How indepth is...

  6. Health care jobs in demand.

    GreyGull replied to cute-1's topic in General Nursing

    Nursing Economics is an area of study all by itself with another degree or two for Business and Accounting as well as an MBA. Trying to find the right formula for budgeted and actual hours worked by...

  7. Health care jobs in demand.

    GreyGull replied to cute-1's topic in General Nursing

    The key word here is "essential". The allied health professions must act as individual businesses and continuously lobby to show their value in patient care or reinvent themselves as needed to stay...

  8. Health care jobs in demand.

    GreyGull replied to cute-1's topic in General Nursing

    Physical Therapists, Occupational Therapists and Speech Language Pathologists are still in high demand with significant sign-on bonuses. They have continued to make themselves marketable and are the...

  9. RN/firefighter policies and procedures

    GreyGull replied to ERRN324's topic in General Nursing

    If we were to use your logic, Paramedics would also be at a great disadvantage since ETCO2 and 12-Lead ECGs are not part of many Paramedic programs. Also, if someone was trained by the 2000 AHA ACLS...

  10. Within the scope of practice

    GreyGull replied to GRUNGE's topic in General Nursing

    Agree. This is the importance of a care plan and everybody being on the same page. Generally the RNs, RTs, SLP and PTs are telling the doctors it is time for the tubes of all kinds to come out since...

  11. Within the scope of practice

    GreyGull replied to GRUNGE's topic in General Nursing

    Agree. Considering that in some parts of the country the SNF nurse to patient ratio is much higher than on med-surg and the fact that they are left hanging without additional resources on site, I...

  12. Within the scope of practice

    GreyGull replied to GRUNGE's topic in General Nursing

    If someone is capping the trach, it should have been of no surprise when the physician wrote the order for decannulation especially if it was the RNs who have been capping the trach. If the patient...

  13. Within the scope of practice

    GreyGull replied to GRUNGE's topic in General Nursing

    I disagree it is the doctor who is feeling uncomfortable about pulling a trach. He may just believe this is a common part of your practice which is why a trach patient is sent to rehab. Some rehab...

  14. Within the scope of practice

    GreyGull replied to GRUNGE's topic in General Nursing

    However, if you are taking care of a trach patient and assuming the responsibility for that airway, you should already have been prepared with some of these questions asked and answered. Who did the...

  15. Within the scope of practice

    GreyGull replied to GRUNGE's topic in General Nursing

    Nurses in post op recoveries and ICUs remove endotracheal tubes. Nurses in subacutes remove and replace trachs. I have not heard of a state forbidding this but I have heard of facilities restricting...

  16. RN/firefighter policies and procedures

    GreyGull replied to ERRN324's topic in General Nursing

    Nick, I would hope that you don't believe just having the title of RN behind one's name makes one incapable of learning how to splint or spinal(?) a patient. A nurse (and CNAs, PCTs, PTs, OTs and RTs)...

  17. A worn out topic

    GreyGull replied to artistnurse's topic in General Nursing

    I generally don't have a problem giving a doctor my chair if it means I'll get the necessary orders for my patients quicker. I do know our hospitalists may see between 30 - 40 patients in 12 hours...

  18. Anyone know how to find telecommuting nurse positions?

    GreyGull replied to findingmywayRN's topic in General Nursing

    Actually my friend is at her home most of the time and does the work by computer or telephone. The RNs who work in the informatics dept are also hard to catch in their office since their work on...

  19. no cell phones no personal phone calls at work

    GreyGull replied to ohmeowzer RN's topic in General Nursing

    We allow no cell phones in the work area and this came after years of abuse with nurses sitting around the station talking on their phones and charting or hanging meds with a cell phone propped up on...

  20. Anyone know how to find telecommuting nurse positions?

    GreyGull replied to findingmywayRN's topic in General Nursing

    RN can be telecommuting Case Managers for insurance companies. I have a friend who works for Blue Cross and loves it. She handles Acute Rehab cases for qualifying and placement of TBI, CVA and SCI...

  21. scope of practice

    GreyGull replied to GRUNGE's topic in General Nursing

    To permanently decannulate a patient, you need a doctor's order. Protocols by either nursing or RT will dictate the weaning process and parameters up to that point. In some facilities, such as...

  22. Trauma Observation Unit?

    GreyGull replied to AvaRN22's topic in Emergency

    They, or this practice, have been around for a long time but some hospitals didn't have a "name" for it. Now this "inbetween" area where the patient doesn't immediately qualify for admission but is...

  23. area of nursing in your experience that allows most autonomy?

    GreyGull replied to RN2be2012's topic in General Nursing

    CVICU and Specialty transport teams like neonatal. Neonatal teams may travel hundreds of miles to pick up a neonate by various means of transportation. Flight is good also but it depends on the type...

  24. opinions, please

    GreyGull replied to beeble's topic in General Nursing

    The OP did not state the patient looked "like crap". Those were my words. A clinical assessment of the patient will get someone's attention faster than "pulse ox not picking up, need a new one". Just...

  25. opinions, please

    GreyGull replied to beeble's topic in General Nursing

    I'm just getting started and your post just happened to be on the first page near the top. Do you think you could have handled the situation differently? Can you find out how to get pulse ox probes...