GreyGull

GreyGull

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All Content by GreyGull

  1. Intubation without RSI meds??

    GreyGull replied to BeachyRNn08's topic in Emergency

    I wouldn't exactly want a patient fully awake either. Intubation is a scary, gaggy and even painful procedure. The patient is entitled to be as comfortable as possible. A little Hurricane spray isn't...

  2. what is the top rate of pay for an RN in the states?

    GreyGull replied to Guest505077's topic in General Nursing

    I guessed your age at 18. Enjoy being invincible. Don't abuse your body too much and keep your organ donor status current with the

  3. what is the top rate of pay for an RN in the states?

    GreyGull replied to Guest505077's topic in General Nursing

    There are a few but right now, not for new grads. But there are tons of applications with several being from out of the area (state) trying to get to where the big wages are. A couple of hospitals...

  4. what is the top rate of pay for an RN in the states?

    GreyGull replied to Guest505077's topic in General Nursing

    If you knock off the caps and space your words they might be readable. SOME OF US ARE NOT DUDES! I guess you don't live in the city of SF or have ever lived here, don't take mass transit on a regular...

  5. Intubation without RSI meds??

    GreyGull replied to BeachyRNn08's topic in Emergency

    I think the message in that post was it is inhumane to give paralytics only without sedation which is sometimes done. Some don't give enough sedation or forget as long as the patient is not moving....

  6. Intubated Pt's Using Bedside Comodes

    GreyGull replied to EDrunnerRN's topic in Critical Care

    This truly is nothing that new and has been around for over 30 years that I've been in the ICUs. Commonsense should tell you this is not going to be practical to walk a patient who is immobile due to...

  7. what is the top rate of pay for an RN in the states?

    GreyGull replied to Guest505077's topic in General Nursing

    But then you have to put into perspective the colleges in San Francisco. SF State is very expenive as is St. Mary's. UC Berkeley is not exactly cheap either but Berkeley does have many apartments to...

  8. what is the top rate of pay for an RN in the states?

    GreyGull replied to Guest505077's topic in General Nursing

    Here are the wages for nurses at UCSF (San Francisco). Yes the wages are very good. There are a few hospitals in Oakland and other little cities in the East Bay that may even exceed UCSF's wages....

  9. Home sleep study test

    GreyGull replied to Sehille4774's topic in Pulmonary

    Sleeping pills may make the study invalid or give an unclear picture of the patient's condition. The insurance may also refuse to pay if the study was done under a medication for a drug induced sleep....

  10. Intubation without RSI meds??

    GreyGull replied to BeachyRNn08's topic in Emergency

    Having a foreign object stuck down your throat is uncomfortable. It is not uncommon for a patient to fight ventilation due to coughing and a suffication feeling of breathing through a very small tube....

  11. OK- need some help with ancient nursing history

    GreyGull replied to xtxrn's topic in General Nursing

    But the difference is they are now single use. The glass syringes used for ABGs and injection prior to 1985, as with many other pieces of equipment, were reused. We also had buckets of Cidex, along...

  12. OT vs NURSE

    GreyGull replied to SneakySnake's topic in General Nursing

    Not taking sides but I take it this to be a rehab facility. There seems to be a lack of goals developed with a multidisciplinary approach and team communication meetings which also fosters mutual...

  13. OK- need some help with ancient nursing history

    GreyGull replied to xtxrn's topic in General Nursing

    The containers we know today came out around 1980. Needles were often tossed into the trash along with everything else prior to that. Throwing them into the trash was a hard habit to break along with...

  14. Polymixin via ETT

    GreyGull replied to umcRN's topic in Critical Care

    how old is this doctor? that was popular in the 70s with both instillation and atomizing antibiotics for prevention. there are other methods to prevent vap without the concerns of direction...

  15. Need help with HFAP accreditation

    GreyGull replied to emergencynerd's topic in Emergency

    HFAP is just another accrediting agency that can be used instead of JCAHO to do the survey for CMS. It will follow the same CMS measures. We just finished CARF in one part of the hospital and the...

  16. Can EMTs work as tech's in your hospital?

    GreyGull replied to LHM1436's topic in General Nursing

    in a hospital there are mandates at both the state and federal levels to have certain competencies on file. the agencies that concern lab procedures want things done their way and the hospital will...

  17. Can EMTs work as tech's in your hospital?

    GreyGull replied to LHM1436's topic in General Nursing

    Licensed staff such as RNs and RRTs can do phlebotomy usually after a refresher or additional hours of training. At my hospital, all RNs go through a course with an RT before they do ABGs and all RRTs...

  18. Speaking Of The Heat Wave - Hospitals Before Central Air Conditioning

    GreyGull replied to DoGoodThenGo's topic in General Nursing

    AC? Only areas like the OR and L&D are privileged to have that in my part of California. In other areas we suffer with the patients and keep all unnecessary lighting off or low, including the...

  19. Can EMTs work as tech's in your hospital?

    GreyGull replied to LHM1436's topic in General Nursing

    In my area, to work in patient care areas other than the ED, the CNA, PCT or some recognized certificate would be required. It is doubtful an EMT, which is also a certificate, could challenge any of...

  20. resp therapy vs RN

    GreyGull replied to obeyacts2's topic in Pulmonary

    Hospitals pay very little extra for add on credentials and some do not recognize the difference between CRT and RRT. There are even a few on the job trained RTs who make the same if not more than a...

  21. Giving Report to Medics... What do they know?

    GreyGull replied to casi's topic in General Nursing

    No I am not a trauma junker or trauma surfer. I've just been around the ICUs and EDs a long time. I also know a little bit about the NREMT since nurses can challenge it here in California. The NREMT...

  22. Giving Report to Medics... What do they know?

    GreyGull replied to casi's topic in General Nursing

    i think you have misunderstood what i stated. i prefer not make assumptions when giving report to someone especially to another professional whose knowledge and skills i do not know firsthand when it...

  23. Giving Report to Medics... What do they know?

    GreyGull replied to casi's topic in General Nursing

    According to the state website they haven't raised the hours yet. The classroom is still only 450 hours. Some do vary but the college degree is not required and almost all the colleges offer the...

  24. Giving Report to Medics... What do they know?

    GreyGull replied to casi's topic in General Nursing

    The Paramedic curriculum was and is based on the DOT standards. The curriculums are very different in their educational base. In California it may only take 6 months to be a Paramedic. AMR has its own...

  25. Giving Report to Medics... What do they know?

    GreyGull replied to casi's topic in General Nursing

    This. Keep it on target with what is needed to get from point A to point B and not to overwhelm with a lot of information which might bury the important need to knows. One more thing to address is...