GreyGull

GreyGull

Member

  • Content

    517

  • Visitors

    7,406

  • Followers

    0

  • Likes

    5

All Content by GreyGull

  1. What can the prehospital crews do in your area?

    GreyGull replied to nfdfiremedic's topic in Emergency

    This is California's scope of practice for Paramedics. http://www.emsa.ca.gov/personnel/Local_Scope/default.aspe The state determines the overall scope of practice and then each county EMS medical...

  2. BCLS (BART)

    GreyGull replied to Marie1205's topic in General Nursing

    I see you are from California. UCSD has come up with formal programs that many hospitals are already teaching to their staff but didn't have the letters established. These programs address what is not...

  3. NRP vs PALS?

    GreyGull replied to Double-Helix's topic in General Nursing

    Meconium, LBW and premature handling specifics, UVC access, ethical issues for termination of resuscitation and viability to name a

  4. resp therapy vs RN

    GreyGull replied to obeyacts2's topic in Pulmonary

    The big ventilator LTC facilities have used RTs alot in the past and so have some of those SNFs that have taken in large numbers of trachs. Some of these facilities are huge and can have well over 50...

  5. LVADS in the community

    GreyGull replied to traumaRUs's topic in CCU, Coronary, Cardiac

    I don't think any one stated "ALL". But it is unfair to expect an EMT especially at the Basic or Intermediate level to have knowledge of these devices or even the pathology behind the disease process....

  6. LVADS in the community

    GreyGull replied to traumaRUs's topic in CCU, Coronary, Cardiac

    In fairness to the EMT, LVADs are not covered nor is there enough Anatomy or Physiology taught in the EMT class to barely cover what an MI is. Even Paramedics usually do not get LVADs mentioned in...

  7. resp therapy vs RN

    GreyGull replied to obeyacts2's topic in Pulmonary

    At this time I can not really recommend RT as a viable profession. The job outlook is not that great and some hospitals are giving RNs back many of the RT tasks. We have reduced our RT staff by...

  8. Would EMT B help me land an er tech job?

    GreyGull replied to soxgirl2008's topic in Emergency

    The EMT certs including Paramedic might be required as proof of skills but that is not the job description or title they will be working under in some hospitals since it is considered prehospital....

  9. Trach suctioning. Bullet vs. no bullet

    GreyGull replied to divaRN*'s topic in Pulmonary

    That depends. If you are doing it because you've been taught you always do it that way or if you actually know when to use saline and when it should not be used. Some RTs and RNs flood the trach or...

  10. Trach suctioning. Bullet vs. no bullet

    GreyGull replied to divaRN*'s topic in Pulmonary

    That is a broad statement and does not apply to every situation. Education for the appropriateness of the use of saline should be emphasized instead. Not everyone will have a bottle of Mucomyst or...

  11. Ever seen a pt live after 5 chest tubes?

    GreyGull replied to Darkfield's topic in MICU, SICU

    In the days of Super PEEP in the treatment of ARDS, we started with 2 on each side with 6 - 8 being the norm. Some patients

  12. Punctured lung via OG tube with intubated patient?

    GreyGull replied to Alford's topic in General Nursing

    Don't count on the ventilator alarming. An OG can slip past with the cuff forming around it. No cuff should be inflated to where nothing can slip by it especially with all the slimy secretions that...

  13. Intubated Pt's Using Bedside Comodes

    GreyGull replied to EDrunnerRN's topic in Critical Care

    Just go to any reliable medical search engine and type in "mechanical ventilation out of bed". Add the word "pulmonary", "COPD" or "neuromuscular complications" and you will find more articles....

  14. This is for all you Trauma/ER-ED Nurses

    GreyGull replied to JWestbrook20's topic in General Nursing

    As far as action or first aid even for the critical stuff, an RN or even an off duty Paramedic will not be able to do much more than any other lay person first responder at the scene of an MVC. Your...

  15. Question: RNs currently in US Congress

    GreyGull replied to NightAngelle's topic in General Nursing

    I had thought I heard in her campaign through one of the nursing organizations that she started as a nurse first but her web page just lists USC for

  16. Benzocaine-induced methemoglobinemia

    GreyGull replied to Guest27531's topic in General Nursing

    As I stated earlier, it is the rebound that some don't consider. Also, in adults (and kids who may need certain procedures), there are many meds and associated organ problems like with the kidneys...

  17. Question: RNs currently in US Congress

    GreyGull replied to NightAngelle's topic in General Nursing

    Recent additions to the 112th Congress: Renee Ellmers - NC Diane Black - TN Ann Marie Buerkle - NY Karen Bass -

  18. Why no air bubbles in IV lines for cardiac patients?

    GreyGull replied to socalRN3's topic in General Nursing

    Paradoxical embolism is definitely a concern with CHD patients where there is an abnormal venous to arterial communication to the arterial circulation. This can also be an issue in adults with a

  19. Benzocaine-induced methemoglobinemia

    GreyGull replied to Guest27531's topic in General Nursing

    we do continuous monitoring during procedures to prevent [color=#231f20][color=#231f20][color=#231f20]methb levels from reaching a point of requiring treatment since methylene blue is controversial in...

  20. Moderate (Concious) Sedation by RT?

    GreyGull replied to OkieICU_RN's topic in MICU, SICU

    Bronchs and transport where they can give several different medications for intubation and ventilation especially if the RN is busy intubating. You must remember there are not that many RTs and they...

  21. Moderate (Concious) Sedation by RT?

    GreyGull replied to OkieICU_RN's topic in MICU, SICU

    In California, RTs can do conscious sedation. They have not had their practice limited by Efren Saldivar, "Angel of Death", who deliberately killed patients. That would be absurd since there are RNs...

  22. Traveling with intubated patients

    GreyGull replied to mcleanl's topic in MICU, SICU

    Before going all the way to the top you need a few key people on your side. 1. The Chief or Medical Director of Critical Care Medicine 2. The Medical Director of Respiratory...

  23. Legislative Issues

    GreyGull replied to JustinAllen's topic in General Nursing

    actually nurses do have a voice but it takes people joining their professional associations to stay informed and keep the interest in the issues alive. examples:...

  24. Traveling with intubated patients

    GreyGull replied to mcleanl's topic in MICU, SICU

    double

  25. Traveling with intubated patients

    GreyGull replied to mcleanl's topic in MICU, SICU

    Two people: RRT and RN plus a Transporter if available and there are multiple drips and tubes. Always on a transport ventilator for several reasons. 1. Reduces the chance of the person bagging being...