jwk

jwk

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All Content by jwk

  1. Well said on both
  2. I don't think you need one in most states. You're not really prescribing per
  3. Depends entirely on state
  4. Should OR RN's be ACLS/PALS certified?

    Why is it nuts? There are plenty of hospitals where it is NOT required for OR
  5. You must see a WHOLE lot of complications from central lines, since this is not your first post about the potential for chest tubes and pneumothoraces. Let's remember that WHERE you place a central...
  6. OMG, deepz, we agree again. It doesn't depend on the state, or even rural vs urban. It's entirely up to the individual practice/hospital as to what privileges and clinical practices they will allow...
  7. Own uniforms or hospital scrubs?

    Mmmmmmmmmmmmm, you're kidding, right? You think the floors in the hospital / OR are really any different than your average sidewalk / parking lot / shopping mall / lawn ? Hell, in theory they should...
  8. Own uniforms or hospital scrubs?

    Then why not just wear jeans and a golf shirt into the OR? That's what I wear TO work every day before I change into scrubs. What's the difference between that and wearing scrubs that you've worn in...
  9. Propofol

    It's downplayed because you simply can't learn airway management in a 30 minute lecture and 30 min teaching station in an ACLS class. The reason you will find anesthetists so passionate about this...
  10. Own uniforms or hospital scrubs?

    It's unacceptable (from an infection control standpoint) to wear scrubs in from home, and then into the OR - that includes
  11. Epidurals: to Dose, or Not to Dose?

    Here's how our hospital does it. All patients with labor epidurals are placed on a constant epidural infusion with Ropivicaine via syringe pump (no bag to run dry and pump air in). We have...
  12. Epidurals: to Dose, or Not to Dose?

    Anesthesia needs to be in-house if they have epidurals in place. Otherwise there is no such requirement. There's a lot of smaller rural hospitals that really shouldn't be doing labor and delivery,...
  13. According to the manufacturer, "Xigris should be administered via a dedicated intravenous line or a dedicated lumen of a multilumen central venous
  14. Ah, stevierae, we're both getting old. I still think Red Man's Syndrome is slang, but obviously it's mentioned in several different print sources, so I stand corrected. I only heard about it in the...
  15. Could be because "Red Man's Syndrome" is just a slang term someone has come up with. I doubt you'll find it in a medical dictionary or
  16. I was just giving you an example of conflicting guidelines and standards. Obviously, the GI docs and nurses will trot out their "experts" in a lawsuit someday soon, showing that "their standards"...
  17. There's only so many lines you can run through one vein. Perhaps they expected some significant volume shifts and felt they needed big lumens. It's not necessary to have a separate lumen for every...
  18. We're all patient advocates. That's not what I equate with being "in charge".Let me tell you my problem with AORN standards. Although AORN would like to think they apply to every person in the OR,...
  19. Hmmmmmmmmmm, let me ponder that statement.............. :) Nope, sorry, but I'll respectfully disagree. The circulator is responsible for his or her actions, and possibly the scrub tech. Although they...
  20. EMT-P Question

    Am I missing something here? Did I say this? Why are you trying to stir up an argument where there doesn't need to be one? I don't have a bone to pick with nurses, but it sure seems like you have...
  21. EMT-P Question

    nope
  22. EMT-P Question

    bonemarrowrn makes a good point about this being an apples and oranges kind of thing. Although physiology and pharmacology are the same for everyone, the technical skills involved don't always cross...
  23. EMT-P Question

    Actually, if you read the terms of service, it is open to all, not just
  24. suturing information required

    Perhaps on a state by state basis. As a blanket statement, that is incorrect. I know plenty of RN's who
  25. suturing information required

    Those are certification requirements, not