usalsfyre

usalsfyre has 8 years experience and specializes in CCT.

Latest Activity

1. What do you see in a Level 4 ER?

   usalsfyre replied to born2circulateRN's topic in Emergency

   Level IV essentially says "We recognize that on occasion people suffer serious traumatic injuries. We also recognize they don't need to be

2. Why is it okay for Doctors to yell at Nurses?

   usalsfyre replied to GlowBear500's topic in Patient, Colleague Relations

   Granted I'm not a nurse, but I've never been yelled at by a physician, only nurses (yes, actually yelled at). I've also been accused of "yelling" at people,what I've found is usually any type of...

3. Intraosseous Access - Have You Used It?

   usalsfyre replied to emerjensee's topic in Emergency

   I've done a fair number of IOs, to the point I can probably perform an IO faster than a peripheral line. Agree completely with Akulahawk's order of access preference. There's not a good reason to do a...

4. Dopamine in cardiogenic shock

   usalsfyre replied to FF_RN's topic in MICU, SICU

   See above for a very good explanation. The issue with dopamine in MI is the increase in SVR that comes along with inotropic effect. Dobutamine would have been a better choice as it has vasodilatory...

5. Etomidate medication

   usalsfyre replied to rnmomgcmc's topic in MICU, SICU

   Realistically?

6. Manual Defribrillation in the OR

   usalsfyre replied to cardiacnurse9063's topic in Operating Room

   A 16 hour class does not a code manager make.... It's a skill. I could teach my four year old to do it in about 5 minutes. Not a big deal. The knowledge of WHEN to defib is the real

7. Should I try and become a Nurse in a Naturopathic Clinic or a Naturopathic Doctor?

   usalsfyre replied to NenaRK's topic in Holistic

   Want to hit me with the literature I've missed? Cause I'm pretty sure the CAM folks would be crowing about something showing even minimal

8. Should I try and become a Nurse in a Naturopathic Clinic or a Naturopathic Doctor?

   usalsfyre replied to NenaRK's topic in Holistic

   Rude and insensitive, but there is absoloutely ZERO good evidence that naturopathy works. If we were talking about someone peddling an allopathic treatment regimen with zero evidence as a "cure" we'd...

9. Should I try and become a Nurse in a Naturopathic Clinic or a Naturopathic Doctor?

   usalsfyre replied to NenaRK's topic in Holistic

   If you wish to participate in quackery than why

10. Why RNs cannot say 'That's not my job'

    usalsfyre replied to Dramqueenie1's topic in General Nursing

    Right, because you've got 20-30 patients of varrying acuity at any one time.For a profession that complains about getting disrespected by physicians, I sure see a lot of people willing to look down on...

11. Why RNs cannot say 'That's not my job'

    usalsfyre replied to Dramqueenie1's topic in General Nursing

    Right, because you've got 30-40 patients of

12. Why RNs cannot say 'That's not my job'

    usalsfyre replied to Dramqueenie1's topic in General Nursing

    Bull puckey. Horse manure. Rabbit scat. I run into RNs on a regular basis who throw out the "not my job" excuse. Two days ago I had to wait 20 minutes for an aide because per the LVN it was "not her...

13. The best hairstyle for female student

    usalsfyre replied to Raewynv's topic in General Students

    Think of how much extra time you'll have to study if you go with the Sinead O'Connor

14. metabolic acidosis and tachypnea

    usalsfyre replied to vic_rn's topic in MICU, SICU

    The patient had a definite respiratory acidosis, but without more information it's difficult to say if a given strategy makes sense or

15. Max on Levophed?

    usalsfyre replied to Nurse_Sophia's topic in CCU, Coronary, Cardiac

    Better than having people's opinions to defend your actions have hard evidence, aka