usalsfyre

usalsfyre

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All Content by usalsfyre

  1. how quickly someone can go downhill.

    usalsfyre replied to locolorenzo22's topic in General Nursing

    It's all about acute vs chronic. There are more important things than filling the patients bladder in an acute (i.e. about to get tubed) event. I suggest you look up any number of resources on...

  2. how quickly someone can go downhill.

    usalsfyre replied to locolorenzo22's topic in General Nursing

    Fair complaint. I have a tendency to respond to unfair and/or inaccurate criticisim more harshly than I need

  3. how quickly someone can go downhill.

    usalsfyre replied to locolorenzo22's topic in General Nursing

    100mls is not an amount of fluid I'd particularly look to fluid overload a patient. You do realize that "a bit dry" can be stressful to the myocardium as well correct? Your thinking is a few years...

  4. how quickly someone can go downhill.

    usalsfyre replied to locolorenzo22's topic in General Nursing

    When exactly is the time then? We don't have a crystal ball on any patient and chalking it up to a "fragile cardiac case" is a cop-out. Learning happens immediately post event. If your not learning...

  5. how quickly someone can go downhill.

    usalsfyre replied to locolorenzo22's topic in General Nursing

    New onset of SOB is an acute event. As this was a patient with previous cardiac hx and had trouble noctournal orthopnea the night before it was a fairly safe bet to assume it was cardiac in nature....

  6. how quickly someone can go downhill.

    usalsfyre replied to locolorenzo22's topic in General Nursing

    You did nothing wrong, and quick recognition of status change is important. Lasix was a poor choice for an acute event, but it wasn't your

  7. Drug companies are ridiculous...

    usalsfyre replied to VolunteerCPR's topic in General Nursing

    I have a far bigger issue with drug companies advertising to the general public than what may be on the box... Did you happen to look at the full package insert or just what was on the outside of the...

  8. low pressure alarm if trach comes out?

    usalsfyre replied to nursedelia's topic in General Nursing

    IF the low pressure parameters are set the vent should give a low pressure (and possibly) a low exhaled volume alarm if the device it's delivering ventilations through becomes

  9. Touching blood without gloves

    usalsfyre replied to NurseLoveJoy88's topic in General Nursing

    If the catheter slides through the skin it is not sterile. Hence an introducer being used in central line

  10. Touching blood without gloves

    usalsfyre replied to NurseLoveJoy88's topic in General Nursing

    Again, you completely miss the point. It's your refusal to consider arguments that don't fit your preconceived ideas that worry me. That's one of the foundations of diagnostic assessment, finding...

  11. Touching blood without gloves

    usalsfyre replied to NurseLoveJoy88's topic in General Nursing

    Forget it, you would obviously rather live within your own preconceptions rather than do an honest assesment based on facts and information presented. That said, I sincerely hope you are more willing...

  12. Touching blood without gloves

    usalsfyre replied to NurseLoveJoy88's topic in General Nursing

    I absolutely agree with this. The issue is the misguided idea that non-sterile gloves somehow prevent non-socomial infection. The way we prevent that is hand hygine, mainly

  13. Touching blood without gloves

    usalsfyre replied to NurseLoveJoy88's topic in General Nursing

    And what if someone who didn't wash their hands/use an alcohol rub after being in contact with an infected patient rooted around in the NON-STERILE glove box before the person wearing gloves gives you...

  14. Touching blood without gloves

    usalsfyre replied to NurseLoveJoy88's topic in General Nursing

    Your statements are not consistent with anyone who has ever thought about healthcare generally and infection control specifically in a scientific manner. It's more about how you "feel" than the...

  15. Touching blood without gloves

    usalsfyre replied to NurseLoveJoy88's topic in General Nursing

    I'd be interested to see the results of culturing the inside of a non-sterile glove

  16. Touching blood without gloves

    usalsfyre replied to NurseLoveJoy88's topic in General Nursing

    If I have a "brake" in my skin on the heel of my hand, is covered by the remaining part of the glove, is not bleeding and never comes close to the site of the stick, explain to me how something would...

  17. Touching blood without gloves

    usalsfyre replied to NurseLoveJoy88's topic in General Nursing

    I've got to call malarky on this comment. If you have no better understanding of disease transmission than this than I suggest you pick your text books back up. Every BS blood-borne-pathogens class...

  18. Touching blood without gloves

    usalsfyre replied to NurseLoveJoy88's topic in General Nursing

    Do you even have any healthcare experince? For that matter do you refuse to touch anything in the outside world without gloves? Because there's a huge amount of nastiness out there not associated with...

  19. Touching blood without gloves

    usalsfyre replied to NurseLoveJoy88's topic in General Nursing

    I see there's a whole bunch of folks here with non-intact skin.... What happens when blood gets on your arms or other areas where gloves don't cover? I'm not saying don't wear gloves. But don't buy...

  20. To Stop or Not

    usalsfyre replied to littlewingrn's topic in General Nursing

    Considering your pretty well limited to first aid interventions while off duty, how much could you get successfully sued for? Opening an airway and direct pressure moving to the application of a...

  21. I was the first responder to a car accident today

    usalsfyre replied to NurseLoveJoy88's topic in General Nursing

    How did you know this scene was safe? The only other problem I had with your story was that you "encouraged everyone involved to go to the hospital". If the patient didn't want and apparently didn't...

  22. I was the first responder to a car accident today

    usalsfyre replied to NurseLoveJoy88's topic in General Nursing

    The majority of states have no duty to act statutes. Meaning outside of calling 911 (which most stares require of all motorist), you have zero requirement to stop and render aid. Obligated to stop...

  23. I was the first responder to a car accident today

    usalsfyre replied to NurseLoveJoy88's topic in General Nursing

    I hate to be the downer but... There's a valid reason not to stop at accidents, especially in urban areas. Anyone that stops and plays in interstate traffic without enhancing their visibility and...

  24. 20 Things Nurses Wish They Never Had to Say

    usalsfyre replied to VivaLasViejas's topic in General Nursing

    One for EM/ED "HOW did you get that ther....never mind, I don't want to

  25. My patient an addict or does he actually need it?

    usalsfyre replied to Catch22Personified's topic in General Nursing

    Being dependent on and needing a med are one in the same. Opiate withdrawal is ugly if you've never seen