usalsfyre

usalsfyre

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All Content by usalsfyre

  1. who should do the ambubagging during xray and ctscan procedures?

    usalsfyre replied to ian04's topic in General Nursing

    Not true, cath lab, specials and fluro and nuclear medicine techs are all work around MUCH higher levels of radiation all day long. It's about knowing how to do so safely. They need a vent, but for...

  2. who should do the ambubagging during xray and ctscan procedures?

    usalsfyre replied to ian04's topic in General Nursing

    First, it should be a transport ventilator. Ambu bags don't deliver consistent or comfortable ventilations and may cause a patient to deteriorate. Secondly, if you wear lead, I wouldn't be...

  3. Intergrated Medicine (not specifically holistic)

    usalsfyre replied to KalipsoRed's topic in General Nursing

    The "integrated" (i.e. alternative) medicine is not practiced in mainstream hospitals because it is viewed (correctly in my oppinon) as

  4. RT refused to give NEB!

    usalsfyre replied to chenoaspirit's topic in General Nursing

    If the patients unable to properly use an MDI, then they need a neb. Otherwise an MDI is a cheaper option that more closely matches what they will most likely use at home. As for the levalbuterol vs...

  5. RT refused to give NEB!

    usalsfyre replied to chenoaspirit's topic in General Nursing

    Considering that albuterol is only effective in reversing bronchospasm, and doesn't act in any other areas than the bronchioles, why the headbanging? Wheezing/bronchospasm is the indication, not...

  6. Nurses don't save lives....WHAT?

    usalsfyre replied to ThePrincessBride's topic in General Nursing

    I see a whole lot of people with an inflated sense of what they do. I have taken care of literally thousands of patients and have yet to save one life. What I have done is provide interventions that...

  7. Atropine

    usalsfyre replied to EDrunnerRN's topic in Emergency

    Atropine should be pushed quickly. One of the side effects of atropine that is potentiated by slow administration is reflex bradycardia. 0.5mgs is the standard dose for non-arrest situations, but...

  8. Sharing prescriptions of non narcotic medications

    usalsfyre replied to LadyMonteCarlo's topic in General Nursing

    I see a lot of people who are worried about the legal consequences and "their license" but I see none who have thought about socioeconomic factors. Inform the physician, let him make the

  9. Sharing prescriptions of non narcotic medications

    usalsfyre replied to LadyMonteCarlo's topic in General Nursing

    How is this ethically wrong? Is looking after the finical well being of the patient not "holistic care"? I'm not advocating doing it, but why not let the physician make the decsion on

  10. Assaulting ED Workers in Virginia ...

    usalsfyre replied to Lunah's topic in Emergency

    [bubble over the ED director's head, as they read this in horror] "Do they KNOW what this will do to our Press Ganey

  11. A question about Adenosine

    usalsfyre replied to Aerin's topic in Emergency

    Except how fast would the machine run out of

  12. Challenging paramedic exam

    usalsfyre replied to sportsmed's topic in General Nursing

    So the point is not really NCLEX (I've helped friends study, I have no doubt with a bit of preperation I could pass the exam) it's that even if I passed I would be massively unprepared for a 6 patient...

  13. A question about Adenosine

    usalsfyre replied to Aerin's topic in Emergency

    The very first time I gave adenosine the patient "rewarded" me with a 15 second period of asystole/agonal appearing beats. Upon dropping the patient at the ED I had to go search for a clean pair of...

  14. Challenging paramedic exam

    usalsfyre replied to sportsmed's topic in General Nursing

    Do you think perhaps you might be doing yourself, potential employers and potential patients a serious disservice to become certified with no education or training on the prehospital environment to...

  15. Is there a law protecting a nurse doing something they are uncomfortable with?

    usalsfyre replied to usernam's topic in Emergency

    I'll quote my own post (note, it was several BEFORE traumaRUS) to show exactly where my feelings on the matter lay. I just don't like medics being slammed because of one persons bad

  16. Is there a law protecting a nurse doing something they are uncomfortable with?

    usalsfyre replied to usernam's topic in Emergency

    Abso-freaking-loutely!!

  17. Is there a law protecting a nurse doing something they are uncomfortable with?

    usalsfyre replied to usernam's topic in Emergency

    Outside of something going wrong with the particular function they are there to monitor (which, I can't think of something the local facility with start that I'm a. unfamiliar with and b. can't get...

  18. Is there a law protecting a nurse doing something they are uncomfortable with?

    usalsfyre replied to usernam's topic in Emergency

    Too the many RNs on here who are interested in transport, and in how this thread develops. Your experience and knowledge is badly needed in the transport environment. Please don't let liability scare...

  19. Is there a law protecting a nurse doing something they are uncomfortable with?

    usalsfyre replied to usernam's topic in Emergency

    Wrong, in my state, under my guidelines, ect, I AM RESPONSIBLE. Not the RN who tags along for a transport. If it happens in the back of the truck, it's on

  20. Is there a law protecting a nurse doing something they are uncomfortable with?

    usalsfyre replied to usernam's topic in Emergency

    If you would keep the bashing away from the EMS sites, then I wouldn't get into ******* matches

  21. Is there a law protecting a nurse doing something they are uncomfortable with?

    usalsfyre replied to usernam's topic in Emergency

    To the OP, the hospital is putting y'all in a crappy position. However, there might not be another good choice depending on the local area, EMS services, ect. Ideally you will embark on some sort of...

  22. Is there a law protecting a nurse doing something they are uncomfortable with?

    usalsfyre replied to usernam's topic in Emergency

    Glad to see your on this site bashing paramedics as

  23. Hyperkalemia and order of meds

    usalsfyre replied to RoyalNurse's topic in Emergency

    Is there anyone who's not giving them darn near

  24. Intubation Question

    usalsfyre replied to RN015's topic in Emergency

    ACLS really doesn't cover the assisting in airway

  25. Intubation Question

    usalsfyre replied to RN015's topic in Emergency

    This, dear lord if you get nothing else pay attention to this. There is nothing worse than walking into a room and realizing your patient is literally shedding tears because no one bothered to sedate...