shinerchia

shinerchia

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All Content by shinerchia

  1. d/c with meds....are you a RN or Phamacist?

    shinerchia posted a topic in Government, Military

    I work in a busy ER with a pharmacy that closes at the drop of a hat. Consequently, we don't send folks to pharmacy upon d/c much of the time; we fill, mix, and dispense their meds so they can go...

  2. how many times can a human be defibrillated?

    shinerchia replied to TinyNurse's topic in CCU, Coronary, Cardiac

    Cardiogenic shock is pump failure and Vfib is an electrical problem. The two may be related for some reason, but you have to ask yourself more questions if you shock the same heart constantly. Like...

  3. Insulin gtt questions

    shinerchia replied to nurses4all's topic in CCU, Coronary, Cardiac

    Judging by the question, I'll assume that you don't normally titrate drips. If you do, you'll find that you always have a backup fluid as your maintenance and even if the pt is on the brink of CHF...

  4. Funniest injury you have ever seen.....

    shinerchia replied to MrsWampthang's topic in Emergency

    the bullet story was on Myth Busters recently....good

  5. flight nursing in the air force?

    shinerchia replied to KR's topic in Flight, Surface Transport

    AF flight nurses transport wounded and sick on aircraft of opportunity. There are no longer and dedicated medical transport platforms since the retirement of the C-9 Nightingale. The Air Force does...

  6. so Im fat, i cant be a flight nurse?

    shinerchia replied to TraumaInTheSlot's topic in Flight, Surface Transport

    eat what you want, but remember that lance armstrong, inarguably one of the most physically fit people on the planet, consumes 70 to 80%

  7. Interview on the cardiology floor

    shinerchia replied to moliuchick's topic in Cardiac

    As a CNA you will have access to a lot of years of expert nursing knowledge. Tap that resource as often as possible. I was a CNA in a critical care unit while I got an ADN and got an education money...

  8. Murses

    shinerchia replied to danu3's topic in General Nursing

    I say fine. Just understand that if we use "murses"...we are going to have "worses". Who's ready for

  9. Prefilled syringes

    shinerchia replied to Pipsqueak's topic in General Nursing

    Any nursing 101 book should show what: IV IM SQ Z track Air Lock Injections are and why you would consider each. Please pay attention to needle length as well of you think you are giving true deep...

  10. GTube, med administration..HELP

    shinerchia replied to perksrn's topic in General Nursing

    some meds do better if they are dissolved in water without being crushed. in fact they will just float if they've been crushed, but will be quite dissolved if simply placed in water first. you'll...

  11. Med route error?

    shinerchia replied to hock1's topic in General Nursing

    Just have the doc write the order to say " per xxx protocol". You do it for standing sliding scale insulin, why not for

  12. I am a man, can I study nurse course and be a nurse?

    shinerchia replied to cgzca's topic in General Nursing

    Men invented

  13. certifications

    shinerchia replied to dsav824's topic in Cardiac

    dale dubin's 12 lead book. acls will be mandatory no. no matter to whom you explain that their 2pm is your 2am...nobody will ever care. everyone will expect you to get up and be a part of the...

  14. ER first assignment for new RN?

    shinerchia replied to MichaelSSSS's topic in General Nursing

    so you came from a critical care background where people had been (for the most part) diagnosed and where there for critical care. this is exactly the experience i suggest before someone walk into a...

  15. d/c with meds....are you a RN or Phamacist?

    shinerchia replied to shinerchia's topic in Government, Military

    I've been polling military RNs everywhere I can and the common thread is that they have never worked in the real world. All they know is military nursing so all they know is what command tells them....

  16. ER first assignment for new RN?

    shinerchia replied to MichaelSSSS's topic in General Nursing

    Dear new grad: Going into an ED straight from school only places you and your pts at risk. It might not be fun to hear, but you are only taxing an already stressed system if you go directly to an...

  17. Airforce nursing critical shortage specialties?

    shinerchia replied to Toby's mum's topic in Government, Military

    like anyone else, i form opinions from personal experience. i don't watch the system from the outside; i work inside it every day. that doesn't necessarily give my opinion more weight than anyone...

  18. I was surprised at different answers on my unit about medication!

    shinerchia replied to webbiedebbie's topic in General Nursing

    I dunno what planet has a MD that calculates safe rates for every med (most don't have a clue how fast to give Potassium), but I do know that 99.999937658% of med orders. How fast do you push...

  19. What can MSNs do that BSNs can't do?

    shinerchia replied to zenman's topic in General Nursing

    First off go get some years and bodies under your belt. School is no substitute for experience; it's a great start, but no launch pad to a graduate degree by far. Next, never get a MSN. Why get a...

  20. ER not considered Critical Care?

    shinerchia replied to Carotid's topic in Emergency

    I agree with the above. When was the last time you did wedges all night in the

  21. ER not considered Critical Care?

    shinerchia replied to Carotid's topic in Emergency

    Perhaps it's a ratio thing. I while in crit care I had 3 and 4 hemodynamic pts a night (fun work if you like to use your brain). In the ER, I see a lot of scum that should be at home with Band-Aids...

  22. Funniest injury you have ever seen.....

    shinerchia replied to MrsWampthang's topic in Emergency

    Sharpee pen cap in a pt's bladder. We called UA/CS results to follow a pt and she stated she knew that she had a foreign object in her bladder and that might account for the MRSA in her urine. She...

  23. Airforce nursing critical shortage specialties?

    shinerchia replied to Toby's mum's topic in Government, Military

    Relax and don't worry about a specialty. The military simply needs warm bodies. From what I've seen, the Air Force takes nurses with a pulse as their primary specialty. I worked in the civ world...

  24. Length of New Grad Orientation

    shinerchia replied to luvbug9956's topic in General Nursing

    when you are a new grad is not when you want to negotiate your orientation. i knew the unit i was going to and negotiated the training which included a critical care class and internship of 4 months...

  25. Weird question about taking my pulse in the middle of conversations

    shinerchia replied to susanna's topic in General Nursing

    are you a rn? if so, you should have a certain grasp on psychiatric disorders. boo!! (just kidding) good