keaston

I am an RN and a Paramedic 1 working in the Yukon at this time. I work as a Flight Nurse and when I'm not flying I work as a Paramedic in the ambulance. The Yukon is unique in that they don't require you to have your EMT-P certificate, but I believe in most other provinces and states you need to have both certificates to work in this area. If you are interested in the advanced skills of a paramedic and in providing nursing care then Flight nursing is an interesting line of work. There are a few areas hiring nurses, but most request that you have 3-5 years ICU/ER/CCU/CSICU/NICU experience. But if you get into oine of these specialty units you could work on your EMT-P certificate as many places offer part-time or distance ed programs.:)

I'm doing a reasearch project and am looking ofr information on how other hospitals are treting Migrane patients. What drugs are you using and why? Do you have any written protocols or a no narcotics policy. any help would be appreciated

I have used nitrus for concious sedation in the rural setting. We used it for shoulder dislocatings and knee dislocations. Because of the area we didn't always have a doctor available and so we could use the nitrus without them. There was no written protocol just the delivery directly from the tank via mouth piece and demand regulator. The department didn't feel it was nessecary to vent the area as not mush is released into the air and it rapidly dispurses anyway.

I work in vancouver BC Canada at St pauls hospital. We see about 60,000 patients per year and run aa acute, treatment and substance abuse/psych areas. we have standard orders for initiation of IV's, ie it is deemed nessesary or prudent by the nursing staff. We also have a standard set of guidelines for ordering blood work. Our chest pain protocol includes nurse initiated IV,O2,12lead ECG as well as CBC,CK,Glucose,Sodium,Potassium,chloride,bicarb,BUN,creatinine,and troponin, if the patinet is on ASA or coumadin at home we also order coags. We have simlar protocols for: Drug OD - Lytes, BUN,Creatinine, Glucose, osmolality,ethonol,asa level, acetominophen level suspected CVA- pt with new onset one-sided weakness - CBC,BUN,Creatinine,lytes, bicarb,glucose,CK,troponin,coags. Seizure - any patient with a recurent seizure - glucose, sodium, calcium,magnesium and the anticonvulsent level they are on pluse or minus the coma protocol Coma - a patient with a gcs = or Sepsis - any patinet wiht a temp >38.5 or less than 35.0 combined with hemodynamic instability(hr >130, BP 30) - CBC and DIFF, Lytes, BUN, creatinine, Urine dip & C&S, blood C&S x 2. ------------------ Kevin