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MimiK

MimiK

EMS ER Fixed-wing Flight
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MimiK specializes in EMS ER Fixed-wing Flight.

previously Adjunct Faculty NVCC and GWU; previously EMS Training Officer/HIPAA Officer/Protocols/Safety; Acting CPT Yellow Treatment Sector Officer Pentagon Attack 9-11

MimiK's Latest Activity

  1. MimiK

    Insulin Sliding Scales

    The sliding scale at the nursing home where I'm currently in clinicals starts at 201. So, you know definitely that a 200 does not get more. I had a patient last week with a sugar of 230 and standing order (notice I said "standing" and not "regular") for 5 units regular insulin + sliding scale of 2 units regular insulin (BS between 201 and 250), so I gave a total of 7 units regular insulin. My preceptor was a little confused, but I assured her it is what we were taught in Nursing Pharmacology. Calling the doc is not required in this case when the sliding scale you are using specifies to not call the doc until the sugar is much higher. Such calls could put you in disfavor. Also, re-checking BS more often that indicated in the patient's chart could put you in disfavor, too, with the doc, your supervisor, and the patient. Of course, we are talking about an asymptomatic patient here. Definitely show concern if the patient shows signs of an acute episode. You would want to get aggressive with patient care in that instance.
  2. MimiK

    NVCC Class of 2013 Meet and Greet + Q&A

    Name: Mimi, "Meems", or "LT", but please don't call me Captain (used to a very military bunch of folks in Hampton Roads) Years at NVCC: decades as student, have AS in EMS (also have BS from George Washington Medical in Emergency Management with a minor in EMS Education); also few years as Adjunct Faculty in EMS (@ GW, too), so I know CPR! Joined the FBook Group: Yes Track: Traditional Career Goal: Masters/Doctorate Planning to Transfer: Yes (Mason) Classes Completed: NUR 108/130 at Tidewater Community College (TCC)--we are being transferred back to DC; most electives, not sure yet if classes taken in the 1980s will count for HLT 141 & 250 About me: I am a disability retired firefighter/medic Acting Captain from Arlington County after 23 years in EMS (bilateral total hip replacements); EMS Training Officer; ran treatment sector at Pentagon on 9/11; tried fitness field for a few years and it didn't workout--I missed medical; glad to be back caring for folks and administering meds again; 3 kids (high school, university--physics, grad school--mechanical engineering); elected liaison for my TCC Nursing class last semester; I usually win my test question challenges with the professors; however, stuggling as an old dog to learn new tricks--doing things the Nursing way IS NOT the same as doing things the EMS way; the age range @ TCC is from 18 to 56, and I'm used to being in class with folks as old as my kids; study groups can confuse me, so don't think I'm stuck-up if I don't participate, I'm probably just stuck; I am very big on teamwork and am always thinking about my classmates--go Lucky 13!
  3. MimiK

    Is it bad to get b's in nursing school?

    I'm not worried about getting into NP school. They like my resume at George Mason University. They told me that with my Emergency Management BS from GW School of Medicine, years of experience, Adjunct Faculty experiences (decades of instructor experience), and having been published that all I had to do was get my RN and take a couple classes and I'm in.
  4. MimiK

    Foley Catheters

    You actually can develop a keen sense of smell for certain things. In EMS, us veterans could walk-in and immediately smell a lower GI bleed from the front door. You can also develop a keen sense of hearing for certain things like audible rales--fulminating pulmonary edema. Recently, we were at the Vet's with one of our critters having some minor issue. A fluffy white dog was brought in struggling to breathe. I recognized the pulmonary edema immediately. The Vet and Vet techs did not! I thought to myself that the dog needed Lasix right away. They did a poor assessment and actually sent them home! A half an hour later they came back with a dead dog. I know that when I hear that sound that aggressive patient assessment and treatement is in order. In critical situations you have to be able to recognize it immediately and shift into high gear and get things done quickly.
  5. MimiK

    What do you guys do to wake up in the morning?

    I used to get-up at 0500 everyday to be at the firehouse by 0630 (shift began at 0700). I have yet to get-up that early in nursing school. So far, my clinicals have been afternoon/evenings. I'm a night owl, so that works just fine for me.
  6. MimiK

    Is it bad to get b's in nursing school?

    I think the schools that set an A higher, like at 94--my school, force you to work harder and eventually do better on the NCLEX. Our school, the Beazley School of Nursing (Tidewater Community College--Portsmouth Campus) had the best NCLEX pass rate for the whole State of Virginia in 2008. We beat out all programs--diploma, ASN, BSN, MSN, and PhD!
  7. MimiK

    Your pre req gpa....

    Nice! I came in from NOVA with a 3.6. Now, I'll be going back with a 3.5 or so--made the Dean's List this Spring at TCC. I was Phi Theta Kappa up there--got my EMS Certificates and AAS with honors--cum laude, magna cum laude, and summa cum laude.
  8. MimiK

    Unbelievable this is hard!!!

    94 was an A when I was in high school back in the 70s. In Parmedic school I was the 94 kid. Now I'm the 92 old lady. I'll get there. I have a tradition of buying myself a malted milk shake if I feel like I've done well on a test. But, then margaritas have their place, too!
  9. Pin on a badge and wear a helmet and it makes people drool...
  10. MimiK

    Am I being realistic? Nursing school at 45?

    You basically have two groups in nursing school--the kids and the Moms. I'm the latter. I had a 23 year EMS career and retired on disability before I was ready to leave. I was up for promotion to Captain, but I got hurt and ended-up with hip replacements. Several years went by and I tried being a personal trainer, but that's for young pups. I had complications and more surgery, but now I'm handi-capable and missing patient care. I'm getting my Paramedic back, so that I can teach EMS once again, and my RN will take me to the ER, where I'll be like a duck back in a pond. Meanwhile, my oldest is in Grad school as an Engineer, my daughter is studying Physics, and my youngest is going to be a Meteorologist. I meant to stay with the FD until they were all done with college. They said I could have maybe even made Battalion Chief, but I'm just happy poppin' on a pair of gloves again!
  11. MimiK

    What do you guys do to wake up in the morning?

    Wakin' up--same time everyday. Vitamins and minerals, java, java, java, kawfee, kawfee, kawfee... But, seriously V&M and just one Grande sized coffee. I do a morning stretch and yoga stretches during breaks in school. Diet coke is my daytime/evening caffeine supply during lecture and reading. While doing labs and clinicals just moving around keeps me awake. I'm a nite owl from decades in EMS--usually up until midnight or 1 studying.
  12. MimiK

    Is it bad to get b's in nursing school?

    Should you get an A, B, or C... In the fire department A shift is the A holes, B shift is the best, and C shift is the crappy shift... just kidding. You can get Bs and Cs in school, but if you strive to constantly improve yourself you can become an A class nurse. I remember not doing well in pediatrics early on in my Paramedic career, so I decided to learn more and more and more. I took Pediatric Advanced Life Support and eventually became an Instructor. Soon, I was one of the best Medics in my FD, so said the docs and nurses in the ER. Soon, I was being recruited to work with Children's Hospitals public education department. Just because you get off to a slow start doesn't mean you can't improve. I'm going to keep tweaking my study habits to get from a high B to an A. I don't have far to go, but I'm always analyzing the way I do things and striving to find a better way that works for me.
  13. I was always taught and have always taught that manual BPs are always even numbers. We had one Adjunct Faculty member saying "wrong", but yet another saying "right". The full-time faculty finally agreed--manual is even only. Is this such a big deal? No, I really think that after all these years that it's just a power grab--a way to fluster students. My advice is don't sweat the small stuff. We made it through Fundamentals, which basically gets you at least to the CNA level. The LVN/LPNs are going to start getting lost with pharmacology and drug calculations. In Paramedic school this was the big drop-off. I you can't hack the math then you just aren't going to make it through. I've taught drug math and fireground hydraulics (yes, firefighters need to know math) and I can attest to there being the hard way of doing things and the easy way. I recommend learning/finding the best method that works for you. If RN school doesn't work for you for some reason, initially, then maybe becoming an LVN/LPN first is a good idea. In EMS everbody becomes a Basic EMT first (same hours of training as a CNA). Then some become EMT Intermediates (same hours of training as an LVN/LPN). But, then others go straight through to Paramedic (same hours of training as RN). If the hands-on is not coming natural for you then I would recommend getting more experience. If that means getting an LVN first then go for it. Some of us just take to patient care naturally, but others don't.
  14. Medical oxygen is concidered a drug. Some facilities have standing orders, but then docs write their own orders, too. I've seen orders written for maintaining a patient's Sats at 95% for non-COPD patients and 90% for COPD patients. In EMS I think we give too much. Paramedics used to get very frustrated with ER nurses who took the O2 off to get a room air Sat. Now that EMS carries pulse ox it's not such a biggie. Just remember that O2 is only have the equation though. In certain circumstances you need CO2 readings, as well, through capnography. If the patient was rescued from a burning building, or is a firefighter they may have CO and cyanide exposure giving a false 100% Sat. You'll know the real story with capnography.
  15. MimiK

    Foley Catheters

    Used to do Foleys as an ER Tech when I first started in EMS decades ago. They weren't as picky about the sterility back then; had to teach an old dog new tricks this time around...
  16. Your grade will always be on your transcripts and you should never try to hide them. Your dishonesty will eventually be found out. Different schools require that your A&P and Micro be within the past 10 years, yet others are as few as 5 to 7. My first A&Ps were in the 80s, so I had to retake them both last Spring. I got Bs when I was younger and As this time around.
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