thelema13

thelema13 has 3 years experience and specializes in ED.

Latest Activity

1. 2016 Salary thread

   thelema13 replied to kbrn2002's topic in General Nursing

   Central FL, charge nurse in ED with 5 years experience. BSN, CEN. $28 base with 20% night diff, no diff for weekends. No bump in pay for BSN or CEN. I'm told compression raises due in April... but I'm...

2. Sepsis

   thelema13 replied to Anna Flaxis's topic in Emergency

   Most of our docs stick with 1-2 litres as a bolus, and I have given 8 litres before. Our cardio and infectious disease docs agree, give more fluid and place BIPAP if you are causing HF or respiratory...

3. Potassium Rates

   thelema13 replied to bear14's topic in Medical-Surgical

   10 mEq K+/hr (you can ask the doc for a vial of Neut, which takes the burn out completely, its 5 mL added to 10 mEq, you are adding 5mL of sodium bicarb to raise the pH of the K+

4. Ideas for improving flow...

   thelema13 replied to Anna Flaxis's topic in Emergency

   We are switching to a 'pull til full' model in a few weeks. We have done this before with bad results, mainly because our ED hires new grads and most of the charge nurses remain stagnant in their...

5. IV sites for Abd CT

   thelema13 replied to Louerrn's topic in Emergency

   20g for CT's, but some techs will use 22g. CTA's are 20g AC or higher, preferable R AC. Per

6. Know How to Improvise a Tourniquet

   thelema13 replied to Music in My Heart's topic in Emergency

   We use a manual BP cuff and inflate to 30-60 points above the systolic

7. Input about gastroparesis

   thelema13 replied to Sassy5d's topic in Emergency

   Have any of the above posters tried high doses of high quality probiotics? Like 500 billion+ a day as a maintenance

8. Cannabinoid hyperemesis syndrome

   thelema13 replied to Emergent's topic in Emergency

   How 'bout some Zofran ODT and a

9. How to treat?

   thelema13 replied to uRNmyway's topic in Emergency

   If the patient is truly recovering from their addiction, you should not give opiates because they are an addict, and the patient should state that as well, having known first-hand. You will just...

10. Patients who want to be admitted for minor things

    thelema13 replied to Emergent's topic in Emergency

    I once admitted a woman with a dx of morbid

11. HCA salary

    thelema13 replied to junejames's topic in Emergency

    My advice would be to RUN AWAY from HCA facilities. They have terrible management and treat their nurses like dog doo-doo. I worked for an HCA facility in South Florida, the ED was a joke (the rumor...

12. Case study: emergent penis ring removal

    thelema13 replied to thelema13's topic in Emergency

    We did try using gauze wrap around his member and testicles while he was sedated with etomidate to try to compress and push some blood back to his core, but that just made his HR jump to 130's and...

13. Case study: emergent penis ring removal

    thelema13 replied to thelema13's topic in Emergency

    The

14. Case study: emergent penis ring removal

    thelema13 replied to thelema13's topic in Emergency

    No urology coverage for over a month. If the Dremel didn't work he was going to try either injecting neosynephrine at the source or aspirating some blood out. I have seen priaprism reversed on a 24...

15. Case study: emergent penis ring removal

    thelema13 posted a topic in Emergency

    51 year old male with a very large metal cock ring that was purchased a few sizes too small. He put it on and had a solid erection for 4+ hours PTA. No other medical history. This is what we did: 1:...