jrodrig2

sounds like the first hospital visit should have bought him hgb and preferably an observation bed regardless of the diagnostic results. that's what i would want for me in same position. who knows what was behind that would a big vascular mass or ? not good healthcare, but not much you could do sounds like. lot of bleeding do what you did, pressure, lay em flat, start an iv, put on defib/rhythm pads, call 911 asap, and get em out, fluid bolus, coagulation may have been an issue, where was the nursing home doctor? sucks to be you boss, that was a tough situation. better get a job in the hospital at some point so u can avoid some stuff like that. there is always some junk going on but at least in a big medical center academia goes a bit further. interesting post,thanks.

adenosine? good thing that node kicked in. any EP nurses explain that one?

LAD being ".......access device"? in this case PICC. i see a lot of nursing really pushing hard on partially occluded PICCs and PORTs. i let heparin and TPA do the work, and multiple patient positions. very interesting. i have been using a lot of PICC, PORT, aperhesis, hickman, broviac, IJ, EJ, mostly with good luck and staying away from problems, but it's a constant chore. thanks. i am not sure if i am identifying the SOLO device accuratelly. i wil look it up.

Gunners Mate now RN? nice switch. at least your q tip patient came in before his sever otittis requiring admission racked up 20k dollars and passed that on to tax payers. lot of dumb people out there, it's crazy crazy. let's move on to a more interesting subject like coffee quality and additives.

acls seems pretty easy now that the algorithims have been reduced of some meds. piece of cake. pediatric dosages on the other hand, broselow in hand

oh snap, heard that before, they are playing around with what to do with you, i hate that feeilng. could be worse, you could written up for horse crap excuse so that way you have a bad mark on your file and now you can't transfer. sucks.

er nurse / paramedic here. many places have that problem, i think it starts with state policy, prior inicidents (similar), and the size of cojones on the medical director for said ems county. at least you are in air conditioning, i am working codes in the hot sun with moron emts, haha.

12 years recon medic, 11 yrs er nurse, i cant begin to touch what you all are writting about, i just cover it up thoroughly, i have episdoes where i may sleep 14 hours on a off night, that's about it. but i am glad yall wrote about it. life sucks sometimes.

god, that is ridiculous, i cant promise you it's any better in my neck of the woods. would like to talk about more stuff if you want. Rod

my bad, LTAC (long term acute care). nice post!

sounds like you have a pretty important job. that must be a government agency. i am 41, healthcaring for 23 years. recently i have been hanging more blood than usuall. i like this site. i am thinking a lot of nursing sit beside the patient recieving transfusion for the first 5 to 15 minutes. i have not been doing that, but definetly within earshot (kinda hard sometimes). do most nurses reading this sit beside the patient for the first 5 minutes or not so much. my area infuses within 30 and before 4 hrs. start at 125 ml per hr and up to 300 ml per hour provided a good reason not to. i have a bsn and practice as a medic on side. thanks for your comments!!