FiremedicMike

FiremedicMike BSN, RN, EMT-P

CEN, Firefighter/Paramedic

Member

  • Content

    596

  • Visitors

    6,800

  • Followers

    2

  • Likes

    1,059

All Content by FiremedicMike

  1. Legality of nurse responsibilities

    FiremedicMike replied to Djadia's topic in General Nursing

    Are you saying these nurses aren't completing physical assessments and making treatment decisions based on written protocols, with access to online medical control when needed? If you were...

  2. Legality of nurse responsibilities

    FiremedicMike replied to Djadia's topic in General Nursing

    Again, this can be done. What you're talking about is the life of critical care transport nurses and medics. I'm not saying it's right for the patient on an in-hospital unit, but nurses operate...

  3. Sustainability

    FiremedicMike replied to Norfin's topic in General Nursing

    I think you should probably look into the history of patient care items. It's my understanding that re-usable items were swapped to single use primarily due to the costs associated with...

  4. Legality of nurse responsibilities

    FiremedicMike replied to Djadia's topic in General Nursing

    I would press them for written protocols and documentation of standard order sets. Even in hospital, it's not illegal for nurses to order tests based on protocol, in the ED we (nurses) order standard...

  5. Need help

    FiremedicMike replied to hearttaylor83's topic in Nursing Career

    I think it's natural to be scared of that move, especially if you're "comfortable" in your current role - meaning your nursing ability and not necessarily the environment. One thing to consider -...

  6. ICU or Emergency

    FiremedicMike replied to Momochi's topic in General Nursing

    This post is fairly old now so I'm sure you've likely made your decision, but my feelings echo JKL's.. My favorite role in me ED is the float spot, as we use them to back up the nurses with...

  7. Legality of nurse responsibilities

    FiremedicMike replied to Djadia's topic in General Nursing

    From a legal standpoint, I'd imagine there's a way to accomplish this. Flight Nures or those who work in critical care transport do this every day and make realtime treatment decisions for their...

  8. Med Error

    FiremedicMike replied to RockingBoyMom's topic in General Nursing

    How exactly did your management articulate that you were supposed to know the med was given early and shouldn't be given at its regularly scheduled time when no documentation existed that said...

  9. Med Error

    FiremedicMike replied to RockingBoyMom's topic in General Nursing

    And then didn't document it, yet somehow you were supposed to know that she gave the

  10. Med Error

    FiremedicMike replied to RockingBoyMom's topic in General Nursing

    Hold up.. Prior nurse didn't document med administration, so you gave it because you felt it was due, yet YOU'RE the one terminated? wow, that's truly awful. Other nurse have connections or...

  11. I need your advice/opinion desperately

    FiremedicMike replied to throwaway1's topic in General Nursing

    Pt was offered a purewick, did you not even read the post? To the OP, sounds like this patient sucked. I've never personally been fired from a patient but I'm sure I had patients who didn't care...

  12. Made a huge mistake as a new grad

    FiremedicMike replied to Peaceofnurse's topic in General Nursing

    Unless you have completely toxic management, this shouldn't be any more than a counseling/education discussion. I've never done this by I've seen it happen. I don't really know how it happens,...

  13. How long should orientation be?

    FiremedicMike replied to Pug RN's topic in Emergency

    4-6 months new grad, 6-12 weeks for experienced nurses. That said, ED is a totally different ball game. We've had med-surg nurses and psych nurses try to make the switch, none could keep up....

  14. Tiny vein tips for IVs

    FiremedicMike replied to mariaconcetta's topic in General Nursing

    Learn ultrasound, LOL honestly im to the point now where I don't go digging or praying small veins will hold up. If they look like a hard stick or spider veins, I just grab the ultrasound...

  15. CRNAs Should Not be Allowed to Practice Independently - One Anesthesiologist’s Opinion

    FiremedicMike replied to tnbutterfly - Mary's topic in Certified Registered Nurse Anesthetist, CRNA

    2 out of 3 programs in my area specifically exclude ED, the third does not. I have another year before I can apply due to other obligations, I'll start investigating at that

  16. CRNAs Should Not be Allowed to Practice Independently - One Anesthesiologist’s Opinion

    FiremedicMike replied to tnbutterfly - Mary's topic in Certified Registered Nurse Anesthetist, CRNA

    With the caveat that I have never worked ICU, I'd argue that we do those very same things in the ED every day, amplified by the fact that we are generally 4-5:1 and must learn to rapidly prioritize...

  17. CRNAs Should Not be Allowed to Practice Independently - One Anesthesiologist’s Opinion

    FiremedicMike replied to tnbutterfly - Mary's topic in Certified Registered Nurse Anesthetist, CRNA

    Asking for genuine input and out of curiosity, and based on anecdotes from nurses I've worked with who have prior ICU experience. Why is ICU experience the benchmark? I've titrated drugs, I...

  18. CRNAs Should Not be Allowed to Practice Independently - One Anesthesiologist’s Opinion

    FiremedicMike replied to tnbutterfly - Mary's topic in Certified Registered Nurse Anesthetist, CRNA

    I believe there's an IM subspecialty for critical care docs, pretty much specifically trained for the

  19. Documentation that is true but looks bad

    FiremedicMike replied to LandofMaybe's topic in General Nursing

    "I'm not sure, I would need to have access to my charting at the time to attempt to recall the entirety of circumstances at that moment". It's extremely rare that we're any worse than 4 to 1, I'm...

  20. Documentation that is true but looks bad

    FiremedicMike replied to LandofMaybe's topic in General Nursing

    This just isn't realistic on a busy unit, unless it's a critical med, but then that goes back to proper prioritization.. Quick survey - anyone been before the board of nursing because a med...

  21. I want a future where all nurses have science degrees and are not mean girls

    FiremedicMike replied to RitzyCinnamonRoll's topic in Crusty Old Bats's Chatter

    I took both philosophy and algebra as a part of a prior degree. I think philosophy taught me more about understanding human behavior and considering alternative perspectives than reasoning, which I...

  22. Optometry or NP?

    FiremedicMike replied to PaedRN's topic in Student Nurse Practitioner

    Honestly - you know what you know. You sound like you genuinely miss optometry and at the end of the day, you really don't know what being an NP is like. It would suck to get into that debt and time...

  23. Documentation that is true but looks bad

    FiremedicMike replied to LandofMaybe's topic in General Nursing

    When I miss med timing in the ER, I write "priority of care" in the comments, which is a valid response. We spent a lot of time during nursing school running scenario of "you have orders for the...

  24. I want a future where all nurses have science degrees and are not mean girls

    FiremedicMike replied to RitzyCinnamonRoll's topic in Crusty Old Bats's Chatter

    Thread title doesn't match content.. Since we're giving our wishlist, I want a future where we stop pretending that college is mandatory for everyone. I believe in education, but I believe that...

  25. CFRN vs CEN

    FiremedicMike posted a topic in Flight, Surface Transport

    Just wondering.. I have prior flight experience as a medic, passed my FP-C on the first try. Im currently an ED nurse and also passed my CEN on the first try. I'm going to start stacking my...