chip193

chip193

ER

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All Content by chip193

  1. B careful LPN-RN Online

    chip193 replied to mel1977's topic in LPN, LVN Corner

    Hi Wayne, There are literally thousands of Excelsior College grads who are working in all areas of nursing, both at and away from the bedside. The EC program began as an offshoot of the NY State...

  2. Starting income for ADN R.N.s in upstate NY?

    chip193 replied to NewJA's topic in New York Nursing

    I work for a nursing agency in one of the Kingston hospitals (and I'll be there tonight!). It seems that there aren't any hospital staff in the ERs any more - just one or two and the rest are agency...

  3. Colors used to identify IV sets usage?

    chip193 replied to jorogume's topic in General Nursing

    I'm color blind...so it matters not to me what color the tubing

  4. Am I having an acute BF (Brain Fart)????

    chip193 replied to BrnEyedGirl's topic in Emergency

    Not in 17 years have I seen a Mg checked before

  5. Excelsior

    chip193 replied to Mizzyfrufru's topic in Online Distance Learning

    Sounds like you've got a bit of the sour grapes! Considering that I work with two other EC grads and a RED grad (yes, he's old!), I think that you're way off the mark. I was well-prepared for the CPNE...

  6. Excelsior

    chip193 replied to Mizzyfrufru's topic in Online Distance Learning

    This is the latest edition of book: http://search.barnesandnoble.com/booksearch/isbnInquiry.asp?z=y&EAN=9781416031994&itm=1 When I used it, it was cheaper, as it wasn't in color!

  7. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    chip193 replied to DutchgirlRN's topic in General Nursing

    "No is no" is only in play if the patient is competent to make that decision. Given the hypoxia and hypercarbia, that is a very gray area. In the ER, the doc would have the "how far do you want us...

  8. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    chip193 replied to DutchgirlRN's topic in General Nursing

    Lizz, It comes down to this. This is a chronic COPD patient who EMS has responded to for hypoxia. I am sure that the patient's presentation was not of a pink, warm, and dry patient with easy...

  9. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    chip193 replied to DutchgirlRN's topic in General Nursing

    it seems that you were taught erroneous information or perhaps interpreted it incorrectly. you never withhold oxygen from a hypoxic patient. another poster did a wonderful job explaining the...

  10. Excelsior

    chip193 replied to Mizzyfrufru's topic in Online Distance Learning

    i did just ec - and never bought a book, save mosby's nclex review book with cd (silverstri is the author). when i took nc2-6, i simply did all the questions on the cd about the topic - there are...

  11. Excelsior

    chip193 replied to Mizzyfrufru's topic in Online Distance Learning

    The cost per credit hour ($275) is for classes that you take online with them. You have the option of using local Community Colleges, CLEP, or EC exams. You don't pay an exam fee plus the credit...

  12. free CEU's

    chip193 replied to chenoaspirit's topic in General Nursing

    I'm a fan of www.medpagetoday.com It's free - and there's lots of them! And they're all Category A AACN

  13. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    chip193 replied to DutchgirlRN's topic in General Nursing

    I have "comfort care" patients who are taking their last breaths on NRB masks. It all depends on the patient. I can think of a case last week where a patient was not enrolled in Hospice. Family had...

  14. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    chip193 replied to DutchgirlRN's topic in General Nursing

    You obviously aren't following the lawsuits and actions of the state EMS departments. I wouldn't expect you to - you're not a Paramedic. I think I missed it along the way somewhere - where do you...

  15. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    chip193 replied to DutchgirlRN's topic in General Nursing

    You do not have to be in Hospice to have a DNR. Many patients locally have them and are not in a SNF, ALF, or in

  16. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    chip193 replied to DutchgirlRN's topic in General Nursing

    Mileage on this varries from place to place. Both NY and MA have out of hospital DNRs that are required to be honored by EMS. Remember, DNR means that if the heart stops, don't do CPR. It does not...

  17. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    chip193 replied to DutchgirlRN's topic in General Nursing

    We routinely do this in the ER - patients who are not competant to make decisions for themselves (usually mental health or chemically enhanced, but sometimes hypoxic). The laws vary from state to...

  18. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    chip193 replied to DutchgirlRN's topic in General Nursing

    Plantiff's Attorney: "Can you explain to me what hypoxia is?" Paramedic: "It is when there is not enough oxygen to perfuse the organs." Attny: "What are organs?" Medic: "They are the different...

  19. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    chip193 replied to DutchgirlRN's topic in General Nursing

    Would it have been better if the patient had decompensated in a car with no one with medical training or

  20. Acls

    chip193 replied to Christie RN2006's topic in General Nursing

    Do the exact opposite of what you have just suggested. Learn what the drugs are and what they do - not what drug you use for "x" condition. For example: Atropine speeds heart rate in the atria by...

  21. most CEUs for least amount of money?

    chip193 replied to Janinern84's topic in General Nursing

    www.medpagetoday.com Each article is worth 1/2 hr of CME. All is AACN Type A approved. And it's all free.

  22. Acls

    chip193 replied to Christie RN2006's topic in General Nursing

    I just taught the new ACLS for the first time today. It was all video based - just stood there and pressed play. About 1/3 of the class is CPR. Know your 30:2 and "harder, deeper, faster" (and yes,...

  23. How much do NY nurses make?

    chip193 replied to Michele G.'s topic in New York Nursing

    I'm upstate, outside Albany. My wife, four years ago, was offered about $19/hr as a new grad in the Albany Area. She was last making $36-40/hr doing Agency work. I work in Western MA. As charge in...

  24. RueEd or Excelsior College

    chip193 replied to Brina01's topic in Online Distance Learning

    Rue is a publisher that writes study guides for EC exams. They do not offer classes or exams, simply charge you lots of cash for information that you can obtain from EC for free! Be careful if you...

  25. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    chip193 replied to DutchgirlRN's topic in General Nursing

    Ah yes, the Paramedic is completely uneducated and can't possibly know anything about patients. There is no reason that the Paramedic should not listen to me, and just her ego got in the way. Get...