CoolhandHutch

CoolhandHutch MSN, RN

ER, OR, Cardiac ICU

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All Content by CoolhandHutch

  1. Emergency Room NPs?

    CoolhandHutch posted a topic in Nurse Practitioners, NP

    I'm currently weighing my options and want to hear from those that are ERNPs. I work in a level 1 and am contemplating going for my ERNP (that offers the FNP cert along the way). A few questions:...

  2. Flu epidemic...who gets treatment?

    CoolhandHutch posted a topic in General Nursing

    Be practical in your replies. If the "Big One" hits, who gets treated? Do we prohibit LTC/Memory care facilities from sending patients into the ER? Is it first-come, first-served? Where do we use the...

  3. Accessing chest catheter

    CoolhandHutch posted a topic in Dialysis, Renal, Urology

    Hey everyone, ER nurse crashing your boards... Need help here. We had a dialysis patient present the other night in our ER in a crappy rhythm but pretty stable. One of the other nurses thought nothing...

  4. How Breast Surgery Killed A Florida Teen

    CoolhandHutch replied to NRSKarenRN's topic in Certified Registered Nurse Anesthetist, CRNA

    You quoted a comment to the story...by a 'physician' that redirects you to his own site.. That notwithstanding, I read that this surgery center did not have dantrolene on hand...perhaps someone much...

  5. Has anyone worked in medical or pharmaceutical sales and returned back to nursing?

    CoolhandHutch replied to bluemartian's topic in General Nursing

    Yes, I dabbled in the ortho implant sales while I was a nurse...by dabble I mean a two year stint...and made more moola than I knew what to do with :) But you have identified what I hated about it- it...

  6. STEMI..EKG in less than 10 min..

    CoolhandHutch posted a topic in Emergency

    How does your facility do it? We have a triage process without the ability (as of today) to obtain a 12 lead with having the patient moved into an ER bay. On the patients that read the manual and...

  7. Morphine question.

    CoolhandHutch replied to StrwbryblndRN's topic in General Nursing

    Morphine can cause spasms of the sphincter of Odi, causing pain. There is a morphine-tolerance test to check for gall stones..I think it's been pretty much replaced by HIDA scans. But yeah, morphine...

  8. Highest BP you have ever seen on a pt

    CoolhandHutch replied to nckayaker's topic in Emergency

    310/180s...a twenty-something dude that ingested several GRAMS of meth at a traffic stop instead of getting arrested (which he almost did anyway- one arrest for another.) His heart rate was somewhere...

  9. Pa?

    CoolhandHutch replied to mistiffy's topic in General Nursing

    Your are kidding, right? Anthrax? Why not throw in Ebola or the Hantavirus... And, again, most of the mid-level providers I have the opportunity to work with could make a differential diagnosis...

  10. Rules for the ER (long)

    CoolhandHutch replied to EDValerieRN's topic in Emergency

    You sure it isn't the

  11. Just wondering- PARADE article

    CoolhandHutch replied to perfectbluebuildings's topic in Emergency

    I thought the article was a piece of garbage. The opening story talks about a toddler that dies in the hospital that they try to associate with "Surviving the ER". It was sensational journalism that...

  12. Pa?

    CoolhandHutch replied to mistiffy's topic in General Nursing

    Most PA/NPs I know would cringe at your suggestion that they be under close direction. Most are "independent"- yes, I am aware of the technical aspects yet having worked closely with both they carry...

  13. Code/Trauma Debriefing

    CoolhandHutch replied to erdaynurse's topic in Emergency

    We have one that is really just a "giant round table" after a troubling event. Our sups are very good about finding coverage for those involved- and it is not a voluntary thing- you go. You do not...

  14. How smart are you?

    CoolhandHutch replied to psycteach's topic in General Nursing

    I thought nursing school was easy academically but challenging in the time management respects. Much of it depends on your personal situation. I was single and only needed to be concerned for myself....

  15. Drug IN-tolerance!

    CoolhandHutch replied to TazziRN's topic in General Nursing

    Tazzi, just thinking out loud here.. I've heard that Ativan isn't tolerated real well IV for tots. Your mileage may vary- I'm sure someone in pharmacy could tell you more than you want to know about...

  16. ER must haves

    CoolhandHutch replied to kathy_bear's topic in Emergency

    In my pocket at any one time: -a dozen alcohol wipes -a carpujet -lint -four crumpled one dollar bills -my stethoscope -a half-dozen blunt tips adapters -a couple of 'clip' connectors for IV lines...

  17. phone calls no outsider would believe

    CoolhandHutch replied to JBudd's topic in Emergency

    mmmmmm undies..... Oh wait! Did I say that out

  18. phone calls no outsider would believe

    CoolhandHutch replied to JBudd's topic in Emergency

    Last winter/early spring, there was an outbreak of mumps in Iowa. Working in southern Minnesota, I received a call from a mother that asked what the s/s of mumps were. I took the easy way out and told...

  19. Attitude and Activity-question

    CoolhandHutch replied to alwayslearnin's topic in Emergency

    That's the most dangerous part of our job. I try to "leave the baggage" at the door before I assess a new patient- but how many times have you read the triage note and thought, "A sore throat? At...

  20. Who's The Priority?

    CoolhandHutch replied to Mizzyfrufru's topic in General Nursing

    ABCs, always and forever. Trach dude could die very shortly without his airway- manage the airway first. The rest need attention, but not the "stop what you are doing NOW" sort of

  21. ED Flow Sheets

    CoolhandHutch replied to ikimiwi's topic in Emergency

    These are pretty nice http://www.bartcharts.com/nursing.html They're not cheap, but I like them. If anyone has any examples or can email what they use, I'd like to see them. We're in the process of...

  22. ER-101...Route/Meds/Terms

    CoolhandHutch replied to shill's topic in Emergency

    UH oh....QD? The JCAHO folks are going to get

  23. Socialized Medicine sure is scary.....

    CoolhandHutch replied to HM2VikingRN's topic in Activism, Healthcare

    Your vet doesn't get sued very much. Now, I honestly don't believe malpractice lawsuits affect the cost of healthcare, but I do believe CYA medical practice

  24. Rules for the ER (long)

    CoolhandHutch replied to EDValerieRN's topic in Emergency

    If that happened in my ER, I'd walk him over to the Pyxis and ask, "So, what do you want & how

  25. Rules for the ER (long)

    CoolhandHutch replied to EDValerieRN's topic in Emergency

    Okay, now that we've heard from the "high and mighty" crowd who CLEARLY don't "get it".....can we continue please? The last few pages have been a royal buzz