Rio

Rio ASN, RN

HEMS 6 years

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All Content by Rio

  1. Pediatric triage

    I'm sorry but I can not get past :"breathing sonorous and slow","GCS is 9" and mechanism of injury. My next step would be an RSI (rapid sequence intubation) to protect the airway and effectively...
  2. how does your er triage?

    It is an EMTALA violation to inquire as to the patients ability to pay prior to a Medical Screening Exam. The MSE only must satisfy: does an emergency condition exist. If yes, then...
  3. how does your er triage?

    walk-ins report to the triage RN. the triage RN dose an initial brief assessment and does a pre-reg., no insurance info is required. the pt is then brought up onto the board with room number, name,...
  4. First, IMO, FIGHT !... get a lawyer and be prepared to take it to the finish. Whether you achieve whatever end you so may desire, you will at the very least have the satisfaction of NOT backing down....
  5. Documentatio question

    Only if you are
  6. HELP! having trouble

    blondeangl, 1. R/O is "rule out", BUT somewhere it could mean "risk of." That's why abbreviations are best avoided. 2. Please clarify the following conflicting statements in your scenario: "we...
  7. HELP! having trouble

    As I read your assignment it reads as though you need to prioritize your care plan. For me, IMHO, I like the good old ABC's. Airway, breathing , circulation, disability (neuro). First, he has an...
  8. Nursing shortages? Not in my area!

    In those areas where there is not a shortage; are there no jobs even on evenings and nights ? In many areas 8 hour day jobs are scarce, even with alternate weekend rotation. 12 hour shifts can be hard...
  9. Do a lit search of Mandatory Overtime. Compare and contrast union versus non-union. Research your state nurses' association. They are likely to have a position paper published. Pt. care issues:...
  10. Theory used in ED?

    Martha Rogers... Duude you're on my energy field
  11. Pay Scale for Flight Nurses?

    Your friends must be grossly under-paid. Where do you work ? Can't be an AirMethods/LifeNet
  12. paramedic nursing

    Not to answer for mrdevo but, in the past year I have done three femoral lines. two in the field and one in the cath lab. I've never had to do a surgical airway or a needle cric for that matter ,but...
  13. wcmc ventilator test/travel rn in er

    I'm not familiar with the test but here is a link:
  14. Did I read that right ? Out of 25,000 graduating RN student's only 7,000 went on to licensure ? What ? Did they get on the wrong bus
  15. Title says it all ! I'm a flight nurse in the U.S. and would like to hear from the experts on high risk OB. If you have any "pearls" to share, and what you, as a receiving RN want done and what you...
  16. night shift - sleep dilemma

    How bad is the schedule once you start working it, comprared to what you're willing to sacrifice in the way of qualilty of life and getting the most out of your education? :flowersfo 1.If you have...
  17. Pearls for Transporting High Risk OB

    EMTALA, Emergency Medical Treatment and Active Labor Act was enacted in 1986 as part of the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA). EMTALA only applies to hospitals...
  18. Pearls for Transporting High Risk OB

    hmmmmm.... we transport high risk OB interfacility ie: preterm labor, placenta previa ,PIH, abruptio placenta, pulmonary embolism etc... Meds we carry (besides ACLS, RSI, cardiac etc..) for OB:...
  19. Breaks in the ER

    When I get hungry enough I get grumpy. When I left staff (I really never left) and went into management I saw to it that people were fed. Including the staff (tic). Granted there are times when you...
  20. Critical Care Experience in 1st Year

    Any experience is good as long as you make the most of it. Put something back into the unit as well as take away the knowledge your mentors and preceptors will bestow on you. Advanced practice...
  21. Career advice

    You may want to consider an Adjunct Clinical Instructor position. In my area the local community college, ADN program, uses adjunts to handle the student load in clinical rotations at area hospitals....
  22. Discharging disheveled patients from the hospital

    Presuming that this "comatose" patient had returned to your facility without mouth care. What did you do about it ? Did you fill out an Incident Report and forward it to your manager and Quality...
  23. Recovering RN seeking to re-enter practice

    My experience has been from the other side. As an emergency department nurse manager and critical care nurse manager I have hired nurses in your situation and with positive results. All my hires are...
  24. ER RN salary

    Rural New York: starting rate is $19.00 with 3%per year for experience up to a max of 9 years. Plus the usual % shift/weekend differentials, plus $2/hr evening and $3/hr added on. No charge...
  25. PDA use for nurses?

    PDA's are absolutely worth the investment. Invest in more memory and a fast processor. You'll pay a little more upfront but it will pay big dividends later on. Good luck with your new career and here...