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Why Dopamine and not Levophed for head injury pts?
If your Pt's acidotic you can forget about dopamine working at improving SVR. I just beg to get Levo started once the "tank" is full.
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Rash of A-line dislodgements
The non-suturing of the Art Line is your issue. Why do they not suture the art line?
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NP Changes that need to happen...
My suggestion would be a greater emphasis placed on actual clinical experience gained and demonstrated. I've worked with too many low skilled nurses who enrolled into FNP programs. I'm just at my 5th year of experience and feel I'm ready for further study. How anyone can honestly think they're ready to be advanced practice nurses after working a year is beyond me.
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New Grad interested in Trauma
If you can swing it, work in a surgical or neuro ICU first then get ER experience. If you want to go for the gold, stick with academic institutions. Private hospitals rarely see the value in (or afford) a robust education of its nurses. If you're a self starter, overachiever type stay away from the floors, it will just suck your soul dry.
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Help with lung ausculation
Get an Ultra Scope. If that too weird looking for you then step up to Littman Cardiology III.
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Does anyone else ever get tired of "stupid" nurses?
You should see the level of incompetence I run into when I fly into these rural ER/ICU's The term is Inter Facility Transfer but in actuality its a Inter Facility Rescue. The issue that I've found is multi- factorial, the celebration of ignorance and lack of work ethic is endemic. We're told by our management to not say anything or offend and just package the patient for transport and lift off. Talk about touchy, I tried to show a rural RN some things I had noticed on assessment and apparently I offended her to the point that she complained on me. I give up, I going to leave direct patient care and explore other options before I really come unglued and tell it like it is.
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Thin skinned nurses
Is anybody else extremely tired of being accused of "yelling" when actually, you're just being firm about a position? I have to laugh and shake my head because, if I wanted to yell, I could give a clinic on it, due to my time in the USMC.
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help i am trying to find an er job!
Tracey.....If you're a rock star and a great team player and enjoy working with male RN's then apply for the ER at University Miss Medical Center in Jackson, MS.....it's a level 1 trauma center. University of Mississippi Medical Center
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Payscale for San Diego area
I didn't think it would be enough, considering I'm currently a weekender making well over that and live in the Memphis area, which has a substantially lower cost of living. Thanks for your reply and yes, I did perform a search before I posted.
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Payscale for San Diego area
I'm an ER nurse with 2 years experience and trying to find the pay scales for RN's w/ BSN's in the SD area. I'm trying to see if the move to SD to be with the GF is worth it or does she need to move to the Memphis area.
- Mississippi nurses roll call!!! (be known)
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Possibly relocating to New Orleans from Memphis
Former Med TICU nurse here looking for some good info on NOLA. Where are the jobs in NOLA and which hospitals to avoid.
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Deployed to Iraq before my one year of experience.
I have been informed my Army Nat'l Guard unit will be getting deployed in May and I will have not completed a full year in the ICU where I work at. Has anyone seen this happen and any advise with employeers when I get back. By the way I'm still an MP and not an army nurse.
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New nurses @ Lundstuhl
Can new army nurses get posted to LRMC in Germany?
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Nurses with RNY gastric bypass
Hey everyone, brand new RN here with a brand new RNY pouch as of last week. My question to you is how do you get your water/protein in while working? I work in a busy ICU and see this may become problematic. I guess I can always have someone hook me up with NS during slow/break periods. (like whatever those are)