whyldlife

DDS- Drunk Duke Students, nothing like an 18 year old prince/princess that can't hold their liquor

Do both. Transport teams love RN's with their paramedic credentials. Having some paramedic time under your belt will also help you as a new grad if you go directly into an ED. Some of the trauma centers don't like to hire new grads but will take any time you serve as a medic, even part time, as enought experience.

Usually it's a basic test, identifying PAC's, PVC's all the different degrees of heart block, calculating rates.

I have used propofol extensively in the ICU and ER settings and prefer it on intubated patients only. There is a greater variability on dosing effects and it does cause some very significant CNS depression. For simple relocations or reductions my experience with etomidate has been excellent, ketamine is pretty good but I just like the way etomidate wears off so quickly with such little residual effect. Narcotics and versed for longer CS procedures but they do require longer post sedation monitoring. The problem with morphine, dilaudid or fentanyl is when you remove the painful stimuli ( ie: set that femur fx) patients can suddenly go out as all the narcs catch up. Our CS is always done with an RT, the resident performing the procedure and attending supervising so we are always well covered for oversedation, though it still causes a massive adrenaline dump in me. Propofol for CS would make me very nervous.

Neat and professional is our code here in NC. Sure some of the young kids coming in push the envelope of professional decorum WAY to far but they are just kids and usually shape up after a talking to. If your facility wants you to wear specific colors then they need to provide them for you. That's why every so often some hotdog new NM who wants to do some low brain power, high visability initative to set their immediate stamp on things drags that old idea out. Cost always shoots it down, there is a law, federal I think, that mandates employers who require uniforms provide them. Our RT's all wear one color but they get issued two sets, same as pharmacy techs but the cost for nurses keeps that kind of thinking at bay.

She should, and probably will get a verbal reprimand unless there are other issues with her. You work nights long enough and it happens. I'm sure there are some people who have never know or have forgotten the difficulties of working the night shift and living a life. It's not an uncommon occurence for a nurse to run like mad and then when things wind down to be overcome in the wee hours of the morning. I've seen it happen to the best of nurses in the best of facilities. Yes it is an unfortunate thing but what is the difference in an adverse outcome occuring then or while she was on break,or with another patient? When a patient decides to pull the tube it often comes quick and frequently can happen with an awake nurse in the room. If she is the excellent nurse as described she'll be beating herself up about and a good manager will realize and account for that, if she's not a good nurse the manager will utilize the situation as grounds to start the dismissal process. In the end you can only be the best nurse you can be, good karma will reward you, even if moving from such a pissy, eat their young environment may not seem like a positive reward at the time

I am currently a diploma RN looking to go back to school. Has anyone had any experiences with the online schools? What are the clinical requirements? Any advice is appreciated