GrannyRRT replied to loboracer's topic in Emergency
"Kick them out"? That should set the tone for these future attendings and their attitude towards nurses. Your attitude and treatment of others could eventually catch up to you and your fellow RRT RNs...
If you watch the strike job boards you will find strikes are prearranged by the hospital and the union long before it is announced. The 10 days part is no surprise to the union either. It takes...
GrannyRRT replied to Jarl Redbeard's topic in Men in Nursing
That hardly seems fair. There are other situations which require an N95 mask like some aerosolized meds. Who gets to choose their assignment if Ribavirin is involved? A man with a beard or a...
GrannyRRT replied to Jarl Redbeard's topic in Men in Nursing
As long as you have a PAPR available to you at all times it shouldn't be a problem if your beard is acceptable by the grooming policy. I have known men to go through the N95 mask fitting and deny...
GrannyRRT replied to MatthewBSNRN's topic in Critical Care
Now you present a very different scenario from your first post. If your patient is in RESPIRATORY DISTRESS, don't just call a Respiratory Therapist, call a Rapid Response Team or even a code. This...
GrannyRRT replied to loboracer's topic in Emergency
As I stated, a new nurse would have enough education to know they shouldn't be responding with a code bag in a mall. But, I suppose both of you defend the new Paramedic with a CCEMTP_ or FP-C_ cert....
GrannyRRT replied to loboracer's topic in Emergency
If an RN is responding to a code in the mall and has the same equipment and meds (or more) as the Paramedic, you can bet they also have the training. Off duty nurses don't run around with life support...
GrannyRRT replied to loboracer's topic in Emergency
I am getting a laugh out of your comparison to a new RN just out of school to a Paramedic. That is, in a way, insulting to the Paramedic. If the EMS agency is in any way respectable, they will have...
GrannyRRT replied to loboracer's topic in Emergency
According to the State of IL, PHRNs can do everything a Paramedic can do plus that of an RN. I do know transport nurses (and RTs) from that state who do practice those skills inside of a hospital...
GrannyRRT replied to loboracer's topic in Emergency
It might help if you did not say "as RNs" or "like an RN". You are not an RN. You do not have the same education, degree or credentialing. I have heard this since we allowed the ER Techs to do...
Suctioning is a breath taking experience. Not much air for oxygenation or breathing can happen around the catheter and tube. I will suction visible secretions going in only a short distance but will...
Ever read a blood donor eligibility questionnaire? In the late 1980s and early 90s very intimate questions about your sex life were asked face to face. Am I Eligible? | Am I Eligible | Blood...
GrannyRRT replied to All4NursingRN's topic in General Nursing
What did their CXR look like? Did the patients also have a history of hypertension? Long term asthma with remodeling and possibly a chance for pulmonary hypertension? Long term anticholinergic...
I am amused by the way some use the words art and culture. Any great artist will tell you art is a form of expression which can change as the artist's life changes. This is why there are galleries...
GrannyRRT replied to MatthewBSNRN's topic in Critical Care
Sally I am not saying I don't teach or that RTs shouldn't teach. I think by most of my posts on this forum I do show an interest in teaching. The RT department does take part in teaching nurses at...
GrannyRRT replied to MatthewBSNRN's topic in Critical Care
MUNO, you quoted me but failed to read what I wrote. Not everyone is superman and perfect nor can they drop everything to teach what probably should have been taught by a preceptor before placing a...
GrannyRRT replied to MatthewBSNRN's topic in Critical Care
Sometimes you might also forget what it is like to cover 200 patients and have everything paged to you as STAT. I wish I had time to thoroughly teach everyone. The RT in this situation did respond to...
https://ems.creighton.edu/training-certification/pre-hospital-care-emt-nurses-0 You will have a BSN when you graduate nursing school. You shouldn't have to sit through basic a&p courses in...
GrannyRRT replied to MatthewBSNRN's topic in Critical Care
You have an RT who is probably covering all departments including the ER and ICU. Since RTs can not be at every patient's bedside with an artificial airway all the time, the RN or LPN should have...
GrannyRRT replied to natnat122's topic in Emergency
Are you talking about a nurse be a first responder or at a clinic? I would advise doing BLS_ after calling 911. If this is at a very rural hospital where there are no RTS and the doctor in the ER is...
GrannyRRT replied to natnat122's topic in Emergency
But should the LMA be the standard because some want to intubate but probably won't get the tube time? The LMA is not sufficient for the long term. Would you feel comfortable with a ventilator patient...
Many will have contracts which can include specifics such as response time for a fairly basic transport which was not previously arranged. They are to follow certain guidelines which make approval...
But, if a patient is not tolerating a mask or even a nasal cannula, they are going to hate the BIPAP mask. This patient will need pharmacological intervention before attempting BIPAP. Without...
Was the patient home O2 dependent and what liter flow? Where was the fracture? Always assess for other possibilities like an embolism or pneumo or glucose issues. Pain control is definitely a must...
Breath stacking occurs when exhalation time is too short or the I:E ratio is inappropriate. This leads to Auto PEEP. You can see this graphically by the wave forms and by the baseline for air...