Cowboyardee

Cowboyardee

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All Content by Cowboyardee

  1. I Really Do Not Want the COVID Vaccine ?

    Cowboyardee replied to AspiringNurse94's topic in Disaster Preparation

    To the best of my knowledge, none of the quoted section above is correct (with the exception of your mention of the flu vaccine's 40-60% efficacy, which I included to preserve your context)....

  2. Fire in the CVICU

    Cowboyardee replied to psuICUbb's topic in Critical Care

    It's a bummer when the job you get restructures and the reasons you had for taking the job no longer apply. My condolences. Are you on a contract? The upside of this is that your manager can't really...

  3. I Really Do Not Want the COVID Vaccine ?

    Cowboyardee replied to AspiringNurse94's topic in Disaster Preparation

    Because the vaccine is authorized for emergency usage rather than fully "approved" by the FDA, I doubt that even typically over-zealous hospital administrations will really be able to make the...

  4. ER to ICU?

    Cowboyardee replied to iheartnursing91's topic in Critical Care

    Hmmm. I think people gave you the kind of answer they usually give to nursing students looking to work in an ICU. The truth is a little more complicated. Having trained a few dozen ICU nurses...

  5. CRRT: Flushing Access Ports - How do you do it?

    Cowboyardee posted a topic in Critical Care

    Hi all. I've used the prismaflex crrt machine for a number of years. Of course, on crrt you'll often have issues where the access pressures abruptly become extremely negative, or in other words,...

  6. CRRT: Flushing Access Ports - How do you do it?

    Cowboyardee replied to Cowboyardee's topic in Critical Care

    By the way, are any crrt machines besides the Prismaflex and the NxStage currently popular or used much at all in the US, and do they have a built-in flushing

  7. ER to ICU?

    Cowboyardee replied to iheartnursing91's topic in Critical Care

    It may be more the area and the local job market than an overarching stigma. Some ICUs only want to hire experienced ICU nurses. Some prefer step down or med surg experience. Some really like hiring...

  8. Take the Shutdown Skeptics Seriously

    Cowboyardee replied to Emergent's topic in Disaster Preparation

    Good article. I tend to reflexively get defensive when people advocate reopening because that camp so often either buys into crackpot theories or seriously downplays the loss of life caused by...

  9. Kern County ER Docs C-19

    Cowboyardee replied to Emergent's topic in Disaster Preparation

    ? WOW!, we havent thought of any of those. We'll get on implementing your suggestions right away. Also, do you have the number to any good pizza delivery spots in the mid-Atlantic region? We are very...

  10. Kern County ER Docs C-19

    Cowboyardee replied to Emergent's topic in Disaster Preparation

    My brother was denied care in a hospital due to lack of capacity. They specifically sent him home with an acknowledgement that they would rather admit him but couldn't. The hospital I work at is...

  11. COVID-19 Trusted Blogs

    Cowboyardee replied to Kitiger's topic in Disaster Preparation

    Emcrit's covid page https://emcrit.org/ibcc/covid19/ Uptodate (no pay wall for covid material)...

  12. Covid-19 Parties

    Cowboyardee replied to Emergent's topic in Disaster Preparation

    If longer-term immunity was a sure thing, and the local area hospitals not currently among the more overwhelmed, deliberate self-exposure of young healthy people who are unlikely to fall deathly ill...

  13. Kern County ER Docs C-19

    Cowboyardee replied to Emergent's topic in Disaster Preparation

    1. Wait, what? I only got involved in this conversation when you claimed (entirely without evidence) that healthcare is not overwhelmed in NYC or anywhere in particular, implying that hospitals are...

  14. Kern County ER Docs C-19

    Cowboyardee replied to Emergent's topic in Disaster Preparation

    For whatever it's worth, I'm not particularly arguing about whether the country should open back up. There are far too many considerations to that kind of decision for me to pretend I know what's...

  15. Kern County ER Docs C-19

    Cowboyardee replied to Emergent's topic in Disaster Preparation

    This isn't true. It may seem to be the case from the outside, but I can assure you first hand that it's not. Many people who would have otherwise been admitted to hospitals were sent home for...

  16. Three Nurses Discuss Problems With Intubation and Related Issues in NYC Hospitals

    Cowboyardee replied to Pete W.'s topic in Disaster Preparation

    The first video linked is about reasonable topics, but seems to be disappointingly devoid of actual clinical evidence. Of course, at this point, clinical evidence is hard to come by, since this is a...

  17. Are Big City Hospitals Really Getting Hit With COVID-19 Pts?

    Cowboyardee replied to EPS's topic in Disaster Preparation

    Your wife has exited the realm of rural and/or conservative individuals who are honestly engaged with the world and has drifted into a kind of right wingnut culture cult. Normal people can realise...

  18. Are Big City Hospitals Really Getting Hit With COVID-19 Pts?

    Cowboyardee replied to EPS's topic in Disaster Preparation

    It's very real. I am an ICU nurse in a large community hospital in the Mid Atlantic region. We have well exceeded our normal ICU capacity. Right now, I'd say super sick covid19 patients have roughly...

  19. Another Quitter

    Cowboyardee replied to BlessYourHeartt's topic in Disaster Preparation

    I'm not here to tell anyone they should feel guilty about looking out for themselves or anything like that. We all have to weigh our own risks and values and I can't do that for anyone else. But the...

  20. Coronavirus May Be Reactivating?

    Cowboyardee replied to sirI's topic in Disaster Preparation

    Ill be following this closely. I would really like to know how the patients with "reactivated" virus were initially tested, how they were "cleared" of the virus (by PCR? one swab? two?), how long they...

  21. My Ultimate Warning based on personal Experience with COVID+ patients and co-workers.

    Cowboyardee replied to theoneandonly's topic in Disaster Preparation

    For whatever its worth, like the OP, I work in an ICU that has recently been largely overrun with covid patients. But I don't entirely agree with some of the OP's assertions. Ill explain what I'm...

  22. Thoughts on Charge RN

    Cowboyardee replied to 2bTraumaRN2008's topic in Critical Care

    I agree with frozenmedic. OP is entirely unqualified and will hurt people if he/she actually somehow gets the job. Orientation will not be nearly enough training to bring the OP beyond the level of a...

  23. COVID-19 and extinction of human species

    Cowboyardee replied to DannyBoy8's topic in Disaster Preparation

    I'm suspecting there's a bit of an echo chamber ongoing where people are repeating the (comforting) thought that since there are surely way more cases than we know of, the case fatality rate must be...

  24. How are you testing for covid right now?

    Cowboyardee posted a topic in Disaster Preparation

    Hi all. I'm wondering how covid testing is being performed in your area currently. Where I am (hospital, ICU, mid atlantic state), I'm seeing tests being ordered from either the state health dept or...

  25. COVID-19 and extinction of human species

    Cowboyardee replied to DannyBoy8's topic in Disaster Preparation

    I'm probably more pessimistic than many epidemiologists seem to be about the effects of covid19 - I doubt the real case fatality rate is below 1%, though many seem to be banking on this; I doubt a...