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firemedic12 BSN, RN, EMT-P

Critical Care, ER, Cath lab
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firemedic12 has 4 years experience as a BSN, RN, EMT-P and specializes in Critical Care, ER, Cath lab.

firemedic12's Latest Activity

  1. firemedic12

    Army STRAP and working

    I'm currently in UTA's RN-BSN program and have been looking into STRAP. I've found a trove of information on this and other sites, but still have some unanswered questions: 1) can you work while going through STRAP 2) do online programs like UT-Arlington qualify Thank you to all those who reply!
  2. firemedic12

    peds nurse going to picu, any advise?

    Be confident, don't let anyone push you around (including attendings), don't be afraid to ask questions, and don't be afraid to do something new.
  3. firemedic12

    When to use a filter for PIV infusion

    Only times I've ever used a filter is when infusing amio, mannitol, or TPN/PPN. There's possibly more but I've always been taught that it is used when there's a high probability that the medication will crystallize once it leaves it's container.
  4. firemedic12

    CPN Exam

    Some people have goals that are personal to them and certification exams can be the difference between getting a job offer and being passed up. Plus, many RN-BSN programs will give you credit for a nursing certification. It'll be much cheaper for me to take my CCRN for $300 versus pay $700 for another nursing elective course.
  5. firemedic12

    What is your dream job?

    18D. I kick myself daily for not doing it while I was younger
  6. firemedic12

    How old were you when you started CRNA school?

    I'm 29 right now and I'll be applying next year at 30. Planning to be finished by 33. I'd rather do a MSN/MSNA versus the doctoral if I can. I'm so sick of school. CRNA will be my 4th degree 🤢
  7. firemedic12

    Gender Pay Gap in Nursing: 2017 Salary Survey vs. 2015?

    Couldn't disagree more. I'm caught working 48-60 hours a week in the ICU and caring for a chronically ill wife and other family. I also have seen numerous men dealing with more than their fair share of domestic issues while working similar hours that I do. Domestic roles aren't exclusive to women, some of us men choose to take on that responsibility as well. I'd love to not have to worry about domestic crap and work less hours, but I have a duty to my family to both take care of and provide for them.
  8. Started my ASN at 26 while still on the fire department. Graduated at 28. Now I'm 29 and working on my RN-BSN. Should finish the summer after I turn 30. Then it's off to CRNA school! I want to get it all done now while the family is young and my wife can stay home with the kids the way she wants to.
  9. firemedic12

    When to call Rapid Response Team?

    We have a designated nurse assigned to do advanced assessments and US IV access. They have advanced protocols written out of what they can do without an order. As far as I know, pain control is not something they do. We don't have a designated "code team". For us, 2 nurses go (one from MICU and another from SICU). On night shift, the code is paged out over the intercom and the ED doc is paged or the on-call hospitalist. RT responds with 2 of their own. I go to these as often as I can and typically lead the team until the MD gets there. I started in the ICU with ACLS and had a solid background in leading codes so my unit had no problem letting me go as soon as I was off orientation.
  10. firemedic12

    Blood Glucose Measurement: Arterial vs Fingertip

    In my experience, the hierarchy for most hospitals is arterial > central line > finger stick. They say that an arterial draw is the most accurate. Pts on an insulin gtt get q1 sugars and I personally would rather not have my finger stuck every hour. I only stick if the patient doesn't have an A-line or central line.
  11. firemedic12

    Why did you choose to be an ICU Nurse?

    I came from an EMS background and had no desire to work in the ER. I did a few clinicals in multiple ICUs and immediately fell in love with it. We make similar spit-second decisions like they do in the ER while providing a continuum of care for days, weeks, or months. You have to know that patient inside and out, and be aware of very subtle changes (neuro changes can really slip past you if you don't pay attention). You only have 2 patients unless staffing is low. I triple every once in a while only because I'm one of the few nurses in my unit that doesn't mind it. The cold and callous side of me wants to mention that I don't like caring for "walkie-talkies". I prefer my patient too sick to walk, talk, or even breathe on their own.
  12. firemedic12


    I was always told it was heavily dependent on the patient's neurological status once ROSC is achieved. Some get placed on arctic sun protocol post arrest. I've yet to see someone get placed on AS and live once we started to warm them.
  13. firemedic12

    Advice for men in nursing!

    I'm the only male on my rotation and haven't had a single gender-related issue. [female] Charge nurse and I often play the "who's the bigger @$$hole" game. It's truly a toss-up who wins that one. Just show up for work ready to work. Never shy away from skills, ESPECIALLY those you're weak in. The only way to gain proficiency and keep it is practice. If the 80 year old lady needs a foley, don gloves and take aim! Go-lytely guy had his 5th watery BM of the night? Help his nurse clean up (hint: a Salem sump, suction, kerlex, and a brief will make your shift so much cleaner and easier). If you need help, please for the love of God ask! Opportunities are plentiful in the nursing world.
  14. firemedic12

    Masters or Doctorate in Anesthesia?

    I'm applying next year and there's only 3 DNP programs on my list of schools to apply to. The rest are MSN/MSNA programs and those DNP programs round out the bottom of my list. I don't plan on getting the DNP unless my future employer requires me to go back (on their dime of course). I've spoken with CRNAs of both backgrounds and they say the difference is there's a whole 6-8 more months of fluff and research courses that don't teach you much. I'd much rather a program use those extra hours for clinical time or science classes.
  15. firemedic12

    graduate level classes

    Obviously CRNA is my end-game here. I'm looking to take a couple graduate level classes after finishing my BSN (Already an ADN working in SICU for a year now). Any recommendations?
  16. firemedic12

    Is anyone else's ICU more like LTAC?

    This is the exact reason I volunteer to be first admit every night. I'm stick of doing trach and PEG care on the guy with an anoxic brain injury that has coded 5 times in the past 6 months only for family to override the DNR that was originally in place. Or the attempted suicide that is vent dependent, on TPN, CRRT, and has an ex lap literally once a week to attempt to fix where he took a shotgun to his gut.