ChicagoRN84

Albumin and midodrine help most of the time, some just don't want to give it up tho

An hour and a half.... Oh, and in a different state 😔. The drive isn't terrible, I'm used to driving. The drive home can be a bit tiring especially when I do back to back to back days. The morning drive goes fairly quick since I have to leave so early

I'm not sure about courses, but my company hired me with no dialysis experience and trained me from the ground up. Good luck! Let us know what you find

Thank you! How did you feel your first few cases alone?

Tomorrow I will be all by my lonesome. Nervous, but excited. I'm pretty comfortable. A little unnerving that I will be the only one in the hospital tho. Any words of wisdom from your first few cases alone?

Very few have pre hospital roles, but those practices they can do in the field they are unable to perform in the hospital without higher status

And for skills, different areas = completely different allowances. In my area, nurses can't intubate, decompress, surgical or needle cric, IO. Can they learn? For the most part, of course they can, but it is not there scope in the hospital setting. It's just the different skill sets that are needed for our area. Pre hospital care has many liberties and autonomy where nurse do not, unless they are APNs, and that should not be part of this discussion.

When I was a medic, I brought in an unresponsive older man, breathing perfectly well with sats99% on RA. BP was in the tank, and no visible veins. Now, when I say no veins, I'm known for putting 18's in little old ladies and going for legs or anywhere else to get a line, and I will get lines in where no one can. Due to his decreased LOC, I Went straight for the IO to get his BP up, NSR on the monitor and went to the ER. BP improved, still unresponsive. The ER nurse started yelling at me for not intubating and for doing the IO. I informed her that he is breathing on his own, did not need to be tubed and then have to be in a vent for the rest of his life but needed fluids and needed that IO. She proceeded ignorantly to pull the IO in front of me, saying I should have done a periph, and to get out. An hour later I decided to check on him. He was circling the tank, the RN was dismissed from treating him, no line was still available and they were about to do a central line after many failed attempts. And I have many stories like this. Medics need some sort of an ego, because we don't have support staff, we don't diagnose, but have to in order to treat our pt's properly. We may have standing orders, but it's our critical thinking and years of learning that saves lives. We have more education than a quick semester at some local college. But truly, we all have our own stories of how a medic or RN or anyone was rude. Let's put that aside and work as a team. Teamwork is what really helps our pts.

I was a medic for 9 years prior to my RN. At each ER I "visited", there were some staff that I worked well with and trusted my judgement. Most unfortunately would look down on us, and let it be known that we were worthless and didn't know anything. Most doctors had our backs more than the nursing staff. It was quite frustrating and difficult not to lash out. Ignorance is the biggest issue. As medics we know what nurses are capable of, but they would never understand our role and how much schooling and rigorous testing medics go through. I loved being a medic, but went nursing because I was tired of feeling unappreciated and constantly being put down by ignorance

Thanks!! Seems like majority is 500

For just the rinse back? Or is the prime included? I've been told prime is 200

How much do you all calculate into the goal for rinse back? I have heard 200,300,and 400. I know I will get into my own groove, but wondering what other people do. Thanks!! I am new to dialysis, training for acutes