heinz57

heinz57

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All Content by heinz57

  1. Treat the patient, not the monitor

    heinz57 replied to offlabel's topic in Critical Care

    What you described was more operator errors. I would rather respond AND CORRECT an alarm then do the charting on a dead patient. Surely you can troubleshoot a pleth or an ECG well enough to know...

  2. O2 for Unresponsive Pt

    heinz57 replied to myhoagie02's topic in Emergency

    Asystole? Really? Isn't that taking it to the extremes? What about the "passed out" patient you assume to just be a drunk? Just looks drunk... Vitals are an important part of assessment. Even in EMS,...

  3. O2 for Unresponsive Pt

    heinz57 replied to myhoagie02's topic in Emergency

    Why do we waste time doing vitals? Do you blow off a patient in your ED that "looks fine" to you without taking any vitals? Hypertensive patients don't always "look" hypertensive. Do you think...

  4. Max wall O2?

    heinz57 replied to UnderRepair's topic in Pulmonary

    HFNC, depending on the make and model, can for up to 40 and some to 70 L/m. HFNC also can go up to 100% oxygen. HFNCs are designed to help remove CO2 which is why they are popular for COPD patients....

  5. O2 for Unresponsive Pt

    heinz57 replied to myhoagie02's topic in Emergency

    I have to agree with most of the points nurse 2033 made. Oxygen can affect the CO2 levels as seen with the alternative explanations to the hypoxic drive myth such as pulmonary vasoconstriction and...

  6. O2 for Unresponsive Pt

    heinz57 replied to myhoagie02's topic in Emergency

    The Paramedics might have it but around here in the city they only use if using RSI and intubating with a ventilator. I have never seen them use it on a non intubated patient. If they use a King...

  7. Tattoos and Nursing

    heinz57 replied to Yadisanchez's topic in General Nursing

    So were some of the white cops beating up and shooting the black kids. Again, what is acceptable to some might not apply to

  8. Tattoos and Nursing

    heinz57 replied to Yadisanchez's topic in General Nursing

    You see my point? What you find offensive, I and others might not. You have one point of view for the confederate flag and others might have a different one. Very few objected to the "Dukes of...

  9. Tattoos and Nursing

    heinz57 replied to Yadisanchez's topic in General Nursing

    But it is just a flag. People have different interpretations for what it stands for. Growing up in the south I do not find it offensive. It could also be considered art as a tattoo. Would you have a...

  10. Tattoos and Nursing

    heinz57 replied to Yadisanchez's topic in General Nursing

    In some areas and depending on the person, yes. Whether we want to admit it or not we all have some bias or do some form of stereotyping of certain groups. Different ethnic groups and males with...

  11. Tattoos and Nursing

    heinz57 replied to Yadisanchez's topic in General Nursing

    Define offensive. A local FD recently won the right to have the Grim Reaper and a skull in flames as accepted tattoos because they did not fit the definition of offensive. Since most of them are...

  12. Paramedic School before i start my BSN?

    heinz57 replied to Socal_EMT's topic in Emergency

    Don't try to tell ED RNs they aren't good enough because they don't have the Paramedic cert. I also don't know how you say a Paramedic exceeds his role as an RN and that is especially true in the...

  13. Paramedic School before i start my BSN?

    heinz57 replied to Socal_EMT's topic in Emergency

    If you found a Paramedic school to work around your schedule chances are it is a medic mill which loves a student to sign a huge loan over to them. Whatever promises they make are subject to change to...

  14. Paramedic School before i start my BSN?

    heinz57 replied to Socal_EMT's topic in Emergency

    Duplicate

  15. ET tube questions

    heinz57 replied to Thedevinestman's topic in Critical Care

    Are you saying since my ICUs and ERs, yes plural for a large hospital, don't c-collar we don't deserve a vote of confidence? Obviously you have not seen a real transport team in action. Yes we go...

  16. ET tube questions

    heinz57 replied to Thedevinestman's topic in Critical Care

    Did you actually read my post or just touchy about the thousands and thousands and thousands of intubations comment? I did say CRNAs were the exception. Most Paramedics even in busy systems rarely...

  17. ET tube questions

    heinz57 replied to Thedevinestman's topic in Critical Care

    Working in a large city trauma center I see many different EMS agencies. It seems the ones who use the collar have the least amount of protocols or skills to control the ETT after intubation. The...

  18. CT tech accessing ports

    heinz57 replied to NRS86's topic in General Nursing

    Who are "they"? You should not be taking opinions on the anonymous forums or FB to find the answers to their scope of practice. Ask "them" to pull up their scope of practice and the authorization...

  19. CT tech accessing ports

    heinz57 replied to NRS86's topic in General Nursing

    For what profession? The OP named CT Radiology, MRI and Nuclear Med Technologists, If you want to read through their scope of practice you might be enlightened that these are EDUCATED professionals....

  20. CT tech accessing ports

    heinz57 replied to NRS86's topic in General Nursing

    My point is that Nuclear Med Technologists. CT Technologists, Radiology Technologists, Interventional Radiology Technologists etc are not Nursing Assistants, CNAs, MAs or whatever Nurse Assistive...

  21. CT tech accessing ports

    heinz57 replied to NRS86's topic in General Nursing

    Nurse Assistive Personnel? These are not MAs or CNAs. They have their own education. They have their own Licensing boards. They have their own Medical Directors and they are not under nursing. Do...

  22. CT tech accessing ports

    heinz57 replied to NRS86's topic in General Nursing

    Practicing medicine without a license? CNAs? No. These technologist (X-ray technicians, CT Technologists, Nuclear Med Technologists etc) deal with RADIOACTIVE MACHINES and RADIOACTIVE DRUGs. Do...

  23. how would a nurse assess acute exacerbation of asthma?

    heinz57 replied to CNS2b11's topic in General Nursing

    There are standardized assessments complete with a treatment plan for eacerbations published by the ATS and the Global Asthma Association which are now in almost every country in the world. Since...

  24. Nurses, do drop in! *VENT*

    heinz57 replied to AutumnLeavesRN's topic in General Nursing

    At this point there is absolutely nothing aggressive about this treatment. Q4 neb treatments? O2 of 100% on BIPAP? I am horrified to read this post. Why didn't you call for a Rapid Response Team...

  25. Question about nursing and RRT

    heinz57 replied to Ryan Walker's topic in General Nursing

    Dealing with odors and body fluids is something you will have to master in any bedside health care profession. If you really think you can't, reconsider health care. It would be extremely bad if you...