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About MedicRN

  • Birthday 03/31/1969

Previous Fields

  • Occupation
    Flight Nurse, EMICT

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  • Gender
  • Location
    Central USA
  • Interests
    Storm Chasing

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  1. What is his mental status? oto/rhinorrehea? Neuro check? Stroke s/s? Dental abscess that has "migrated" to the brain. Mouthwash followed the tract and is now in the brain. My $0.02.
  2. Flown by EagleMed. Second chopper in 4 months (in Oklahoma), third aircraft (at least) in 3 years.
  3. IMHO....... The details provided do not violate HIPAA. HOWEVER..... since this is a "wide spot in the road community," everyone generally knows everybody's business in very short order or at least is able to deduce quickly/easily with minimal information (I grew up in one of those. I couldn't sneeze without my parents finding out). Was it a direct violation of HIPAA? Probably not. An indirect/inadvertent violation of HIPAA? Probably so. That's the bad thing about small communities and social media. You're probably better off not posting anything about calls.
  4. If you are truely going into EMS, make the investment into some good black work boots. Black dickies should be ok. If you want to be taken seriously by the crew, dress professionally. If you have any questions, ask your instructor. They will have the best answers.
  5. This patient needs emergent intubation for airway protection. Why the ICU hasn't done it is beyond me (also wondering what idiot doctor ordered >10mg of Valium q1hr PRN [600mg/48hr=12.5mg per hr] without a secured airway instead of seroquel and Haldol). Depending on local policy (and after consultation with my shift supervisor), I would refuse the hospital-to-hospital transfer of an unstable patient. Question for the nursing staff... Have they given any Romazicon? Results? Treatment for patient: Suction and secure airway Provide for adequate oxygenation Consider Romazicon if not already attempted in ICU Have defibrillator standing by
  6. They are not licensed by any state to perform anything ALS. They are not licensed by any state to perform anything ALS (as far as anyone knows at that particular moment). They are not licensed by any state to perform anything ALS. You may or may not be authorized by any state or employer to teach ALS. They are not licensed by any state to perform anything ALS.
  7. You're right. SOME hospitals pay extra for a BS. Not were I live. Locally, there are 3 or 4 universities (within an hours' drive) and about twice that of community colleges which offer ADN. I will take an ADN over a BSN any day. I have precepted both. The ADN is much more prepared for BEDSIDE nursing vs the BSN who can research you right out the door. I've found that ADNs have more MEANINGFUL clinical time at bedside vs the BSN thus more comfortable with the fundamentals. The incident which stands out most in my head is having to step by step tell a newly minted BSN grad how to put in a foley (I was a nurse tech at the time and could do it blindfolded)! I've never had to walk an ADN through a fundamental task. Aside from the apparent advancement possibilities (which I have no interest in), there is nothing a bedside BSN does better than an ADN. :::: off my soapbox ::::
  8. More ADNs might go for their BSN is they were "paid" for it. Not only for the employer to pay for the education, but also in wages. Currently where I work, ADNs and BSNs make the exact same money! I have no desire for management and therefore have no incentive to go for my BSN (Bull S**it in Nursing).
  9. I absolutely LOVE IT!!!!!!!!!!!
  10. Just curious..... How would that information direct/change your treatment in the field??
  11. 1) Nope 2) Nope I can't wait for this circus to be done and over with. The family apparently wants to wait until the media 'frenzy' has calmed down before they bury the body. I hope they have a good fridge or smell-proof room, 'cause that ain't going to happen for a while!! And when it does, there will be another media feeding frenzy!
  12. I can back better than that blindfolded without a spotter!!
  13. I know the difference between a "general monitoring system" in an ICU and a virtual ICU. I think you are confusing general camera monitoring/observation done at the nurses station (regardless of station configuration and/or patient acuity) with true off-site remote monitoring (eICU). I work both sides of the camera. As an eICU RN in a remote location, I'm responsible for monitoring only 40-50 of the few hundred beds we monitor (everyone in the remote eICU location has their own assignment of 40-50 beds). We have the same alarms as the RN at bedside has. We camera in and out of the patient rooms throughout the shift, checking on various things. We rarely have a camera on a patient longer than a few minutes. We also have an MD in the remote location making camera rounds a well. They generally do not directly manage patient care, but rather are there for consultation with the RNs and on-site MDs (should they chose to use it that way). Check out these links (Via Christi Regional Medical Center, VISICU, St Lukes Health System). This what I do and what I am referring to at eICU. The acuity in the ICUs we monitor are 1:1 and 2:1 (primarily). The ICUs are a variety of specialities.... MICU, SICU, Burn ICU, Neuro ICU, CCU, CVICU (all in our Level I Trauma Center) and outlaying community facilities with "lower" acuity ICUs. The configuration of the nurses station has not bearing on our system as we physically are not in the building with them. Now back to our regularly schedule topic.............................
  14. As an eICU nurse, I can tell you eICUs do not have eyes on (cameras on) the patients 24/7. Yes, we have access to various monitors/alarms, we do not sit with 40+ cameras tuned into every patient 24/7.
  15. He's not referring to "cleaning" iodine. It's actually IV contrast.
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