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You will have to find out if she's officially recognized in some manner by the EMS system. No EMS certs, then she's a First Responder. A very well educated and experienced First Responder, but a FR nonetheless. While I'm also licensed as a Paramedic, if I'm working as a CCT-RN I have to gain...

For most 911 calls, I think 2 ALS providers on scene is ideal. How those two providers get there is where things can be a bit murky but as long as they arrive in a timely manner, who cares how they get there. I also think that a couple of good EMT/AEMT providers are worth their weight in gold. I...

Started a new (2nd) job this week! I accepted a part-time job as a CCT-RN. I'm not going to name the company that I'm working for until I feel comfortable there. The good news is they, so far, seem to be very understanding with them being a 2nd gig for their nurses. Hopefully this will end up...

Leave that to (and for) the Marines. They love their Crayons...

This is very much the case in my experience. I have never seen CRRT done in the ER. Emergent dialysis on patients that already have a port or shunt already in place, yes. WRT diuresis in CRF/sepsis patients, I have not seen that done in the ED either. What I've seen with CRF/hyperglycemic...

Well, I personally think our biggest challenge will be having to deal with an AI teenager...

I would say that even with all the advances in AI, the "machine" is going to be unable to perform actual "hands-on" assessment of a patient and is therefore completely at the mercy of whomever inputs information that it can use. That alone puts a major limitation on utilizing AI as a replacement...

If that IO is a Tibial... silly doesn't come close to describing the futility. Humeral? Sure. The flow rate is high enough but make sure there's a good bolus behind it. However, any IO fits into the "can't get an IV line and I NEED vascular access" category. That being said, if I'm doing an...

Looking at a couple of those links, it quickly becomes clear why those programs can be completed so quickly... they're AAS, not AS programs. A person graduating from an AAS program who wants to "upgrade" to a BSN will have to complete more units to achieve this goal than one coming from an AS...

The ABSN program near me, which is basically the accelerated version of the regular BSN program, both run by the same university, also is nearly triple the cost of the regular program. So... much more debt to "save" me 4 months? No thanks...

With any college/university, you really do need to be certain that the school you're attending has regional academic accreditation. It's much, much more difficult to transfer credits from a nationally only accredited school to a regionally accredited school than it is to transfer from one...

These kinds of programs, which are basically a 2 year zero-to-hero deal, will be extremely difficult to complete as they will include all the GE courses, prerequisite courses, and the core nursing courses throughout every Semester or Quarter and that load will likely be around 15 units/semester...

PC-12 aircraft are turboprops. I doubt the engine would be sputtering. The ADSB data shows a normal SID out of the airport then a climbing turn to the right that was off plan followed by a tightening left spiral down out of radar contact. It is not out of the realm of possibilities that the...

I found a YT video that shows the ADSB data. It has the appearance of spatial disorientation. The flight was at night, in IMC. I took Private Pilot Ground School quite a few years ago and got a light/mild introduction to spatial disorientation... The real thing is much more powerful than what I...

Actually, it is. Your drug choices, dosages, routes are decided ahead of time by your medical director. You aren't the one that came up with the standing order on your own. If you're hearing "let me check with the doc" about something, it's because you're asking about something not anticipated...

I can't stress this enough! There really is a LOT of collaboration between Medicine and Nursing. While the docs do direct the medical aspects of patient care, they have little to no say over the nursing aspects of patient care. I've been in the ED for coming up on 8 years now. I pay very close...

Aspirin is usually given PO. Given that it has decently good antiplatelet effects, giving it IV wouldn't be a good idea during resus.

Any way you slice it, I don't like the look of lead II on the "en-route" strip. The hospital 12-lead doesn't look too bad to me, but because of the chest pain complaint, a trop was probably drawn then, was probably "high" and that was probably what triggered the transfer. OP: do you recall if...

For Epi, this.

After spending 3 shifts at the Charge Nurse desk... that's often about how I feel...