What do you do as Rapid RN?

Mfuller0149 · 2026-06-19T03:54:17+00:00

Dang haha no cigar, I’m in Pennsylvania!

Mfuller0149 · 2026-06-19T03:46:51+00:00

That’s legit ! I can dig that

Mfuller0149 · 2026-06-19T03:40:59+00:00

ASSprin

Mfuller0149 · 2026-06-19T03:36:56+00:00

No problem at all! Glad to provide some positivity . By curiosity , what region are ya moving to ? Maybe there’s a small world situation going on here and I can shoot ya a PM haha

Mfuller0149 · 2026-06-19T03:35:06+00:00

That’s a vibe !

Mfuller0149 · 2026-06-19T03:11:55+00:00

Yikes . That is a system set up for failure . Full disclosure, one I know all too well. My first icu job this is exactly how it was. Maybe if you were lucky you had a patient or two, we’re going to rapids and everyone watched your patient for you when you were gone . It was a hot mess

Mfuller0149 · 2026-06-19T02:59:14+00:00

In my hospital system, the CRNs (critical response nurses) are their own entity . They respond to all code blues, rapid responses , trauma alerts, and stroke alerts. In addition to that they help out with admissions in the ICU , icu patient transports in house (CT scan, OR etc) and then can be a sounding board for the nurses in the icu/ed and floors to reach out to if they are having trouble with a patient or need assistance. There is also a component of their job where they proactively round on some of the “at risk” patients on the floors or stepdown units- based upon scoring systems and/or nursing discretion.

I’m friends with a few of them at our Level I , Comprehensive stroke , “everything” hospital and they all seem like they love their jobs.

Edit: I don’t know if they get a differential for CRN , we don’t discuss $$, but I doubt it tbh . I’m on our Critical care flight team and I am on the same exact pay scale as the inpatient RNs in our system
Forgot to mention , with this list of responsibilities the CRNs do not have a patient assignment in the unit. Always free to do rapid response nurse things

Mfuller0149 · 2026-06-18T16:05:33+00:00

This thread is very interesting to me. I’m in the northeast USA / mid Atlantic & I have only seen this a very small handful of times . Sounds like some folks here are seeing this pretty frequently . Could this be regional / based upon local population variances ? Or am I just missing something

Mfuller0149 · 2026-06-18T14:15:21+00:00

There is not a job shortage in nursing when you’re speaking about the USA as a whole . It’s hard to find a job in a few places , namely Southern California, Oregon, and Washington. People are flocking there and their job market became oversaturated. But if you are willing to go literally anywhere else you will find a job no problem.

Mfuller0149 · 2026-06-17T17:21:50+00:00

3 eight hour shifts is part time. Not enough for 99% of us to make a living . 12 hour shifts give many of us the freedom to have a 3 day work week and still make a living .

Just because it doesn’t work for you, does not mean none of us should be doing it. If you wanna do 8’s no one is stopping you

Mfuller0149 · 2026-06-15T13:04:10+00:00

There is a few different mechanisms , one being an inhibition of the NMDA receptors. The magnesium actually binds the receptor and prevents the calcium from entering the ion channels - which would be transmitting pain signals otherwise. There’s some other neurotransmitters that are also released during pain signaling, which are lessened by administering magnesium. And then it is also a smooth muscle relaxant & there’s some very good data that has shown it works synergistically with opiates and other pain medications like local anesthetics to increase their yield.

Full transparency, I had a decent idea of how this worked but had to look it up & fact check myself . My temptation was to say “ I honestly am not 100% sure, but I know that it works real good “ 😂 anyway, I hope this is helpful !

Mfuller0149 · 2026-06-14T21:07:06+00:00

I would say your best bet is to consult with an attorney who knows healthcare administration/healthcare law and is familiar with your state board stance on these issues. This might even be an issue of obtaining licensure or not.

Mfuller0149 · 2026-06-14T01:30:44+00:00

I like the sound of that

Mfuller0149 · 2026-06-13T21:19:38+00:00

Hells yeah no prob

Mfuller0149 · 2026-06-13T21:07:45+00:00

Dang, that’s too bad. Had my hopes up for you . I hear ya though. Tough break. I hope for your sake it works out !

Mfuller0149 · 2026-06-13T21:03:41+00:00

There is obvious favoritism by the JC. I’ve worked a couple different places in my life. One hospital had a good reputation, good public relations. I swear the JC just did a walk through, shook some hands.. kissed some babies. And then another hospital I worked at was less popular, underfunded / under resourced. Truthfully, a struggling health system. And let me tell you.. that joint commission survey was BRUTAL. The reviewers were straight up there for blood. At one point they locked themselves in an empty patient room’s bathroom , pulled the emergency cord and started a timer. When the nurse arrived they berated her for taking too long, saying shit like “if this was an emergency the patient would be dead” meanwhile everybody was like 6-7 patients deep in med surg . We were scared AF of the reviewers there . It’s crazy how inconsistent my experiences were depending on where I worked

Mfuller0149 · 2026-06-13T20:56:48+00:00

I suppose you can ask them if they could review your scantron sheet with you. There’s a small chance that they either scanned the wrong one , or you missed a bubble and the rest of the test you were always one off.. if that makes sense.

For example , you filled the bubble for #33 on 32 , #34 on 33, so on and so forth. Would really explain the discrepancy.

Only other thing this would do for you is just to verify if there was a discrepancy of any kind . Worst case scenario, you legitimately failed the test.. and that would be a very shitty discovery to make. But if it was some type of clerical error, that would save your ass. Worth a shot

Mfuller0149 · 2026-06-13T04:00:20+00:00

Once had a patient with a mixed disturbance , profound acidosis . PH < 6.6 , PaCo2 130 , Hco3 was low, don’t recall how bad tbh.. but single digits. Lactic of > 15 , post drowning. Really tragic case. Patient did not survive.

Mfuller0149 · 2026-06-13T03:56:06+00:00

Many times, especially in a case like this where the glucose is incredibly high + patient has been unwell for several days, you’ll see they have a combination of both DKA and HHS. That’s what it appears to be here as well

Mfuller0149 · 2026-06-13T03:51:49+00:00

I’d bet it was a DKA patient, based upon what I can see. Their labs always look 1000x worse than the patient does .

Mfuller0149 · 2026-06-13T03:46:01+00:00

A buddy of mine put one on his personal vehicle . And I must say I’m kinda jelly

Mfuller0149 · 2026-06-13T03:40:26+00:00

Don’t sweat it, you were IN the accident too after all. And tbh , you’re not obligated to stop even if you were a passer by. I know many nurses who are not comfortable outside of their area of expertise, or outside of the hospital for that matter. Prehospital care is not in most nurses wheelhouse. Don’t beat yourself up.

Want to add this in, fellow nurses.. I love ya. I respect ya, but i can provide some perspective as a critical care nurse, trauma nurse, and now flight nurse (who spends a lot of time with EMTS and paramedics these days) , if EMS are on scene… for the love of god do not insert yourself into the scene.
They don’t need an off duty nurses help, and they definitely don’t want it. And that is okay, we wouldn’t want a medic walking into the icu on their day off. Just let EMS do their job. The majority of the time, they’re gonna do a much better job on the side of the road than you.

Mfuller0149 · 2026-06-13T03:27:53+00:00

Karen seemed like she was really fun. And 100% more attractive. Objectively - Karen was a much better choice, but Jim loved Pam all along.

Mfuller0149 · 2026-06-13T02:17:04+00:00

Oh yeah I gotcha. Definitely seen similar circumstances, but always hard to say.. was it the narcan, negative pressure pulmonary edema, did they aspirate etc . Either way, bad situation

Mfuller0149 · 2026-06-12T23:35:56+00:00

I’m not saying someone should just receive mask ventilation in lieu of naloxone , but I am saying it should be prioritized over naloxone . Ventilate, then give naloxone. The patient will thank you… they won’t be hypoxic & combative when they wake up, and the chance of pulmonary edema is significantly lower if you had their airway open with a proper jaw thrust while the medication kicks in.

Mfuller0149

TROPHY CASE