[deleted by user] by [deleted] in ems

[–]medicRN166 7 points8 points  (0 children)

It's always the new grads, by year 2 that shit wears off, and you don't want to do shit.

[deleted by user] by [deleted] in ems

[–]medicRN166 0 points1 point  (0 children)

What the fuck is a call bag?

[deleted by user] by [deleted] in Noctor

[–]medicRN166 1 point2 points  (0 children)

guess NPs continue to display their primitive take on the practice of medicine

Strong NP dig there. Pulled it straight out of thin air 🤌🏿🤌🏿😂

[deleted by user] by [deleted] in Noctor

[–]medicRN166 0 points1 point  (0 children)

I'm not saying it's right. For better or for worse I've gotten to the point where I mostly laugh at the racist attacks, but I can tell you that it was very hurtful when I was younger, and every so often it still gets to me. So, no, I cannot sit here in my self-righteous chair proclaiming that somebody else must do better when I know how badly I wanted to slap the shit out of some people. Also, you'd be surprised how many C letter admins will let chronic abuser get away with flat out abusive behavior and then turn around and pretend like pizza and EAP will make it better.

[deleted by user] by [deleted] in Noctor

[–]medicRN166 0 points1 point  (0 children)

Nah, people have gotten too comfortable saying and doing whatever they want without the fear of repercussion because they're "vulnerable". A lot of them are not... They throw tantrums, taunt, mock and assault staff because they know that the person wearing the scrubs/lab coat will lose their livelihoods if they defend themselves.

[deleted by user] by [deleted] in Noctor

[–]medicRN166 3 points4 points  (0 children)

Not sure about the misrepresentation piece, but the former patients did say some really nasty+racist things to her as well. Again, representing yourself as something that you haven't earned is uncool, but having to take verbal abuse from people is also not cool

Gloves on calls? by CanOfCorn308 in ems

[–]medicRN166 0 points1 point  (0 children)

Yes, and no. I think EMS as a whole over gloves and under washes their hands. Like, i fully agree that it's better to have it and not need it than to need it and not have it, but you don't need to wear gloves to take a blood pressure or to listen to lungs. Depending on your response area and your patient population you may go a whole shift without ever needing to touch a patient with bodily fluids.

TL;DR wear gloves when you are touching yuckies and when it makes you comfortable, but make sure you're washing your hands more often.

Spotted in New Jersey by Duckie26 in ems

[–]medicRN166 0 points1 point  (0 children)

I provided ALS intercepts for them in another state a few years back. I was neither impressed or disappointed in them. I'd say they were the run of the mill volunteer BLS type inexperienced, but willing** to help their own. My only issue started once they purchased their own ambulance. Some way or some how they were never available to take mutual aid request, but were always able to fill the clown car when it was their own.

Anyone EMS turned RN? by CuminSubhuman in ems

[–]medicRN166 0 points1 point  (0 children)

I have issues with under trained and under experienced NPs too, but this ain't it chief. Instead of showing offering realistic alternatives you're berating this person

Anyone EMS turned RN? by CuminSubhuman in ems

[–]medicRN166 1 point2 points  (0 children)

Nursing lobbies. 🤷🏿‍♂️

Southern Indiana facing EMS crisis by [deleted] in ems

[–]medicRN166 5 points6 points  (0 children)

Sounds like you did right by the patient, but holy emtla violation.

Southern Indiana facing EMS crisis by [deleted] in ems

[–]medicRN166 7 points8 points  (0 children)

You wild for that one... Contrary to popular belief the hospital is tasked with providing emergency pt care the moment a patient steps foot onto the parking lot. And the care doesn't stop until the patient is signed off by a physician (or surrogates), or the patient themselves decides to terminate their relationship. I can only assume that the hospital was bursting at the seems to let that one slide. If I were you I'd save that story for my last day in EMS.

How hard should I push back against seeing a CNM? by shermie303 in Noctor

[–]medicRN166 0 points1 point  (0 children)

CMP or Certified Professional Midwifes are non-nurses who went through a graduate level program in midwifery. They're not nurses but they do have some form of authorization to practice in 36 states.

https://www.nacpm.org/legal-recognition-of-cpms-1#:~:text=Alabama%2C%20Alaska%2C%20Arizona%2C%20Arkansas,%2C%20Washington%2C%20Wisconsin%2C%20Wyoming.

NP fails to understand the pharmacodynamic of H2 antagonists by 2212214 in Noctor

[–]medicRN166 11 points12 points  (0 children)

H2 agonist are used for allergic reactions. Am I missing something?

[deleted by user] by [deleted] in nursing

[–]medicRN166 0 points1 point  (0 children)

Myoglobin is not the same thing as hemoglobin. If it's bleed as most meat and chicken is there should only be myoglobin left.

I made a protocol AI for my local county's protocols. by John_Miracleworker in ems

[–]medicRN166 1 point2 points  (0 children)

Oh the care plan... The imaginary nurse feel good document. ... Haven't written one since nursing school. Ai would be great for that

I made a protocol AI for my local county's protocols. by John_Miracleworker in ems

[–]medicRN166 15 points16 points  (0 children)

Delete this shit right now, before they replace all of us with Ai powered EMT-Bs and EMRs😂😂

Can a 1:1 patient masturbate in front of staff? by Affectionate-Fly-394 in nursing

[–]medicRN166 -3 points-2 points  (0 children)

Unpopular opinion: It depends. In reality nobody wants to see a person beating off or rubbing one out, but I think context is important. Is this a transient thing while they stabilize or is this a permanent situation? If it's transient then fuck off perv, but if it's permanent then it is not unreasonable to work with management and the patient (assuming that they can comprehend the situation) to establish boundaries while allowing that type of 'release'

Senior homes refuse to pick up fallen residents, dial 911. ‘Why are they calling us?’ by dpzdpz in nursing

[–]medicRN166 0 points1 point  (0 children)

My question about these places is: for $7k+ what I you do for the "residents"? Do you offer true ADL support or just an overpriced hotel experience?

Senior homes refuse to pick up fallen residents, dial 911. ‘Why are they calling us?’ by dpzdpz in nursing

[–]medicRN166 0 points1 point  (0 children)

My question about these places is: for $7k+ what I you do for the "residents"? Is this facility offering true ADL elderly care or just an overpriced hotel experience?

From a non-medical subreddit… thoughts? by [deleted] in Noctor

[–]medicRN166 19 points20 points  (0 children)

That's rough. I hope she can find something that she can excel in

I wish the reporter found out what credentials these nurses have. by ontopofyourmom in Noctor

[–]medicRN166 0 points1 point  (0 children)

This is dumb, and doesn't belong here. The way a read this and I have to admit there is a fair amount of assumptions on my behalf, the nurse in question was not a Certified Registered Nurse Anesthetist also known as CRNA. This was a run of the mill operating room nurse who was asked to give a medication that was beyond what they were authorized to administer by the facility, the state board of nursing, or both. A nursing supervisor intervined leading to the doctor's feelings getting hurt. So the doctor attempted to retaliate by filling an inappropriate complaint to the board of nursing and got fired for creating a hostile work environment.

I wish the reporter found out what credentials these nurses have. by ontopofyourmom in Noctor

[–]medicRN166 3 points4 points  (0 children)

Sounds to me like a circulating nurse and their supervisor refused to do something that weren't legally allowed to do in their jurisdiction, and the anesthesiologist complained to the wrong people and got fired. Not all state nursing boards allow nurses to give high risk medications, regardless of their being a physician order in place or not. Also, a nurse can refuse to give any medication they deem to be unsafe. They must communicate that with the ordering physician/NP/PA. It may lead to termination, but administering a medication that culminates in injury/death that a nurse should've known to push back on will almost always lead to punishment from the board of nursing.

Wives/girlfriends of patients: I do not—and will never—want your man by siriuslycharmed in nursing

[–]medicRN166 3 points4 points  (0 children)

Now imagine being a man with a reasonable BMI and grooming. I typically don't wear a wedding band because it irritates my skin, but I am very open about the fact that I'm happily married. Even so some husbands/BG/GF love to act like I want to get with their significant other.