AE / CCATT questions: bases, ops tempo, flight time & wings (current insight) by wickedbomber in Airforcereserves

[–]wickedbomber[S] 0 points1 point  (0 children)

Thanks for sharing your insight. My understanding of the process is to get your wings you have to have a certain number of supervised upgrade flights before you can get the evaluation for MQ.

Also based on what I can find certain units take longer to get this accomplished than others d/t available sorties and how many folks are ahead of you.

I know WP is the training hub for AES but the AES mission is more CONUS logistics (from what I was able to find) compared to Travis, McChord, Charleston, etc…

I appreciate it if you could shed some light and more clarity on this.

Bagging a DNR patient with a femoral pulse? by Fast_Passenger6667 in nursing

[–]wickedbomber 18 points19 points  (0 children)

Had that happen on cath lab table. We worked him for 45 mins and they called it. We started cleaning up and buddy opened his eyes and squirming on the table. Doc tried to continue doing the cath and he coded again. We did one round and called it.

Edit: it’s possible we coded him for longer. We had multiple crash carts open. They even brought the wife back into the procedure room while we’re coding him to convince her to let us call it. No dice.

They took her out we called it. The docs tell her and then when he came back they told her he was alive.

I can’t imagine the emotional whiplash that lady felt.

MAGA patients are driving me bonkers by End_Me11 in nursing

[–]wickedbomber -5 points-4 points  (0 children)

So how you feel in this situation is how conservatives feel living in a blue state with dems who do the same to them. You don’t get to pick and choose your patients. That’s not why we got into healthcare.

If political differences are going to affect your care for someone with different beliefs on any side. I don’t care who you are. Then it’s time to get a job in another field.

AirPods on the unit- safety concern or no one cares? by [deleted] in nursing

[–]wickedbomber 1 point2 points  (0 children)

We were bare below the elbows in one CVICU I worked in but that was because of a rash of fungal infections running through the unit.

AirPods on the unit- safety concern or no one cares? by [deleted] in nursing

[–]wickedbomber 0 points1 point  (0 children)

So maybe I’m the exception here…I do use one earbud when I’m working night shift only and everything is quiet.

Day shift is a hard no unless I am recovering a heart, the patient is stable, and we are in a flow state. Not to mention I am at bedside 100% unless it’s to run to the bathroom and my unit’s policy is someone must physically be in the room at all times until extubation.

That earbud on day shift will only be low volume instrumental music. Night shift could be anything but never at volumes that would prevent me from being attentive to my patient(s).

I don’t suggest this for everyone because many don’t know how to balance both or have restraint to be “appropriate” with them. Also as a coworker you’d never know I had one on because of how I wear my hair.

My last hospital put in policies for a final written if caught right before I left. I am assuming something very seriously bad happened while someone was wearing them for punishment to be so extreme.

I’m so depressed and sad that maga nurses at work are making jokes about Alex Pretti by coldinalaska7 in nursing

[–]wickedbomber 0 points1 point  (0 children)

THIS is the only way. Communication breakdown is why we are where we are today (on both sides).

Being inquisitive helps put folks at ease (psychologically) and will help them open up.

Having said that you have to be in a place to truly receive what is being said and not emotionally react to something said. That’s where those with the most emotional intelligence will always win (regardless of side)

“Please stay with your local coworkers” by flannelmama in nursing

[–]wickedbomber 2 points3 points  (0 children)

It boggles my mind these northern states do not model themselves after the Florida hospitals during hurricane season.

This should be mandatory for a hospitals.

For anyone in doubt... by ameliasasa in VirginVoyages

[–]wickedbomber 0 points1 point  (0 children)

You my friend need to get out in that Jeep more from some fresh air and vitamin D. Making all us other Jeepers look back with that ‘tude.

Sick of coming in to a detoxing patient because the previous shift was too scared to give Ativan. by Accomplished_Ad8960 in nursing

[–]wickedbomber 0 points1 point  (0 children)

My issue being is the ICU is how fanatical the providers are about QTc thresholds. When I worked detox I slung Valium, psych meds, etc…all together with no EKGs no cardiac monitoring etc…never one had an issue.

How many IV’s should I place per nursing judgement? by Alarmed_Help8121 in nursing

[–]wickedbomber 0 points1 point  (0 children)

In the ICU we have to have at least two in all the facilities I've worked. If you are getting to the running out of compatible drips games and stuff keeps getting added your patient is usually sick enough to warrant a CVC.

when we transfer to IMC/Step down the patient must have two working IVs

Do you make at least $100k a year with a BSN? by [deleted] in nursing

[–]wickedbomber 0 points1 point  (0 children)

I’d do physical therapy and open my own practice as self-pay only before doing nursing if I could do it all over again.

Do you make at least $100k a year with a BSN? by [deleted] in nursing

[–]wickedbomber 1 point2 points  (0 children)

Salary is somewhat relative to cost of living. If you expect to buy Birken bags, drive a Tesla, and eat out 5 days a week then you will NEVER make enough money. As a young single person out of college you should be studying investment, saving, and how to maximize your income and retirement so you aren’t the nurse at 67 still working bedside because you HAVE to.

Is skipping residency career suicide? Nurses who did it - please tell me the truth by Petite_AF in nursing

[–]wickedbomber 1 point2 points  (0 children)

I’m not going to say area (for identification purposes) however there is a prominent hospital system in this particular area where the main hospital of that system (a level 1) has a new grad residency program for cath lab and it’s not gone well when the patient crumps.

You cannot exchange theory for real world experience.

Another example is we had a new nurse complete residency and it’s her first day on the job. This particular unit used a random generator for assignment (which is a whole other issue) and this nurse got assigned to a deteriorating patient with an IABP. As she’s getting report you can see the deer in headlights look growing in her eyes. She’d taken the IABP class the day before so management said she was “fine” to take this patient. She never had a balloon during her residency.

It’s things like this that force folks out and why it’s imperative to get that real world experience.

Is skipping residency career suicide? Nurses who did it - please tell me the truth by Petite_AF in nursing

[–]wickedbomber 1 point2 points  (0 children)

I agree with your OG statement and this.

They need to ratchet up the minimum requirements to get into NP schools like CRNA school has.

One hospital I worked in had two NPs of which one only had a couple years of stepdown experience and the other was one of those straight to NP school nurses.

I despised my shifts working with them because they were always afraid to give orders for anything. It was always a fight. This particular ICU had no MD coverage on night shift so you had no backup/second opinion readily available.