There is no general guideline for refusals in Virginia. Every agency has its unique protocols that outline how refusals must be obtained. Example: My current agency requires a call to the Peds ER doctor for any peds refusal under the age of 5, never encountered that before.
Side note from the...
Virginia OEMS also has $33 million dollars in mishandled/missing funds :mad:
They canceled our annual EMS symposium, canceled all state grants, and have reneged on most reimbursements. There are going to be a lot of smaller, more rural agencies closing across the Commonwealth.
VA Office EMS $33...
As charge nurse, I have to call the ME, call LifeNet, and deal with the local authorities regarding any deaths. A lot of times questions about prehospital care are simply to clarify these dealings. And then some questions are because some nurses are *****es ;)
As the charge nurse at a busy level 2 trauma center, I can honestly state I've never held a crew longer than 15 minutes. We've been using our triage and fast track area for all EMS that isn't a trauma, MI, or critical patient. We funnel everyone there and have a designated paramedic that takes...
Got dispatched last night for an unresponsive at one of our local no-tell motels. Arrived to find one of our most frequent callers very dead. Between the ambulance and being a nurse at the local trauma hospital I've probably had hundreds of contacts with this man over the years. He has called me...
So many nurses I went to school with also had to repeat/redo a class, it happens. I love your attitude though, that is priceless! That kind of self-reflection and honesty is what I love working with, it means I can trust you. Kick *** this fall :cool:
We use it as a first med on patients with a food bolus in their throat. Works about 20% of the time, not great numbers but sure beats calling in ENT :cool:
Based on the interaction at the beginning of the video the patient was being brought in for a welfare check/mental health check. Our ED has had a few very close calls with guns/knives/SNAKES (alive!) snuck in by mental health patients. Our hospital got our security the wand-type metal detectors...
This, so much this.
We're holding ICU patients *alongside* my other patients, without critical care support staff, proper equipment or training. Last night we had an adult cardiac arrest and a pediatric unresponsive come in 2 minutes apart. A full department, 20 in the waiting room and the HEAR...
Also, remember that nursing school exams are looking for the answer that only works at NCLEX Memorial Hospital. You have to leave real world answers behind for now. So aggravating :confused:
Risk vs Reward equation, how big is the anuersym and what is that particular patients surgical risk profile. If it is less than 5 cm and remains stable, they do a follow up every 6 months to monitor.
There are questions about the expiratory port filter efficacy on our BiPap. We have 50+ rooms, but only a few are negative pressure, and a fairly open layout. So they've made the decision to not use BiPap with any potential Covid until we have clearer evidence. I've never seen any situation this...
This is what we are seeing in our level 2 trauma ED also. About half of the patients under 60 are presenting with abdominal pain/distress. They seem to deteriorate faster, and have a higher mortality, than those that present with respiratory symptoms. We're still running about 5-7 days for test...
Please don't feel humiliated, you're learning a new skill and it's a process. No matter how this situation goes, you will get another chance to prove yourself (with this employer or another). Try new methods to retain information, different things work for different people. Ask questions, write...