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Additionally, the forum gets a "bounty" for various offers at Amazon.com. For instance, if you sign up for a 30 day free trial of Amazon Prime, the forum will earn $3. Same if you buy a Prime membership for someone else as a gift! Trying out or purchasing an Audible membership will earn the forum a few bucks. And creating an Amazon Business account will send a $15 commission our way.
If you have an Amazon Echo, you need a free trial of Amazon Music!! We will earn $3 and it's free to you!
Your personal information is completely private, I only get a list of items that were ordered/shipped via the link, no names or locations or anything. This does not cost you anything extra and it helps offset the operating costs of this forum, which include our hosting fees and the yearly registration and licensing fees.
Stay safe and well and thank you for your participation in the Forum and for your support!! --Deborah
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Brady Unlimited III: Wolverines in the NFL & NFL News
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Originally posted by froot loops View PostI'm pretty sure you don't have to renew your ACLS every year."The problem with quotes on the Internet is that it is sometimes hard to verify their authenticity." -Abraham Lincoln
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AA .....I was 99% sure you were an ACLS Instructor. Obviously, you didn't need to be that to know how wrong shocking asystole was but the rest of the synchronized v asynchronized cardioversion is not something that just rolls of your mind unless you teach that stuff over and over.
I've been wrong before. Rarely and I hate it when I'm wrong, more when someone points out I'm wrong. Heh.
Where I worked, if you wanted to work "up-front," it was called, instead of "fast track" (less criticality - simple lacs, uncomplicated fractures, runny noses, easy stuff) you had to recertify, both ACLS and PALS, annually. What was good about working "up front" was that you kept your nose in the ACLS, PALS and stroke protocols which for those that don't know are complex with a lot of algorithmic logic trees involving if this then that. At 45, I knew that shit cold, by the time I was 60, I started to notice I'd have to stop, think, or look at the check list. I stopped working in the ER when I knew I shouldn't be having to look stuff up. I was 65. I continued practice in an adult internal medicine practice and retired 4y later. In that setting, it was perfectly OK to check available resources. A lot of good ones on line for standard of care - something worth looking at to avoid legal liability. I had two high tempo, high performance careers ........
Some of you are aware that before I got my certification as a PA, I spent 20 years in Marine aviation. Some aspects of flying are routine - it's like riding a bike. You don't forget how to do that. Some are not and are mentally and hand-eye coordination challenging. To do these challenging things well you need to practice them over and over to keep sharp. There was a point late in my aviation career where I became complacent. Even heretofore demanding tasks - like landing on an aircraft carrier at night, became simple to execute, the mental and physical processes were baked in. That's because, as a tactics instructor, I taught younger pilots how to do them. Still, I could feel my ability to multi-task receding as I aged. Night carrier landings in particular, are demanding aviation tasks - by the time you're in your late 30s, your 20/15 night vision is gone and your slow to make glideslope and power corrections. I recognized it was time for me to step away from those higher work-load environments.
I was 42 when I left the Corps to pursue a medical career - those kinds of career changes are challenging but its the challenge that renews your energy and sharpens your abilities. I chose to practice emergency medicine becasue there are a lot of similarities to the excitement of flying tactical jets and treating critical patients in the ER. At the same time, good pilots and good ER practitioners know when its time to hang it up.Mission to CFB's National Championship accomplished. But the shine on the NC Trophy is embarrassingly wearing off. It's M B-Ball ..... or hockey or volley ball or name your college sport favorite time ...... until next year.
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Yeah, annual ACLS for select personnel (ICUs, Cath Lab, GI Lab, ER) used to be a lot more common. It's becomming a bit of a unicorn because of the cost, so most facilities nowadays are going to the AHA minimum standard of every 2 years. It's a pity, really. But, in fairness, the cost is substantial. You have to pay the RNs, PAs, NPs, etc, to attend the class, then pay some educational staff, and finally the licensing fee to AHA for the cards or the website."The problem with quotes on the Internet is that it is sometimes hard to verify their authenticity." -Abraham Lincoln
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