I deliberately chose the word "aptitude".

He fell for it. Dave wins.

"Dave" wrote in message
...
On 28 Jul 2006 03:10:50 -0700, "Capt. Rob" wrote:

You're not surprised because you have virtually no command of English.

You've provided much muddle-headed nonsense from fools similarly
inclined. But you're simply wrong. Again.

I don't believe that's the case out here. You can take a course through the
RX, but I don't believe there's any requirement to do that in order to buy
one.

--
"j" ganz @@
www.sailnow.com

"Maxprop" wrote in message
ink.net...

"Capt. JG" wrote in message
...

One suggestion would be to buy and be trained on a defribrillator.

The purchase of home defibrillation units generally includes training, at
least it does in this state (Indiana).

Max

"Maxprop" wrote in message
ink.net...


There are advanced courses in every aspect of nursing. You never implied
Suzy had taken anything beyond the routine. Burn care is really rather
routine, however. Let's talk advanced cardiac life support and care,
reading the strips, knowing the indicators of impending MI, knowing the
blood chemistry values that spell disaster--those sorts of things. That's
advanced nursing training, the kind my daughter has had. Burn care is
fairly basic, even in those units that specialize in it.


Suzette can not read the strip. She may know ABC but not PQRST. The
indicators of impending myocardial infarction - do you mean the electrical
indicators? Delay between QRS and ST and elevated ST segment. What
additional factors are indicative on a 12 lead? Blood chemistry - elevated
catecholamine levels, check the calcium levels. The blood tests must be
ordered by a doctor, the nurse only sees the results. Doctors are the only
ones allowed to diagnose the strip, not the techs or the nurses. Reading a
12 lead strip is fairly complex.

The blood tests must be
ordered by a doctor, the nurse only sees the results. Doctors are the
only
ones allowed to diagnose the strip, not the techs or the nurses.
Reading a
12 lead strip is fairly complex.


Bob in addition to smacking yourself down because you failed to
understand what aptitude meant, you also have no idea what modern
nurses do. Here's a hint, Bob. Suzanne had to be able to read a 10 lead
strip before being hired. At a heart speciality hospital, like St.
Francis uses 10. Yes, it's complex, but she had to learn it.
SMACKDOWN again!


RB
35s5
NY

"Capt. Rob" wrote in message
ups.com...

The blood tests must be
ordered by a doctor, the nurse only sees the results. Doctors are the
only
ones allowed to diagnose the strip, not the techs or the nurses.
Reading a
12 lead strip is fairly complex.


Bob in addition to smacking yourself down because you failed to
understand what aptitude meant, you also have no idea what modern
nurses do. Here's a hint, Bob. Suzanne had to be able to read a 10 lead
strip before being hired. At a heart speciality hospital, like St.
Francis uses 10. Yes, it's complex, but she had to learn it.
SMACKDOWN again!

And who uses a ten lead?

The industry standard is 12 lead.

http://www.ecglibrary.com/norm.html

You can have a ten lead ECG just like a five wheeled sportscar, but 12 lead
is used in practice.

Kablam!

1. In what location in the heart would the P wave have the maximum
amplitude?

2. If the maximum surface potential of a three lead ECG is 150 mV, what can
this indicate?

3. What portions of the 12 lead ECG would one read to rule out hypertrophy?

4. How can one spot AF on a twelve lead?

5. Is an EMG more sensitive to AF than a ECG?

6. How are PVC's indicated on a strip?

7. Who is Einthoven?

Kablam! Do you even know where ten lead comes from?

Bet you don't. Judging from what you said (I'm sure Suzy supplied the info)
she is very green. About 6 months of cardiac experience, but none of it
diagnostic.

The industry standard is 12 lead.


Bob, this troll failed because my wife is actually a nurse at a leading
heart hospital. They use 9-10 leads. If you want to ease off on the
googling, try picking up of a copy of Brunner and Suddarth's Textbook
of Medical-Surgical Nursing. Placement is shown with 9 leads. Which
lead is the best indicator, Bob?

Kinda silly. This is like your efforts to google up a background of
sailing. No "smackdown" or "Kaboom." Just sort of embarassing for you.
You've fallen far, my friend.

G'night.


RB
35s5
NY

"Capt. Rob" wrote in message
oups.com...

The industry standard is 12 lead.

Besides the Frank and 3 lead AVL the industry standard is 12 lead:

http://www.cvrti.utah.edu/~macleod/b.../labnotes/ecg/


Using a 9 or 10 lead each set their own morphological parameters and each
require a whole new set of learning. I'm sure you know this, right? Google
"inverse problem" and "cardiac surface potentials".




Bob, this troll failed because my wife is actually a nurse at a leading
heart hospital.

That hospital is not a leading heart hospital (check out the Cleveland
Clinic sometime) and you wife is an entry level nurse.

They use 9-10 leads. If you want to ease off on the
googling, try picking up of a copy of Brunner and Suddarth's Textbook
of Medical-Surgical Nursing.

That's a nursing book. It's for nurses.


Placement is shown with 9 leads. Which
lead is the best indicator, Bob?

12 leads, it is used throughout the industry. Let's "Google" 9 lead ECG and
see what comes up:

http://www.amazon.com/gp/product/013...lance&n=283155
whoops!

http://ehs.umbc.edu/CE/12-LeadECG/Multi-LeadMedics.html In all fairness 9
lead is mentioned, but where is the 10 lead you spoke of? hmmm????????

http://www.ncbi.nlm.nih.gov/entrez/q...&dopt=Abstract
9 leads mentioned here as a modified 3 channel holter, but no 10 leads. 12
lead still the gold standard!

http://www.ispub.com/ostia/index.php...l2n1/chest.xml
St Francis recommends 12 lead here! Ooops!

http://www.stfrancishospitals.org/De...agei d=P00198
Oh no! St Francis calls out for 12 lead again!


AND OH MY GOD! OH NO!!!!!!! ST. FRANCIS ON LONG ISLAND WANTS NURSES THAT
CAN READ 12 LEAD ECG'S ONLY!!!!!!!!

http://8.7.96.79/work_with_us/detail.cfm?id=4

Category: Patient Support Staff
Department: K1
Title: Med/Surg Nurse Extender
Responsibilities: Provide direct patient care including bathing, toileting,
hydration, nutrition, ambulation, turning and positioning patients. Selected
technical skills include phlebotomy, 12 lead EKG's, arrhythmia detection,
vital signs, and glucose monitoring. Documentation of patient activities.
Requirements: H.S. Diploma required. Previous hospital experience or
Certified Nursing Assistant preferred.
FTE: Part Time
Shift:Evenings, 3P - 11P, including alternate weekends
Location: Roslyn


THERE WE HAVE IT. Suzy's textbook says 10, er, 9 lead and the standards for
ST Francis is 12 lead - says so on their Long Island web page. sO WHICH IS
IT?




Kinda silly. This is like your efforts to google up a background of
sailing. No "smackdown" or "Kaboom." Just sort of embarassing for you.
You've fallen far, my friend.


SMACKDOWN!!!!!!!!!!!!!!!!!!!!!!!!!

MAJOR BUSTED!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

SMACKEROOOO!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!

I don't own a boat and I am not a nurse!

one more time:

MAJOR SMACKEROOOOOOOOOOOOOOOOOO!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!1

BWAAAAAAAAAAHAAAAAAAAAAAAAAAAHAAAAAAAAAAAAAAAAAAAH AAAAAAAAAAAAAAAAAAHAAAAAAAAAAAAAAAA!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

GASP

BWAAAAAAAAAAAAAAAAAAHAAAAAAAAAAAAAAAAAAAAAAAAAHAAA AAAAAAAAAAAAAAAAAAAAAAAAAA!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

"Bob Crantz" wrote in message
...

"Capt. Rob" wrote in message
oups.com...

The industry standard is 12 lead.

Besides the Frank and 3 lead AVL the industry standard is 12 lead:

http://www.cvrti.utah.edu/~macleod/b.../labnotes/ecg/


Using a 9 or 10 lead each set their own morphological parameters and each
require a whole new set of learning. I'm sure you know this, right? Google
"inverse problem" and "cardiac surface potentials".




Bob, this troll failed because my wife is actually a nurse at a leading
heart hospital.

That hospital is not a leading heart hospital (check out the Cleveland
Clinic sometime) and you wife is an entry level nurse.

They use 9-10 leads. If you want to ease off on the
googling, try picking up of a copy of Brunner and Suddarth's Textbook
of Medical-Surgical Nursing.

That's a nursing book. It's for nurses.


Placement is shown with 9 leads. Which
lead is the best indicator, Bob?

12 leads, it is used throughout the industry. Let's "Google" 9 lead ECG
and see what comes up:

http://www.amazon.com/gp/product/013...lance&n=283155
whoops!

http://ehs.umbc.edu/CE/12-LeadECG/Multi-LeadMedics.html In all fairness 9
lead is mentioned, but where is the 10 lead you spoke of? hmmm????????

http://www.ncbi.nlm.nih.gov/entrez/q...&dopt=Abstract 9
leads mentioned here as a modified 3 channel holter, but no 10 leads. 12
lead still the gold standard!

http://www.ispub.com/ostia/index.php...l2n1/chest.xml
St Francis recommends 12 lead here! Ooops!

http://www.stfrancishospitals.org/De...agei d=P00198
Oh no! St Francis calls out for 12 lead again!


AND OH MY GOD! OH NO!!!!!!! ST. FRANCIS ON LONG ISLAND WANTS NURSES THAT
CAN READ 12 LEAD ECG'S ONLY!!!!!!!!

http://8.7.96.79/work_with_us/detail.cfm?id=4

Category: Patient Support Staff
Department: K1
Title: Med/Surg Nurse Extender
Responsibilities: Provide direct patient care including bathing,
toileting, hydration, nutrition, ambulation, turning and positioning
patients. Selected technical skills include phlebotomy, 12 lead EKG's,
arrhythmia detection, vital signs, and glucose monitoring. Documentation
of patient activities.
Requirements: H.S. Diploma required. Previous hospital experience or
Certified Nursing Assistant preferred.
FTE: Part Time
Shift:Evenings, 3P - 11P, including alternate weekends
Location: Roslyn


THERE WE HAVE IT. Suzy's textbook says 10, er, 9 lead and the standards
for ST Francis is 12 lead - says so on their Long Island web page. sO
WHICH IS IT?




Kinda silly. This is like your efforts to google up a background of
sailing. No "smackdown" or "Kaboom." Just sort of embarassing for you.
You've fallen far, my friend.


SMACKDOWN!!!!!!!!!!!!!!!!!!!!!!!!!

MAJOR BUSTED!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

SMACKEROOOO!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!

I don't own a boat and I am not a nurse!

one more time:

MAJOR SMACKEROOOOOOOOOOOOOOOOOO!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!1

BWAAAAAAAAAAHAAAAAAAAAAAAAAAAHAAAAAAAAAAAAAAAAAAAH AAAAAAAAAAAAAAAAAAHAAAAAAAAAAAAAAAA!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

GASP

BWAAAAAAAAAAAAAAAAAAHAAAAAAAAAAAAAAAAAAAAAAAAAHAAA AAAAAAAAAAAAAAAAAAAAAAAAAA!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!



Crantz,

You really do know your cardiology. What do you do for a living?

Lloyd

"Swab Rob" wrote
BTW, we have three doctors in our family, one is a
renowned heart
specialist and another a now retired brain surgeon.



Now that was funny

Scotty wrote:
Maybe he has some spare parts laying around that he could
stuff into your head.


Nah, the gardener already took care of it.

DSK