John A. Stewart RN, MA
Swedish Medical Center
Seattle, Washington
Old Guestbook
This guestbook has been inoperative (unsignable) for over a year now. My apologies--and I promise this will change soon.
--John S., October 4, 1998
Mar 3, 1997
Just surfing through. Stopped to say
HI.
Mar 3, 1997
Just surfing through very informative thanks will be back
Mar 3, 1997
NREMT-B w/ Rittman EMS Communcations
Controller, American Medical Response
Mar 4, 1997
I am a paramedic for an emergency service
in west Texas. Was looking for some information on AED's and found all I
needed at this site! Thanks for the excellent information. I will be back
to your site often. Lynn Wallis EMT-P
Mar 7, 1997
Mar 7, 1997
I am a nurse and I instruct ACLS classes
and the AED is a great thing out of the hospital but not in since we have
defibs in or around the patinet rooms.
Mar 7, 1997
I see you have some great ideas. Of all
the places to use AED's this is the most appropriate. Here at the hospital
you have the best shot of getting a pt. back. In the field it may be many
minutes before we are called, respond and then can treat and its usually
too late. But in the hospital setting response would be quick and lives would
be saved. Keep up the crusade. Someday someone will wake up!!
Mar 9, 1997
Soy medico y pertenesco a una compa~ia
privada de ambulancias en Cd. Juarez, Chih. Mexico, necesitamos conseguir
Desfibriladores Automa- ticos Externos, ya que en nuestra Cd. esta por iniciar
atencion una unidad de Hemodinamia y Cirugia Cardiaca, en la que participan
todos los cardiologos de la Cd., y nos han elegido como la compa~ia que puede
brindar el servicio a la comunidad, contamos con 2 medicos que abordan
ambulancias, que estan preparados en ACLS, sin embargo no siempre podran
estar en el momento que se requiera desfibrilar a un paciente, es por eso
que nos urgen por lo menos 2 desfibriladores automaticos externos. Podran
ayudarnos a conseguirlos ?. Dr. Arturo Sainz.
Mar 10, 1997
Mar 13, 1997
As an ACLS instructor, I understand the
need for AEDs in the field and in certain non-acute hospital areas. But as
a critical care nurse, I have to balk at the idea of AEDs replacing the manual
defibrillators we now have in the acute hospital setting. Critical care nurses
are just as well equipped to identify and treat VF appropriately as anyone.
Requiring nurses to use AEDs negates the need for further education; therefore
stripping another layer of professionalism from our field. I look forward
to the addition of more articles to this page...thank you.
Mar 16, 1997
Interesting info. I am working on my
masters thesis now and looking at AED skills retention differences between
RNs, EMT-Bs and EMS First Responders using 3 different training methods.
I developed a Fire Department AED program where we trained 2000 firefighers
at 85 stations. AEDs are a great adjunct.
Mar 17, 1997
This site will be very helpful to me.
I'm intrested in FAA regualation for domestic flights and the need for AED.
Scott
Mar 23, 1997
As an instructor of Defib.at the EMT/BLS
level I find this site very informative. Thank you.
2LT Gregory Hann, Army Nurse Corps
Mar 24, 1997
Thanks for the information. I am taking
the ACLS instructors course tommorrow and my mini-lecture is on AEDs. Your
page provided me plenty of info for the 5 minute length of my lecture. Thanks
again.
Mar 24, 1997
Mar 28, 1997
ed nurse currently developing a class
for nurses who would like to be more familiar with crash cart contents and
their roles in a code situation without the complexities of ACLS. specifically
psychiatric nurses and RNs and LPNs who are just starting to work in the
hospital setting. Thanx for the information and opinions!!!
Mar 28, 1997
Mar 30, 1997
Mar 30, 1997
Excellent!
Apr 1, 1997
This is a very informative site but I
found the background design to be slightly distracting from the content.
[I changed the background--John S.]
Apr 2, 1997
I just recertified my ACLS and was informed
of AED, which was not taught in the first ACLS class I took. What a really
cool thing.... as long as lay people (flight attendants, waiters, etc.) are
taught proper and safe technique. Anyway, technology is amazing...hope to
see more of it here!
Apr 3, 1997
Thanks for the excellent information.
Apr 3, 1997
Apr 3, 1997
April 3, 1997
Apr 3, 1997
Excellent!
Apr 3, 1997
Cheryl Christianson, LVN CCMA-AC
Apr 5, 1997
I am always interested in new thoughts
and ideas in nursing. I have been a licensed nurse for 12 years and am never
tired of it.
Apr 5, 1997
Sheena Stirling RN, RM, BN (Australia)
Apr 5, 1997
Very interesting site. Thanks
Apr 5, 1997
Apr 6, 1997
Apr 7, 1997
John, I am reading your page and find
it very interesting, I'd like to read more about your thoughts of nurses
doing defibrillation in the hospital. As a Paramedic for the past 6-1/2 years,
I have noted that Pre-hospital Cardiac Arrests are handled more proficiently
than the In-Hospital Arrests. The nurses in my facility are allowed to
defibrillate as well as the Paramedics in the ED.
Apr 8, 1997
At my hospital any nurse, including general
floor nurses, can defibrillate when needed as long as they are ACLS certified.
The main problem that we have encountered is whether or not the nurses will
do this without a docotr being present. Our hospital has instituted policies
to cover the nurses.
Apr 12, 1997
Nurses have defibrillated before the
arrival of the doctor in the hospital that I worked in for the past 25 years.
Apr 13, 1997
As a ACLS/PALS NC affiliate instructor,
I think this web site is great! Keep up the good work! I am sharing your
site with all the other flight nurses I know! Please send me updates!
Apr 17, 1997
Apr 18, 1997
good work!!!!
Apr 18, 1997
Apr 18, 1997
Excellent stuff - well worth a visit!!
Apr 18, 1997
I'D LOVE TO SEE MORE NURSING INFORMATION
ON THE WEB. GOOD JOB!
Apr 19, 1997
i certainly have to agree with a lot
that i have read from the different nurses that have written their input
about the subjects . please keep up the good work.
Apr 21, 1997
Great Website!! would like to communicate
with nurses who have experience with traveling nursing...please email me..:)
Apr 27, 1997
Thanks for the info! At present,I am
doing my post-graduate course in accident and emergency nursing in
Dublin,Ireland. The issue of defibrillation as a nursing skill is a controversial
one here !
Apr 29, 1997
This was a very good homepage and i hade
a lot of fun reading it. Karlskoga Sweden ( The town were Alfred Nobel lived
and worked) Thomas Bjoerndahl.
May 1, 1997
Hello from San Juan, P.R. I am affiliate
faculty of PR Heart Ass and I am the person that deal with the defibrillation
issues!! keep your good work roberto
May 1, 1997
Howdy! I will be starting in ICU at a
level 4 trauma center. Orientation will begin soon. Looking forward to hearing
from you experts on various topics. Thanx for taking the time to participate.
May 4, 1997
May 5, 1997
I am a third year foreign medical student
and i am just looking around. I do however see a lot of information that
i could use or find really interestin.
May 5, 1997
very interesting, enjoyed my visit.
May 6, 1997
Hello from Greece. I work as an ambulance
crew member in E.K.A.B-2 , '166" Thessaloniki. Here we don't have the right
to defibrillate. Now we are looking for AEDs. I'm interested in how i could
organise better the training of my colleagues. Many thanks in advance.
May 6, 1997
Hello from Greece. I work as an ambulance
crew member in E.K.A.B-2 , '166" Thessaloniki. Here we don't have the right
to defibrillate. Now we are looking for AEDs. I'm interested in how i could
organise better the training of my colleagues. Many thanks in advance.
May 9, 1997
May 12, 1997
just nosing around, good stuff.
May 13, 1997
I have worked in the field for five years
and have found that de-fib can be performed by medics quite well, this is
their area of training. Nurses are equally trained in critical care areas,
after initial licensure, if they so desire.-------ACLS, CCRN, CEN etc.-------
I have worked in a small ED for three years while attending ADN. In the ED
we work so closely with each other that de-fib is natural as starting the
IV! It just depends on which side of the bed your on. Nurses, de-fib in the
hospital, after ACLS and being placed on the 'code' team for that shift.
As far as AEDs are concerned, they are firemen 'proof',(sorry guys but you
carry axes, and jaws of life with you!) Early de-fib is the
key..................., teach on!!!!!! Tim
May 13, 1997
May 14, 1997
May 15, 1997
Great Web site! I've been defib certified
for 16 years now. Initially by the medical director of the CCU and then through
ACLS. We have always been allowed to defib without a physician present under
standing emergency orders. With the emphasize on ACLS our role has expanded
in relation to what we can do until a physician arrives. Our facility has
gone to semi-automatic external defibulators and the response from the general
floor nurses has been very positive. Many times the first shocks have been
administered befor we arrive. Look forward to visiting your site often, and
will also look for future journal publications.
May 16, 1997
Very informative and well written.
May 17, 1997
In my hospital, nurses that are ACLS certified can independentlly start the code blue process including defibrillation if called for, Isn't that what ACLS is all about? Even the nurses on our telemetry units and step-down unit have ACLS trained staff. Interesting and enlightenig, thanks Nursedel
May 20, 1997
Been there & done that. In my facility,
R.N.'s can use/do AED. Why not? (If you're properly trained, that is w/ACLS).
May 20, 1997
Please drop by and visit my Web Page.
It has Web Links for Nursing, Ham Radio, Sports, Local Links, Reference,
A Live Chat Area, and Guest Book. _________________________________ URL:
http://www.qsl.net/ve7fym Albert Perreault ve7fym@qsl.net Burnaby, British
Columbia, Canada
May 25, 1997
What a thrill to read your in-hospital defib page!!! Early defibrillation is long overdue in hospitals. I can hardly wait to have either AED's or semi AED on our Med-Surg units so we can get our patients defibillated promptly!!
May 25, 1997
Very nice site!! Where can I find some
interactive pages to brush up on my ACLS?? Anyone know??
Jun 8, 1997
Jun 12, 1997
Jun 13, 1997
Just checking out the internet. Will
be back.
Jun 14, 1997
Just surfing and found this through idea
nurse. I am an icu nurse and found this very interesting. Keep it up!
Jul 1, 1997
I have a paper to do, and I found the
information quite helpful. I had to do my paper on electrical therapy. Thanks
for the information
Jul 8, 1997
i have really enjoyed your site. keep
up the great job. i wish there were many more sites like yours.
Jul 23, 1997
I appreciate this informative source.
Will pass it along to my nursing students and other colleagues.
Jul 27, 1997
Aug 16, 1997
Enjoyed browsing your site - always
interested in keeping current...
Aug 19, 1997
Here in Rhode Island, EMT's are allowed
to use defib units providing the EMT has received training above the BLS
level. I held my defib and ET tube card along with a basic EMT license up
until last year, when I could no longer provide the time to our town's rescue
service. When I finish nursing school in two years, I will be able to do
less in the hospital where there is some semblence of control than I was
able to do out in the middle of the streets in the pitch black. It took six
monthes to train and get my EMT license, where as when I graduate, I will
have 4 years of college behind me for my RN. Tell me there isn't something
just a little squirrelly in all this!?!?
Aug 23, 1997
I sell defibrillators to hospitals, it's
nice to have a resource such as your site to better understand the issues.
Sep 15, 1997
Congratulations.A good job Instituto
de Cardiología y Cirugía Cardiovascular Posadas.Misiones.Argentina.
Oct 1, 1997
Just browsing,will be back. Found interesting
topics. I'm a nurse in emergency care unit from N.-B. Canada.
Oct 1, 1997
Oct 1, 1997
I am a nurse paramedic, who currently
works in critical care. I have a strong interest in ethics, I am married
to a Bioethicist. Delays in in -hospital defibrilation have always been of
interest. Thanks
Oct 12, 1997
I AM A 25YRS ER/ICU/CCU RN AND LOVE MY
WORK..ANY AND ALL INFO YOU CAN FWD ME WILL BE APPRECIATED. WE LIVE IN A SMALL
BUT THRIVING RURAL COMMUNITY. I WRK IN THE ER @ HABERSHAM COUNTY MEDICAL
CENTER/DEMOREST, GA...
Oct 14, 1997
Oct 15, 1997
JUST FOUND YOU AND I THINK IT'S GREAT.
WE NEED MORE REPRESENTATION ON THE WEB. KEEP IT UP, YOU'RE DOING GREAT!
Oct 21, 1997
Nov 9, 1997
Very interesting stuff. I am in the process
of introducing the idea of advisory-shock defibs at the unit level, in addition
to our hospital's Code Team response. Initially, I have met with all kinds
of blank stares, but I think the weight of the literature is with me. Thanks
for being a repository of information. Patrick Critical Care Paramedic Code
Blue Committee Co-Chair Good Samaritan Hospital
Nov 20, 1997
Great idea!!! Great Stuff!! I´m a surgeon living in Germany
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