mpccrn BSN, RN

mpccrn has 30 years experience as a BSN, RN and specializes in ICU.

Latest Activity

1. home meds

   mpccrn posted a topic in Medications

   Looking for how different units handle patient's home meds. We are horrible at returning them upon discharge. Currently, we put them in a bag with the patient's name on and put them on the countertop in a locked med room. I find them there long after...

2. what do you,the experts think?

   mpccrn replied to James Garrity's topic in Critical

   sign me up!

3. Do you get a lunch break?

   mpccrn replied to beccainabox's topic in Critical

   I haven't had lunch in 35 years....rarely get paid for it. It comes down to staffing by numbers. You can't leave 1 nurse in an ICU and when they staff only 2...oh well, you loose. Administration won't understand why we won't leave because that would ...

4. ICU ratios

   mpccrn replied to clarkheart's topic in CCU

   ICU ratio's at my hospital are anything that is required.....1:2, 1:3, 1:4

5. Mandated Flu vaccine?

   mpccrn replied to mol42's topic in COVID

   Perhaps if nurses didn't have to use our vacation time when we get sick, we'd stay home and prevent passing on illness to our patients!

6. Mandatory flu vaccines for staff

   mpccrn posted a topic in COVID

   How does everyone feel about the latest trends in hospital administration's demands that all nurses must receive the influenza vaccine or wear a mask the entire time they are on duty....including eating lunch!

7. Vap

   mpccrn replied to GrnHonu99's topic in Neuro

   oral gastric tubes decrease the changes of sinus infections. By bypassing the nose you deminish the risk.

8. ACLS/BLS classes

   mpccrn replied to mwboswell's topic in Emergency

   online ACLS is just fun! It's like a video game. It'll let you do anything you want.....even give epi during VT haha. I wouldn't go back to the regular course!

9. Cardiac Stepdown unit 5:1 patient ratio...is this normal???

   mpccrn replied to jaznia15's topic in CCU

   our ratio for Cardiac SDU is 5:1, working hard to cut it to 4:1. Is 5:1 do-able? sometimes, does it suck? Always. There is something about that 5th patient that just puts the assignment over the edge

10. Survey regarding tube feedings

    mpccrn replied to cruisin_woodward's topic in CCU

    1.) Does your intensive care unit have a specific guideline or protocol regarding enteral nutritional therapy in critically ill mechanically ventilated adults? a. Yes and it is clear, concise, and easy to understand b. Yes, but I don't quite understa...

11. Sedation Vacation

    mpccrn replied to IHeartDukeCTICU's topic in CCU

    We do sedation vacations on every patient. It not only gives us time to evaluate the neuro statis of the patient, their readiness for extibation but also allows a better idea of how much sedation is actually needed for the patient. Too sleepy is not ...

12. My fall from CVICU

    mpccrn replied to lpn2crna1day's topic in CCU

    I don't think it will hurt your attempts at returning. Life needs change our ability to devote ourselves to the job, any good manager will recognize that. Try to go back when you can devote the time off shift to make yourself the kind of nurse invalu...

13. How long do you apply pressure when d/c a balloon pump

    mpccrn replied to faithmarie's topic in CCU

    yep, 20 minutes minimum, then groin and circ checks q15 min x4, q 30min x4, q1hr x4 then q4hrs

14. Cardiac Stepdown unit 5:1 patient ratio...is this normal???

    mpccrn replied to jaznia15's topic in CCU

    I currently work in a rural community hospital where I rotate between ICU and stepdown. Our ratio is 5:1. Most days it's a nightmare....there is something about that 5th patient that makes the goal of the day to stay just one step before impending di...

15. ARDS + prone position

    mpccrn replied to RoyalNurse's topic in CCU

    It's been a few years, but yes when I worked shock-trauma, we use to prone people as a last ditch effort to try and oxygenate them. There are always risk when proning a patient, risk of dislodging tubes of any variety including the ETT. I found it di...