maranara

maranara has 5 years experience and specializes in neuro/trauma/surgical/medical ICU's.

Latest Activity

1. Pyschotic Trauma Patients

   maranara replied to maranara's topic in General Nursing

   I agree, intubating those going through DT's is different than intubating/sedating for true pysch issues. Unfortunately, we have become the psych unit/facility, so I can't get advice from them.

2. Pyschotic Trauma Patients

   maranara replied to maranara's topic in General Nursing

   How do you wean from the vent when they seem to be in a manic state for weeks? We have had people in our trauma unit for weeks on end, trach'd & peg'd; on & off the vent when they get crazy. Sure, it's easier to take care of them when they ar...

3. Pyschotic Trauma Patients

   maranara replied to maranara's topic in General Nursing

   Our patients typically come in due to MVC's & shooting/stabbings. Granted, this population is no stranger to drugs; street or pharmaceuticals. A lot of times they do come in intubated. We work hard to extubate patients who don't have a respirator...

4. Pyschotic Trauma Patients

   maranara posted a topic in General Nursing

   Hello! I'm looking for some information on how other trauma facilities deal with pyschotic(either chronically diagnosed or acute pyschotic episodes) patient populations. Our unit needs an effective treatment plan for these folks. Currently, our traum...

5. Say What??????!!!!!!!!!!

   maranara replied to gt4everpn's topic in Relations

   I hope this nurse was trying to be funny :monkeydance: Otherwise, this is REALLY scary!

6. Nursing 10 years ago

   maranara replied to kauffman's topic in General Nursing

   It's a pandemic, not just a regional problem. What can we do? I'm not a psych nurse, I'm in the ICU. A good percentage of our pts. are purely psych pts. because they have nowhere else to go!

7. Why are emergency nurses not considered critical care nurses?

   maranara replied to JessicRN's topic in Emergency

   Wow, I don't know what hospital your @; our ER nurses send us crashing pt's on a daily basis. I am not disagreeing with you, I do consider ER to be critical care. I am just surprised @ your description, it sounds to me you work in a ED that seconds...

8. Help with Progress notes

   maranara replied to 02newnurse's topic in New Nurse

   I would recommend starting from head to toe; using the same format with every documented assessment EVERY time you document. That way it becomes 2nd nature & (hopefully) you include everything, everytime. Be objective, B-E objective.:pumpiron: