mpccrn

mpccrn BSN, RN

ICU

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About mpccrn

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


critical care nurse for 30 years

Latest Activity

  1. home meds

    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...
  2. what do you,the experts think?

    sign me
  3. Do you get a lunch break?

    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...
  4. ICU ratios

    ICU ratio's at my hospital are anything that is required.....1:2, 1:3,
  5. Mandated Flu vaccine?

    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
  6. 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...
  7. Vap

    oral gastric tubes decrease the changes of sinus infections. By bypassing the nose you deminish the
  8. ACLS/BLS classes

    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
  9. 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
  10. Survey regarding tube feedings

    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...
  11. Sedation Vacation

    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...
  12. My fall from CVICU

    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...
  13. yep, 20 minutes minimum, then groin and circ checks q15 min x4, q 30min x4, q1hr x4 then
  14. 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...
  15. ARDS + prone position

    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...