mpccrn

mpccrn BSN, RN

ICU

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All Content by mpccrn

  1. home meds

    mpccrn posted a topic in Patient 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...

  2. Mandatory flu vaccines for staff

    mpccrn posted a topic in Disaster Preparation

    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...

  3. what do you,the experts think?

    mpccrn replied to James Garrity's topic in Critical Care

    sign me

  4. Do you get a lunch break?

    mpccrn replied to beccainabox's topic in Critical Care

    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...

  5. ICU ratios

    mpccrn replied to clarkheart's topic in CCU, Coronary, Cardiac

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

  6. Mandated Flu vaccine?

    mpccrn replied to mol42's topic in Disaster Preparation

    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

  7. Vap

    mpccrn replied to GrnHonu99's topic in Neuro Intensive Care, ICU

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

  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

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

    mpccrn replied to jaznia15's topic in CCU, Coronary, Cardiac

    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

    mpccrn replied to cruisin_woodward's topic in CCU, Coronary, Cardiac

    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

    mpccrn replied to IHeartDukeCTICU's topic in CCU, Coronary, Cardiac

    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

    mpccrn replied to lpn2crna1day's topic in CCU, Coronary, Cardiac

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

    mpccrn replied to faithmarie's topic in CCU, Coronary, Cardiac

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

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

    mpccrn replied to jaznia15's topic in CCU, Coronary, Cardiac

    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

    mpccrn replied to RoyalNurse's topic in CCU, Coronary, Cardiac

    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...

  16. How do you guys feel about shadowing?

    mpccrn replied to FutureNurseKaturah's topic in General Nursing

    I don't mind students that shadow me but I do expect interest, enthusiasm and some decent

  17. "Stupid" questions and working as new RN

    mpccrn replied to lillystarrn's topic in General Nursing

    Let's face it, no one will beat us up better than ourselves when we make a mistake. A mistake is something we all strive NOT to ever do.....but it happens sometimes. Fessing up is the best action you...

  18. professional organizations

    mpccrn replied to mstacyi's topic in General Nursing

    I belong to AACN, a critical care nurse organization. You pay the membership fee and that's it. Memberships can be 1 year, 2, or 3. The membership allows me to access up to date information, gives me...

  19. IV ADMIN

    mpccrn replied to santos2010's topic in General Nursing

    set the pump at a rate of 200, thus the 100ml bag will infuse in 30

  20. Vent: MD visitors who are NOT intensivists

    mpccrn replied to Rabid Response's topic in MICU, SICU

    I had a hospice aide sister of a patient once think she should dictate her brothers care in the ICU. She made soooo much trouble for me, reporting me to everyone and anyone that had to listen to her....

  21. H1N1 season and not taking the vaccine

    mpccrn replied to somebodyrn's topic in MICU, SICU

    Welcome to ICU nursing! Yes, early in the flu season we had 2 staff people that got sick before a patient was diagnosed (they didn't yet get the flu shot). Actually we're seeing more influenza in...

  22. QI/ PI improvement project, anyone?

    mpccrn replied to poppy07's topic in MICU, SICU

    I'm currently doing a QI project involving interruptions while pouring medication. I am gathering data for a 2 month period, tracking medication errors and will implement a 'no interuption zone'....

  23. Policy development: Central lines

    mpccrn replied to aCRNAhopeful's topic in MICU, SICU

    That's exactly right. Our hospital policy states that only 10cc srynges can be used on PICC and Midlines. Anything smaller will generate too much PSI and can result in catheter

  24. Ob to icu?

    mpccrn replied to HeartsOpenWide's topic in MICU, SICU

    It all comes down to how bad you want it. Your experience could be invaluable as there are pre and post partum moms that require ICU nursing. Go for it! My current ICU manager was first an ICU nurse,...

  25. What does an ICU nurse do exactly?

    mpccrn replied to MJB's topic in MICU, SICU

    In a single