Mavrick BSN, RN

15 years in ICU, 22 years in PACU

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All Content by Mavrick

  1. Mavrick

    Fentanyl shortages or DEA policing healthcare?

    I apologize if I got it wrong. It seemed like you were complaining that it is the government's fault that you are not able to adequately medicate your patients. Now it sounds like your doctors are...
  2. Mavrick

    Fentanyl shortages or DEA policing healthcare?

    There is no excuse to allow your patient to be in pain because you don't know how to administer any other kind of pain medication than Fentanyl. In the PACU we give Dilaudid, Morphine, Demerol,...
  3. Totally did that one. I got called in on a warm summer day I was wearing Tevas and didn't even think about what I was missing until I was changing into scrubs in the locker room. I tried to put the...
  4. Mavrick

    Biggest weakness

    Then why don't you just ask that instead of the silly "weakness" BS. There is plenty of game playing going on and it starts in HR. What exactly do you think "competitive salary "means to job
  5. Don't use it if you don't have it. If all you have is experience in applying to a program but have not completed that program to the satisfaction of the school and been awarded the degree, you don't...
  6. Mavrick

    Biggest weakness

    Interviewers ask that stupid question to see how good you are at "playing the game". If they don't have any more imagination than that, don't go overboard on a creative or honest answer. Pick some...
  7. I would hazard a guess at less than 25%. Let's do a survey project on it shall we? That's why I pointed it out in the picture. I didn't think most people would know what I was referring to when I...
  8. There you have it. This patient is an equal opportunity abuser. It's not about misused 1st Amendment Rights. This patient said something very hurtful to you and well, it hurt. People will do that...
  9. Mavrick

    Hoping I did the right thing for my patient

    So, the doc gives you a verbal order to start an IV and give Dilaudid and Reglan, then writes that order with a certain frequency that Pharmacy verifies. While you're starting the IV and before you...
  10. Mavrick

    Hoping I did the right thing for my patient

    Said so well all I can do is bold and
  11. I too put my roller clamp just a few inches below the drip chamber. Then I use the little clip on the back of the clamp to secure the tubing in a loop to keep it from getting caught on stuff or...
  12. Mavrick

    The Unsung Heroes of the PACU

    Wow! What a wonderful post. I do understand that most patients won't remember the many bullets dodged by having an attentive PACU nurse at the ready. Yep, they finish your surgery, you uneventfully...
  13. Mavrick

    ECG interpretation

    Actually it doesn't. After the "pause" the 4th complex comes in 0.12 seconds earlier than a fully "missed beat" would. Sinus pause is defined as a pause greater than 2 seconds. That's why I believe it...
  14. Mavrick

    Workplace Sayings

    Don't keep that Jesus Bus waiting ......... looks like a transfer to the Eternal Care
  15. Mavrick

    Workplace Sayings

    When a piece of equipment doesn't fit or falls apart in your hands (from my days working at the VA): That was low bid. Coming in on a day off to work 4 hours for lunch relief: I'm workin' a Princess...
  16. Mavrick

    April Fools Jokes

    We have a guy at work that puts a $20 bill on fishing line, places it in a conspicuous area, then lies in wait to put the line when you try to pick up the $20. Got taken twice cuz I thought a little...
  17. Mavrick

    ECG interpretation

    This is a strip of 2nd degree block. The "p" waves march out, even the lonely one. The "missed "qrs" causes an interval that is a multiple of the normal "qrs", in this case twice as long. In the OP...
  18. Mavrick

    Questions about BLS

    The instructors WANT you to learn CPR they will make every effort to help you learn and pass the exam. People that have trouble are trying to put too much real life experience into answering the...
  19. Mavrick

    IV incompatibility error

    Seriously? You have to check the manufacturer? We don't hang Zosyn in the PACU much, but they hang it in the OR all the time with
  20. I like this advice for Facebook users. Stop with the oversharing. Keep it Fakebook, we don't believe you
  21. Mavrick

    ECG interpretation

    I would call this Sinus Arrhythmia (probably respiratory related) in the setting of sinus bradycardia. There is no "dropped beat" as there is no "p" wave. There is also no AV block as there is no "p"...
  22. Mavrick

    Should I Go into Debt for Nursing School?

    If this is true for you then NO, NO, NO. Having that much debt will adversely affect every decision you make. You will be desperate for a job to start paying it back and will be much tempted to take...
  23. Mavrick

    Wearing gloves with HIV positive patients

    It is truly embarrassing to still be working with nurses living in the HIV hysteria of the '80s. A patient came out of the OR and while I was hooking them up to the monitors. The OR nurse made a big...
  24. Mavrick

    Trouble Finding Work

    In 2013 I moved to Seattle looking for work. I was 58, BSN, 17yr PACU / 13yr ICU exp, Certified in PACU, with a disciplinary flag on my license from 18 years ago. Fairly overweight, married, visible...
  25. Yes, it is a sincere compliment. Since you're new I'm not surprised you haven't gotten the drift that BSN degree ("higher") nurses frequently get in trouble for suggesting that they know more and...