MaxAttack BSN, RN

Research & Critical Care

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All Content by MaxAttack

  1. MaxAttack

    Constitutional Violation by Disciplinary Abstinence?

    MaxAttack replied to parliament's topic in Nurses Recovery

    Hate to be simplistic here, but which is more important: your sobriety or your communion wine? Don't most churches allow you a non-alcoholic alternative or to skip it altogether? It's hard for me...
  2. MaxAttack

    Diluting Ativan?

    MaxAttack replied to Guest838984's topic in Emergency

    They also say to administer it over a few minutes, but when has that happened? I dilute it now and then, depending on my mood. I never could find the reason, but I would love to hear if someone...
  3. MaxAttack

    New grad, got the ICU! TIPS?!!

    MaxAttack replied to nikki1018's topic in Critical Care

    Congrats!! Ask questions and look up everything. If you have access to UpToDate, use it. The AACN has a book Essentials of Critical Care Nursing that I bought and found useful. You're going to be...
  4. MaxAttack

    Best route to ICU for new grad with no healthcare experience

    MaxAttack replied to CamperNurse's topic in Critical Care

    I was the same way coming out of school - anything but med/surg. I found that many hospitals in my area have new grad programs. Get your resume on point and apply to every job you can find that sounds...
  5. MaxAttack

    Is there a Stigma with a Male working in Nursing?

    MaxAttack replied to Convoy2022_TrumpSupporter's topic in General Nursing

    I think of my co-workers almost like family. You spend a large portion of your time with these people and I've found it's not unusual for people to want to get to know you personally or even say...
  6. MaxAttack

    Blacklisted from HCA

    MaxAttack replied to nursingsprettycool17's topic in General Nursing

    I broke my contract and got re-hired at a different facility a few years later. I don't remember the terms of the contract but maybe it was just this specific recruiter being
  7. MaxAttack

    What Insulin Protocols Do You Use?

    MaxAttack replied to Cheers_G's topic in Critical Care

    One hospital used a mild, moderate, and severe sliding scales while another used a multiplier. I found a better degree of control with the multiplier. Both targeted glucose levels in the 140-160's if...
  8. MaxAttack

    POLL - Oxygen titration in your unit

    MaxAttack posted a topic in Critical Care

    I'm doing some background research on oxygen targets. I'm writing an article based on my experiences and was interested in what everyone else actually sees. For those curious, I'm used to seeing an...
  9. MaxAttack

    POLL - Oxygen titration in your unit

    MaxAttack replied to MaxAttack's topic in Critical Care

    I agree. But know 92% would get most people I work with squeamish, and regardless of the specific minimum, most patients would get oxygen until the sats read 99-100%. The units I've worked on have...
  10. MaxAttack

    Nurses Are So Bossy...

    MaxAttack replied to gehrig592's topic in General Nursing

    Complains about nurses being "miserable ***y bossy" while being "miserable ***y bossy." Love
  11. MaxAttack

    Ridiculous medical mistakes on TV

    MaxAttack replied to adventure_rn's topic in Nursing Humor

    Smokin Aces! I just realized one of them isn't even vented, which makes this scene even more ridiculous
  12. MaxAttack

    Med error

    MaxAttack replied to snh2009's topic in General Nursing

    Lol I feel like you're probably safe if your worried about his arm falling off. I hadn't heard of avoiding the deltoid. It seems like it only shows up in certain references. Medscape doesn't mention...
  13. MaxAttack

    Ridiculous medical mistakes on TV

    MaxAttack replied to adventure_rn's topic in Nursing Humor

    Man I wish I remembered what show it was, but I saw a beautiful code - checked pulse, good compressions and breaths. The doctor even yelled for 1 mg of epi IV! Right dose and everything! Then the...
  14. MaxAttack

    Just got a job offer!

    MaxAttack replied to Morelaur288's topic in Critical Care

    Congrats and welcome! Are they putting you through a critical care course of any kind? I started ICU straight from school and the three month orientation/training they provided really helped me get...
  15. MaxAttack

    How to be on an ICU Nurse's good side?

    MaxAttack replied to Nkukiller's topic in MICU, SICU

    Welcome! Just the fact your asking this makes me think you'll be ok. I was a night nurse and I loved getting the chance to talk with doctors/residents before I left. My only complaint was someone...
  16. MaxAttack

    Vent management and sedation/pain management

    MaxAttack posted a topic in Critical Care

    Another thread sparked me to write this: Where I'm at our vent management essentially is putting propofol on every person through our door on a vent. Getting pain management can be like pulling teeth...
  17. MaxAttack

    Vent management and sedation/pain management

    MaxAttack replied to MaxAttack's topic in Critical Care

    Mixed med/surg population. I'm not referring to a specific patient or condition, but to the idea that intubated patients should have any pain managed as a possible cause of agitation before sedation...
  18. MaxAttack

    Being Pulled into the Office for calling CAT

    MaxAttack replied to ryuunohime's topic in Patient, Colleague Relations

    I'm sure I'm repeating what was said before me, but find a new job. Any place that says you overreacted when you called a rapid/MET/CAT on a lethargic patient with a pulse in the 30-40's is a place...
  19. MaxAttack

    Central line compatibility

    MaxAttack replied to mfarmer88's topic in Critical Care

    You're right. They're wrong. Why was the director waiting for you in the first place? She sounds
  20. MaxAttack

    Blood pressure drastic variation

    MaxAttack replied to oceanblue52's topic in First Year After Licensure

    Anxiety can definitely make someone's BP skyrocket. Not only does anxiety raise BP (fight-or-flight sympathetic activation), but usually they're tense or moving which will skew the reading even...
  21. MaxAttack

    Dismissed battery charge

    MaxAttack replied to amiss5572's topic in Licensure: Criminal History

    It sounds like they're just requesting clarification. It was dismissed, which means you were not found guilty. I wouldn't include "we both became physical" as it implies wrongdoing. If that doesn't...
  22. MaxAttack

    Soon-to-be grad - considering ICU and ED - what to tell recruiters?

    MaxAttack replied to Raven Sierra's topic in Critical Care

    I told the recruiter flat out I need ER or ICU. I was signing a contract within a week. The only foolish thing here is the people living in their own reality that think this is
  23. MaxAttack

    High dose insulin for Beta blocker OD

    MaxAttack replied to beckster_01's topic in Critical Care

    First result on Google was an article posted in Clinical Toxicology found on PubMed "CONCLUSIONS. While more clinical data are needed, animal studies and human case reports demonstrate that...
  24. MaxAttack

    I&D...sterile procedure?

    MaxAttack replied to deefizzle's topic in General Nursing

    Sterile gloves protect the patient, not the provider. It would be a costly and strange utilization of resources to don sterile gloves every time you worked with a patient on contact precautions....
  25. MaxAttack

    Sodium bicarbonate push

    MaxAttack replied to lvcrn's topic in Critical Care

    Our computers have a clinical pharmacology link on the desktop and accessible via our charting software. I use it all the time to check IV compatibilities. Maybe you have something similar? Even if it...