MaxAttack BSN, RN

Research & Critical Care

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All Content by MaxAttack

  1. MaxAttack

    Dopamine?

    MaxAttack replied to Thedevinestman's topic in Critical Care

    Dopamine affects the alpha, beta, and dopaminergic receptors at various levels depending on the dose, so the starting dose is based on the desired effect. As a rough intro, we use it primarily when we...
  2. MaxAttack

    Swallowing PO meds with NGT

    MaxAttack replied to dvill2305's topic in Critical Care

    I think the bigger question is if the patient can safely tolerate PO medication, why is there a
  3. MaxAttack

    Neuro Check on awake, alert patient

    MaxAttack replied to Szbeylik's topic in Critical Care

    Depends on the situation. We don't have a dedicated neuro ICU so the strokes, intracranial bleeds, etc come to us. With a new admission or unstable patient, absolutely. With a patient who is awake and...
  4. MaxAttack

    New Grad-Leave Top Ranked Hospital For ICU Job?

    MaxAttack replied to CVVH's topic in MICU, SICU

    I started as a new grad in the ICU and looking back I wouldn't have done it any other way. We get floated to tele and med-surg when our census is low and I can tell you I would've hated every day had...
  5. MaxAttack

    I&D...sterile procedure?

    MaxAttack replied to deefizzle's topic in General Nursing

    Lol thank you.. I thought it was funny. Clearly comedy isn't my
  6. MaxAttack

    I&D...sterile procedure?

    MaxAttack replied to deefizzle's topic in General Nursing

    This made me smile. Although with some of the sensitivity and back-and-forth, I can see the confusion.. Side note, what's happening here -> Is he drinking water like a dog? Oddly licking an ice...
  7. MaxAttack

    Breakroom refrigerator theft

    MaxAttack replied to Emergent's topic in General Nursing

    This is amazing lol. I'm lucky that I haven't had to deal with this, but I would place bobby trapped food as a deterrent. Cookies with pepper, sandwich with chicken liver, Pepsi with hot sauce. If...
  8. MaxAttack

    I&D...sterile procedure?

    MaxAttack replied to deefizzle's topic in General Nursing

    Abscess Incision and Drainage, New England Journal of Medicine http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.569.6291&rep=rep1&type=pdf "Although strictsterile technique may not...
  9. MaxAttack

    I&D...sterile procedure?

    MaxAttack replied to deefizzle's topic in General Nursing

    Yes, file an incident report for correctly doing a procedure. I could understand if the doctor licked the blade first, but that doesn't appear to be the case. I think sometimes we as nurses forget...
  10. MaxAttack

    How draw blood?

    MaxAttack replied to stan0509's topic in General Nursing

    I died. Because it's
  11. MaxAttack

    Pyxis error

    MaxAttack replied to decarla's topic in General Nursing

    Sounds like you forgot to log off and someone else pulled it under your name. I would bring this up and hopefully they'll understand this is an entirely probable scenario, especially because your drug...
  12. MaxAttack

    Skills required for starting an IV

    MaxAttack replied to allnurses's topic in General Students

    Palpating veins that I could hit by tossing the needle like a dart from across the room made me giggle a
  13. MaxAttack

    bridge the gap: Article Hospitals must educate nurses about health care costs

    MaxAttack replied to Natasha A.'s topic in Activism, Healthcare

    I'm honestly confused. It doesn't take me more than a minute to do a pain assessment, including the effectiveness of their current pain management. And our system has a pop-up that displays the class...
  14. MaxAttack

    Question about fent OD?

    MaxAttack replied to benmca13's topic in CCU, Coronary, Cardiac

    There is a massive amount of information missing here but, long story short, it wasn't the fentanyl. Where I would start: Post-op patient with cirrhosis - bleed or elevated ammonia. s/p extubation -...
  15. MaxAttack

    Ice machine use in hospitals

    MaxAttack replied to olcroner's topic in General Nursing

    And only four posts. Can we stop feeding the troll
  16. MaxAttack

    Students and Facebook

    MaxAttack replied to AmeliasAunt's topic in Nursing Educators, Faculty

    Inappropriate how? What do you believe is detrimental about the relationship? Considering their teacher-student relationship no longer exists, and that the relationship does not appear to have...
  17. MaxAttack

    Use of backup saline infusions for medication infusions in ICU

    MaxAttack replied to taif1's topic in Critical Care

    I mean, it would make sense if insulin and dextrose worked together that way, but insulin works to bring glucose into cells by activating receptors on the cellular membrane. Insulin can't "consume"...
  18. MaxAttack

    Use of backup saline infusions for medication infusions in ICU

    MaxAttack replied to taif1's topic in Critical Care

    I wasn't taught about stopcocks initially; I learned how/why to use them from AN (thanks guys!). I think I'm the only one using them, and this drives me crazy when someone removes
  19. MaxAttack

    bridge the gap: Article Hospitals must educate nurses about health care costs

    MaxAttack replied to Natasha A.'s topic in Activism, Healthcare

    The ideas that corporate needs a better understanding of their front-line conditions and that nursing needs to understand cost containment and budgeting constraints are not mutually exclusive. I'm not...
  20. MaxAttack

    New Rule: No work bags allowed in ER

    MaxAttack replied to DarknTwistyERRN's topic in Emergency

    Our facility is switching to these spiffy clear bags. Girls get clear handbags, guys get clear backpacks. Why? No one knows. I've personally come to believe that there's a small smoke-filled room...
  21. MaxAttack

    Handling multiple ICU patients in the ER

    MaxAttack replied to amzyRN's topic in Emergency

    Sounds like your ICU needs better staffing to handle more admits. So does mine. It gets old for us, too. Prioritize and delegate. Then raise hell because God knows they don't care if you have one or...
  22. MaxAttack

    Drug urine test after 12 hour shift

    MaxAttack replied to Kallie3006's topic in Nurses Recovery

    Best advice here is to get a lawyer. Like yesterday. If anyone else is reading this in a similar situation - get a lawyer. If anyone thinks there's a chance they might be getting into a similar...
  23. MaxAttack

    SVT...from what?

    MaxAttack replied to Hockeynursing's topic in General Nursing

    I don't think I'd say absolutely, considering it's been several times with the ER doc present. I've also read that it's more likely to happen with the 12 mg (second dose) than the 6 mg, which I've...
  24. MaxAttack

    How to learn telemetry?

    MaxAttack replied to northmississippi's topic in Cardiac

    It looks overwhelming but I promise it gets easier with time and exposure. I used both the two below before I started my first job. The AACN class if $135 but I got a lot out of it. The second one is...
  25. MaxAttack

    Should I report this nurse?

    MaxAttack replied to laladeedee's topic in Medical-Surgical

    The whole thing's a mess. Six hours before an order for PRBCs on a post-op bleed, then another few hours until it was actually hung. An entire shift with a critical hemoglobin and nothing was done...