MaxAttack BSN, RN

Research & Critical Care

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All Content by MaxAttack

  1. MaxAttack

    Hands off my vent!!

    MaxAttack replied to adventure_rn's topic in Critical Care

    Changing vent settings? Jesus you have some bold family members. I get super possessive. I don't care how you're related - that patient is mine while they're under my care. That picture is perfect,...
  2. MaxAttack

    Holding "Ordered Meds"..... What are the rules?

    MaxAttack replied to jk2185's topic in Patient Medications

    I knew as soon as I hit submit someone was going to do that. There are exceptions to everything, but regardless of treating the numbers or the patient, there has to be a reason to give a med. If...
  3. MaxAttack

    Holding "Ordered Meds"..... What are the rules?

    MaxAttack replied to jk2185's topic in Patient Medications

    It's easier to determine what to give if you look at why it's ordered. I'm not giving a beta blocker for hypertension if their pressure is 92/40. I'm not giving a diuretic for edema if they're...
  4. MaxAttack

    Anion Gap Acidosis

    MaxAttack replied to cassmorin's topic in Critical Care

    I'm with you in theory, but the wording came across as abrasive and I think that is what people are faulting. OP, I use Medscape almost every shift. They break down disease processes into...
  5. MaxAttack

    SVT...from what?

    MaxAttack replied to Hockeynursing's topic in General Nursing

    Very true. I didn't pick that up - I was more looking for a correlation between the drug and cardiac abnormalities than the specific arrhythmia. Though seeing that this drug potentiates arrhythmias, I...
  6. MaxAttack

    Unsafe Hospital?

    MaxAttack replied to applesxoranges's topic in Nursing News

    Little of this article makes sense. Apparently this resident started all of his own IV's, gave all of his own medications, and did all his own CPR. The nurses were there to, I don't know, change...
  7. MaxAttack

    SVT...from what?

    MaxAttack replied to Hockeynursing's topic in General Nursing

    20 Apr 2012: Domperidone and risk of cardiac arrhythmia or sudden cardiac death Domperidone Restrictions Endorsed in EU Due to Cardiac Risk PRAC Wants Restrictions on Domperidone Due to Cardiac Risks...
  8. MaxAttack

    Good ICU Nursing Books (Non Textbooks)

    MaxAttack replied to Crew2Nursing's topic in Critical Care

    For a "day in the life," check out ICUfaqs.org. It was written by an RN for new critical care RNs. One I just found was the AACN Essentials of Critical Care Nursing. It's great to get organized. I...
  9. MaxAttack

    Brigham nurses threaten to strike. Paid $106,000 on average, demand more.

    MaxAttack replied to RockMay's topic in Collective Bargaining, Union

    From their Union - Brigham and Women's Hospital Nurses Vote 95% to Authorize Strike in Protest of BWH/Partners Health Care Valuing Corporate Profit Margins Ahead of Patients, Nurses "The MNA's...
  10. MaxAttack

    How woud you treat this patient...

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

    There's not enough information to even start thinking about medications. Age, prior history, and what was happening at onset quickly come to mind. A ten y/o boy with chest pain from a respiratory...
  11. MaxAttack

    Sick of night shift

    MaxAttack replied to Jbetty's topic in Job Search, Interview, Resume

    I knew someone who was in a similar situation who switched to home health and loved it. She sent her girl to school, worked cases for part of the day, and was home when her girl got
  12. MaxAttack

    Nurse stealing narcs advice

    MaxAttack replied to Nursenicole1's topic in General Nursing

    My facility has a written policy on PRNs. I probably should know it off hand, but it's either 15 or 30 minutes early. I would be surprised if most facilities didn't have a policy addressing this. I'm...
  13. MaxAttack

    Nurse stealing narcs advice

    MaxAttack replied to Nursenicole1's topic in General Nursing

    Lmao, I'm glad it wasn't just
  14. MaxAttack

    Elevated Troponin

    MaxAttack replied to bear14's topic in Emergency

    Use of Cardiac Biomarkers in End-Stage Renal Disease Differential diagnosis of elevated troponins For answers to some of the whys you were
  15. MaxAttack

    A Headache is not an emergency

    MaxAttack replied to Patient4life's topic in Emergency

    Hawaiian! Or buffalo chicken sounds good right now. My pizza addiction is going to catch up with me one
  16. MaxAttack

    Nurse stealing narcs advice

    MaxAttack replied to Nursenicole1's topic in General Nursing

    I've been told it means awake, alert, and oriented. If AAO is considered unprofessional, then I have a feeling even you might want to review how you chart. Nursenicole1, diversion is a strong...
  17. MaxAttack

    Do you feel safe reporting errors?

    MaxAttack replied to sweetdreame's topic in General Nursing

    I've known people to be written up for a fall, as if the RN was standing in the doorway laughing maniacally and watching while the patient was attempting to ambulate hooked up to monitors and drips....
  18. MaxAttack

    Going to be fired?

    MaxAttack replied to Meridian2's topic in Patient, Colleague Relations

    There's so much wrong in this thread, but these two nicely sum up the
  19. MaxAttack

    Infection control + gloves

    MaxAttack replied to eiwneon's topic in General Nursing

    First Google result for "nursing when to wear gloves" - MedlinePlus - Wearing Gloves in the Hospital Wearing gloves in the hospital: MedlinePlus Medical Encyclopedia "Wear gloves every time you will...
  20. MaxAttack

    "Your job is to make me happy"

    MaxAttack replied to Nurse216's topic in Patient, Colleague Relations

    "Patients can be very satisfied and be dead an hour later." The Problem With Satisfied Patients - The Atlantic Great article on HCAHPS. This is unfortunately the attitude that the government is...
  21. MaxAttack

    So I kind of messed up

    MaxAttack replied to oopsmybad's topic in General Nursing

    This attitude represents the worst of our profession. This is someone wanting to enter our field who learned a tough lesson, like every one of us either has or will. Be constructive and supportive....
  22. MaxAttack

    Unprofessional charting

    MaxAttack replied to Nurse131382's topic in Nursing Professionalism

    Is it a policy to chart hourly observations? If so, it sounds they threw it into place w/o really thinking it through or educating the staff on what they're looking for. PCA's can't chart an...
  23. MaxAttack

    Please help, super conflicted!

    MaxAttack replied to FSUMurse94's topic in Job Search, Interview, Resume

    CRMC. Cafeteria's open at night. Plus it's closer. Hour commute doesn't sound bad, but that effectively turns your shifts into 14+ hour
  24. MaxAttack

    COPD and O2 use, am I wrong?

    MaxAttack replied to tsm007's topic in Medical-Surgical

    COPD is a great disease to get to know in detail - you'll see it a lot. The simple explanation for lower saturation goals with COPD patients is that higher saturations encourage CO2 retention, so you...
  25. MaxAttack

    Help w/ overnight ICU coverage

    MaxAttack posted a topic in Critical Care

    I work in a 15 bed ICU in a community hospital. We have no intensivists - all patients have an admitting doctor with consults as needed. It works most of the time, but the problem we're having is when...