MaxAttack BSN, RN

Research & Critical Care

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All Content by MaxAttack

  1. MaxAttack

    Education about chest tubes

    I'm curious about this myself. I knew -20 was the default but never knew the rationale for changing it. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4356865 Thanks for the question...
  2. To be fair, the first part of her post deals with the BON and conduct like fraud, practicing outside scope, abuse, neglect, etc. I suppose depending on the state these regulations can be twisted to...
  3. You're splitting hairs. Defining good or bad "judgment" can be just as problematic. What is considered "good" judgment to one person may not be considered the same to another. It doesn't really...
  4. MaxAttack

    How to cope with shame?

    I was so ashamed and afraid of judgment in the beginning but the longer I've been in recovery the more I've come to realize it was all in my head. I've found almost everyone has been supportive. Of...
  5. You missed the point. We can agree that what she is doing is not illegal, correct? So what we're dealing with is essentially an issue of morality. The trouble with morals is that they're not the same...
  6. I can't say I understand how the public is being protected with this one. I'm a little extra so I looked at what "unprofessional conduct" and "moral turpitude" mean in Virginia and this doesn't...
  7. Does anyone think less of physicians because of Harold Shipman (Dr. Death)? Do the actions of Niels Hoegel - the guy who induced cardiac arrests to try and bring them back - reflect on all nurses?...
  8. MaxAttack

    Phasing Out ADN?

  9. MaxAttack

    Please No judgment. Will I lose my cert?

    From my perspective, it sounds like a patient made an accusation of abuse that was unsubstantiated with the lights on. Regardless, as charge I would want to speak with you without the patient present...
  10. MaxAttack

    Insulin Before Dextrose or Vice Versa?

    Just for clarification because I see this done all the time in the hospital. There is no role for sodium bicarb pushes here. It will not help and may potentially cause harm. It's outdated but...
  11. MaxAttack

    What should be done to mean nurses?

    I need to know what these nice hormones are and how to put them into dart form to use when needed. For educational purposes, of
  12. An automatic confirmation test is done at the lab when the screen comes up positive. If the urine is reported as positive it's positive and confirmed; no additional testing is needed. In my state,...
  13. MaxAttack

    Access while Proning

    If they're sick enough to be proned they're sick enough for central access. Mortality at that point is basically a coin toss and I'm not dealing with a patient trying to die while losing a #22 in a...
  14. MaxAttack

    Scared

    Without knowing the details it's likely the minimum you'll have to do is go into a diversion program. Just from Google it looks like it's called the Professional Assistance Program in NY. They...
  15. I'm not 100% sure where you're going but I agree there are benefits to brick-and-mortar learning. Anyways, the point stands that there's more truth published in The Onion than coming out of
  16. MaxAttack

    Decapitated baby

    I've already said I believe they should have been told, though I'm not sure who you're referring to when you say "they." I don't believe this falls on nursing. I could advocate all day long for that...
  17. MaxAttack

    Decapitated baby

    Telling the parents the truth and handing them pieces of their baby is very different. I don't know if disclosing that information is even something I would be allowed to do as a nurse. That...
  18. MaxAttack

    Decapitated baby

    I've seen exactly one side to this story. I can't tell you how many times I've seen a family and a lawyer stand in front of cameras and give a sob story and say all sorts of garbage that ends up...
  19. MaxAttack

    Decapitated baby

    I personally like to have facts before advocating for ending careers. Lawyers are notorious for manipulating events and presenting evidence to fit their narrative. Cool, he was a doctor at some...
  20. Weellllll The whole CMS report is catty he said she said BS with questionable patient compliance. I'm having trouble justifying this as a criminal offense. The LPNs were fired but for the...
  21. MaxAttack

    Vented Trach and PO Intake

    Good question. I think the general assumption is that when someone's on a vent they are not to get anything PO. However, after a quick look online I found this:...
  22. MaxAttack

    ER Monopoly

    That's one opinion. Anything can be broken down into a series of skills and procedures I suppose. There are - or should be - contingencies in place but teams are there because the evidence...
  23. MaxAttack

    ER Monopoly

    Trauma resus is a specialized skill set so yes it would make sense for a specific group to be trained and certified for that position. I've worked at three level I trauma centers. Two had nurses hired...
  24. The award for dumbest off-topic political-for-no-reason comment goes to...
  25. MaxAttack

    NPO status changes for EGDs?

    Not for endoscopies specifically, but my unit follows the ERAS protocol that's in line with ASA Guidelines:...