MaxAttack BSN, RN

Research & Critical Care

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All Content by MaxAttack

  1. 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...
  2. The award for dumbest off-topic political-for-no-reason comment goes to...
  3. MaxAttack

    NPO status changes for EGDs?

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

    Phasing Out ADN?

    I really appreciate the nationalism - being American myself - but saying we're number one in something that essentially only we report is kinda funny, right? And to be honest, wherever you're at...
  5. Florida is a right-to-work state and I've seen unions. The biggest one I've seen is at Jackson in Miami but they're at HCA hospitals as well. There were still issues with everything you brought...
  6. MaxAttack

    Career Coaches?

    I've never heard of a nursing career coach but take a look around this site and see if anything interests you.
  7. MaxAttack

    Y-site compatibility

    I'd be surprised if your facility didn't have access to a database like Lexicomp, Micromedix, Kings, etc. I would talk with someone who's been there for a while or your clinical educator. But yes...
  8. To be honest I thought a podiatrist was a medical doctor. Learning every day. I saw this - Whom should we really call a "doctor"? - article written by a PhD that was kind of funny, too....
  9. True. You have much more time on me so I can't speak to trends; just my observations. Were there other groups referring to themselves as doctors in hospitals before DNP programs? I'm wondering if the...
  10. Yep. As long as we have people like this that want to play physician we're going to have these issues. Now that I think about it, I don't know that I've ever seen a pharmacist refer to themselves...
  11. I think it was Benjamin Franklin that said the only certainties in life are death, taxes, and never getting an answer to that
  12. Why would you possibly stay there? This place sounds super
  13. MaxAttack

    Continuous bladder irrigation

    There's really not any risk. The bladder is insufflated during surgical procedures; it's not like we're concerned about air embolisms like with an IV. I can't foresee a lot of air would enter...
  14. I didn't know about her. I read into her story a bit (The meat of it is here if anyone else is interested) and can say on a busy day in a chaotic situation I can see how that happened. It sounds like...
  15. In my opinion, disregarding the facts of her case would be dangerous. Say a parent turned off their car and left their infant in the back seat of a car in mid-Summer Florida to run into a store to...
  16. From my understanding, they have to watch the urine come directly from you into the collection cup and that's it. That being said in my experience most people just stand at the door. I had one...
  17. MaxAttack

    Is this a HIPAA issue?

    Can anyone else identify the patient based on the text? Doesn't sound like. I don't think you could have been more generic. You're good. No violation.
  18. MaxAttack

    Full Moon

    I mean @klone hit it on the head. This first sentence alone is literally textbook confirmation bias. But on a serious note, I do believe there is something about full moons; I experience it...
  19. MaxAttack

    Elevated Ammonia level

    Your hospital sounds terrifying. I just didn't want OP (or anyone identifying as a new nurse) coming away from this thread thinking this is normal
  20. Have you tried reaching out to the unit manager? I've had issues with HR and they've been able to get them focused. If no luck there, consider it a dodged
  21. MaxAttack

    Elevated Ammonia level

    I don't agree with this. If I believe we're not doing the right thing I'll get others involved. I've been lucky to work with fantastic strong charge nurses that have worked with some of these doctors...
  22. MaxAttack

    Elevated Ammonia level

    Nope, you're absolutely right. I stayed quiet more than I should have in my first couple of years because I doubted myself and I've seen more than one bad outcome because others tried convincing me I...
  23. MaxAttack

    Procedural Consent Problems

    I wrote this whole long answer that no one was going to read to basically say consenting isn't an area I've heard of people losing licenses over. It's your job to ensure they understand what was...
  24. MaxAttack

    Fluid Med Error

    Just a fun aside: LR (or any balanced crystalloid) is almost always the better fluid vs NS. Just a personal crusade of mine. I'll link to an article by Josh Farkas....
  25. I give