marienm, RN, CCRN

marienm, RN, CCRN has 12 years experience and specializes in Burn, ICU.

Latest Activity

1. 

   NICU new grad NG tube insertion

   marienm, RN, CCRN replied to New_gradNICU's topic in NICU, Neonatal

   I am NOT a NICU nurse but I am sorry that you haven't gotten any replies :( The thing I noticed you mentioned was that you angle the tube downward...in adults, I usually have the best luck pushing...
2. 

   Insulin Before Dextrose or Vice Versa?

   marienm, RN, CCRN replied to vmrose93's topic in General Nursing

   My facility does all the things you mentioned too, plus: kayexalate, get an EKG, possibly start emergent dialysis. It's all depending on the patient, the etiology, and their K+ level. But "1/2 amp...
3. 

   Insulin Before Dextrose or Vice Versa?

   marienm, RN, CCRN replied to vmrose93's topic in General Nursing

   I push the dextrose first just in case I lose the IV. If I gave the insulin first but then lost the IV, the patient's blood sugar would be decreasing fairly rapidly while I fumbled around getting...
4. 

   Fluid Med Error

   marienm, RN, CCRN replied to Newgradtrauma's topic in General Nursing

   The lunch break thing is important but it's also a bit of a red herring here OP. The fact will be that you will ALWAYS have multiple demands on your time and multiple things to prioritize. In this...
5. 

   Is Phlebotomy necessary to pursue nursing?

   marienm, RN, CCRN replied to Tt_'s topic in Pre-Nursing Students

   I know nurses who bartended through nursing school because it paid well and was mostly evening work. Also, they're good at casual conversations! If phlebotomy pays you enough and offers useful hours,...
6. 

   Peer Review

   marienm, RN, CCRN replied to Queen Tiye's topic in Nursing Career

   Do you know what the purpose of the peer review is? To me, that sounds like something that might be part of your annual evaluation (shouldn't be something where you'd need a lawyer) and not, like, a...
7. 

   What to do if I like someone at work?

   marienm, RN, CCRN replied to Convoy2022_TrumpSupporter's topic in General Nursing

   Scenario: You run into her and say "I'd love to get coffee/check out the mini golf place/see xyz band together, would you like that?" She says "no, thank you." How would that make you feel? If...
8. 

   Clinical Hours Liar??

   marienm, RN, CCRN replied to Kylie Standfest's topic in General Nursing

   If your program has already okayed it, take them at their word! We are assigned educational modules and training classes at work that don't always take the full time but we get paid for the full...
9. 

   Type and Screen

   marienm, RN, CCRN replied to ShipleyRN's topic in General Nursing

   We have a two-tube, two-collection-time process but often we can add a t&s onto a lavender (CBC) tube (our normal t&s tubes are pink) so I think sometimes the blood bank just does this for us...
10. 

    Dosages help!!

    marienm, RN, CCRN replied to bluedreamerstu's topic in General Students

    Yes, exactly. I did not make this rule and I don't disagree with you, but if the OP wants to pass their exam it sounds like they are required to use DA. That's what my school required
11. 

    Dosages help!!

    marienm, RN, CCRN replied to bluedreamerstu's topic in General Students

    3 tablets is correct and is the answer I showed. The point I was making about "2 units" is that the answer requires calculating "tablets per dose", where tablets and doses are both units, just...
12. 

    Dosages help!!

    marienm, RN, CCRN replied to bluedreamerstu's topic in General Students

    You can do this! The biggest thing to remember with dimensional analysis is that each "fraction" is equal to 1 (or equal to itself), which means you can flip it over if needed. You can write...
13. 

    How is life in the ICU? I am in a LTACH

    marienm, RN, CCRN replied to Beautiful_Beginnings's topic in General Nursing

    Charting: everything we do at my facility needs to be charted. How difficult this is depends on the EMR and the complexity of the patient, but at minimum for an ICU patient I chart: *full...
14. 

    Starting Quad Strength Drip

    marienm, RN, CCRN replied to JustCuriousMe's topic in Critical Care

    So, the patient is getting 15mcg/minute and 1) this is too much fluid and 2) the BP is still not where they want it, right? Since it sounds like you are a student, I'm going to expect you to do...
15. 

    My New Position Makes Me Want To Drink

    marienm, RN, CCRN replied to BeckyRN's topic in Nurses Recovery

    You might find more replies about the nursing aspects of your new job on the 1st year nursing pages, but I'm assuming you posted this in the recovery page on purpose! I haven't been where you are,...