marienm, RN, CCRN

Burn, ICU

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All Content by marienm, RN, CCRN

  1. marienm, RN, CCRN

    Pseudo Seizures

    marienm, RN, CCRN replied to Keepstanding's topic in School

    I've had an adult patient who had 'pseudoseizures' (that's what he was told they were called...he'd had a very extensive workup and was on a couple of anti-seizure drugs). He would start coughing and...
  2. marienm, RN, CCRN

    Why would you give this up??

    marienm, RN, CCRN replied to 1mrsbs's topic in School

    My only other guess would be that she's hoping the hospital will pay for her to go back to school? I work for a state teaching hospital and they will pay the state's tuition rate for us to attend...
  3. marienm, RN, CCRN

    How to calculate NG tube replacement.

    marienm, RN, CCRN replied to lola_b123's topic in General Students

    Sorry, "each HOUR the pt gets 50mL IN" I'm not very good at typing on the
  4. marienm, RN, CCRN

    How to calculate NG tube replacement.

    marienm, RN, CCRN replied to lola_b123's topic in General Students

    Maybe you're confused by the idea of NG output. When I was in school, I had patients getting tube feeds--NG input, but I don't recall having one with the NG tube hooked up to a suction canister on the...
  5. marienm, RN, CCRN

    "Smart" students make bad nurses?

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

    I think it depends on a ton of factors. I left a previous career and started nursing school. It was so time-consuming (just an associate's degree, but including all the pre-reqs in the 2 years) that...
  6. marienm, RN, CCRN

    any specific tools or equipment you use

    marienm, RN, CCRN replied to poopylala's topic in Burn

    I hate to say it, but we use dedicated patient equipment on my unit...disposable stethoscopes in the rooms, scissors that come from the sterile processing department, etc... I do still wear my own...
  7. marienm, RN, CCRN

    What areas should I prepare for?

    marienm, RN, CCRN replied to lkrob's topic in Burn

    Congratulations! I work in a small BICU at a level 1 trauma center/teaching hospital. We take off-service patients when we aren't full of burns. Mostly trauma/surgical patients, but sometimes MICU;...
  8. marienm, RN, CCRN

    Am I right or my teacher?!

    marienm, RN, CCRN replied to Tobenursemj's topic in Nursing Student Assistance

    I wouldn't argue this one with your instructor. Sorry! Take is as a lesson in reading the question carefully: This is a question about what you, the nurse, need to do to protect yourself from the...
  9. marienm, RN, CCRN

    Musicians, Artist career changers?

    marienm, RN, CCRN replied to Elsa15's topic in General Nursing

    I studied theatre design/production and worked professionally for 10 years before going to nursing school. I had been passionate about theatre, but increasingly the salary was holding us back...
  10. marienm, RN, CCRN

    Wk 1 and already Panicking?

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

    I had a ton of trouble finding pedal (foot) pulses at first. I'd practice on my own feet & that helped. Also, I slowed down and didn't have someone watching me & that definitely helped! When...
  11. marienm, RN, CCRN

    Anyone have nightmares?

    marienm, RN, CCRN replied to dec2007's topic in Health, Stress Management

    I've had pts with chronic nightmares who are prescribed Minipress/prazosin. They say it helps them. I get them sometimes...most recently, I tried to start an IV in the same arm for an entire night of...
  12. marienm, RN, CCRN

    care package for burn victim

    marienm, RN, CCRN replied to jonie8693's topic in Burn

    This is very warm-hearted of you! Without knowing anything about his condition, it's hard to say what he could use right now. If he has burns to his face/mouth, I'd avoid chapstick since the hospital...
  13. marienm, RN, CCRN

    Will my diabetes affect my future in nursing?

    marienm, RN, CCRN replied to amb25315's topic in General Nursing

    I worked with a Type 1 diabetic who wore a pump. We worked night shift and she found after several months that her sugars were much more labile and out of control than they had been; she wound up...
  14. marienm, RN, CCRN

    Ventilator Questions

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

    When you get to start working with vented patients, try to pay attention to what sounds "normal" so you'll start to hear what isn't normal. Also, look at the patient, not just the vent! Examples-...
  15. marienm, RN, CCRN

    Is ineffective tissue perfusion in relation to an impaired systemic circulation?

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

    I'm guessing you're early in your studies, and I don't want to do your homework but I do want to give you some things to think about that might help you understand the topic... 1st- what is the...
  16. marienm, RN, CCRN

    What is your schedule like as a nurse?

    marienm, RN, CCRN replied to Yerani27's topic in General Nursing

    It depends! Among other things, it depends on the hospital, the state, the union agreement (if there is one), and most importantly your contract. When applying for jobs, these are important things...
  17. marienm, RN, CCRN

    Least Favorite Things Patients Say

    marienm, RN, CCRN replied to remotefuse's topic in Patient, Colleague Relations

    Family member- "it must be hard to work nights!" Crabby, crack-addicted, unemployed patient- "no, she gets that big paycheck and goes shopping!" Me- "Nope, I pay my mortgage and my student loans. Not...
  18. marienm, RN, CCRN

    Any tips for placing a bedpan?

    marienm, RN, CCRN replied to newuser321's topic in Medical Assistant, CNA/MA

    I agree that getting her up to the commode is probably better for her overall mobility. That said, sometimes I've had luck tucking a chux pad into the folds of the thighs and then draping it down...
  19. marienm, RN, CCRN

    Facebook nurses and patients

    marienm, RN, CCRN replied to Annaleemabey's topic in HIPAA Challenges

    Yeesh! For school-age kids? All it takes is someone posting something 'inappropriate' to your cousin's wall and all her students can see it...and all their parents can complain! Before I was a...
  20. marienm, RN, CCRN

    What method Debridement do you use in your Burn Unit now days?

    marienm, RN, CCRN replied to ARDS's topic in Burn

    I work on a small burn unit and debridement is different for every patient based on the severity of the burn and the patient's tolerance of wound care... Most commonly I see surgical debridement...
  21. marienm, RN, CCRN

    Night shift?

    marienm, RN, CCRN replied to TXcatcher's topic in Job Search, Interview, Resume

    Hmm, I was hired as a new grad in an ICU...I was hired to work nights, but the first 3 months of my orientation were days (20 week orientation). I'm gonna be honest, days are harder (most of the...
  22. marienm, RN, CCRN

    What's the strangest phone conversation you've ever had at work?

    marienm, RN, CCRN replied to Brekka's topic in Nursing Humor

    Midnight. Phone rings- marienm- [unit], this is marienm caller- um, yes, is this [unit]? marienm- didn't I just say that? Yes it is, can I help you? caller- I'm calling to get an update on my dad,...
  23. marienm, RN, CCRN

    New Grad, work calling on days off

    marienm, RN, CCRN replied to hopemedsurg2picu's topic in General Nursing

    At my hospital, the supervisors assess which units are going to be short on the next shift and try to balance the numbers. If they can't they ask all the units (or all the ICUs, or whatever) to do a...
  24. marienm, RN, CCRN

    How can I increase the morale on my unit?

    marienm, RN, CCRN replied to BecomingNursey's topic in Patient, Colleague Relations

    When we have a really good night at work, it's not uncommon for one of the nurses to email our manager directly and say "I'm so proud of our team tonight, we got x, and y, and z done etc..." We're...
  25. marienm, RN, CCRN

    How to develop ICU critical thinking skills and move away from being "task" focused

    marienm, RN, CCRN replied to midnitej's topic in MICU, SICU

    I'm a new nurse, just about to finish my 1st year on an ICU that that cares for burn patients primarily. Our hospital doesn't have step-down units, so we also have SD patients on our unit...and...