marienm, RN, CCRN

Burn, ICU

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All Content by marienm, RN, CCRN

  1. marienm, RN, CCRN

    Cardioversion without ECG leads

    marienm, RN, CCRN replied to miamiheatrn's topic in Emergency

    This is not my primary area of expertise, but if you wanted a synchronized cardioversion you would need the ECG leads *from the defibrillator* on the patient. (The bedside monitor might help you make...
  2. marienm, RN, CCRN

    Accessing work email at home

    marienm, RN, CCRN replied to Sara E.'s topic in HIPAA Challenges

    Do you have access to work email outside of work? Yes. We can access it via a webpage that requires a sign-in. I think there might be an app, too. The webpage version works pretty well on mobile...
  3. marienm, RN, CCRN

    Staffing tool

    marienm, RN, CCRN replied to slp080477's topic in NICU, Neonatal

    I don't work in NICU and my hospital doesn't have one....but we use EPIC for patient charting. It generates an acuity score (based on a bunch of factors determined by our hospital and programmed by...
  4. marienm, RN, CCRN

    PTO

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

    If this is a full time job and your PTO is expected to cover vacations as well as sick time, the cap sounds way too low. (Not that this fixes your current problem, but it's something to take up with...
  5. marienm, RN, CCRN

    Do you know of any nurses that changed careers?

    marienm, RN, CCRN replied to Vtachy1's topic in Nursing Career

    I know a guy in his early 50s who used to be a business owner, became a nurse for many years, and now sells real
  6. marienm, RN, CCRN

    How to NOT stress when a patient has high acuity

    marienm, RN, CCRN replied to SammieRN940's topic in Medical-Surgical

    You sound overwhelmed by the whole process (understandable)--can you break things down into chunks? You can't let any one chunk dominate your day, but if you do each chunk the same way each time, it...
  7. marienm, RN, CCRN

    Medications due time in EPIC

    marienm, RN, CCRN replied to Issa_mohamad's topic in Nursing Informatics

    In ours, the provider's order determines the default times. So if they order it Once Daily Standard, it will default to 0900. Before Meals defaults to 0730, 1130, and 1700. If they just order it...
  8. marienm, RN, CCRN

    Academic adviser says I'm selling myself short by going into nursing.

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

    Unfortunately, I think a lot of academic people have disdain for careers that involve working with your hands...especially when gross fluids are a possibility. (What these people do when they go to...
  9. marienm, RN, CCRN

    Designer looking for ways to better assist Nurses

    marienm, RN, CCRN replied to Hyotoko's topic in Scrubs, Uniforms, Gear

    Some of our patients can't speak due to tracheostomies or other conditions, so an Alexa-like option couldn't completely replace a push-button call light. We can actually talk to our patients from the...
  10. marienm, RN, CCRN

    Night Shift & Eating

    marienm, RN, CCRN replied to iheartnursing91's topic in General Nursing

    I eat dinner at 1800 before work and a small meal around 0830 when I get home & then go to sleep around 1000. Seems to work for me. My weight hasn't really changed since I started working nights...
  11. marienm, RN, CCRN

    Designer looking for ways to better assist Nurses

    marienm, RN, CCRN replied to Hyotoko's topic in Scrubs, Uniforms, Gear

    I work night shift at a teaching hospital. There are typically a few residents (maybe 20, total, excluding the emergency room?) covering a hospital of 500 beds. We get in touch with them by sending...
  12. marienm, RN, CCRN

    Seed allergy

    marienm, RN, CCRN replied to RN4kids18's topic in School

    Rye bread here has caraway seeds in it, but fennel seeds are in Italian foods like sausage and in a lot of Indian foods. I do have a friend who is allergic/intolerant of mustard in all forms (GI...
  13. marienm, RN, CCRN

    question about subpoena

    marienm, RN, CCRN replied to carmelojames123's topic in General Nursing

    I think it sounds shady too, but I was once subpoenaed because I was an (unwitting) witness to a crime (theft). Is it possible that you could have cared for a patient who was the alleged victim of a...
  14. marienm, RN, CCRN

    Banana bag krider

    marienm, RN, CCRN replied to Moralesrn's topic in Patient Medications

    I think you *could*, but I never run K by itself into a peripheral IV. So, if you're talking about a setup where the patient receives either the Banana bag *or* potassium during the infusion, I'd set...
  15. marienm, RN, CCRN

    Omnicell vs Pyxis

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

    I'm at a hospital that uses Pyxis for meds and Omnicell for disposables. I'm sure there are different models of Omnicells but our current ones are over 6 feet tall and about 18" deep...I can't see...
  16. marienm, RN, CCRN

    Clinical Educator with an MPH?

    marienm, RN, CCRN posted a topic in Nursing Educators, Faculty

    I'm currently working on a BSN, and have been thinking about getting an MSN-Ed next. I think my ideal job would be as a hospital educator (ie: teaching staff). However, I keep seeing ads for a local...
  17. marienm, RN, CCRN

    Clinical Educator with an MPH?

    marienm, RN, CCRN replied to marienm, RN, CCRN's topic in Nursing Educators, Faculty

    Clinical educators at my hospital get to teach a lot more than annual competencies...I guess I should keep in mind that isn't the case everywhere. For example, ours teach a multi-day critical care...
  18. marienm, RN, CCRN

    Weaning/extubating vented patients

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

    Our providers write orders for "Sedation vacation at _____" (usually 0500 so they can see the patient on their 0600 handoff rounds; sometimes 0800 which the night shift RNs and RTs like much better!)....
  19. marienm, RN, CCRN

    Moving to single patient family rooms- help!

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

    Some of our adult ICUs are laid out this way. (Sorry, I know nothing about NICU.) Our hospital uses Vocera hands-mostly-free devices, with which we can call a certain person or blast to our assigned...
  20. marienm, RN, CCRN

    Clinical Educator with an MPH?

    marienm, RN, CCRN replied to marienm, RN, CCRN's topic in Nursing Educators, Faculty

    Thank you, not.done.yet! That makes a lot of sense. I suspect I need to take some more time before committing to a path
  21. marienm, RN, CCRN

    Med-Surg Nursing. Do Anti-Reflux Valves work? Or are they "dangerous".

    marienm, RN, CCRN replied to maleAFnurse11's topic in General Nursing

    A couple of our surgeons don't like them either and insist that they be removed. I usually wrap the end sump port in a chux pad...even on continuous low suction, gastric contents can and will come out...
  22. marienm, RN, CCRN

    Clinical Educator with an MPH?

    marienm, RN, CCRN replied to marienm, RN, CCRN's topic in Nursing Educators, Faculty

    Well, the program looks really interesting! The geography is probably why I'm seeing the ads, but there are also plenty of local MS/MSN options, not to mention online programs. So I'm not simply...
  23. marienm, RN, CCRN

    Checking vitals on staff

    marienm, RN, CCRN replied to kelsie*bear's topic in Patient Safety Issues

    This will definitely vary by institution. For example, at my hospital we are explicitly prohibited from checking a blood glucose on a non-patient, and making up an ID number to do a BG check will...
  24. marienm, RN, CCRN

    Clinical Educator with an MPH?

    marienm, RN, CCRN replied to marienm, RN, CCRN's topic in Nursing Educators, Faculty

    Fair enough! I wondered whether a) any health-related Masters degree would be seen as 'better than none' and b) bringing a public health perspective to teaching hospital staff would be valuable. If...
  25. marienm, RN, CCRN

    Mom Wants Me to Become an RN as Backup... But I Don't

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

    I worked in performing arts for quite a while before deciding it was time for a change (including more financial stability). I entered nursing school in my 30s, and had to take out loans to do so,...