marienm, RN, CCRN

Burn, ICU

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All Content by marienm, RN, CCRN

  1. marienm, RN, CCRN

    Tempted to Tell the Truth in Exit Interview

    marienm, RN, CCRN replied to Nurse Beth's topic in Career Advice Column

    I would go one step further and say "don't include your speculations about any one else's health in your exit interview, ever." It's unprofessional and could be considered slander. If you actually...
  2. marienm, RN, CCRN

    CCRN

    marienm, RN, CCRN replied to Steffy_fitrn's topic in Neuro Intensive Care, ICU

    I don't remember anything but multiple choice questions (no SATA or hot-spots or audio, etc...). Also, it is always 150 questions, 25 of which aren't scored. Maybe someone can correct me about the...
  3. marienm, RN, CCRN

    CCRN

    marienm, RN, CCRN replied to Steffy_fitrn's topic in Neuro Intensive Care, ICU

    You can find the test breakdown on AACN's website. It is heavy on hemodynamics and respiratory. I come from more of a surgery background and studied using the PassCCRN test bank. I also did the MedEd...
  4. marienm, RN, CCRN

    Real Talk - Will wearing hearing aids impact my employability?

    marienm, RN, CCRN replied to JennHeart31's topic in Pre-Nursing Students

    I work with 2 nurses who wear hearing aids. One is younger (probably late 30s?) and I assume she has worn them her whole life. As long as I get her attention before talking to her, she does fine....
  5. marienm, RN, CCRN

    Am I Too Squeamish to be a Nurse?

    marienm, RN, CCRN replied to Nurse Beth's topic in Career Advice Column

    I'll add that the gross stuff is better when it's in your workplace (and not, say, your house!) If a patient has an accident in bed, the mattress is waterproof and I just clean them up and get them...
  6. marienm, RN, CCRN

    My Body Is Not My Resume: Exploring Nursing Dress Codes

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

    I work in a hospital without many restrictions (nurses are even allowed to wear T-shirts with the hospital logo or the local college team...although we are not affiliated with the college at all!)...
  7. marienm, RN, CCRN

    SICU Patients?

    marienm, RN, CCRN replied to ccuRN24's topic in Critical Care

    Our SICU (Level 1 Trauma center, teaching hospital) takes surgical patients (Whipples, open abdomens, hepatectomys, some ortho, some ENT, some urology, etc...) as well as trauma patients if head...
  8. marienm, RN, CCRN

    Med-Surg v. Telemetry/Step-down

    marienm, RN, CCRN replied to Guest1033582's topic in Medical-Surgical

    It depends on your hospital... at mine, we have med-surg floors where patients may or may not be on telemetry. The nurses are expected to pay attention to the central telemetry (cardiac & oxygen...
  9. marienm, RN, CCRN

    Nursing School after personal burn injury

    marienm, RN, CCRN replied to CarolynB1991's topic in Burn

    Also, the situation you describe sounds like it was unsafe & I'm sorry you were injured because of it. If the exposed flame was close enough to catch your skirt (even with help from the wind) then...
  10. marienm, RN, CCRN

    Nursing School after personal burn injury

    marienm, RN, CCRN replied to CarolynB1991's topic in Burn

    First off, I'm sorry this happened to you. Secondly, others are probably right to suggest that you talk with your faculty about taking a leave of absence. Until your skin is healed you are at...
  11. marienm, RN, CCRN

    Can I be the nurse for my "own" kid?

    marienm, RN, CCRN replied to nerdypedinurse's topic in PICU, Pediatric

    For the sake of argument, though, aren't there medically fragile kids in foster care situations? I think their foster parents have to be prepared to provide some level of medical care, but the child...
  12. marienm, RN, CCRN

    How do you ensure the right INSULIN pen for the right patient?

    marienm, RN, CCRN replied to KTakami25's topic in Patient Safety Issues

    The barcodes our pharmacy prints are patient-specific. Can your pharmacy print custom labels? All of our patient-specific antibiotics, most high-alert gtts (even at standard concentrations), and...
  13. marienm, RN, CCRN

    Sepsis, causes,vitamin c?????

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

    We sometime use it in burn shock (right after the injury, not when they are septic). The theory as I understand it is that it 'fortifies' capillary membranes and reduces third-spacing. By keeping...
  14. marienm, RN, CCRN

    Hand Hygiene-PO Medications

    marienm, RN, CCRN replied to wendiwhiner's topic in Patient Safety Issues

    All of our pills come single-packed (not in pill bottles as mentioned above) but I think this is still relevant: Many meds are considered Hazardous Drugs and should not be handled by anyone other...
  15. marienm, RN, CCRN

    D/C Foley when patient is sitting?

    marienm, RN, CCRN replied to htg722's topic in General Students

    I'm not sure that it's medically contraindicated to remove a Foley while up in a chair, but it would make it harder to do perineal care afterward (which I always do because there's usually a bit of...
  16. marienm, RN, CCRN

    Transferring burn patient to bath/shower

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

    All the time. We turn & position manually and get patients up to chairs. Now, if the patient really can't stand then we usually put them in a shuttle chair to get them out of bed. But if it's...
  17. marienm, RN, CCRN

    Transferring burn patient to bath/shower

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

    We have used a ceiling hoist with a special stretcher to transfer to a tub. The stretcher went right into the tub and then we could lift the patient out when done. The stretcher needs to be carefully...
  18. marienm, RN, CCRN

    DNR/DNI: What Age Would You Choose to No Longer Be Full Code?

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

    I'm not sure for myself yet (and I definitely think it depends on my overall health at the time & the outlook). But I did take care of a patient who had an advance directive making them a DNR if...
  19. marienm, RN, CCRN

    First skill evaluation - Hand washing and donning/removal PPE

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

    Also, some hospitals are using pre-packed Foley kits with instructions right inside them now. You still have to know how to do the skill, and stay sterile appropriately, but the ones my hospital uses...
  20. marienm, RN, CCRN

    DNR-CCA vs. DNR-CC

    marienm, RN, CCRN replied to Cp42185's topic in Critical Care

    You're using some terms that I'm not familiar with. What does DNR-CCA mean? (Specifically, the CCA part?) I'm going to assume DNR-CC means "Do Not Resuscitate-Comfort Care." At my hospital, this...
  21. marienm, RN, CCRN

    Is There EBP Behind Two-Step Blood Pressures?

    marienm, RN, CCRN replied to Future-NurseRedHeart's topic in General Students

    I was taught this method in nursing school in 2011. Except it was a little easier, I think-- my memory of how we were taught is: 1) Put on the BP cuff. 2) Find the brachial pulse with your finger. 3)...
  22. marienm, RN, CCRN

    Oatmeal gloves

    marienm, RN, CCRN replied to T-Bird78's topic in Ambulatory Care, Clinic

    My hospital is actually switching *to* nitrile gloves because of the new-ish hazardous drug precautions. I'm assuming they decided it was cheaper to switch to nitrile rather than have a workman's comp...
  23. marienm, RN, CCRN

    Sliding scale insulin

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

    My hospital says that the fingerstick must be done before the patient begins eating and the insulin must be given no later than 60 minutes after the fingerstick. Meal-based sliding scale coverage...
  24. marienm, RN, CCRN

    Being a new nurse sucks

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

    Just food for thought- nursing/hospitals/health care are full of industry- and institution-specific terms. I used to work in a different industry that was the same...probably just like any...
  25. marienm, RN, CCRN

    Pencil and paper for CCRN exam?

    marienm, RN, CCRN replied to eashton72's topic in Critical Care

    In case you haven't already taken the exam, I was given one sheet of paper and a pencil (July 2017). I had to turn them in at the end to the proctor. Good