marienm, RN, CCRN

Burn, ICU

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All Content by marienm, RN, CCRN

  1. marienm, RN, CCRN

    CCRN review question

    marienm, RN, CCRN replied to got2startsomewhere's topic in MICU, SICU

    I did the MedEd program and just passed last week! I got 88% correct, with cardiovascular being my weakest area by far. I also did a lot of review with the PassCCRN question bank, and I think both...
  2. marienm, RN, CCRN

    Do you have a free charge nurse on your unit?

    marienm, RN, CCRN replied to EllaBella1's topic in General Nursing

    I work on a tiny ICU in a Level 1 trauma center. There are 6? other adult ICUs and only on our unit does charge take an assignment routinely. Soemtimes it's a lighter assignment, but since the nurses...
  3. marienm, RN, CCRN

    Post Foley catheter insertion balloon deflation/reinsertion

    marienm, RN, CCRN replied to nightshift82's topic in General Nursing

    Deflating the balloon, sliding the catheter in further, and reinflating doesn't really make sense to me. There's nothing that prevents the catheter from sliding in further under normal (inflated)...
  4. marienm, RN, CCRN

    Panel Style Interview for Burn ICU

    marienm, RN, CCRN replied to ha081917's topic in Burn

    Good luck with the interview! I imagine that a 'panel' interview will be with multiple interviewers all at the same time. Maybe a manager, a charge nurse, a trainer, and a regular nurse from the unit....
  5. marienm, RN, CCRN

    Risk of getting your family members sick?

    marienm, RN, CCRN replied to Pete_soon2bRN's topic in General Nursing

    I got more sick, more frequently when I worked for a large university (not on a health-related field) than I have since becoming a nurse. I've been a nurse for 4 years and I think I've had 1 or 2...
  6. marienm, RN, CCRN

    Frequency of changing IV tubing

    marienm, RN, CCRN replied to Issa_mohamad's topic in Infusion, Intravenous

    I am not an official expert on this, but what we do at my hospital is change the tubing every 96 hours independent of then the IV site is changed. Now, if I put in a new IV and the tubing is already...
  7. marienm, RN, CCRN

    SallieMae Repayment tips

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

    I don't know about repayment, but you could try to refinance them. My SM rate was 7 to 8% and variable; I refinanced a couple of years ago with Citizens Bank (I don't work there!) and got down to...
  8. marienm, RN, CCRN

    Dealing with a dirty old man

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

    If I can suggest...'raise the bar,' but retain some cautious wariness at the same time. In part for your own physical and mental safety, but also just as a "pH test" of your relationship with the...
  9. marienm, RN, CCRN

    Hover Mat

    marienm, RN, CCRN replied to mateo1972's topic in Patient Safety Issues

    The mats in my hospital are cleaned and re-used. If used, they're under a sheet and a soaker pad (so hopefully they stay a bit cleaner to begin with.) We do get patients from the OR/Recovery Room...
  10. marienm, RN, CCRN

    Burn dressings vs. Defibrillation

    marienm, RN, CCRN posted a topic in Burn

    Hi, burn unit friends and problem-solvers! This question has come up a few times at work recently: How can we get the defibrillator pads on a patient with extensive chest/torso dressings? The...
  11. marienm, RN, CCRN

    How am I gonna pay for this???

    marienm, RN, CCRN replied to lebelesprit_'s topic in North Carolina Nursing

    I maxed out my Federal loan options (no grants, since I already had a BA) and borrowed from Sallie Mae for living expenses for a 2 year degree. If I remember correctly, I took out about $50000 total;...
  12. marienm, RN, CCRN

    Do you think nurses get special treatment?

    marienm, RN, CCRN replied to NurseLife88's topic in General Nursing

    One of our residents who is brown-skinned said he was pulled over for something really dumb (like advancing too far into the intersection while waiting to turn right on red at 3am, or something...
  13. marienm, RN, CCRN

    Blood Glucose Measurement: Arterial vs Fingertip

    marienm, RN, CCRN replied to Catticus11's topic in Critical Care

    My hospital says we can use a line draw (either arterial or venous) or a fingertip, but not an earlobe or toe. I can't remember what brand of glucometer we have, but that's what our policy says....
  14. marienm, RN, CCRN

    Palliative Standing Orders

    marienm, RN, CCRN replied to notanumber's topic in Hospice, Palliative

    I did mean PR...was just wondering which was worse in the end--needle sticks every 2 hours (potentially; I realize it's PRN or a potentially longer-lasting rectal dose. Most of our comfort care...
  15. marienm, RN, CCRN

    Neuro ICU vs. Transplant ICU for CRNA School

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

    My hospital only does kidneys, kidney/pancreas, and pancreas...I really lke these patients, but the kidneys are usually pretty stable and extubated before they leave the OR/recovery room. Sometimes...
  16. marienm, RN, CCRN

    Palliative Standing Orders

    marienm, RN, CCRN replied to notanumber's topic in Hospice, Palliative

    I've never worked in end-of-life care (except comfort care in the hospital), so a couple of questions: If a patient needs oxygen for comfort, does that require an order? Does this order set need to...
  17. marienm, RN, CCRN

    Burn dressings vs. Defibrillation

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

    We use the Zoll ONEStep pads (which are actually pretty cool) but we've gotten numerous warnings about needing good, dry skin to apply them and have them analyze properly. Our carts do have the...
  18. marienm, RN, CCRN

    Assignment: Feeding tube w/dementia patient

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

    OP, sorry we've sidetracked your thread! re: bridles, out hospital just started using them a year or so ago. To be clear, the stylets are inserted in each nostril, click together behind the vomer...
  19. marienm, RN, CCRN

    Assignment: Feeding tube w/dementia patient

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

    We don't take them to IR, we just place the bridle after the position of the tube is confirmed by an Xray. The bridle doesn't require an Xray...you either can get the stylets to stick together, or...
  20. marienm, RN, CCRN

    How did you start in Burns?

    marienm, RN, CCRN replied to dbear3's topic in Burn

    Check out this discussion for some thoughts (including mine): https://allnurses.com/burn-nursing/hopeful-future-burn-1058555.html How did *I* start on a burn unit? I was a new grad, I wanted to start...
  21. marienm, RN, CCRN

    Propofol Dosing in ER

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

  22. marienm, RN, CCRN

    ICU fever

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

    When our patients have standing PRN orders for Tylenol or Ibuprofen for a fever, it's usually for 'Fever > 38.5 C' ...101.3F. If they have one of those orders, I'll usually give the med, especially...
  23. marienm, RN, CCRN

    Hyperkalemia: hypertonic solution?

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

    Yes, D5W is not enough dextrose to counteract the insulin. At my hospital, we usually give 10 units of regular insulin IV (not subcutaneous), "one amp" of D50 (which is actually a 50mL bottle that we...
  24. marienm, RN, CCRN

    Clinical advice?

    marienm, RN, CCRN replied to Amber20194's topic in General Students

    I hope it goes well for you! I *hope* your instructor will start the day with a tiny tour for you so you know where stuff is (food/drinks for residents, linens, dining room if that's how things are...
  25. marienm, RN, CCRN

    Dry chem extinguisher effects

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

    There's probably a chance that the patient inhaled some of the dry chemical- any fine particulate in the lungs will increase the risk of respiratory compromise (not even taking into account what the...