icuRNmaggie BSN, RN

MICU, SICU, CICU

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All Content by icuRNmaggie

  1. icuRNmaggie

    Ideas for best practices

    icuRNmaggie replied to chapsam's topic in General Nursing

    Find out what are the five meaningful use goals for your hospital and choose the one that applies most to your
  2. icuRNmaggie

    Clinical tidbits I wish someone would've told me.

    icuRNmaggie replied to Mully's topic in MICU, SICU

    The loss of the Sp02 waveform will alert you to check for ischemic changes due to a hematoma or pseudoaneurysm if the pt had a trans radial heart cath or has an arterial
  3. icuRNmaggie

    (8/29) This week, I have learned......

    icuRNmaggie replied to ixchel's topic in General Nursing

    To OC 911 operator UPS driver a VA job through USA jobs State highway tollbooth employee CVS pharmacy tech. They love to hire college students. Desk agent for a national hotel chain. good luck
  4. icuRNmaggie

    High Cardiac Output State--Examples?

    icuRNmaggie replied to jena5111's topic in General Students

    The first thing that comes to mind is the hyperdynamic phase of sepsis. The endotoxins are a powerful inotrope. The pt is warm and flushed with bounding heart sounds. The pt may be tachypneic then...
  5. icuRNmaggie

    New Grad, work calling on days off

    icuRNmaggie replied to hopemedsurg2picu's topic in General Nursing

    Beware of total strangers asking for favors . A coworker asked me to work her Friday and she would work my Tuesday. I asked her to work my Sunday (instead of the Tuesday) as I had a family event and...
  6. icuRNmaggie

    Why are the floor nurses so unwilling to teach?

    icuRNmaggie replied to 2bnursebeckky's topic in General Students

    The expectation was that I would donate my time, my day off and expertise. A colleague actually tried to chastise me for not wanting to "give back." As if the lack of planning and foresight of...
  7. icuRNmaggie

    How should you use your credentials after your name

    icuRNmaggie replied to cambrose's topic in Diploma, ADN, BSN

    On a resume, I list the most permanent to least permanent after my name BSN, RN, CCRN. I am not on LinkedIn for privacy
  8. icuRNmaggie

    Why are the floor nurses so unwilling to teach?

    icuRNmaggie replied to 2bnursebeckky's topic in General Students

    https://www.aamc.org/advocacy/washhigh/highlights2014/371914/030714presidentsfy2015budgetproposesworkforceprogramalterationsn.html In 2015, 213.8 million was allocated to nursing workforce...
  9. icuRNmaggie

    Why are the floor nurses so unwilling to teach?

    icuRNmaggie replied to 2bnursebeckky's topic in General Students

    Last Fall I was asked to precept a nursing student on nightshift in ICU. I am so glad that I asked what do I have to do? The school expected preceptors to attend a full day class (the school is...
  10. icuRNmaggie

    What nurse life-hacks do you have to offer?

    icuRNmaggie replied to Purple_roses's topic in Nurses Rock

    Sometimes the only thing a gastroparesis pt or hyperemesis pt can tolerate is sips of spearmint
  11. icuRNmaggie

    What nurse life-hacks do you have to offer?

    icuRNmaggie replied to Purple_roses's topic in Nurses Rock

    Soak really stinky feet in sage shampoo caps and wet with sodium bicarb bristojets- or just use plain baking
  12. icuRNmaggie

    What nurse life-hacks do you have to offer?

    icuRNmaggie replied to Purple_roses's topic in Nurses Rock

    This is an ICU hack for an intubated septic patient with an extremely high fever not responsive to ibuprofen, acetominophen and antibiotics who needs to be cooled actively and the hospital does not...
  13. icuRNmaggie

    What nurse life-hacks do you have to offer?

    icuRNmaggie replied to Purple_roses's topic in Nurses Rock

    Confused patients who refuse mouth care sometimes will cooperate if you dampen the swab with ginger ale. An elderly confused person who refuses oxygen by nasal cannula or mask but needs a little...
  14. icuRNmaggie

    I handled this poorly. What would you do?

    icuRNmaggie posted a topic in Patient, Colleague Relations

    Several months ago, an inappropriately friendly and much older man, whose wife was critically ill, wanted to show me his houses on his tablet. Well you have to be polite so I looked at the...
  15. icuRNmaggie

    What nurse life-hacks do you have to offer?

    icuRNmaggie replied to Purple_roses's topic in Nurses Rock

    A carabiner is useful for hooking all of the iv bags together when going on a transport. Docusate liquid is an effective way to liquefy a curdled tube feeding clog. Softening impacted ear wax is an...
  16. icuRNmaggie

    I handled this poorly. What would you do?

    icuRNmaggie replied to icuRNmaggie's topic in Patient, Colleague Relations

    Thanks, but I am quite proficient in Boston style self
  17. icuRNmaggie

    New Nurse feeling a bit overwhelmed

    icuRNmaggie replied to NursingInChaos's topic in General Nursing

    This sounds like one of those low level hospitals that does not pay enough to attract quality employees - or management - so any warm body will do. It is what it is. If you have to work with the...
  18. icuRNmaggie

    An Atheist Nurse in King James Hospital

    icuRNmaggie replied to EMSnurse411's topic in Spirituality, Religion

    The original post is anti-Catholic bigotry. I do not believe that this level of discrimination and harassment would be tolerated in the U.S. The comment about sociopathic mafia hitmen was absurd....
  19. icuRNmaggie

    RN vs BSN, is a BSN really worth it?

    icuRNmaggie replied to Upward_Bound's topic in Diploma, ADN, BSN

    Yes. The BSN is preferred or required in many parts of the country for entry level positions in acute care
  20. icuRNmaggie

    Conflict with fellow nurse regarding Dilaudid administration, please help!

    icuRNmaggie replied to NYCRN21's topic in Pain Management

    Fentanyl in 12.5 - 25 mcg iv doses is a good option if the patient is borderline hypotensive. It has little to no effect on BP. Some hospitals only permit IV fentanyl to be given in critical care...
  21. icuRNmaggie

    Ideas for best practices

    icuRNmaggie replied to chapsam's topic in General Nursing

    This can be modified for the
  22. icuRNmaggie

    Ideas for best practices

    icuRNmaggie replied to chapsam's topic in General Nursing

    Prevention of pressure ulcers using a turn clock ( door- window-supine) poster above the
  23. icuRNmaggie

    colleague does not want to take day off

    icuRNmaggie replied to bellefleur's topic in General Nursing

    Ageism is the last acceptable form of discrimination in this country. Older nurses know this and some work twice as hard as their younger counterparts because they are afraid of losing their
  24. icuRNmaggie

    discharging patient "SDC"

    icuRNmaggie replied to thecode's topic in General Nursing

    Surgical
  25. icuRNmaggie

    Having no answers at times

    icuRNmaggie replied to mulyantiapollo's topic in General Nursing

    Dear Mulyanti, The first thing that would come to mind is a pulmonary embolism. This can happen even with mechanical and chemical prophylaxis for deep vein thrombosis. Even with the very best care...