icuRNmaggie BSN, RN

MICU, SICU, CICU

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All Content by icuRNmaggie

  1. icuRNmaggie

    Caregiver sibling abusive to bed-ridden grandfather

    The military pension with a dependent, the city government pension and social security possibly for both grandparents equals a significant monthly income. In ICU we have terminal patients who are...
  2. icuRNmaggie

    Caregiver sibling abusive to bed-ridden grandfather

    This is financial abuse. Get the name of an Elder law attorney from the HH SW. The attorney may advise you to file an emergency petition for guardianship. Would you do that to protect your...
  3. icuRNmaggie

    Blurring the Line With Subordinates

    Your management has mistaken her alpha dog bullying personality for leadership skills. They may even be grooming her for a middle management position. They are endorsing her rude behavior and there...
  4. icuRNmaggie

    You are NOT allergic to...

    This makes sense. A patient of mine developed hives and wheezing from generic p.o. benadryl. I have also seen a pt develop rash and wheals from acetaminophen tabs. Recently I had a pt develop...
  5. icuRNmaggie

    Caregiver sibling abusive to bed-ridden grandfather

    He might want to invest in a baby monitor that records and can be viewed on a smart
  6. icuRNmaggie

    Ortho nurse trying to transition to icu, suggestions?

    You need your manager's support so speak to him or her first. When you have your yearly evaluation mention that your long term goal is a career in SICU or MICU. Ask about opportunities to shadow....
  7. icuRNmaggie

    Caregiver sibling abusive to bed-ridden grandfather

    It sounds like the OP's family is taking advantage of the fact that he is a nurse. He is only 25 years old, has a FT job and is responsible for two elderly people who require 24 hour care. His...
  8. icuRNmaggie

    Ortho nurse trying to transition to icu, suggestions?

    Please don't use your name or list your location or place of employment on an open forum. Your employer's HR department has bots that scan the internet for social media posts. Even though you...
  9. icuRNmaggie

    You are NOT allergic to...

    Angioedema and laryngeal edema from ace inhibitors, such as enalapril, is listed as a side effect or an adverse effect in the drug references. It is a histamine response so I list it as an allergy....
  10. icuRNmaggie

    ADVICE

    Per diem
  11. icuRNmaggie

    ADVICE

    I have a nurse friend who works half of the year in the US to support herself. The other half of the year she does volunteer work in Guatemala treating children with parasitic eye infections. There...
  12. icuRNmaggie

    You are NOT allergic to...

    I don't know how many times I have carefully documented the food sensitivity or allergy, such as lactose, nuts, seafood, eggs, tomatoes, and the reaction, and dietary sends that food anyway. It...
  13. icuRNmaggie

    Difficult Orientee

    The hardest part of being a preceptor is giving feedback. It should be given verbally as needed and in writing on a weekly basis. The almost daily tearful and crying episodes need to stop. I have...
  14. icuRNmaggie

    She took my patients!

    The off going PCT did that deliberately to teach the OP a lesson about coming in late. The reality is that, in most units, if you're late for the change of shift huddle you get what's
  15. icuRNmaggie

    Admissions

    I absolutely love this idea of an ER Nursing summary. We certainly have the technology to build this so that the data imports from the EMR. It would solve the issue of change of shift handoffs....
  16. icuRNmaggie

    I handled this poorly. What would you do?

    I regret that I did not do the right thing by reporting this or at least informing the transport team or receiving facility about the husband's inappropriate behavior. I can not say more about the...
  17. This comment relates to med errors and the other thread about skipping basic assessments. I responded to a code blue for a pt post a routine surgery with a PCA. The nurse was extremely busy and...
  18. It doesn't work that way in my region. If I am not busy, I will clear the junk and clutter and iv bags and get rid of the linen. If we need the bed urgently they do it all. It sounds like...
  19. We stopped flushing PICC lines with heparin over 15 years ago due to HIT. Saline flushes are adequate with groshong technology. Are you saying that that you dont draw blood from PICCS ever due to...
  20. icuRNmaggie

    Off duty RN scope of practice on an airplane.

    It is helpful to hear in that the pilot will quickly evaluate the people who respond and appoint a leader. Thx
  21. icuRNmaggie

    Patient Death Experience.

    Dark humor is understandable coming from severely stressed healthcare workers, but what has been written here is not acceptable language for a nursing
  22. icuRNmaggie

    Patient Death Experience.

    What is disturbing is that a Senior level nursing student is unable to comprehend why an individual with a life threatening form of cancer would not want her family subjected to seeing her treated as...
  23. icuRNmaggie

    Patient Death Experience.

    You do not seem to realize that you may have jeopardized your future just to satisfy your "morbid curiosity." If any of the faculty at your SON in Houston, or one of the ICU nurses from your recent...