icuRNmaggie BSN, RN

MICU, SICU, CICU

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All Content by icuRNmaggie

  1. icuRNmaggie

    New nurse/ bad colleague relations

    icuRNmaggie replied to Colleen59's topic in Patient, Colleague Relations

    Throwing your preceptor under the bus, as lv3677 suggested, just to be in with the cool kids, would be unwise. Everyone knows that the weakest links are the biggest
  2. icuRNmaggie

    Manager is emailing my personal email address

    icuRNmaggie replied to koalafiedRN's topic in HIPAA Challenges

    It would be good to ask the moderators to move this to the travel nursing forum. I would mention your concerns to the Clinical liason or recruiter at your agency, but I would handle this myself....
  3. icuRNmaggie

    Need help resigning!

    icuRNmaggie replied to Hoppsalot's topic in General Nursing

    Congratulations, you have been presented with a great opportunity. Accept the position and then give three weeks notice. Do not feel guilty, our families are more important than a job in a
  4. icuRNmaggie

    A Push for the Return of Team Nursing in Medical-Surgical and Telemetry/Step-down Units

    icuRNmaggie replied to Lev's topic in Medical-Surgical

    Primary nursing was intended to elevate the profession according to the research by Linda Aiken and the late Joyce Clifford. An all BSN staff with a 4:1 ratio, outside of specialty units, was...
  5. icuRNmaggie

    A Push for the Return of Team Nursing in Medical-Surgical and Telemetry/Step-down Units

    icuRNmaggie replied to Lev's topic in Medical-Surgical

    The team nursing model as implemented in my first nursing position in Oncology allowed us to provide outstanding care. The twenty bed unit had two halls. Each hall had a team consisting of an RN, an...
  6. icuRNmaggie

    I got reported to HR

    icuRNmaggie replied to katie92's topic in Patient, Colleague Relations

    I would like for katie92 to tell us how it went with
  7. icuRNmaggie

    Notes in 3rd person style

    icuRNmaggie replied to MunoRN's topic in General Nursing

    https://owl.english.purdue.edu/owl/owlprint/922/ Do not use the first person. In narrative charting, avoid the use of I” and me.” Instead of I observed . . .” use This nurse...
  8. icuRNmaggie

    Notes in 3rd person style

    icuRNmaggie replied to MunoRN's topic in General Nursing

    Patient yelled "I'll kill you !@#$%" and then picked up the IV pole and threw it across the room in my
  9. icuRNmaggie

    Case study - what would you do?

    icuRNmaggie replied to Lev's topic in General Nursing

    Smoking accounts for the diminished lung sounds and probable emphysema- I don't diagnose. Left side diminished > Right side suggests a blockage or collapse of the upper lobe. Did he get that...
  10. icuRNmaggie

    Case study - what would you do?

    icuRNmaggie replied to Lev's topic in General Nursing

    Synthetic cannabis
  11. icuRNmaggie

    The Patient's "Guests"

    icuRNmaggie replied to rnsheri's topic in Nursing Humor

    I can not understand why four generations feel that it is necessary to sleep on the carpet in the waiting room when the family member is scheduled for return to the SNF, or why they are even allowed...
  12. icuRNmaggie

    Why don't you just read the chart?

    icuRNmaggie replied to Guest219794's topic in Patient, Colleague Relations

    I have two serious, not intended to be snarky, questions too. Why does the ER try to call report ahead of shift change as in: "he won't be coming on your time but can I give report now?" The...
  13. icuRNmaggie

    How do you leave it at work?

    icuRNmaggie replied to Newbie_RN17's topic in Patient, Colleague Relations

    It is very weird how this person has made repeated and totally unprovoked personal attacks against dranger, who happens to be a highly experienced nurse. Please close this thread. It has been...
  14. icuRNmaggie

    Case study - what would you do?

    icuRNmaggie replied to Lev's topic in General Nursing

    Could be a pneumothorax, PE or an MI. High index of suspicion for drug use since the family feels he is not his usual self. A good history is so important. The worst case scenario is an aortic...
  15. icuRNmaggie

    Case Study Help!!!!!

    icuRNmaggie replied to kiah89's topic in Nursing Student Assistance

    Homework help is provided in the nursing student assistance
  16. icuRNmaggie

    How do you leave it at work?

    icuRNmaggie replied to Newbie_RN17's topic in Patient, Colleague Relations

    Report off and go to locker room. Change clothes before anyone tries to stop me and leave disgusting shoes behind. I wear boots 8 months of the year. I am superfast when my shift is over. You...
  17. icuRNmaggie

    Delirium tremens, level of care?

    icuRNmaggie replied to hybr1d's topic in Patient Safety Issues

    I believe the max on IV lorazepam is 24 mg in 24 hours due to propylene glycol toxicity which also causes severe confusion. ( It's the liquid used to de-ice airplanes). Precedex can cause dangerous...
  18. icuRNmaggie

    Help me deal with the 'tough love'

    icuRNmaggie replied to nursingjudgment's topic in Critical Care

    Everything is not the nurse's
  19. icuRNmaggie

    Scripting sounds patronizing

    icuRNmaggie replied to Emergent's topic in General Nursing

    A fake scripted response, other than basic phone etiquette, puts me on edge and leads me to wonder why this person can not hold an intelligent conversation. If I had to inform a colleague...
  20. icuRNmaggie

    How to leave first job

    icuRNmaggie replied to BusiestBSN's topic in General Nursing

    I would resign immediately via email followed by a brief letter sent by USPS. Do not waste your time or theirs by returning for another day of orientation. I would caution you that healthcare is...
  21. icuRNmaggie

    Ambulance transfer service name suggestions?

    icuRNmaggie replied to BIGT68's topic in General Nursing

    How about "Medical Intensive Care Team and Non Emergency Medical Transport Service" I collect pens from ambulance and air transport companies and they do come in very handy for nurses and can...
  22. icuRNmaggie

    Help me deal with the 'tough love'

    icuRNmaggie replied to nursingjudgment's topic in Critical Care

    Starting off in an ICU is terrifying because of the tremendous responsibility and vast amount of skills and knowledge to be acquired. You sound like you are right where you should be at four months...
  23. icuRNmaggie

    Help me deal with the 'tough love'

    icuRNmaggie replied to nursingjudgment's topic in Critical Care

    Ask to speak to the provider alone and say " I did not like the way our last interaction went. You openly reprimanded me in front of others and said i was unprofessional when I had followed the...
  24. icuRNmaggie

    What would you do in this situation? (If you know it all ;) )

    icuRNmaggie replied to Emergent's topic in Emergency

    Does this person have a history of DVTs and what other medications has she run out of? This patient could possibly have pneumonia, endocarditis ( or a dozen other things that trigger CHF) and...
  25. icuRNmaggie

    Ambulance transfer service name suggestions?

    icuRNmaggie replied to BIGT68's topic in General Nursing

    Procare Ground Transport Mobile Intensive Care Unit Med STAR Surface Transport Medical Stabilization and Resuscitation KC Medic Unit A Mobile Intensive Care Team Prairie Critical Care Service A...