icuRNmaggie BSN, RN

MICU, SICU, CICU

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All Content by icuRNmaggie

  1. Michael, It was a pleasure to read your informative, well organized and well thought out article. The two references from credible sources are helpful. All of your articles have been interesting...
  2. icuRNmaggie

    How to deal with an aggressive dementia patient

    When dealing with an aggressive and confused person I will act first and apologize later. By that I mean that I will be calling for all of the help that I can get. In this situation if less...
  3. icuRNmaggie

    Bedpan? Why not a Poise pad?

    Female patients accept assistance with changing a peri pad when they are unable to take care of that themselves. Is it really that different to assist with urination using a toddler diaper? There is...
  4. icuRNmaggie

    I can't do this anymore . . .

    Thanks. I thought it was just
  5. icuRNmaggie

    Need help with graduation gift idea for new RN grad

    A high quality lunch box like the crew cooler would be a nice gift. A care package inside with advil tums lip balm a small tube of hand cream, vaporub to put in a mask, mints chocolate kcups etc...
  6. icuRNmaggie

    Bedpan? Why not a Poise pad?

    A male pt voided in one of those emesis bags when he was alone and put on the call light. He handed me the half full bag without spilling a drop. Those emesis bags are certainly well made and water...
  7. It is unwise for nursing students -and anyone else - to use their photo as an avatar and then post personal and clinical issues on a public forum such as this
  8. icuRNmaggie

    How to deal with an aggressive dementia patient

    OP, You will be held responsible if this patient elopes and walks into traffic and is injured or killed. It is unsafe for you to function as a psych nurse while being responsible for 40 assisted...
  9. icuRNmaggie

    Night shift CNA in MICU

    It sounds like your friend doesn't work in an MICU. The staff are focused on stabilizing the patient and preventing codes. If care is futile efforts are made to obtain DNR/DNI orders. Codes are...
  10. icuRNmaggie

    Blue Pigtail on Nasogastric Tube

    Organ donor cases are really really busy. They require q 2 hr CMPs and i- Ca, Bilevel vent settings with to achieve a pH of 7.40 and q 30 minute ABGs. Lung recruitment is chased with constant vent...
  11. icuRNmaggie

    Nurses Week 2015 Freebies

  12. icuRNmaggie

    Bedpan? Why not a Poise pad?

    If NOADLS shows up...I win the internet for today. wait for
  13. icuRNmaggie

    Bedpan? Why not a Poise pad?

    The bottom line is that we are looking for solutions to helping immobile and continent female trauma patients and post cath pts urinate while minimizing spills and the related
  14. icuRNmaggie

    Bedpan? Why not a Poise pad?

    It might be worth a try to position the toddler diaper and place a fracture pan with another toddler diaper tucked in and over the end opposite the handle to catch the
  15. icuRNmaggie

    How to deal with an aggressive dementia patient

    There should be a black mat or rug at the door. Many dementia patients see that as a hole in the floor and will avoid the area. He may be over tired and you might try an hour long nap in the...
  16. icuRNmaggie

    Blue Pigtail on Nasogastric Tube

    The free water flushes we give, clamp and drain every two hours to treat hypernatremia in the organ donor case do lower the sodium by diffusion. The principle is similar to using the peritoneal...
  17. icuRNmaggie

    I can't do this anymore . . .

    The first three seasons of Call the Midwife were excellent. I enjoyed watching Sr Evangeline teach the novice nurse midwives. I loved her no nonsense approach. This season has so many new...
  18. I believe that a major reason for CAUTI is not bad practice with insertion. It is due to nurses who were never educated that irrigating a foley catheter requires sterile technique. This means...
  19. icuRNmaggie

    Blue Pigtail on Nasogastric Tube

    The plastic refillable water pitchers were eliminated approximately 20 years ago when it was fully proven that they were a reservoir for pseudamonas. Because of that study, my preference is to use a...
  20. icuRNmaggie

    POLL: Should telemetry techs need to know patient Dx?

    I voted yes. The following link will take you to the AHA Practice Standards for Cardiac Monitoring in the Hospital. Circulation I am accustomed to working with tele techs who have expertise with...
  21. icuRNmaggie

    Coming out with mental health... or not?

    This is your personal business. Your therapist is way off and has no business involving your coworkers in some kind of desensitizing therapy. I agree that disclosing mental health issues will make...
  22. icuRNmaggie

    Blue Pigtail on Nasogastric Tube

    I use water to flush the NGT to prime the pump to restore negative pressure, just as you would fill the pipes to a swimming pool pump or well water
  23. icuRNmaggie

    How to prepare for new grad ICU position

    Go to the AACN website. Review the practice alerts. There is a very interesting and informative section called "Ask the Experts" It may require a
  24. icuRNmaggie

    Travel Nurse Eduation

    If you want a highly paid career as a healthcare travel professional, consider obtaining a post graduate degree as a Cardiac
  25. Bacteria multiply rapidly in bacteremia. If the specimens are obtained less than fifteen minutes apart it is considered a single draw. If the patient is in septic shock or if endocarditis is...