icuRNmaggie BSN, RN

MICU, SICU, CICU

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All Content by icuRNmaggie

  1. Either this skill is not being taught correctly or the nursing student was absent that day. I received a nstemi patient who was on plavix and heparin and was hemmorhaging from a foley inflated in the...
  2. icuRNmaggie

    should I call in or not?

    Call out in order to protect your patients and coworkers. It would be a lot more damaging to your reputation if you went in there with an
  3. icuRNmaggie

    Please help! Job decision!

    It is very likely that these ICU managers know each other professionally. How you handle this will be discussed at some point so you must be absolutely truthful. I would, after receiving an offer...
  4. icuRNmaggie

    Please help! Job decision!

    Does either employer require you to sign a contract with a repayment
  5. icuRNmaggie

    Please help! Job decision!

    They also may have much higher standards of competency for all of their staff. I have worked at only one teaching hospital that required all of the staff to to take the PACEP which is the Pulmonary...
  6. icuRNmaggie

    Please help! Job decision!

    Maybe you should approach this as you would choosing a Nursing program. It is in truth the fifth year of your nursing education. Only you know if you have the maturity to withstand a rigorous program...
  7. icuRNmaggie

    Please help! Job decision!

    Magnet status does not impress me at all. I would absolutely choose the hospital that is a teaching hospital, unionized and has a Defined Benefit (traditional pension) Plan in which you are vested...
  8. icuRNmaggie

    Please help! Job decision!

    The first year is incredibly stressful even in the best environment. The question to ask yourself is which management culture is most supportive of graduate nurses? Which hospital will invest the...
  9. We are all nurses. Some of us may be nursing assistants and some of us may be licensed professional nurses. The nursing assistant who takes responsibility for most, if not all, of a patients...
  10. icuRNmaggie

    Blue Pigtail on Nasogastric Tube

    I agree that withdrawing the Salem Sump an inch and replacing it to remove it from the gastric folds works very well. Sterile NSS is ordered per surgeon's preference for gastrectomy patients. We use...
  11. icuRNmaggie

    Holding Hands at Work

    A few months ago a fully alert and oriented "VIP" latched on to me so that I would listen to his stories, and he would not let go. The next day my arm was bruised. When it gets to the point...
  12. icuRNmaggie

    Holding Hands at Work

    Former PACU nurse here. I would make up something about keeping the hands warm and keeping the Sp02 on. That is how much I hate someone grabbing at me. I don't think it is my job to soothe an...
  13. icuRNmaggie

    Holding Hands at Work

    Here is my perspective: I am tired of stuck up entitled rich people who latch on to me and refuse to let go. It's controlling, aggressive and degrading . They are alert oriented and behaving like...
  14. OP, Your picture, initials, graduation month and year, city and state are on both the article and this thread. It is unwise to tell the world about your disability. Every employer screens their...
  15. icuRNmaggie

    Holding Hands at Work

    Get a folded blanket or towel, have the pt hold that and cough and deep breathe. Unless the patient is dying or in extreme distress, I am not going to be manipulated into holding
  16. I am considering working in the Norfolk - Virginia Beach area starting in the next month or so as a traveler and I was hoping someone could point me in the right direction. I am very hesitant to...
  17. icuRNmaggie

    "Bless Your Heart"

    They had a card at work for a particulary snarky woman from Tennessee. A few people wrote: Congratulations! Bless your heart. It was her favorite saying
  18. icuRNmaggie

    Workplace Bullying

    Jade makes some very good points about not engaging with a mentally unbalanced coworker, but sometimes you just don't have a choice. We all have a limit to what we can tolerate from an abusive...
  19. icuRNmaggie

    Exhausted Med-Surg Nurse

    I thought about that but chronic dialysis is fast paced and the patients are notoriously non compliant. My friend left the hospital for in patient hospice and has found her
  20. icuRNmaggie

    Which degree should I go for?

    10 years ago, it would have been more economical to get the ASN and fund the BSN with hospital tuition reimbursement. Now the BSN is strongly preferred for entry level hospital positions in many...
  21. icuRNmaggie

    Exhausted Med-Surg Nurse

    Also consider the Cath Lab. They want teachable people with tele and cardiac
  22. icuRNmaggie

    Exhausted Med-Surg Nurse

    It's time to branch out. How about PACU? Time limited encounters, 2 patients
  23. icuRNmaggie

    My next move -seeking advice-

    A post graduate degree as a Cardiac Perfusionist will lead to a highly respected career with very very high
  24. The indifferent attitude is a huge red flag that you may be dealing with a
  25. icuRNmaggie

    Blue Pigtail on Nasogastric Tube

    A suggestion: get in the habit of flushing the NGT with 30cc of tap water every four hours and sump the blue port with 30cc of air afterward. If the antireflux valve is wet replace it to prevent...