icuRNmaggie BSN, RN

MICU, SICU, CICU

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All Content by icuRNmaggie

  1. icuRNmaggie

    ER to ICU orders

    This is so wrong on so many levels. ICU patients must be seen by a physician in the ER or in the ICU upon arrival. It sounds like you work in a small hospital that is a primary stroke center. The...
  2. icuRNmaggie

    The Story of Jahi Continues

    The authors of this article are Alice Dreger and Helen Haskell. Alice Dreger is a bioethicist and historian of medicine at Northwestern University's Feinberg School of Medicine. Helen Haskell founded...
  3. icuRNmaggie

    I feel uncomfortable doing this

    Dear long lost relative, I am terribly sorry that I can not write the letter of reference as we have only met once and since we have never worked together, I have no way of knowing the extent of...
  4. icuRNmaggie

    The Story of Jahi Continues

    If I had to offer a conjecture about the cerebral edema, I would guess severe and prolonged hypoglycemia, a cerebral bleed, prolonged hypotension intraop, or that the child was hypotensive and...
  5. I'm confused by something. If Nina Pham was not aware that she was being videotaped, why did she wave and "say come to Maryland
  6. icuRNmaggie

    The Story of Jahi Continues

    Children's anesthesia questioned after two cases of severe brain damage More about then 8 year old Rebecca Jimenez. This appalling case of gross negligence occurred at CHO in
  7. icuRNmaggie

    The Story of Jahi Continues

    http://www.psmag.com/health-and-behavior/was-jahi-mcmaths-case-preventable An interesting article on the indications and risks of T&A, UPPP and submucous resection of bilateral inferior turbinates...
  8. Yes. I also handed my badge to a manager at the end of my shift and said I'm not coming back. The acuity and workload were ridiculous and the doctors were shmucks. It was unsafe. This was at a...
  9. icuRNmaggie

    Why is it so hard to find part-time work?

    Managers are very slow to fill open positions, and never advertise for part time ICU or per diem nurses anymore. I suspect this is so they can avoid the expense of orientation. There is a pattern...
  10. icuRNmaggie

    Peer review evaluations

    I worked in an ICU six years ago which had many problematic employees who were best buddies of the manager. He wanted us all to be friends and have parties at his house which counted as staff...
  11. icuRNmaggie

    clique in the workplace

    Are you working in a PACU? You may want to cross train for admissions or ASU if this position is not a good
  12. icuRNmaggie

    Contunious fluids, Incompatible antibiotics

    What was the maintenance fluid and the
  13. icuRNmaggie

    Rate First Assignment

    I have a friend who worked a telemetry unit contract there and she loved it. She never had more than four patients due to the state nurse patient ratios. She said there are nurses who are out of...
  14. icuRNmaggie

    Contunious fluids, Incompatible antibiotics

    were you giving amphotericin
  15. All good advice from the previous posters. Small hospitals attract some very dysfunctional and vindictive people. It starts at the top. HR will always back their management officials to protect the...
  16. icuRNmaggie

    96 year old refuse treatment

    I wish that we could teach the families of dying ninety year olds to use good judgement and help their loved one pass over. Whatever happened making someone warm and comfortable, and letting him or...
  17. icuRNmaggie

    New grad - critical care or elsewhere?

    A couple of years in an ICU, PCU or step down is a springboard for many other opportunities such as CVICU PACU or ED or CRNA school or a career in travel
  18. icuRNmaggie

    Medication safety what if...

    Don't carry narcotics in your pocket. You could lose it and then what. I found a carpuject containing 10 mg of MS on the floor in the hall. I no choice after asking my coworkers about it and I had...
  19. icuRNmaggie

    Nurse Portfolio Question

    I had a cheap binder with tabs for many years. Since working as a travel nurse I have added my skills checklists, notarized I-9, passport, soc. sec card. All docs are scanned and ready if I need...
  20. icuRNmaggie

    Nurse Portfolio Question

    It is really not a bad idea, especially if you want to take travel contracts at some point. A professional portfolio class is taught in freshman year at most major universities. Mine is broken down...
  21. icuRNmaggie

    Performance recognition in your facility...

    When someone takes the time to put pen to paper or even an email and write a note of appreciation, it means a lot. A gift card to the cafeteria is also a nice gesture and not very expensive. If your...
  22. icuRNmaggie

    Rate First Assignment

    That is a very reasonable offer. Good
  23. icuRNmaggie

    The Story of Jahi Continues

    I hope that she has her own attorney for the
  24. icuRNmaggie

    Hemoglobin level

    Ask if you can go in the OR and watch a TKR. It is a bloody operation with a bucket of saturated sponges and a canister half full and yet the EBL is always 50cc on the anesthesia
  25. icuRNmaggie

    Pt threw a bedpan...

    I doubt that therapeutic communication techniques like silence, reflecting and validating are going to be very effective with an out of control pt who is throwing fecal matter at the