icuRNmaggie BSN, RN

MICU, SICU, CICU

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All Content by icuRNmaggie

  1. icuRNmaggie

    Lazy group members!!!

    Group projects are just awful and are one of the main reasons that I have avoided grad school. Since your group is not functioning well, and they hardly ever do, vote on having a group leader....
  2. icuRNmaggie

    Regarding chronic tardiness

    I paid 200 dollars non refundable, to attend 8 am yoga classes at a site across from the hospital. I did not get to attend more than one or two due to a certain dayshift nurse who had adhd and a...
  3. icuRNmaggie

    Regarding chronic tardiness

    If you have ADHD, please get your symptoms under control before you take a staff nurse position. No one enjoys having to wait for you to show up, the endless chatter, or having to bail you out...
  4. icuRNmaggie

    Pt stool smells like fish

    cdiff is an anaerobic bacteria that causes massive yellow diarrhea with an unmistakable yeasty moldy
  5. Chemistry and Biochem. If they are not required, find another
  6. Several years ago, a nurse that I knew contracted a very virulent strain of cdiff when there was an outbreak of this strain. She went through hospitalizations, home infusion therapy and TPN. She...
  7. icuRNmaggie

    Pt stool smells like fish

    I have noticed a yellow or orange color and a strong ammonia smell of the stool and urine in pt's with liver failure. Consuming asparagus and taking fish oil capsules can create some pretty funky...
  8. icuRNmaggie

    Hostile work environment

    I would have been tempted to call the police and have all of them charged with disorderly conduct and removed from the
  9. Brave girl. She took care of Mr Duncan and now she is exposing the indignities and dangers of working in an unsafe hospital. Nina Pham is an articulate and credible BSN CCRN with a very strong case....
  10. icuRNmaggie

    Backing out of a Contract

    Please try calling human resources and ask very nicely what do you recommend for temporary housing. There's always some kind of bulletin board or online classifieds at the hospital for temporary...
  11. icuRNmaggie

    Errors--system problem or nursing problem?

    I was in a management meeting recently in which we reviewed risk management reports. It was an eye opener. The medical director put his spin on two situations and with great disdain blamed the...
  12. icuRNmaggie

    Errors--system problem or nursing problem?

    Neither. These are medical mismanagement /management issues. The right sided heart failure patient may need 24hr vasodilators due to pulmonary hypertension. That order needs to be
  13. I disagree. It is not a huge blot on your record. You resigned. Period. Future employers are not as interested in why you left a previous job as you might think. They never even ask in an...
  14. icuRNmaggie

    vent!!! OR admission

    You should have taken her aside and said : "The pt is unstable has no central access and you may have compromised the HD catheter. If anything happens to this man I am holding you responsible." Then...
  15. icuRNmaggie

    FLAME ON!

    Report means that one nurse speaks and one nurse listens. It is either your job to be prepared to speak or your job to listen and not interrupt. Now how hard was
  16. icuRNmaggie

    Dreading bedside report with The Interrogator

    Please try this: look her right in the eye and say this report needs to be over in five minutes or less because I have places to be today. Be laser focused on telling her about the patient. If...
  17. icuRNmaggie

    Dreading bedside report with The Interrogator

    But why can't you do this? It's business. Focus. If good time management means ignoring the interruptions, do it. Take control of the situation. Set a time limit because it is not open ended....
  18. icuRNmaggie

    Dreading bedside report with The Interrogator

    You need some boundaries. That means that your time is valuable and you are protecting what is yours. You also need to be mentally prepared to speak to what is relevant . Is it possible that you...
  19. icuRNmaggie

    Dreading bedside report with The Interrogator

    Be efficient. Report is not an open ended discussion, debate, or time to socialize with patients or visitors.. Mentally prepare what you need to say. A concise review of relevant information and...
  20. icuRNmaggie

    This can't be safe at all

    Accept the NICU position and go per diem at the LTACH stating you need to reduce your hours for personal reasons. It would be unwise to tell your coworkers about the new job. Leave that job...
  21. icuRNmaggie

    Mispronunciations That Drive You Nuts

    " propofo " for
  22. icuRNmaggie

    Preparing for Epic HELP!

    Be sure there is computer access, next to the pyxis in a secure med room, for you to use to confirm that you are removing the correct meds for your patient. Scan those at the bedside before you...
  23. icuRNmaggie

    I Have The Time and Other Lies

    How degrading and I am so so sorry that you have to deal with this. I would not have been able to contain myself. That's what you ask your spouse to do, not your nurse! This creepy woman has NO...
  24. icuRNmaggie

    Crazy Agency New Grad Program

    Even if NICU is not your long term goal, you have a job, a paycheck, health insurance, and the ability to attend continuing education at this facility and build a work history. Do not be...
  25. icuRNmaggie

    Is a six week orientation too short?

    Admissions and discharges are the two most labor intensive tasks on a medical surgical unit. Having to do them back to back amounts to 2 to 3 man hours at least per shift, and if you are in a unit...