icuRNmaggie BSN, RN

MICU, SICU, CICU

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All Content by icuRNmaggie

  1. icuRNmaggie

    Putting nurses in a bad spot.

    You might find the answer in your state's nurse practice and what is legal can vary greatly from one state to another. Are resp. therapists allowed to intubate in your state without a physician...
  2. icuRNmaggie

    Online Nursing Schools vs Traditional Schools

    If you take psych 101 at Harvard or at your local community college or online, you will likely have the same textbook and syllabus. It is the same class. It is not so much where a person went to...
  3. icuRNmaggie

    attn working mamas.

    The pediatrician wil tell you that the best thing that you can do for your baby's health and minimize exposure to disease is to keep him out of daycare for the first three years of life. Work weekend...
  4. icuRNmaggie

    Kicking out visitors during report

    We seem to have a lot of visitors who make a beeline to the nurses station when we start report at 1845. They interrupt report as though it's very important but what they want is to socialize. Then...
  5. icuRNmaggie

    Help-Freaking out- seeing patients on my own!!

    Better review how to access a port with sterile technique. Know the codes for your CADD pumps and PCAs. Carry a penny to open them to change the cassette. Know how to troubleshoot a leaky vac...
  6. The other departments in a weather emergency are most certainly not working defined 8 hour shifts, they have to make it work even if it means working 24 hours straight which I have done when there...
  7. icuRNmaggie

    ACLS or PALS

    If you can take either one, at no cost to you, by all means take it. I took ACLS several years ago in the Pacific NW. The instructor told me that he had a very good student who had immigrated...
  8. icuRNmaggie

    Weirdly sad about MD errors

    If you are sure that a surgeon has a higher than usual rate of post complications, infections, anastamotic leaks due to prolonged hypotension, mention this to your manager. Bear in mind that a...
  9. So true. And so not worth
  10. icuRNmaggie

    Help-Freaking out- seeing patients on my own!!

    The pressured balls for IV Vanco are a great invention. Flush the PICC, prime the tubing hook up, when it's infused, disconnect and flush. Easy peasy. Don't stress over that. I know a guy...
  11. Thanks for sharing. This is why employees need to ask via email "am I going to be paid for being mandated to stay here?" If the answer is no, I'm clocking out and finding a nice hotel. I can take...
  12. icuRNmaggie

    Are 2nd semester nursing students considered CNA's?

    For your financial security, obtaining the CNA certificate, then the LPN license, is a wise thing to do, just in case something unforeseen happens which delays or prevents the student from...
  13. If middle management had to do direct patient care, just once, they would be setting up some interviews the very next
  14. I wonder if coming in to work extra for tonight's blizzard would cancel out the previous occurrence for the OP. She needs to use this as leverage. Using email to have them put it in writing is...
  15. If we keep on working extra, when there are multiple open FTE positions, we are enabling management to not hire more staff or travelers. So I say no, or ignore it altogether, because I am...
  16. icuRNmaggie

    Preemployment Requirements

    Do not stress over this. They will probably send you to their wellness center to have a quickie assessment done by a PT or PT assistant along with a brief review of safe lifting
  17. Another option is to have a snow storm sleepover party at the house of someone near the facility or stay at a nearby hotel with a shuttle. Staying at the hospital for a couple of days is the
  18. Discipline me. I don't care. I dont abuse PTO. Never again will I sleep at a hospital during a storm. I was assigned a pt room, then awakened and told to get up because this room is for Dr...
  19. They have to pay you for the entire 24, 36, 48 hours that you are there, whether you are working or not, sleeping or not , if you are mandated. Do not clock out if you are mandated to stay in...
  20. icuRNmaggie

    Warm up jackets mandatory

    Maybe he could order the disposable jackets, they are pretty light and we all liked
  21. icuRNmaggie

    Are 2nd semester nursing students considered CNA's?

    It may vary from state to state but in general the Dean of your nursing program should be able to complete a form stating that you have completed fundamentals, which you send to the state BON along...
  22. icuRNmaggie

    Step down vs. ICU

    duplicate
  23. icuRNmaggie

    Step down vs. ICU

    It is bad form, and somewhat disrespectful to your manager, to jump ship six months after completing a new grad preceptorship. Yes the ratios are unsafe, they know it and if you complain too...
  24. icuRNmaggie

    Cleaning surgical sites during post-op period

    The chlorhexidine bath wipes are 2%. Chloraprep is 4% chlorhexidine. I may have misunderstood the OP. I have read that painting an incision with chloraprep impairs healing. I was not referring...
  25. icuRNmaggie

    I Want To Do Critical Care!!

    I didn't mean for you to take those exams before getting in the clinical hours and I apologize for being unclear. Many telemetry nurses can handle the VT pt who needs a bolus then the amiodarone...