icuRNmaggie BSN, RN

MICU, SICU, CICU

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All Content by icuRNmaggie

  1. icuRNmaggie

    I Want To Do Critical Care!!

    Hi Paco, If you are certain about CICU and CVICU, the best way to make your resume stand out, and make it past the resume porificer software, is to take the CCRN and CMC exams along with the...
  2. icuRNmaggie

    Unhappy Hospital

    Putting a bag of hersheys kisses on the counter improves everybody's mood by preventing hypoglycemia and general
  3. icuRNmaggie

    Job fair

    Please be honest and do not waste their time. Pick one area and put your career objective on your resume. You dont want to appear indecisive. Dress in business casual. Make eye contact shake hands...
  4. icuRNmaggie

    Medsurg nurse interviewing for CICU

    You have passion and a great foundation to become a strong ICU nurse. Just be yourself and ask for at least 4 months of preceptorship and an ICU course through your local collaborative or ECCO if...
  5. icuRNmaggie

    When did it become OK to treat your nurse like poo?

    Well said. All of those chairs jammed into a small space is one of my pet peeves. It is truly a safety hazard in case of a code or other emergency. There is no good reason to have a gathering of...
  6. icuRNmaggie

    Cleaning surgical sites during post-op period

    Great topic. I read an article about five years ago in a wound care journal which said that the use of chlorhexidine on a surgical incision impairs healing by destroying keratanocytes. The...
  7. icuRNmaggie

    Politics of Nursing

    I like the mature and thoughtful way that you described your predicament. Kudos on finding a facility and a specialty that you really enjoy. It sounds like you will need to find and train a...
  8. icuRNmaggie

    The "Q" Word and Other Mysteries

    I have not read all of the posts so my apologies if this is repetitive. A bird outside on the windowsill means that someone is going to die soon. No mums are allowed indoors. Mums are for dead...
  9. icuRNmaggie

    The "Q" Word and Other Mysteries

    Never close the door to an empty ICU room. Unless you really want to get an
  10. icuRNmaggie

    Am I being investigated?

    It is devastating when you realize that people whom you thought were your friends and colleagues, turn out not to be your friends at all or even honorable people, when they deliberately lie to save...
  11. icuRNmaggie

    Am I being investigated?

    Sorry, RCA means a root cause analysis. Everyone involved in the incident and on duty in the unit is mandated to attend. The documentation is reviewed and everyone who was present is given an...
  12. icuRNmaggie

    Am I being investigated?

    It has been my experience that the responsible parties never show up at the RCA because their actions, or inaction, are indefensible and they know it. Many, if not most, MDs are very quick to blame...
  13. icuRNmaggie

    Art line question

    If the patient has Subclavian Steele syndrome, which is a false low on the affected side, usually the right arm, the NIBP will not correlate with the ABP. In the future ask the patient if there is...
  14. icuRNmaggie

    Am I being investigated?

    I hope that you documented really really well. No. It does not sound typical. Your instincts are correct. I have never heard of a phone interview with an outside RN investigator. Exactly who...
  15. icuRNmaggie

    To wait, or not to wait?

    I have always wanted to do a contract in an LTAC to learn how they wean patients from the vent and decannulate in a matter of a few
  16. icuRNmaggie

    help, experienced opinions needed!

    Therapeutic hypothermia is done to prevent a reperfusion injury after ROSC. TH pts in the induction phase are two to one and one to one for the next 48 hours. They need two core temps a central line...
  17. icuRNmaggie

    best treatment for escoriated skin

    If the skin is denuded from incontinence dermatitis, wash gently and rinse well, pat dry, apply karaya powder and then calmoseptine. Remove only if absolutely necessary with 4X4s and baby oil....
  18. icuRNmaggie

    Tips 'n Tricks: Pearls the Newbies Need to Know

    Put the lady on an upside down bedpan to see the meatus and ask her to cough. males need lido jelly for foley insertion. Hold it in there for three minutes to numb the urethra. Use a 14 if the man...
  19. icuRNmaggie

    Tips 'n Tricks: Pearls the Newbies Need to Know

    Know how to work the biphasic. Know the placement of the pads for defib vs pacing and cardioversion(front and back) Also know how to set up a chest drainage system look at the veins that appear with...
  20. icuRNmaggie

    Tips 'n Tricks: Pearls the Newbies Need to Know

    Ask do you take cialus levitra or viagra before giving
  21. icuRNmaggie

    Tips 'n Tricks: Pearls the Newbies Need to Know

    Let mom hold the little one in her lap and give the albuterol neb as a blow by with a blue circuit. Kids need about twice as much versed as adults to be sedated. That's a little scary when you do...
  22. icuRNmaggie

    3 months in and feeling incompetent

    You are right where should be, learning to complete the tasks and time management that the position requires. Making sure that your patients receive all of their meds and good care is a great...
  23. icuRNmaggie

    Unhappy Hospital

    My workplace sends a notecard with a ten dollar gift certificate to the cafeteria. It is a nice
  24. icuRNmaggie

    Tips 'n Tricks: Pearls the Newbies Need to Know

    I had to take a pt to a tertiary care center last night and the medic put all of the IV bags on a carabiner and hooked it on the pole. I thought it was genius because there was no fumbling with...
  25. icuRNmaggie

    Miserable in my contract

    That explains why there are always contracts for Everett. I have been fortunate to mainly go to hospitals where the staffing is good and they need a temporary replacement for someone who is ill or...