icuRNmaggie BSN, RN

MICU, SICU, CICU

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All Content by icuRNmaggie

  1. Was this patient
  2. icuRNmaggie

    FINALLY!

    Do not waste your $ on the dumbed down CC made easy books. Buy a copy of the Little ICU Book by Marino. Everything that you need to know to get by is right in there. The only other worthwhile...
  3. icuRNmaggie

    Unhappy Hospital

    "That was a really good report. Thank you. " Nurse to nurse communication can be tricky when dealing with stressed out people. Quietly validate people who do a good job. Simple respect goes a long...
  4. You also have a responsibility to learn the equipment needed for the procedures done in this office. Those should all be listed on the billing page. For example, removal of staples, have the...
  5. The guy is a bully and he is counting on you being a timid and non confrontational target. You sound overly sensitive and may be magnifying a bit. Next time just focus on the job and say "I'm not...
  6. icuRNmaggie

    Terminal Agitation

    Two questions and I am not asking for a reply: Was she on a morphine gtt? Do you have a diverter in your unit who is tampering with the
  7. Fifteen years ago, my parent was in CVICU 400 miles away, the day before Christmas. My manager was ballistic and demanded proof when I said I would not be able to work Christmas. I said I will...
  8. icuRNmaggie

    OGT securement in intubated patients

    Mark OGT with a sharpie post PCXR to monitor placement ATL and secure with tabbed silk tape so that both tubes are rotated side to side. You can also add another movable clamp to the Hollister ETAD...
  9. icuRNmaggie

    The Weak Student

    You are morally and ethically obligated to report something that you personally witness that could be detrimental to a patient. Other than that, it is not your place to comment on another student's...
  10. icuRNmaggie

    Holidays ????

    I enjoy the Summer holidays the most and prefer to be off then and work the Winter holidays. My coworkers love me for
  11. icuRNmaggie

    CNA claims to be a nurse - what to do?

    You can not report something that you did not hear or witness. I would ask her nicely where did you go to school and when did you graduate and watch her reaction. If she is using the title of...
  12. icuRNmaggie

    FINALLY!

    Make a commitment to yourself to study Critical Care Nursing in your free time as well as being a life long learner. It is the policy in many facilities that the AACN Procedure Manual is the...
  13. icuRNmaggie

    Miserable in my contract

    Seattle's hospitals are unionized, with excellent ratios; they practice very good medicine, and I was treated very well. It is true, the West coast is ahead of the East coast by 5 to 10 years...
  14. icuRNmaggie

    African American Hair Problems in Nursing

    I precepted an African American RN with dreads down to her waist. The hairstyle was irrelevant, she was ex military smart tough and one excellent nurse. It was a non issue. I think that people...
  15. icuRNmaggie

    New nurse, feeling helpless and depressed

    Hi kroserrn, is it becoming any better for you?
  16. Look at what job openings are posted in your region. Many regions of the country are saturated with new nurses; wages and working conditions have been driven down to the point where a career in...
  17. icuRNmaggie

    Nursing Culture

    AACN has an initiative about healthy work environments that will help you with this
  18. icuRNmaggie

    Hello, I need your advice, please.

    Since the main focus of many facilities is providing hospitality services, you would be well suited to one of the concierge positions and that might give you a feel for what the business is like...
  19. icuRNmaggie

    Miserable in my contract

    For me the gray skies and gloomy weather in that area was unbearable to the point in which I was considering getting on an antidepressant. I was fine when I went to a warmer climate. I was told that...
  20. icuRNmaggie

    Hello, I need your advice, please.

    Look at the open positions at the hospitals in your area. What are the needs? You might consider applying for a position as a psych tech or monitor tech. Many facilities offer on the job training...
  21. icuRNmaggie

    Miserable in my contract

    Unless your nursing license is truly in jeopardy, you need to tough it out. The penalties for missing shifts or walking out on a contract can be severe. I was in a bad situation and I never even...
  22. I worked with a Canadian travel nurse whose agency walked her through the process, as they had a job lined up for her in Nevada. That might be worth a
  23. icuRNmaggie

    LOC: Sedated vs comatose vs unconscious

    I turn the sedation down or off to assess neuro: level of conciousness, along with pupils, corneals, gag and cough, squeeze my hand, wiggle your toes, give me a thumbs up, on my initial...
  24. The Canadian Nursing office will accept NCLEX results from 1/1/1982 to 12/31/2014. You will have to take the CRNE, the Canadian Reg. Nurse Exam. Maybe the CNO could give you a definite answer...
  25. icuRNmaggie

    Paralyzing Fear!!!

    Don't freak out, just study some of the links provided above. It's basic math, mainly multiplication and division. Review the metric system. Know how many ml ( also called cc it's the same thing)...