icuRNmaggie BSN, RN

MICU, SICU, CICU

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All Content by icuRNmaggie

  1. icuRNmaggie

    IV pushes

    icuRNmaggie replied to #NurseB's topic in Patient Medications

    IM lorazepam is often given in psych and the ER. Since the ER and EMS will place an IO if they can not get IV access, and since PICC lines are pretty much standard with pts needing a central line...
  2. icuRNmaggie

    PICC line issues, blood draw tips.

    icuRNmaggie replied to Nurse.NoFilter's topic in General Nursing

    The time to instill cathflo is when the PICC starts to get sluggish. Check blood return at the start of the shift so that you have time for the cathflo to dwell and break up that fibrin tail. This...
  3. icuRNmaggie

    Stethoscope for School

    icuRNmaggie replied to 2bnursebeckky's topic in General Students

    True story: so I have the best stethoscope I have ever owned and every day an MD asked to borrow it and one day I caught him walking out the door with it around his neck and he was irritated when I...
  4. icuRNmaggie

    IV pushes

    icuRNmaggie replied to #NurseB's topic in Patient Medications

    I mainly give ketorolac to post op patients with running IVF. I have not heard anyone complain of burning but I will keep that in mind for the future. Thank
  5. icuRNmaggie

    IV pushes

    icuRNmaggie replied to #NurseB's topic in Patient Medications

    The carpuject prefilled syringes of lorazepam, hydromorphone and morphine sulfate can be given undiluted by the IM route. The 1ml doses of these medications are dispensed in a 3 ml syringe so...
  6. icuRNmaggie

    IV pushes

    icuRNmaggie replied to #NurseB's topic in Patient Medications

    The FDA and the manufacturer( GSK) both recommend that IV odansetron or Zofran 4 mg be administered over two to five minutes to prevent QT prolongation and
  7. icuRNmaggie

    Need all white shoes for clinicals.. Suggestions??

    icuRNmaggie replied to future_nurse11's topic in General Students

    The skechers white no skid work shoes are what I wear when all white shoes are required. The black ones are popular with chefs and are
  8. icuRNmaggie

    IV pushes

    icuRNmaggie replied to #NurseB's topic in Patient Medications

    If your pt has an order for 80 mg of IV furosemide, it is a good reason to pull up a chair, sit down and do a little pt teaching on heart failure while you give the med over 8
  9. icuRNmaggie

    IV pushes

    icuRNmaggie replied to #NurseB's topic in Patient Medications

    I vaguely remember working with a pump that had that function. It was a nice feature. Was it the Plum
  10. icuRNmaggie

    IV pushes

    icuRNmaggie replied to #NurseB's topic in Patient Medications

    The only time I that I do fast IV pushes are for rapid sequence intubation, narcan, and ACLS code drugs. Whether or not you are giving the medication through a running maintenance fluid is...
  11. icuRNmaggie

    Should I have to deal with this?

    icuRNmaggie replied to designer-mommy's topic in Psychiatric

    Your coworkers are slacking and your patients are bringing in lethal weapons. Two people detoxing a 6 and half foot male pt. It is unsafe for the staff and the patients. It's ridiculous and...
  12. icuRNmaggie

    Dig, Carvedilol, and the Sympathetic Nervous System

    icuRNmaggie replied to mooshgigila's topic in Patient Medications

    HR X SV=CO heartrate X stroke volume = cardiac output Dig is a parasympathetic drug which lowers the heartrate by lowering the sinoatrial firing rate. Dig increases filling time, and improves...
  13. icuRNmaggie

    Atheist at Catholic hospital

    icuRNmaggie replied to kaydensmom01's topic in Spirituality, Religion

    I want to add something. At a public hospital I heard an RN comment about a patient wearing "that dumb string thing around his neck." It is a great honor for a priest to give a Roman Catholic a...
  14. icuRNmaggie

    Atheist at Catholic hospital

    icuRNmaggie replied to kaydensmom01's topic in Spirituality, Religion

    I have worked in Catholic Hospitals since I was fourteen years old. When people on 3-11 talk about a prayer meeting after work it means they are going to meet at the pub on the corner.That is about...
  15. icuRNmaggie

    application problem

    icuRNmaggie replied to grammy57's topic in Patient Safety Issues

    The application might be asking if there has ever been any disciplinary action from the ​Board of Nursing. Pretty much every nurse has been counseled not disciplined by an employer for something...
  16. icuRNmaggie

    Help! Tricky situation

    icuRNmaggie replied to jnf7882's topic in Job Search, Interview, Resume

    Be 100% forthright. Don't say anything that sounds reheorificed. I appreciate that you have taken the time to interview me again. I was married in September to a wonderful man, he works for the...
  17. icuRNmaggie

    What to Do When the Doctor Throws the Nurse Under the Bus by Lying

    icuRNmaggie replied to blackdiamond407's topic in Patient, Colleague Relations

    The call my pager/call my cell (and it changes with each person they talk to) is a ruse and an alibi used by mds who are arrogant jerks from a certain large city on the East Coast, who plan not to...
  18. icuRNmaggie

    New Grad Question--pls help!

    icuRNmaggie replied to newgradme's topic in First Year After Licensure

    What VA Nurse said. HCA is the worst of the worst. Do what ipink said and be thankful that it's
  19. icuRNmaggie

    Stethoscope for School

    icuRNmaggie replied to 2bnursebeckky's topic in General Students

    To really hear murmurs you need a Littman Master Cardiology. A good investment for anyone working in a Critical Care
  20. icuRNmaggie

    Possible Strike at my Assignment Site

    icuRNmaggie replied to PacoUSA's topic in Travel

    I have never been in that situation but if I were, I would honor my current contract for financial reasons. I would hold off on agreeing to an extension until I knew how it was all going to play out....
  21. icuRNmaggie

    Pet peeve, bad practice, or overly critical?

    icuRNmaggie replied to NewICU's topic in Critical Care

    The OP is correct. It is absurd to make a chlorhexidine bath THE priority on an ICU admission instead of ensuring that the pt is hemodynamically stable. Removing the soiled sheets while assessing...
  22. icuRNmaggie

    Excessive mouth secretions

    icuRNmaggie replied to phedrn's topic in Critical Care

    That is interesting, I have to wonder how an underinflated cuff causes excessive salivation, or are pulmonary secretions coming out around the
  23. icuRNmaggie

    Excessive mouth secretions

    icuRNmaggie replied to phedrn's topic in Critical Care

    The subglottal suction ETTs are proven to reduce
  24. icuRNmaggie

    What to Do When the Doctor Throws the Nurse Under the Bus by Lying

    icuRNmaggie replied to blackdiamond407's topic in Patient, Colleague Relations

    In the future, with this physician, I would call both the pager and the cell phone every fifteen minutes and document accordingly. The "I said call my pager" - " I said call my cell" is a...
  25. icuRNmaggie

    Extravasation protocols

    icuRNmaggie replied to LPNfurever's topic in Patient Medications

    If you are encountering extravasation of any drug and especially a vesicant drug such as Vanco while working in a LTC facility, call poison control and talk to a pharmD. Have the recommendations...