icuRNmaggie BSN, RN

MICU, SICU, CICU

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All Content by icuRNmaggie

  1. 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

    This was a delay in treatment which requires an incident report. ( Write the shyster
  2. icuRNmaggie

    So disappointed in hospital RNs and MDs

    icuRNmaggie replied to carachel2's topic in Patient, Colleague Relations

    Well since you asked for "thoughts" I am so disappointed in the FNP who diagnosed a my pt's dyspnea as anxiety when she had bilateral pulmonary embolisms and severe anemia and sent her home with a...
  3. icuRNmaggie

    Correct pt position for vomiting pt going into shock - PUD hemorrhage

    icuRNmaggie replied to jonorato's topic in Nursing Student Assistance

    True story : I had a gastric ulcer patient who worked at a racetrack. He was taking horse motrin and washing it down with beer. He was very anemic but not actively
  4. icuRNmaggie

    Sacral fistula

    icuRNmaggie replied to Mcgarrity01's topic in Wound, Ostomy, Continence

    If I remember correctly the abdominal wound was about the size of a quarter and the malecott tube was placed at the bedside and sutured in by the physician. It worked very well to relieve the...
  5. icuRNmaggie

    Sacral fistula

    icuRNmaggie replied to Mcgarrity01's topic in Wound, Ostomy, Continence

    I just remembered tnat it wasn't a foley at all. It was a Malecott tube.
  6. icuRNmaggie

    Drunk and high students at clinical

    icuRNmaggie replied to PerkyNurse55's topic in General Students

    Well said
  7. icuRNmaggie

    Drunk and high students at clinical

    icuRNmaggie replied to PerkyNurse55's topic in General Students

    I tried to change my post to read if the person comes in wicked hungover and nauseated and suffers all day who cares, that is not your problem. I have no empathy for this foolishness and if they...
  8. icuRNmaggie

    Sacral fistula

    icuRNmaggie replied to Mcgarrity01's topic in Wound, Ostomy, Continence

    I worked in a third world hospital and the surgeon placed a 32 Fr foley to an abdominal fistula, sutured it and placed it to LIWS. It drained 2 Liters a day at least. Is it possible to utilize a...
  9. icuRNmaggie

    35 and looking for a career change - is nursing it?

    icuRNmaggie replied to mamab3's topic in Nursing Career

    Your resume is already impressive. There are a few direct entry midwife NP programs for people with a BS. You may have some of the coursework already done. Something to consider. You will get more...
  10. icuRNmaggie

    Drunk and high students at clinical

    icuRNmaggie replied to PerkyNurse55's topic in General Students

    It is very obvious when a smoker or drinker walks into a booze free smoke free environment. I would say what I have to say to that individual: You reek of booze your eyes are glassy and your...
  11. icuRNmaggie

    Step down units: what's your ratio?

    icuRNmaggie replied to ixchel's topic in Critical Care

    IMC ( intermediate care unit) or stepdown ratios are 3:1 These patients are stable on the vent or even if not mechanical ventilation, they can not have more than 2 IV gtts. They are critically ill...
  12. icuRNmaggie

    Why are Nurses paid so low in the south ??

    icuRNmaggie replied to Michigann's topic in General Nursing

    To the OP, I suspect that the reason that wages are so low in the South is that the hospitals are predominately for profit, such as HCA and CHC and Tenet
  13. icuRNmaggie

    Full time or Part time as a New Graduate

    icuRNmaggie replied to AmyLou0202's topic in First Year After Licensure

    A Pediatrician I know advocates for keeping children out of daycare centers until at least 12 months of age. A lot of Moms work all weekends and Dad takes care of the children to protect the child...
  14. icuRNmaggie

    discrimination in the nursing field

    icuRNmaggie replied to Kennyspicy's topic in LPN, LVN Corner

    check USAjobs.gov for VA
  15. icuRNmaggie

    anxiety vs. agitation; Ativan vs. Haldol

    icuRNmaggie replied to aging1's topic in Hospice, Palliative

    Some home hospice programs provide the family with a med kit with roxanol and lorazepam SL, and bowel care meds. I thought it was pretty standard but maybe it's not. I agree that lorazepam can...
  16. icuRNmaggie

    Heart Block

    icuRNmaggie replied to 123qwerty's topic in General Students

    We are seeing an increase of patients who have been treated for Lymes disease coming in with third degree heart block. If your topic is complete heart block, which is also called AV dissociation,...
  17. icuRNmaggie

    What area do you work? and do you change clothes before you leave your workplace?

    icuRNmaggie replied to Vtachy1's topic in General Nursing

    ICU with half the patients on isolation. Scrubs are
  18. icuRNmaggie

    ICU or Med-Surge

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

    Go to the ICU interview. Ask about the length of the orientation. Listen to your gut feeling about which position will be a comfortable fit and in which you will feel supported as a novice RN. Med...
  19. icuRNmaggie

    Justifiable situations when to break policy?

    icuRNmaggie replied to Pink Magnolia's topic in Nursing Professionalism

    In 1991 some nit wit decided to make it a policy to identify HIV positive patients by requiring a red dot sticker on the spine of the chart. I took the stickers off the charts and I stole all the...
  20. icuRNmaggie

    Is there a secret to Emory

    icuRNmaggie replied to srg4784's topic in Georgia Nursing

    So true. Have a friend, someone who works or has worked there, email a recommendation for employment to the manager. The manager emails HR for your profile. If she has an opening, you will...
  21. icuRNmaggie

    IS there hope after going to non accredited BSN school

    icuRNmaggie replied to sain's topic in School, College Programs

    What is
  22. icuRNmaggie

    Lessons on why not to "Assume" things.

    icuRNmaggie replied to TigerxLiLy's topic in Geriatric, LTC

    If the "Supervisor" can discredit the OP, or blame the OP for her negligence and total incompetence, she will. It is appalling how some people will lie to save their jobs. I would make a...
  23. icuRNmaggie

    Nursing Look Back For Today

    icuRNmaggie replied to DoGoodThenGo's topic in General Nursing

    Whoa, what the heck is that ... just a guess..... a supporting device for swollen male body
  24. icuRNmaggie

    Tracheostomy Care

    icuRNmaggie replied to ChelleBel's topic in Nursing Student Assistance

    The actions to take are: Assess the patient and notify the MD. Get a CXR on expiration. Telling the patient to take a deep breath and hold it can obscure a pneumothorax. A tracheal laceration can...
  25. icuRNmaggie

    Tracheostomy Care

    icuRNmaggie replied to ChelleBel's topic in Nursing Student Assistance

    Subcutaneous emphysema can cause temporary swelling and that palpable crackling of air under the skin. Was there any mention of trauma or a chest