icuRNmaggie BSN, RN

MICU, SICU, CICU

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All Content by icuRNmaggie

  1. icuRNmaggie

    Rehauling the wound care team

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

    It is difficult to answer the question without more information. How many beds are there in your LTAC? What is the nurse patient ratio? What will it be in January? How many patients do the CNAs have...
  2. icuRNmaggie

    ICU Requirement: LTAC ICU

    icuRNmaggie replied to ArmyTwin's topic in Student Registered Nurse Anesthetist

    On a telemetry unit or progressive care unit you will see a lot of CHF, strokes, patients pre and post cardiac catheterization and a ton of other patients who bear close watching. You will learn...
  3. icuRNmaggie

    Untrustworthy supervisor

    icuRNmaggie replied to Kaysmom8's topic in Patient, Colleague Relations

    What happened with that patient is a huge red flag that you should not ignore. You do not want to be affiliated with people who can not behave in an honest and ethical manner. I would mention what...
  4. icuRNmaggie

    ICU Requirement: LTAC ICU

    icuRNmaggie replied to ArmyTwin's topic in Student Registered Nurse Anesthetist

    That is a tough decision. I would suggest taking a position in a large teaching facility over an LTACH because of the opportunities to transfer into other areas. The telemetry position will give...
  5. icuRNmaggie

    Nebulised lignocaine for NG insertion

    icuRNmaggie replied to nixonk86's topic in Emergency

    In the U.S., hospitals have strict policies about what meds can be given by the inhaled or nebulized route. I have not given nebulized lidocaine and I can not, because doing so would be a...
  6. icuRNmaggie

    Baby RN's running ICU?!!

    icuRNmaggie replied to kmarieCCRN's topic in Critical Care

    I really dislike the labels baby nurse and seasoned nurse. Calling someone a baby nurse is derogatory. "Seasoned" makes me feel like a piece of chicken. These labels devalue the novice nurse's...
  7. icuRNmaggie

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

    icuRNmaggie replied to jonorato's topic in Nursing Student Assistance

    The worst UGI bleeds that I have seen were from DeiuxLafoy arterial malformations in the stomach, cryptogenic liver failure in patients on long term methotrexate, end stage liver failure from hep...
  8. icuRNmaggie

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

    icuRNmaggie replied to jonorato's topic in Nursing Student Assistance

    Song in my heart is spot on. IV access is the priority with UGI hemorrhage. Expect an intubation, bedside EGD and central line placement. Initiate the massive transfusion protocol. An upper GI...
  9. icuRNmaggie

    What do you think? Is this a good deal?

    icuRNmaggie replied to yellowbus's topic in Travel

    I would not accept those wages for Seattle. Make a counter offer. A recruiter told me that the bill rates there are very high. That is insulting. Try another
  10. icuRNmaggie

    Stethoscope Recommendations?

    icuRNmaggie replied to Rew3n's topic in Scrubs, Uniforms, Gear

    If you really want to hear murmurs, lung and heart sounds, invest in the Littman Master. The acoustics are excellent. Do not set it down, it will be
  11. icuRNmaggie

    Entire card of narcotics missing!

    icuRNmaggie replied to Rachel512's topic in Patient Medications

    Diverters will scheme to have trusting and less experienced nurses take the blame for their actions. It is not just an illness of addiction, it is a crime of theft and it should be reported as...
  12. icuRNmaggie

    My first "Why did I choose nursing?" shift

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

    Please take what I am about to say as constructive feedback and not criticism. If your pt was actively bleeding, the unit of blood should be started as soon as it is ready. It should be a high...
  13. icuRNmaggie

    Preceptors: your favorite thank you gift

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

    Here is what I would like to receive: A well chosen card A gift bag with some combination, not all, of the following items: pens, burts bees tinted peppermint lip gloss, the Neutrogena...
  14. icuRNmaggie

    Pushy Recruiter

    icuRNmaggie replied to shoegalRN's topic in Travel

    I too had one of these aggressive and controlling recruiters from a large agency. She had the audacity to demand that I apply for a California license immediately. Then she submitted me to a PICU...
  15. icuRNmaggie

    to hold or give insulin?

    icuRNmaggie replied to ViolinTreble's topic in Medical-Surgical

    I can not imagine giving that much insulin. That is terrifying. I had a pt in hypoglycemic coma/cerebral edema from self administering U500. He did not
  16. icuRNmaggie

    Entire card of narcotics missing!

    icuRNmaggie replied to Rachel512's topic in Patient Medications

    Rachel, take the time right now to write down exactly what happened on that shift, including if the pharmacist restocked the cart or made a delivery on your shift. Every single detail even if it...
  17. icuRNmaggie

    Don't yell at co-workers in front of people

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

    The first time it happens it is shocking and even frightening. I have seen men twice my size throw charts and behave in a threatening manner just by virtue of their size and body language. I...
  18. icuRNmaggie

    please i need a project topic and materials

    icuRNmaggie replied to EDIDIONG's topic in Nursing Student Assistance

    Good morning EDIDIONG, the possibilities for research topics is a very broad question. Please share what area of nursing you plan to choose when you start your career. Then we can help you form a...
  19. icuRNmaggie

    Who punches a cancer patient?

    icuRNmaggie replied to 1wellnessnurse's topic in Patient, Colleague Relations

    1wellnessnurse, I hope that you can bring your Father home soon and that he will be as well as possible for as long as possible. My thoughts on forgiveness are that when Jesus Christ said Father...
  20. icuRNmaggie

    Best lotion for dry hands?

    icuRNmaggie replied to AnnieOaklyRN's topic in Scrubs, Uniforms, Gear

    This works really well for me and it has a nice clean fragrance. I am going to try the neutrogena hand
  21. icuRNmaggie

    Afraid of loosing my job

    icuRNmaggie replied to Katniss88's topic in General Nursing

    I too never mastered the art of whatever it is...A dear friend once told me that when I interview I can not leave the impression that I am smarter than they are. Ugh. Playing dumb is what they want....
  22. icuRNmaggie

    skipping graduation/pinning?

    icuRNmaggie replied to Fruit Sucker's topic in General Students

    In years to come you will be glad that you have the picture of your class in professional nursing attire. My class picture is in the hallway outside the Dean's office. I graduated from a faith based...
  23. icuRNmaggie

    The "politics" of tattling.

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

    He wouldn't because he is not a nurse. He's weaving stories and creating controversy for his own
  24. icuRNmaggie

    meds that you can't mix?

    icuRNmaggie replied to northmississippi's topic in Nursing Student Assistance

    I received a patient recently whose IV bags looked just like the white flakes in a snow globe. She had Cipro infusing as an IV piggyback to her heparin drip. Please Please check compatibility...
  25. icuRNmaggie

    The "politics" of tattling.

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

    This person has made 5 inflammatory posts in 3 days. This nonsense needs to be shut