icuRNmaggie BSN, RN

MICU, SICU, CICU

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All Content by icuRNmaggie

  1. icuRNmaggie

    What is My Family Thinking?

    icuRNmaggie replied to flashpoint's topic in Geriatric, LTC

    Good point. The host is not being very considerate of her disabled cousin's and elderly guests needs and limitations. I would suggest another venue. One with handicap accessible bathroom...
  2. icuRNmaggie

    Charting in patient rooms

    icuRNmaggie replied to JMoney's topic in Health, Stress Management

    I am going to be the exception and say that I prefer to chart my initial assessment, VS and update the IV tab at the bedside. It goes a lot more quickly because there are no distractions, and it is...
  3. icuRNmaggie

    APN logs in under Doctor's name and charts. What do I do?

    icuRNmaggie replied to StealthRN's topic in Nurse Practitioners, NP

    Is this a homework question for an ethics
  4. icuRNmaggie

    Unmotivated Patients

    icuRNmaggie replied to hookyarnandblanket's topic in Medical Assistant, CNA/MA

    A friend who is a rehab RN, and a tough cookie, once told me they put their hands behind their backs in order to get patients to attain their highest functional level. Meals are served in a dining...
  5. icuRNmaggie

    What is My Family Thinking?

    icuRNmaggie replied to flashpoint's topic in Geriatric, LTC

    It was very tacky that you were disinvited. I would still try to help her make it to the party somehow while planning to be far far away from the
  6. icuRNmaggie

    Is this the right career choice?

    icuRNmaggie replied to hclothier's topic in Nursing Career

    I did not think it was possible for an under grad to borrow that much from Sallie Mae. Will your parents have to take out Parent Plus Loans to cover the difference? If so that is something that is...
  7. icuRNmaggie

    Resources for New Grads?

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

    Lifeinthefastlane.com EKG library is a very good place to start. The FOAM ED section is also very good and very current. Look up the algorithms for the treatment of CHF, atrial fib and pulmonary...
  8. icuRNmaggie

    Resources for New Grads?

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

    Could you be more specific? What is the type of unit or facility where you are now? What skills do you need to
  9. icuRNmaggie

    Houston... We have a situation here

    icuRNmaggie replied to taggart84's topic in Home Health

    yes Kudos for being honest and taking appropriate action by reporting the accidental nick to this PICC
  10. icuRNmaggie

    What is My Family Thinking?

    icuRNmaggie replied to flashpoint's topic in Geriatric, LTC

    Even if your cousin is a difficult person, it would be mean a lot to her to have a little normalcy and be at the family reunion. Maybe you can help make it happen while maintaining a professional...
  11. icuRNmaggie

    Questions from a student!

    icuRNmaggie replied to Christinajoannne's topic in CCU, Coronary, Cardiac

    You might want to focus on preceptorships in a CVICU, Coronary Care Unit or Progressive Care Unit depending on what is available. Learn all that you can during your preceptorship about the heart....
  12. icuRNmaggie

    to hold or give insulin?

    icuRNmaggie replied to ViolinTreble's topic in Medical-Surgical

    The pt who is NPO for aspiration risk still needs a source of glucose. It is safer for him to be on D5 1/2NS to prevent hypoglycemia. I agree with the charge nurse on this one because she was...
  13. icuRNmaggie

    Houston... We have a situation here

    icuRNmaggie replied to taggart84's topic in Home Health

    Oh dear, a friend of mine accidentally did that to a Triple lumen port last week. We tied a knot in it. She was freaking out. Stuff happens. It sounds like you handled it just fine though. They...
  14. icuRNmaggie

    advice on being written up when I dont think I should have been...

    icuRNmaggie replied to anniegirl1988's topic in Patient Safety Issues

    I have been to too many rapid responses, stroke codes and code blues in which there was a young nurse very upset looking guilty and scared and who had been slammed all night with an unreasonable...
  15. icuRNmaggie

    Internships and ADHD

    icuRNmaggie replied to Katgeb's topic in Canada Nursing Programs

    I was assigned to orient an experienced RN with severe ADHD. The first preceptor was so frustrated with her inability to focus that she refused to do it anymore. It was an interesting experience....
  16. icuRNmaggie

    Excessive mouth secretions

    icuRNmaggie replied to phedrn's topic in Critical Care

    You will see this a lot in patients who have been fluid resuscitated and are volume overloaded and it decreases dramatically when they are diuresed. I have also wondered if something else, or just...
  17. icuRNmaggie

    advice on being written up when I dont think I should have been...

    icuRNmaggie replied to anniegirl1988's topic in Patient Safety Issues

    Yes, it sounds like the pt was over medicated, or possibly had a stroke or at risk for respiratory depression, and this should have been reported at 0300 or a rapid response called at that time....
  18. icuRNmaggie

    Feel guilty about resigning during the holidays

    icuRNmaggie replied to Cynnie24's topic in Nursing Career

    Do not feel guilty. I am sure you worked hard for every paycheck. Give the required 2 or 3 weeks notice. Write a brief professionally worded letter of resignation. Try to leave on a good note....
  19. icuRNmaggie

    Stroke vs overdose

    icuRNmaggie replied to joe007's topic in Emergency

    I had a 30 year female pt in the ICU who was intubated in the field for unresponsiveness. Significant other said she used a lot of cocaine that night. She was not scanned in the ED. In the am she...
  20. icuRNmaggie

    New nurse need advice

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

    Starting a new job of any kind is stressful. You are being scrutinized by doctors staff and the patients. Along with the what did I get myself into misgivings, being told you need to improve and...
  21. icuRNmaggie

    New nurse need advice

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

    Several years ago I precepted a new grad who could not stay on task. She was intelligent and gung ho, "let me do it"but utterly disorganized. Frankly she needed to have her add meds adjusted. In...
  22. icuRNmaggie

    death smells like

    icuRNmaggie replied to shimike2010's topic in Private Duty

    Spearmint oil on cottonballs placed around the room can help bad smells. I have not tried the ground coffee or iodoform tricks yet. I really like gold bond powder for it's menthol smell. Some...
  23. icuRNmaggie

    Best ER Tricks what it meant is like putting two tourniquet to get the IV

    icuRNmaggie replied to Wantoknow-rn's topic in Emergency

    you can use kelly clamps and piece of gauze on the nibp disposable tubing and get the same
  24. icuRNmaggie

    Does this type of unit exist anywhere else?

    icuRNmaggie replied to ArmaniX's topic in Travel

    Travel nursing agencies have ICU skills checklists that include every vasoactive and inoptropic gtt, equipment such as ultrafiltration, CRRT, Balloon pumps, ecmo, ventilators, temp pacers, Ekos...
  25. icuRNmaggie

    I got an offer I couldn't refuse! How not to mess this up!

    icuRNmaggie replied to llb_rn's topic in Travel

    It sounds too good to be true. But if it turns out to be legitimate, please pm me the name of the agency. Thank