icuRNmaggie BSN, RN

MICU, SICU, CICU

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All Content by icuRNmaggie

  1. icuRNmaggie

    hyponatremia and 3% NaCl

    icuRNmaggie replied to tambarino's topic in Medical-Surgical

    Good information tambarino! You are a thinker. Reverse osmosis from a disrupted blood brain barrier.
  2. icuRNmaggie

    Titers Paid By Traveler?

    icuRNmaggie replied to aamy's topic in Travel

    Health vault is an online service from Labcorp for accessing your test
  3. icuRNmaggie

    Nursing portfolio

    icuRNmaggie replied to hawksrn2014's topic in General Nursing

    For clinical ladder participants save a copy of those cards and compliments for your portfolio in case they ask for something like that or, just for
  4. icuRNmaggie

    Titers Paid By Traveler?

    icuRNmaggie replied to aamy's topic in Travel

    I can not even log on to health vault right now. Maybe they have changed their policies. I would go in at a slow time and ask to have the account unlocked and for copies of my results. The labcorp...
  5. icuRNmaggie

    Please stop! Little things that are just bad practice.

    icuRNmaggie replied to JBudd's topic in Nursing Professionalism

    I totally agree with you. According to Tom Ahrens of Phillips Life Sciences, there is absolutely no research to support the validity and accuracy of taking the NIBP on the forearm or the thigh....
  6. icuRNmaggie

    Please stop! Little things that are just bad practice.

    icuRNmaggie replied to JBudd's topic in Nursing Professionalism

    Some of my coworkers are so afraid of a visitor making a complaint that they let them do whatever they want. This is another thing that is a bad
  7. icuRNmaggie

    Please stop! Little things that are just bad practice.

    icuRNmaggie replied to JBudd's topic in Nursing Professionalism

    There is a lot of research from NIH, ISMP and the INS if you google it. The IV team at a facility I work in will throw it all out if they find looped IV tubing and write an incident report. It is...
  8. icuRNmaggie

    Please stop! Little things that are just bad practice.

    icuRNmaggie replied to JBudd's topic in Nursing Professionalism

    Here is one more little thing that is a bad practice: Our ICU rooms are very small with a sink on the right as you enter the room. The resp. care staff put the ventilator or BiPap right in front of...
  9. icuRNmaggie

    Please stop! Little things that are just bad practice.

    icuRNmaggie replied to JBudd's topic in Nursing Professionalism

    Where I am now the visitors don't have to follow contact precautions at all. They have even allowed children to visit without following contact precautions. When they start making kiddie size...
  10. icuRNmaggie

    Question on reacting to tachycardic afib

    icuRNmaggie replied to DatMurse's topic in Cardiac

    What was the blood pressure with that heart rate of 150? 400mg of Amiodarone BID is a lot. I would be monitoring the QT and if > .40 seconds I would be on the phone to someone about it. Any...
  11. icuRNmaggie

    A question of ethics

    icuRNmaggie replied to Kris0215's topic in Patient, Colleague Relations

    I was in a situation of having to advocate for a patient and the family member, who is an international leader for fair employment practices and who has testified before Congress, handed me his...
  12. icuRNmaggie

    hyponatremia and 3% NaCl

    icuRNmaggie replied to tambarino's topic in Medical-Surgical

    If you raise the sodium too rapidly the fluid shifts can cause central pontine demyelinosis. Your patient could end up a quadriplegic. 3% sodium chloride is a very dangerous IVF and should be...
  13. icuRNmaggie

    Please stop! Little things that are just bad practice.

    icuRNmaggie replied to JBudd's topic in Nursing Professionalism

    Another bad practice is hanging used isolation gowns and masks up on a hook. These are single use
  14. icuRNmaggie

    Please stop! Little things that are just bad practice.

    icuRNmaggie replied to JBudd's topic in Nursing Professionalism

    Another please stop: Please, when you have orders to hand irrigate a foley catheter, understand that this is a sterile procedure. You can not reuse the same irrrigation set. Throw it out when you...
  15. icuRNmaggie

    Nursing portfolio

    icuRNmaggie replied to hawksrn2014's topic in General Nursing

    A portfolio is a must and should be started as a nursing student. I wish that I still had some of the papers I wrote in my BSN program and projects that I have done over the years and the photos...
  16. icuRNmaggie

    Please stop! Little things that are just bad practice.

    icuRNmaggie replied to JBudd's topic in Nursing Professionalism

    That is exactly how I bathe patients with the no rinse aloe vesta products. You need soap and water to remove cdiff from the patients skin too. Bath basins breed pseudomonas and whatever they...
  17. icuRNmaggie

    Please stop! Little things that are just bad practice.

    icuRNmaggie replied to JBudd's topic in Nursing Professionalism

    TPN should be given through a dedicated and labeled line to decrease the risk of a
  18. icuRNmaggie

    Please stop! Little things that are just bad practice.

    icuRNmaggie replied to JBudd's topic in Nursing Professionalism

    I worked in an ICU in which they thought it was a good idea to paint a healing stapled incision with Chloraprep ( chlorhexidine in the blue or orange sponge applicator. ) Chlorhexidine destroys...
  19. icuRNmaggie

    Please stop! Little things that are just bad practice.

    icuRNmaggie replied to JBudd's topic in Nursing Professionalism

    Someone in the ER tying the blue vent on the Salem Sump in a knot. I have seen this in a couple of facilities. I never have time to talk to the ER nurse privately about this. The blue tail is an...
  20. icuRNmaggie

    Discrimination in the workplace

    icuRNmaggie replied to Parrotindistress's topic in Activism, Healthcare

    If someone insulted my people like that I could not contain myself. I would say This is our hospital! You just work here! If the others laugh and giggle along with this bigot, I would ask them...
  21. icuRNmaggie

    sedation

    icuRNmaggie replied to jacsbein's topic in MICU, SICU

    Precedex is an anxiolytic not a sedative. My experience is that it works beautifully with intubated patients about 50% of the time. It is not at all effective in DTs pts. I have seen some...
  22. icuRNmaggie

    Why do we hate admissions?

    icuRNmaggie replied to firstinfamily's topic in General Nursing

    The two most labor intensive things a nurse has to do are discharges and admissions. I don't know how other departments do admissions and discharges back to back every day all day long. I made my...
  23. icuRNmaggie

    Work ALLOWS Patient Favoritism

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

    There was an occasion recently when I was requested to move a patient out of ICU to admit of friend of the CEO who was perfectly stable but he" might become septic post op." I refused to do it. I...
  24. icuRNmaggie

    Hourly rounding. Are you kidding me?

    icuRNmaggie replied to dudette10's topic in Patient, Colleague Relations

    I would like to add one more thing. I am working with a few ex mil CNAs who have taken total ownership of this hourly rounding thing and their assigned duties. Having clear guidelines has allowed...
  25. icuRNmaggie

    Permanent Placement?

    icuRNmaggie replied to raindrop's topic in Travel

    Are you getting nervous about your first assignment because it sounds like you are. If you have made a commitment to a travel position and you have signed a contract, you should try to honor your...