icuRNmaggie BSN, RN

MICU, SICU, CICU

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All Content by icuRNmaggie

  1. icuRNmaggie

    Strategic Healthcare Staffing?

    There is a blog site with posts and reviews of agencies and hospitals called travelnursingcentral.com. Strategic HCS, Flexcare, Nightingale, Trustaff etc. are listed and the reviews aren't...
  2. icuRNmaggie

    Help, question about a patient

    Was her Sp02 83 with exertion or at rest? If she is a very old woman as you described her this could be something very serious. She needs a chest xray EKG and labwork. If your facility can not do...
  3. icuRNmaggie

    CPAP on the unit

    Hypoxia, CO2 narcosis and cardiac strain from doing nothing are an even greater liability. The issue of the mask has been covered ad nauseum. Are you suggesting that respiratory care should assess...
  4. icuRNmaggie

    New grad and struggling with it.

    A hospital I worked for had scholarship students who had a one year obligation. No positions were available supposedly when they graduated so they had to work in the float
  5. icuRNmaggie

    CPAP on the unit

    to GrannyRRT So respiratory care services doesn't "own that machine" but Nursing services does. If someone in respiratory care told me to: 1) contact the DME provider for a copy of the original...
  6. icuRNmaggie

    Should Nurses Bill Separately from Hospitals and Physicians?

    I think the contract for specialty areas would go to the best qualified people, like it does in travel
  7. icuRNmaggie

    CPAP on the unit

    to GrannyRRT, Why should the nurse be responsible for obtaining parts for respiratory equipment such as ordering a new home CPAP mask? Shouldn't the RT be the one to troubleshoot the problem?...
  8. icuRNmaggie

    Contact

    Exactly. When they leave the hospital they move on to other support systems. What you are doing is detrimental to their
  9. icuRNmaggie

    What's your Myers-Briggs personality type?

    INTP. Critical
  10. icuRNmaggie

    CPAP on the unit

    to GrannyRRT, This has been a very informative discussion and I will be looking for those policies. Excellent point about how if you do a procedure without a policy in place and bill Medicare or...
  11. icuRNmaggie

    Lining and labs/ hemolyzed specimens

    I occasionally have hemolysis drawing from a 20g, but never or hardly ever with a new 18g. Anyone else notice
  12. It might help to look at the pleth (Sp02 waveform) which measures the pulse in the finger. Also the arterial line waveform is the actual pulse in the radial or femoral artery. These numbers should...
  13. icuRNmaggie

    CPAP on the unit

    to GrannyRRT, Thank you for listing all of those references. Just to be clear, if we have an order for CPAP, and we use the hospital equipment instead of the patient's home CPAP machine, and the...
  14. icuRNmaggie

    CPAP on the unit

    to GrannyRRT, I had a patient die from complications of Legionella pneumonia. The Health Department identified the source of the infection was his home CPAP machine. It sounds like if the pt is sick...
  15. icuRNmaggie

    The DEU Model of Nursing Education

    I was approached to precept a BSN student who wanted to do a Critical Care clinical. She had to find her own preceptor. I was expected to do "online training" precept the student and write extensive...
  16. icuRNmaggie

    ethics

    Homework
  17. icuRNmaggie

    Too low??!

    AYA is #1 on the HH top 10 list. ??? Their reputation for treating nurses poorly was so bad that they had to change their name from Access to AYA. There are many other sources online for healthcare...
  18. icuRNmaggie

    Too low??!

    Half of the agencies on the top ten list have bad
  19. Usually you at the end of the interview you know if you are hired or not. If they look you in the eye and say we'll be in touch. If they ask when can you start and say your schedule will be this and...
  20. icuRNmaggie

    contract question

    Understood but not my problem when I have traveled 500 to a 1000 miles at great expense and inconvenience to help this hospital out. I will float to another area within my experience or go home...
  21. icuRNmaggie

    Too low??!

    highways hypodermics is supported by travel nursing agencies and anyone can vote on that site. The information is not reliable
  22. icuRNmaggie

    Remaining cordial with coworkers you dislike

    I know I know. The situation is what it is. She has no integrity. Keep your opinion to yourself. The person I mentioned has no idea just how disgusted I am about what he did. They have a paper...
  23. icuRNmaggie

    eICU

    Even Level one facilities have E icu. For times when the resident is in over his head, the E icu staff will ensure that your patient receives appropriate care by entering orders. All you have to do...
  24. icuRNmaggie

    contract question

    I have never had a contract cancelled. I would never agree to a contract unless it states guaranteed hours. Three shifts per contract is a significant amount of lost income over a year's
  25. icuRNmaggie

    Too low??!

    For what it's worth, Aya has a very very bad reputation. Their offer to you confirms