icuRNmaggie BSN, RN

MICU, SICU, CICU

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All Content by icuRNmaggie

  1. icuRNmaggie

    Verbal abuse

    You are in a difficult situation. If the Mother is afraid of him and if you feel he poses a threat, then CYS should be notified. If he is off his meds, and out of control, the police could take...
  2. icuRNmaggie

    New Hire RN - PCU (Cardiac Floor)

    I like to tell new grads this is your fifth year of nursing school. I understand that after graduation and NCLEX the last thing you feel like doing is reading a nursing textbook but you have to...
  3. icuRNmaggie

    Fake call outs irritate me

    When I started in nursing, I was given 2 personal days a year. It was understood that they were to be used for unforeseen obligations such as Drs appointments and family emergencies. You didn't...
  4. icuRNmaggie

    Verbal abuse

    I think it is commendable that you stayed with the patient and made sure that she was safe. I might have called the police if I felt the man was that explosive irrational and dangerous. I would...
  5. icuRNmaggie

    Verbal abuse

    double
  6. icuRNmaggie

    Share your packing routine and tips

    When flying, a small pill organizer is great for jewelry storage. Ziploc bags for organizing documents, small items, shoes, and
  7. icuRNmaggie

    I. Just. Can't....

    I don't think we should take away a mentally competent person's right to make healthcare decisions. If you take his rights to self determination you are taking away my rights too. If a person is...
  8. It was not withheld, in fact I volunteered an ABG result showing improvement and answered every question completely and truthfully. After that, they wanted to give orders. It was an awkward...
  9. Exactly. One ER physician, one was an Internist, one a medical student. I see where you are going with this. As surrogate decision makers they had a legal standing to request protected health...
  10. no. Mother and Father were not fluent in
  11. I would like a secure tab so that I could wear my college school of nursing pin and my sigma theta tau pin. Both are expensive and have sentimental value so it would have to be secure. Right now I...
  12. No. Young woman with severe neurologic damage, intubated, in cooling phase of therapeutic
  13. icuRNmaggie

    I. Just. Can't....

    When the pt becomes cognitively impaired and unable to renew his advance directive, his last advanced directive will be considered as his current advanced directive. This would enable correct use of...
  14. icuRNmaggie

    I. Just. Can't....

    I really want to know if chest compressions even work in a frail elderly person with severe osteoporosis or are we just fracturing the ribs and even the vertebrae? This needs to be studied by AHA and...
  15. My colleague will say I am going to call you every fifteen minutes until you come and fix this computer etc. on her second attempt to get something done. Her third call is to nursing management. No...
  16. icuRNmaggie

    I. Just. Can't....

    I said osteoporosis and advanced age, not osteopenia and adulthood. There is a big difference. My second sentence did say osteoporosis and I apologize for being unclear. I am opposed to inflicting...
  17. to PFMB-RN, I just re-read the original post and I am inclined to agree with you about Med Surg nurses making the transition in ICU. What is your experience with PCU and Stepdown nurses...
  18. Yes. Join the union and be thankful you have that
  19. icuRNmaggie

    New Hire RN - PCU (Cardiac Floor)

    Congratulations! I would advise you to enjoy your break. Be rested refreshed and energetic. You have been offered a wonderful opportunity to learn skills that you can take with you anywhere in...
  20. icuRNmaggie

    I. Just. Can't....

    It is time for the American Heart Association and ILCOR to study the outcomes of CPR in patients with osteoporosis and advanced age. A simple dexa scan of the hip or wrist should be required to be a...
  21. I worked one year of Oncology then one year on a high acuity Progressive Care Unit before transferring to ICU. Both were very difficult positions but both jobs gave me valuable experiences, general...
  22. icuRNmaggie

    Dobhoff Tube Insertion

    It depends on your state's nurse practice act. In many states only MDs can insert anything with a stylet due to the risk for
  23. icuRNmaggie

    Which nurse called it?

    Let him go peacefully. That means no code as per his wishes. Is this a homework
  24. On admission I ask who is the family spokesperson and I hand them a business card for our unit. I say we can only have one family contact who can share information with the rest of the family to...