icuRNmaggie BSN, RN

MICU, SICU, CICU

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All Content by icuRNmaggie

  1. icuRNmaggie

    Do you chart lies?

    icuRNmaggie replied to RNdynamic's topic in General Nursing

    The CIWA is a guideline for potential alcohol withdrawal and not a substitute for clinical
  2. icuRNmaggie

    Difficult family (Long)

    icuRNmaggie replied to BostonBSN's topic in MICU, SICU

    Take your charge nurse and security and ask them to step out. If they refuse call the police. They are endangering your patient by interfering with care. Have housekeeping remove all but two...
  3. icuRNmaggie

    Difficult family (Long)

    icuRNmaggie replied to BostonBSN's topic in MICU, SICU

    This is what we call a twelve hour patient. Everyone has to take their
  4. icuRNmaggie

    Do you chart lies?

    icuRNmaggie replied to RNdynamic's topic in General Nursing

    It doesn't sound good to awaken a sedated DTs patient either. It sounds dangerous and unnecessary. We will have to agree to
  5. icuRNmaggie

    Nurse files lawsuit over firing

    icuRNmaggie replied to RNIBCLC's topic in General Nursing

    It is if the ER staff remove the pacemaker generator and cables and the patient
  6. icuRNmaggie

    Do you chart lies?

    icuRNmaggie replied to RNdynamic's topic in General Nursing

    I leave those areas blank so I am not charting lies. I back it up with my hourly note. There is a lot you can eyeball in a sleeping or sedated person. What matters is that they are safe, the...
  7. icuRNmaggie

    Nurse files lawsuit over firing

    icuRNmaggie replied to RNIBCLC's topic in General Nursing

    I have never known of a community hospital ER to float a transvenous pacemaker. The patient needed ICU management and it would be an EMTALA violation to send him to another ER. By Federal law...
  8. icuRNmaggie

    Do you chart lies?

    icuRNmaggie replied to RNdynamic's topic in General Nursing

    ICU nurses are supposed to document a full assessment every 4 hours. Now am I really going to check peripheral pulses, mental and emotional status on a sleeping stable patient at midnight, no. I...
  9. icuRNmaggie

    Nurse files lawsuit over firing

    icuRNmaggie replied to RNIBCLC's topic in General Nursing

    If the pt was a transfer from a community hospital, why did they even stop in the ER, he should have had a bed number and been admitted directly to CCU, otherwise, no bed or accepting doctor...
  10. icuRNmaggie

    Difficult family (Long)

    icuRNmaggie replied to BostonBSN's topic in MICU, SICU

    I am sorry that this happened to you. This is not your fault. They should not be allowed to take their anger out on you, call you names, make you uncomfortable and obstruct nursing care. I...
  11. icuRNmaggie

    Best Type of Watch for Clinical Sites?

    icuRNmaggie replied to SweetSouthernLove's topic in General Students

    A Victorinox Swiss watch is a great investment. The walmart or timex type watches are not waterproof and they don't last long at
  12. icuRNmaggie

    Nurse files lawsuit over firing

    icuRNmaggie replied to RNIBCLC's topic in General Nursing

    If I am reading this correctly and if the patient had a single wire transvenous pacemaker, then this nurse acted way outside of her scope by trying to McGuyver it to work. The ER nurse and ER...
  13. icuRNmaggie

    So Frustrated I Could Cry..

    icuRNmaggie replied to NurseQT's topic in General Nursing

    to NurseQT, listen. When you are 75 and in the nursing home, that manager isn't going to come visit on Sunday and it wont matter a hill of beans that you called out sick at this crappy job in 2014....
  14. icuRNmaggie

    Why can't we tell pts/families we're understaffed?

    icuRNmaggie replied to delphine22's topic in Nursing Professionalism

    I was just speaking from my perspective as an ICU nurse. My comment was not directed at anyone or meant to sound like an insult. I agree with toomuchbaloney, in fact I am sure that the lack of...
  15. icuRNmaggie

    Why can't we tell pts/families we're understaffed?

    icuRNmaggie replied to delphine22's topic in Nursing Professionalism

    I agree with wooh. The root cause is almost always understaffing or unqualified staff. Negligence and malpractice are not as common. The cost of settling lawsuits out of court is factored into the...
  16. icuRNmaggie

    I asked one simple question...

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

    to TLCfromSC, Since you are confident in your abilities, and the coworker wants to one up you instead of try to learn something, every time that she tries to school you on something insignificant I...
  17. icuRNmaggie

    Why can't we tell pts/families we're understaffed?

    icuRNmaggie replied to delphine22's topic in Nursing Professionalism

    I want my patients to feel safe and it is inappropriate to mention staffing concerns to people who are already unstable, anxious, sick and scared. I do not want to put any added stress on them by...
  18. icuRNmaggie

    You Guessed It! Coworker Probs...

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

    It is impossible to change a management culture like the OP has described. The charge people were most likely picked based on favoritism not ability other than their lack of ethics and morals and...
  19. icuRNmaggie

    You Guessed It! Coworker Probs...

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

    to nursing mamacita, (Off topic, sorry, ) Please tell me what monitoring system ( Phillips Spacelabs Nihon Maquette GE etc) has a function to cycle the NIBP from the central monitor. Thanks a lot!...
  20. icuRNmaggie

    Honesty is NOT the best policy...

    icuRNmaggie replied to Nurse J1112's topic in Nursing Professionalism

    If the facility is a Fortune 500 company such as Kindred, Tenet, HCA, CHS and kaiser that means that you will be sacrificing people for profits. I will not be complicit in that kind of
  21. icuRNmaggie

    Advice in getting your next travel assignment?

    icuRNmaggie replied to Macreel's topic in Travel

    It is concerning to think about people tracking my movements. I am a lot more careful now about giving out my personal
  22. icuRNmaggie

    Advice for well, not a brand new nurse... but

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

    Volunteer to go to ICU when they are short. They will be sizing you up. We are always looking for people who have it, whatever it is. If a person from another unit helps us out I will send an...
  23. icuRNmaggie

    Common nicknames for hospital items.

    icuRNmaggie replied to LifesAJourney's topic in Nursing Humor

    He needs to do a little dance with Hal and Lora (DTs needs haldol and
  24. icuRNmaggie

    So Frustrated I Could Cry..

    icuRNmaggie replied to NurseQT's topic in General Nursing

    Best advice right here. In the future, if you have an important event after the schedule is posted, that is a personal day. It is your personal business and you tell no one about those plans....
  25. icuRNmaggie

    is this abuse by management

    icuRNmaggie replied to Hope1001's topic in NICU, Neonatal

    This angers me. It is unnecessary and degrading to be told to bare all and pose with your arms in the air. I also would be lining up another