icuRNmaggie BSN, RN

MICU, SICU, CICU

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All Content by icuRNmaggie

  1. icuRNmaggie

    Anatomy homework help. Need a nurses opinion!

    icuRNmaggie replied to ashleylea's topic in Pre-Nursing Students

    "His mouth is dry dry dry and the pee on that floor is sticky like molasses. His blood is concentrated meaning the osmolarity is high. He needs a normal body concentration iv solution given carefully...
  2. icuRNmaggie

    Anatomy homework help. Need a nurses opinion!

    icuRNmaggie replied to ashleylea's topic in Pre-Nursing Students

    The boy is dry as a dog biscuit as they say due to polyuria. The altered mental status tachycardia and hypotension are all due to dehydration. Tell me what HHNK stands for and what causes
  3. icuRNmaggie

    Looking For Advice

    icuRNmaggie replied to kl616's topic in General Nursing

    Maybe you would enjoy another avenue with regular hours such as music therapy,child life specialist, activity therapist in LTC or occupational
  4. icuRNmaggie

    Pulse ox reading poorly

    icuRNmaggie replied to tsm007's topic in General Nursing

    Clean the led sensors with dry gauze. A lot of finger grease can build up in there. If there is a cord, it can fracture just like your iphone charger so it may need to be replaced. Rub the finger to...
  5. icuRNmaggie

    Pulse ox reading poorly

    icuRNmaggie replied to tsm007's topic in General Nursing

    Cold hands, weak pulses, drop in urine output, loss of the Sp02 reading, and a subtle change in mentation are ominous signs of poor perfusion and impending shock. Check the feet and legs for...
  6. icuRNmaggie

    Why are the floor nurses so unwilling to teach?

    icuRNmaggie replied to 2bnursebeckky's topic in General Students

    Correct. Totally different models and different methodologies as has been explained ad nauseum. For example, in the critical care areas, if you are doing your job, you will rarely have a Cardiac...
  7. icuRNmaggie

    What nurse life-hacks do you have to offer?

    icuRNmaggie replied to Purple_roses's topic in Nurses Rock

    The pleth or Sp02 waveform will increase vertically when you give an IV fluid bolus or blood products if your patient is volume responsive. This isn't EBP but it is reassuring to see when you are...
  8. icuRNmaggie

    Clinical tidbits I wish someone would've told me.

    icuRNmaggie replied to Mully's topic in MICU, SICU

    The plethismogram or Sp02 wave form is also a means to informally assess fluid responsiveness if you dont have an ultrasound to look at the IVC or a Lidco for SVV. The pleth will increase vertically...
  9. icuRNmaggie

    Meds in unlabeled bags... Is it safe?

    icuRNmaggie replied to BiohazardBetty's topic in Patient Medications

    Does he withdraw any of these meds from the pyxis? How are patients credited for unused meds if they are not labeled with a pharmacy label? Have there been any "missing
  10. icuRNmaggie

    Clinicals - What Not to Do?

    icuRNmaggie replied to meganec17's topic in General Students

    A bright, energetic, well mannered, and prepared student is always going to be welcome. You should have been given some basic information about your assignment the day before in order to understand...
  11. icuRNmaggie

    Sorry-help again..

    icuRNmaggie replied to RN_TOBE's topic in Nursing Student Assistance

    20u per ml 900u/hr=18
  12. icuRNmaggie

    Why are the floor nurses so unwilling to teach?

    icuRNmaggie replied to 2bnursebeckky's topic in General Students

    I am quite certain that a military paramedic field training officer would not tolerate a self-important ungrateful attitude in a trainee. Neither will we. Just teaching skills to students all day...
  13. icuRNmaggie

    New Graduate RN having preceptor commucation problems

    icuRNmaggie replied to Kaytayxx's topic in General Nursing

    People like your preceptor do not know how to cope when their world is falling apart. They over react to every little thing. Work might be her refuge. I would be inclined to give her the benefit of...
  14. icuRNmaggie

    If you had a reset button, would you choose nursing again?

    icuRNmaggie replied to amazingme's topic in General Nursing

    No. I wish that I had become an attorney for the ACLU or another civil rights organization or an immigration law
  15. icuRNmaggie

    best long steeve tshirts to wear under scrubs?

    icuRNmaggie replied to Lexilou08's topic in Scrubs, Uniforms, Gear

    Target also has nice long sleeve t-shirts. I have some from Columbia Sportswear that are just the right weight for under a scrub
  16. icuRNmaggie

    narrative documentation and use of "this nurse"

    icuRNmaggie replied to anon456's topic in General Nursing

    https://allnurses.com/general-nursing-discussion/notes-in-3rd-997043.html Here is a very good discussion about all of this. Personally I find it very annoying when people refer to themselves in the...
  17. icuRNmaggie

    Interview for Transitional ICU Position

    icuRNmaggie replied to OrganizedChaos's topic in Critical Care

    Fingers
  18. icuRNmaggie

    New Graduate RN having preceptor commucation problems

    icuRNmaggie replied to Kaytayxx's topic in General Nursing

    When you have a private moment say " tell me what I am doing wrong." You say: "ok it won't happen again." You are the rookie. She is the teacher. She says jump, you say how high. Don't lollygag...
  19. icuRNmaggie

    HELP.Giving magnesium sulfate T.I.M

    icuRNmaggie replied to ArwenRivendell's topic in Patient Medications

    IM mag is given deep im in ventrogluteal and it works A drop of blood is not significant. You gave a med to treat hypomagnesia and it may have saved her from developing a life threatening arrythmia...
  20. icuRNmaggie

    CCRN Today!!!

    icuRNmaggie replied to OhioCCRN's topic in Critical Care

  21. icuRNmaggie

    Clinicals - What Not to Do?

    icuRNmaggie replied to meganec17's topic in General Students

    Be early or at least on time, and take notes because you WILL be giving report. Take your adderal. Put away that cell phone. Do watch the monitor. Never ignore any alarm of any kind. I want to see...
  22. icuRNmaggie

    Why don't you just read the chart?

    icuRNmaggie replied to Guest219794's topic in Patient, Colleague Relations

    I remember a time when delivering a resp. pt in distress to M/S or transporting a very unstable pt to CCU (as in ready to code) was considered reckless and grounds for dismissal. Not anymore; now...
  23. icuRNmaggie

    Interview for Transitional ICU Position

    icuRNmaggie replied to OrganizedChaos's topic in Critical Care

    It's hard to say if the ratio is unsafe without knowing the acuity or admission criteria. Transitional ICU could mean anything. I am picturing an IMC or PCU with stable bipap, controlled afib,...
  24. icuRNmaggie

    Interview for Transitional ICU Position

    icuRNmaggie replied to OrganizedChaos's topic in Critical Care

    The ratio 4 to 5 is doable if these gtts are non titratable such as lasix, amiodarone protocol, or integrelin, Angiomax, post heart cath etc. I am guessing that your unit has stable stepdown...
  25. icuRNmaggie

    Anyone See Blosson Brown on the I am Cait show?

    icuRNmaggie replied to Riawahine's topic in General Nursing

    Report ranks state schools' performance 51st in the nation - Mississippi Business Journal She may not have been well prepared for a BSN program because Mississippi ranks 51st in public education