Virgo_RN BSN, RN

Cardiac Telemetry, ED

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All Content by Virgo_RN

  1. Virgo_RN

    Solutions for Belligerent Patients

    Virgo_RN replied to MikeyBSN's topic in Emergency

    We would probably have a "show of compassion", which means basically all staff who are able (not in the middle of something critical) will come and stand around and watch. The charge nurse would try...
  2. Virgo_RN

    Things you would like the ICU to understand

    Virgo_RN replied to I_LOVE_TRAUMA's topic in Emergency

    Same here. 30 minutes from the time the bed is assigned until the patient is in said bed. Our official policy is that the unit is expected to take patients during shift change. I try to avoid this...
  3. Virgo_RN

    Handling Seekers

    Virgo_RN replied to traveler85's topic in General Nursing

    Nobody likes being manipulated, but you really have to take your own ego out of it. As others have stated, if it is ordered and you can give it safely, then there is no reason to withhold it....
  4. Virgo_RN

    male pts who pull out foleys?

    Virgo_RN replied to erin01's topic in General Nursing

    Self removed foleys can be quite bloody. I've had docs order the next size up, to tamponade the bleeding in the
  5. Virgo_RN

    unbelievable... in today's world

    Virgo_RN replied to ilmbg's topic in General Nursing

    On the other end of the spectrum, I've taken first aid and CPR classes with people that say they would not touch another person without PPE. If they were out in the middle of nowhere and had no...
  6. Virgo_RN

    Anyone had this problem?

    Virgo_RN replied to sunnycalifRN's topic in General Nursing

    We always silenced the pumps when I was a CNA. Another CNA showed me how to do it. I didn't know it was against the rules until I became a nurse. By then, the alarm silencing behavior was so...
  7. Virgo_RN

    Just so tired of blame shifting

    Virgo_RN replied to Scrubby's topic in General Nursing

    I understand where you're coming from. When you questioned her about the strength of the solution, rather than saying something to the effect of "Oh my, why yes, it is full strength! Thank you for...
  8. Virgo_RN

    Feeling bad because I didn't "go with my gut"

    Virgo_RN replied to LuVnLpN08's topic in General Nursing

    Oh dear lord. I don't care enough to get into a ******* match. Have a great
  9. Virgo_RN

    Feeling bad because I didn't "go with my gut"

    Virgo_RN replied to LuVnLpN08's topic in General Nursing

    What you describe is not "prophylaxis". It is "prevention of
  10. Virgo_RN

    Feeling bad because I didn't "go with my gut"

    Virgo_RN replied to LuVnLpN08's topic in General Nursing

    Thank you for spelling "HIPAA" correctly. Spelling it "HIPPA" is one of my absolute pet peeves. Like nails on a
  11. Virgo_RN

    Feeling bad because I didn't "go with my gut"

    Virgo_RN replied to LuVnLpN08's topic in General Nursing

    The hospitalized patient will be on a heparin gtt while the INR becomes therapeutic, but I've frequently seen patients DCd on an anticoagulation bridging protocol, which involves daily trips to the...
  12. Virgo_RN

    Feeling bad because I didn't "go with my gut"

    Virgo_RN replied to LuVnLpN08's topic in General Nursing

    At any rate, the patient in the OP did not need to be put on Coumadin, what they needed was to continue to receive LMWH until ambulatory. Since the facility was not getting reimbursement for the...
  13. Virgo_RN

    Feeling bad because I didn't "go with my gut"

    Virgo_RN replied to LuVnLpN08's topic in General Nursing

    Not exactly. The most common cause of PE is venous thromboembolism, or DVT. Not A-Fib. Virchow's Triad is at work here. The vast majority of clots that form in atrial fibrillation form in the...
  14. Virgo_RN

    Feeling bad because I didn't "go with my gut"

    Virgo_RN replied to LuVnLpN08's topic in General Nursing

    I already stated that it is indicated in high risk patients. It is not first line therapy for DVT prophylaxis in low to moderate risk
  15. Virgo_RN

    Feeling bad because I didn't "go with my gut"

    Virgo_RN replied to LuVnLpN08's topic in General Nursing

    Totally agree with this. I don't think you should beat yourself up over this. Learn from it for your future patients'
  16. Virgo_RN

    Heparin and PICCs

    Virgo_RN replied to babedollRN's topic in General Nursing

    We use Groshong PICCs and Purple Power PICCs. We flush with 10cc NS, pulsatile method. We use a Biopatch disc covered with Tegaderm for the
  17. Virgo_RN

    Walkie Talkie pt. that tanked.

    Virgo_RN replied to KY RN's topic in General Nursing

    So, since the WBC count was normal, I'd expect to see a left shift, or an elevated
  18. Virgo_RN

    SIGH.....You know, it just never fails.

    Virgo_RN replied to AngelfireRN's topic in General Nursing

    It's 54F here. I *wish* it was 20! I've been dying to go snowshoeing or skiing, but it's just wet up in the mountains! My day was pretty uneventful. I had the day off from work. I had a dentist...
  19. Virgo_RN

    Need some words of encouragement

    Virgo_RN replied to nursenancy82's topic in General Nursing

    There isn't a nurse on this planet that hasn't laid awake, tossing and turning, unable to stop the broken record of all their failings and shortcomings as a nurse. It gets better with
  20. Virgo_RN

    Do you know any good EKG books?

    Virgo_RN replied to Blackheartednurse's topic in General Nursing

    I've never read Dubin. I learned my basic arrhythmias in nursing school from my nursing text, had a one day class in rhythm interpretation when I started on the cardiac floor, used websites and PDA...
  21. Virgo_RN

    Walkie Talkie pt. that tanked.

    Virgo_RN replied to KY RN's topic in General Nursing

    It certainly sounds like
  22. Virgo_RN

    Feeling bad because I didn't "go with my gut"

    Virgo_RN replied to LuVnLpN08's topic in General Nursing

    No offense taken. The article backs up my assertion. It states that platelet aggregation inhibitors, such as aspirin (Plavix is not mentioned, but is also in this class), are ineffective in...
  23. Virgo_RN

    Lovenox question.

    Virgo_RN replied to LuVnLpN08's topic in General Nursing

    I've given more doses of LMWH than I can count. Most of my patients never feel it. It's not generally a very painful or traumatic
  24. Virgo_RN

    Feeling bad because I didn't "go with my gut"

    Virgo_RN replied to LuVnLpN08's topic in General Nursing

    Coumadin, Plavix, and ASA are not indicated for DVT
  25. Virgo_RN

    Feeling bad because I didn't "go with my gut"

    Virgo_RN replied to LuVnLpN08's topic in General Nursing

    I'm wondering why they couldn't have switched to tinzaparin, if they were so worried about