Virgo_RN BSN, RN

Cardiac Telemetry, ED

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All Content by Virgo_RN

  1. Virgo_RN

    Lovenox question.

    Virgo_RN replied to LuVnLpN08's topic in General Nursing

    "As a nurse, I just wouldn't do it" is not a rationale for not giving the ordered dose of this medication. The patient needed 80mg. There is absolutely no reason not to give two 40mg
  2. Virgo_RN

    Forgetting to write an order

    Virgo_RN replied to tolerantgirl's topic in General Nursing

    I would wait and see. If a discrepancy was created, you will be asked about it, as the person who removed and administered the drug. If you are asked about it, simply state the basic facts (do not...
  3. Virgo_RN

    Do you push Fentanyl on the floor?

    Virgo_RN replied to General E. Speaking, RN's topic in General Nursing

    I usually push it in the
  4. Virgo_RN

    Do you push Fentanyl on the floor?

    Virgo_RN replied to General E. Speaking, RN's topic in General Nursing

    Of course. Why wouldn't
  5. Virgo_RN

    Why????????

    Virgo_RN posted a topic in General Nursing

    Leslie, Suesquatch, anyone else who might know the answer to this: Background: I receive an elderly patient in the ED coming via EMS from an LTC facility for "failure to thrive". One look at him,...
  6. Virgo_RN

    Why????????

    Virgo_RN replied to Virgo_RN's topic in General Nursing

    Leslie, I included you because you seem to know a lot about end of life care. EOL care has a special place in my heart. I feel very strongly about it. I've considered hospice some day, but for now...
  7. Virgo_RN

    Why????????

    Virgo_RN replied to Virgo_RN's topic in General Nursing

    yes, i know dnr does not mean "do not treat". this person had a polst which designated him as comfort measures only, not to be transported to the hospital for any life sustaining measures, no...
  8. Virgo_RN

    Ordering labs and images in triage

    Virgo_RN replied to whichone'spink's topic in Emergency

    Same here. If patients are flowing through quickly, everything is turfed to the bedside nurse. If it may be a while before the patient gets back, then the triage nurse might get some things
  9. Virgo_RN

    Having another nurse check insulin doses & other med Qs

    Virgo_RN replied to Plagueis's topic in General Nursing

    We are required at my facility to have a second nurse verify insulin, but they don't actually sign anything, thank
  10. Virgo_RN

    Why????????

    Virgo_RN replied to Virgo_RN's topic in General Nursing

    The patient had a POLST, which I did have a copy of. It stated "Comfort Measures Only" and "Patient prefers no transfer to hospital for life sustaining treatment". The family was not involved in the...
  11. Virgo_RN

    Why????????

    Virgo_RN replied to Virgo_RN's topic in General Nursing

    Usually though, the medics know if family has been called and whether they are en route. The answers they got from staff were so vague, they were as much in the dark as I was. Since it was shift...
  12. Virgo_RN

    CNA's and Fire Power

    Virgo_RN replied to newtress's topic in General Nursing

    I've seen the damage a disgruntled CNA can do to a competent, professional nurse. While I agree that in some cases, a CNA's complaint can be the straw the broke the camel's back, I would also advise...
  13. Virgo_RN

    a matter of terminology

    Virgo_RN replied to sunnycalifRN's topic in General Nursing

    CNO=Chief Nursing
  14. Virgo_RN

    Chest Wall Rigidity and Morphine

    Virgo_RN posted a topic in Emergency

    So, the other day I pushed 4mg MS IV undiluted over about 2 minutes. The pt. c/o tightness/heaviness in the chest, and increased work of breathing. Does this sound like an example of chest wall...
  15. Virgo_RN

    Drug seekers: where's the compassion?

    Virgo_RN replied to Born2BWild's topic in General Nursing

    Yes, I have. It didn't ruin my
  16. Virgo_RN

    Drug seekers: where's the compassion?

    Virgo_RN replied to Born2BWild's topic in General Nursing

    Leslie, Some of the docs are very good at drawing the line. They will tell the patient exactly what they are willing to give, and what they are not going to do. They base what they prescribe on the...
  17. Virgo_RN

    Drug seekers: where's the compassion?

    Virgo_RN replied to Born2BWild's topic in General Nursing

    This patient is not a drug seeker. And yes, obviously we prioritize. However, the drug seeker is selfish and does not care about anyone else. They will monopolize your time, and if you try to...
  18. Virgo_RN

    Giving Digoxin with an Amiodarone drip and HR of 48

    Virgo_RN replied to Ceteris Paribus's topic in General Nursing

    I'm guessing that the doctor wanted to digitize for the purpose of increasing the force of contraction, not to slow conduction. The cardiologist probably thought it was pretty important that this...
  19. Virgo_RN

    Drug seekers: where's the compassion?

    Virgo_RN replied to Born2BWild's topic in General Nursing

    ...or, reaching for the IV to remove it since the patient's been discharged with a negative workup, and all of a sudden, "Oh, my chest pain is sooooo bad! I haven't gotten anything at all for the...
  20. Virgo_RN

    Drug seekers: where's the compassion?

    Virgo_RN replied to Born2BWild's topic in General Nursing

    Drug seekers can be frustrating because of the amount of time and resources they divert from the person in the next room who is seriously ill or even dying. I have literally had one patient with...
  21. Virgo_RN

    Drug seekers: where's the compassion?

    Virgo_RN replied to Born2BWild's topic in General Nursing

    This doesn't sound like a drug seeker to
  22. Virgo_RN

    Facebook and HIPPA

    Virgo_RN replied to kdot2003's topic in General Nursing

  23. Virgo_RN

    Facebook and HIPPA

    Virgo_RN replied to kdot2003's topic in General Nursing

    I'm not really an expert on HIPAA, so I'm not sure if the posts described in the OP fall under the Privacy Rule. Certainly, if it is a small community, even without specific identifiers, it's...
  24. Virgo_RN

    Feel like throwin' in the towel!

    Virgo_RN replied to ljb2584's topic in General Nursing

    The ratio on my old floor was 4 patients, 9 for the CNAs. We had a ward clerk and a monitor tech, unit based lab satellite and pharmacist. We still had a huge morale problem among the nurses due to...
  25. Virgo_RN

    If it's such a horrible job, why not quit?

    Virgo_RN replied to sunnycalifRN's topic in General Nursing

    Nursing is not a horrible job. Aspects of nursing are horrible. You get that with any job. If everyone in the world who was unhappy about the horrible aspects of their job were to quit, we would...