Virgo_RN BSN, RN

Cardiac Telemetry, ED

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All Content by Virgo_RN

  1. Virgo_RN

    Time for a Title Change

    I'm with the majority on this one; I don't think we're so much in need of a title change as a change in the public's perception of our role within the health care team. I am so proud of what I do,...
  2. Virgo_RN

    A&O - orientated or oriented?

    Oriented.
  3. That is incorrect. I would use a different study guide, were I
  4. My BSN coworkers haven't found their BSN to be that much of an advantage in the workplace, other than earning an extra buck an hour. You can do that by getting additional certifications for a couple...
  5. Virgo_RN

    Afib question

    Not really. I used to work on a cardiac floor and we took patients like this all the time. Now I'm in the ED and I don't know
  6. Virgo_RN

    Afib question

    Thank you for the new info. It really does sound like this patient is teetering on the brink. There are only 2 cardioselective CCBs that I am aware of, Verapamil and Cardizem. These will not...
  7. I would think it would be A....what did they say the answer
  8. Virgo_RN

    Afib question

    Can't edit, so I'll just add that signs and symptoms related to AF that I would expect to see would include acute changes in LOC, dizziness, hypotension, palpitations, diaphoresis, pallor, worsening...
  9. Virgo_RN

    Afib question

    It sounded more like paroxysmal AF, because the episodes of AF were self limiting, and the person was in NSR the rest of the time. Persistent would be if the pt. were in AF all the time. An 81yo...
  10. Virgo_RN

    How do you know if you are ER material?

    ....until your kids are adults. My kids are in their early 20s. I see them in the patients in that age group. But I still love the
  11. Virgo_RN

    Help! How do I sign my name??

    While the BS is in premed, it is not a nursing credential. I would leave it off. My previous AAS helped me tremendously (and continues to do so) in my nursing path, but I think it would be silly to...
  12. Virgo_RN

    So, who is working for the holiday?

    Enjoy!
  13. Virgo_RN

    Orienting New Grad advice

    this is fair. she probably didn't want to hold you up. again, fair. she probably didn't want to hold you up. she can get started on the assessment and you can catch up. if she didn't do a pain...
  14. Virgo_RN

    So, who is working for the holiday?

    Me too! I'm working Christmas day, 2nd
  15. Virgo_RN

    Afib question

    That's because you don't put someone who is in NSR on a Cardizem
  16. Virgo_RN

    Death of the Physical Assessment

    Why would the doctor question a HR of 68? When listening to your heart sounds, the doctor might have noticed the rate was elevated (and thus, not the 68 reported by the MA), but in the absence of any...
  17. Virgo_RN

    Ever burned a bridge?

    No. I have not and will
  18. Virgo_RN

    Afib question

    Edited to add: I agree with a previous poster that this patient has bought himself a tele
  19. Virgo_RN

    Afib question

    For Paroxysmal A-Fib (AF that self terminates) in an asymptomatic patient, the doctor isn't likely to "do" anything. It really is sort of a "watch and wait" kind of thing. I'm guessing that this...
  20. Virgo_RN

    Legal requirements for your initials in the chart

    I think that if the nurse is consistent in the use of "S" as her initial, and it is easily recognized as hers, then it should be fine. After all, your legal signature doesn't even have to be legible....
  21. If you have a fever, you should stay home. But when you have a respiratory virus, you will cough for days or even weeks afterward, and it would be a little excessive to call in for that, IMO. In an...
  22. Virgo_RN

    Chest Wall Rigidity and Morphine

    I've only seen that once, proximal to the IV
  23. Virgo_RN

    Struggling as a Nurse Aide

    It sounds to me like you are approaching this with a lot of maturity and insight, and because of that, I think you will only be successful. It does sound like you have a lot on your plate as an aide,...
  24. Virgo_RN

    Death of the Physical Assessment

    No, that part is concerning. I'm not sure what to make of it. Did the MA use a pulse ox to get the pulse rate, or did they palpate an artery and count? I think it's okay for a GI specialist who...
  25. Virgo_RN

    Chest Wall Rigidity and Morphine

    Thanks. I have seen this reaction very little in my time on the floor, as I tended to give only 2mg at a time, diluted, and often into running IVF. Now that I'm in the ED, 4mg is the typical dose,...