Virgo_RN BSN, RN

Cardiac Telemetry, ED

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All Content by Virgo_RN

  1. Virgo_RN

    IV lasix, hypotension, ICU

    I know I'm jumping in a little late, but I don't understand how Lasix would cause
  2. Virgo_RN

    Refusal of Potentially Lifesaving Treatment

    I have cared for such a patient, and I'd say perhaps the reason for the "unfortunately" in a case like this is that a blood transfusion is such a simple treatment, especially for someone relatively...
  3. Virgo_RN

    Lovenox and a bleed? grrr

    As per the original post, the patient was prescribed this medication because the risk of DVT was determined by the physician to be greater than the risk of
  4. Virgo_RN

    How do you position a pt who has ICP and is hypotensive?

    I'd have them on their back on a firm surface because it looks like they'll be needing CPR
  5. Virgo_RN

    Lovenox and a bleed? grrr

    Used with caution, yes. Do not use? Not
  6. Virgo_RN

    I guess I'm too HOT to be a nurse.

    I wonder if she was testing you to see if you'd stick up for yourself. Maybe she wanted to see how much of a backbone you had before hiring you to work with this particular patient
  7. Virgo_RN

    Lovenox and a bleed? grrr

    There are risks to every single medication we administer as nurses, and it's the MD's job to weigh the risks vs. the benefits. Just because a study suggests an increased risk does not mean we stop...
  8. Virgo_RN

    VS parameters and antihypertensive meds

  9. Virgo_RN

    VS parameters and antihypertensive meds

    It depends on how long the patient has been on the med and what their VS trend is, if the MD has written any parameters, if the patient is symptomatic,
  10. Virgo_RN

    Cardiac to ED

    After a lot of soul searching, ED here I come! The main reason I'm transferring is because I want to learn some new skills and be a nurse in a different capacity. The secondary reason is the nature...
  11. Virgo_RN

    Broken arm and the emergency room

    I've seen nurses work miracles with tough IV starts. I would never presume to tell the nurse where to poke. The ED nurse in the OP has probably started more IVs than you can shake a stick at....
  12. Virgo_RN

    Nurses I hate to follow ...

    Yes, there are nurses I hate to follow. Every nurse gets slammed once in a while and cannot get everything done. That's the nature of the work. But there are some who consistently leave a lot...
  13. There's a room for that? And here I've been stuffing them in the housekeeping
  14. Virgo_RN

    Med Error Question

    It would depend on a lot of factors, I would think. What was the med? How wrong was the dose? How great was the potential for harm? Did the nurse accept responsibility or make excuses? Does the...
  15. We recently had a pt. that was in and out of torsades for several hours, and was tolerating it just fine. Whenever I'd peek in on her, there she'd be, sitting on the couch chatting with her husband...
  16. Virgo_RN

    I need some nursing knowledge shares please-new nurse

    1. A patient on hemodialysis would be at an increased risk of hemorrhage due to the fact that enoxaparin is renally excreted. However, people with ESRD are at risk for developing DVT, so yes, often...
  17. Virgo_RN

    When patients want to know test results...

    Heck no, I do not tell the patient! That is the doctor's job, and that is what I tell the patient. Now, as mentioned, if it's a lab result that the patient is already educated on, such as the INR for...
  18. Virgo_RN

    giving report to rude nurses

    Many of the night nurses that follow me do not like a long, detailed, in depth report. They just want a quick overview of the highlights, because typically they look everything up for themselves. I...
  19. Virgo_RN

    CLARIFICATION

    Why does the English language use the masculine as an inclusive pronoun? Have you ever studied that history? Fact is, had events long ago simply turned out differently, we could very easily be using...
  20. For me it's the brains coupled with charisma. A person doesn't have to be super good looking to have a certain charm, and if they're smart but not arrogant, that's a huge turn
  21. Gawd, you're
  22. I've been asked to do an exit interview, and I'm curious what others think. They say the exit interview is confidential, and for the purpose of improvement, and that whatever you say can't be held...
  23. Sounds like you're right where I'd expect you to be. You'll get faster with time. Managing a full patient load is not a cakewalk. Anyone new who is not stressed out worries
  24. Virgo_RN

    Patient called me Chubby... LOL

    I think handling it with a sense of humor is probably your best
  25. Fire her. Just fire her. She is not going to improve, and she makes all the nurses miserable. Why don't you just fire her sorry