Virgo_RN BSN, RN

Cardiac Telemetry, ED

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All Content by Virgo_RN

  1. Virgo_RN

    When you take over a patient assignment....

    Virgo_RN replied to Virgo_RN's topic in Emergency

    I forgot about IV infiltrations. We're supposed to IR those too. And skin
  2. Virgo_RN

    Such a thing as a "travel" cna?

    Virgo_RN replied to northmississippi's topic in General Nursing

    I've known CNAs to do agency work, but it's usually local/regional, and for shift fill-in, not extended
  3. Virgo_RN

    Calling out the pts name in the waiting room...HIPAA?

    Virgo_RN replied to TeresaEDRN06's topic in Emergency

    Sorry, off topic.... Once, when I was quite young, I was waiting at a hospital pharmacy to pick up my script. The person behind the window called out my name, and the name of the medication and what...
  4. Virgo_RN

    Calling out the pts name in the waiting room...HIPAA?

    Virgo_RN replied to TeresaEDRN06's topic in Emergency

    When I go to get a patient from the lobby, I call their first name
  5. Virgo_RN

    advice please

    Virgo_RN replied to Tarabara's topic in General Nursing

    People can be hostile and uncooperative for a variety of reasons ranging from basic personality traits to disease process. For me, I have found the most effective way to gain trust and get around...
  6. Virgo_RN

    When you take over a patient assignment....

    Virgo_RN replied to Virgo_RN's topic in Emergency

    A diltiazem drip on a patient with new onset A-Fib, not started for two hours after the doctor wrote the order IS an incident, IMO. So is a CXR on a septic patient that was never ordered, and not...
  7. Virgo_RN

    No Sugar Tonight (Da-un-do-dow dow da-un-do-dow)

    Virgo_RN replied to Penelope_Pitstop's topic in General Nursing

    Sorry. I had just gotten home from work, and when I'm tired, I tent to keep my posts brief. What I was wondering was, were there not any orders in place for the previous nurse? It sounds like there...
  8. Virgo_RN

    No Sugar Tonight (Da-un-do-dow dow da-un-do-dow)

    Virgo_RN replied to Penelope_Pitstop's topic in General Nursing

    Does your facility not have some sort of insulin protocol for diabetic
  9. Virgo_RN

    When you take over a patient assignment....

    Virgo_RN replied to Virgo_RN's topic in Emergency

    I dunno...I've seen actual procedural changes implemented as a result of IRs, and I've never seen anyone disciplined/fired over one. We are reminded that the IR system is for the purpose of process...
  10. Virgo_RN

    When did you become competent with starting an IV and blood draws

    Virgo_RN replied to Blackheartednurse's topic in General Nursing

    I worked for 2 years on an inpatient unit and never really felt competent at IVs since ours only needed to be changed Q72 hours or when site condition warranted. I was able to get them on nice plump...
  11. Virgo_RN

    Fine line between 'education' and "preachiness"

    Virgo_RN replied to Btrfli BSN-LMT's topic in Emergency

    I agree that there is a general lack of accountability for personal health behaviors, but I think there is also a tremendous lack of knowledge as well. Counseling a 30 something man on bland diet (for...
  12. Virgo_RN

    need tips for easier NG placement

    Virgo_RN replied to kadell's topic in Emergency

    Sometimes it needs to be more rigid to go through the
  13. Virgo_RN

    Charting every 2 hours?

    Virgo_RN replied to UMBstudent's topic in Emergency

    Q1hr narrative note, Q2hr vitals on stable
  14. Virgo_RN

    Drug-Seekers

    Virgo_RN replied to inteRN's topic in Emergency

    Again, such posts admonishing ED RNs to reserve judgment do not add perspective to the discussion. I almost chose "you don't have a horse in this race", but went with the dog analogy. It's a figure...
  15. Virgo_RN

    The Golden Hour

    Virgo_RN replied to GilaRRT's topic in Emergency

    Interesting.
  16. Virgo_RN

    Drug-Seekers

    Virgo_RN replied to inteRN's topic in Emergency

    No, you didn't. You posted a "poor me, they thought I was a drug seeker" story, the type of which we have seen ad nauseum any time the topic of drug seekers in the ED comes up. These types of posts...
  17. Virgo_RN

    Drug-Seekers

    Virgo_RN replied to inteRN's topic in Emergency

    Unfortunately, the subjective nature of pain makes it especially tricky to treat appropriately at times. We cannot just snow every person who comes in with pain with narcotics. And, when it comes to...
  18. Virgo_RN

    Drug-Seekers

    Virgo_RN replied to inteRN's topic in Emergency

    No. It's because in the context of this discussion, it is a red
  19. Virgo_RN

    Drug-Seekers

    Virgo_RN replied to inteRN's topic in Emergency

    tewdles, I am sorry about the unfortunate experience of your patient with metastatic cancer. Blaming is a part of dealing with such a devastating diagnosis, and I have no doubts that he blames health...
  20. Virgo_RN

    Drug-Seekers

    Virgo_RN replied to inteRN's topic in Emergency

    The thing is, any nurse with half a brain knows this. These types of "reminders" are
  21. Virgo_RN

    Drug-Seekers

    Virgo_RN replied to inteRN's topic in Emergency

    I'm sorry that was your experience, but you are also making an assumption that those of us who have an opinion on the very real issue of inappropriate use of the ED behave in a less than professional...
  22. Virgo_RN

    Drug-Seekers

    Virgo_RN replied to inteRN's topic in Emergency

    How *dare* you question my compassion? Ask the patient who is dying of cancer and in my ED for pain control. Ask the little boy with acute appendicitis. Ask the little old lady with the broken hip....
  23. Virgo_RN

    Drug-Seekers

    Virgo_RN replied to inteRN's topic in Emergency

    I could not agree with this more. Sometimes, being the patient advocate means saying no. No, you can't have anything to eat or drink. I know the morphine is giving you cotton mouth, but you need...
  24. Virgo_RN

    When you take over a patient assignment....

    Virgo_RN replied to Virgo_RN's topic in Emergency

    Our handoffs consist of a verbal report and include what has been done and what still needs to be done. In this instance, there was no mention of the diltiazem gtt order, even though it had been...
  25. Virgo_RN

    Drug-Seekers

    Virgo_RN replied to inteRN's topic in Emergency

    Alcohol withdrawal can kill a person. Opiate withdrawal is rarely fatal. We have a lot of patients with chronic pain who have medication agreements on file. This is a contract that specifies what...