Virgo_RN BSN, RN

Cardiac Telemetry, ED

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All Content by Virgo_RN

  1. You see this telephone I'm holding up to my ear? I'm not just chit chatting with my BFF! The person on the other end is the physician for my patient who just went into SVT and is not tolerating it....
  2. Don't talk to me. Just because I am sitting behind a desk and wearing scrubs does not mean I know who your Mom is, where her room is, how she's doing, and whether she can have a pain pill. Now
  3. Virgo_RN

    Question about PRN Ativan...

    I'd give
  4. Virgo_RN

    Any tele nurses???...need reassurance please!

    No, I have never had a pt. c/o pain c PVCs. Most pt.s I have c PVCs typically don't even notice them. My first thought, were I the RN caring for him, would be to sit down and have a friendly...
  5. Virgo_RN

    Nursing - changing me for the worse

    the patients get icu-itis too. they are so used to having their nurse right there all the time, that when they come to the floor, they expect the same level of care, which it is not possible to give...
  6. Uh, gee, I've never taken care of any grumpy old curmudgeons before. I don't think I can handle Daddy...NOT! Truth be told, once you are gone, me and Daddy will get along just fine. Curmudgeons...
  7. Don't let the door hit you on the @$$ on your way
  8. Virgo_RN

    Nursing - changing me for the worse

    I have not worked in an ICU, so I cannot speak to that aspect of things. But, keep in mind that my stable pneumonia patients are typically my easy ones, and I usually only have one of those, who...
  9. Virgo_RN

    Need advice,Problem CNA

    It sounds like your spouse is actually the name given as the health care proxy. As such, your spouse needs to call the agency and discuss these
  10. Virgo_RN

    URGENT: I need help about caffeine

    Probably an off label use, sounds
  11. Virgo_RN

    "Staff according to acuity"

    I've been told that our charge nurses take acuity into account when making assignments, but from what I've seen, they're just doing their best to cover the floor with the nurses that staffing sends...
  12. For the 3,654,255th time, no. No, your Granny cannot have chicken broth. It's too high in sodium and she has CHF. No, we do not have low sodium chicken broth. Now sit down and be quiet and let me...
  13. Virgo_RN

    URGENT: I need help about caffeine

    Apparently caffeine citrate is indicated for apnea in preterm
  14. No, I do not have a cup of ice. I don't make a habit of walking around with cups of ice in my pockets. There is ice in the cafeteria. Go help yourself. You look like you could use the exercise....
  15. Virgo_RN

    URGENT: I need help about caffeine

    I would sincerely hope that you would not administer this drug based upon responses to a question on an internet bulletin board. Do you not have a pharmacist you can ask? A physician? A drug guide?...
  16. Virgo_RN

    Need advice,Problem CNA

    Wrong. Your MIL has the right, as long as she is of sound mind, to decide what health care information you are privy to. Just because she is your MIL does not entitle you to know her private health...
  17. Virgo_RN

    k..disimpaction?

    We need an MD's order to disimpact, but this situation does sound appropriate to obtain such an
  18. Virgo_RN

    question for those of you who take melatonin

    Yes, melatonin does have side effects and adverse effects, interacts with other medications, and can cause reduction of natural hormone production. As far as I know it is not addictive, but if your...
  19. Virgo_RN

    did i do the right thing?

    I would have done the same as
  20. Virgo_RN

    Need advice,Problem CNA

    Is this CNA working through and agency, or is she private duty? If she is working through an agency, there must be a written plan of care. You and your spouse do not have the right to see this plan...
  21. Virgo_RN

    Need advice,Problem CNA

    You're barking up the wrong tree. The CNA has nothing to do with prescribing the meds, nor assessing your MIL's response to them. MDs prescribe, RNs assess, and LPNs "collect data". If you have...
  22. Virgo_RN

    CLARIFICATION

    I didn't say it wasn't
  23. Virgo_RN

    CLARIFICATION

    Excuse me. Perhaps I should have stated "Modern"
  24. Virgo_RN

    Time Management or Personal Boundaries?

    I saw a sign recently that I'd like to make into a plaque for every hospital room at my facility: Fast Friendly Service Pick
  25. In cardiac, we start people on beta blockers, ace inhibitors, anticoagulants, and lipid lowering drugs all the time. I do educate my patients on these medications when I know they are new for the...