Virgo_RN BSN, RN

Cardiac Telemetry, ED

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All Content by Virgo_RN

  1. Patient neglect, such as failing to provide hygiene and failing to protect the patient from harm (by neglecting to put the tab alarm on, for example) would be Incident
  2. Virgo_RN

    Do you give your 10 AM meds at 8 AM?

    We don't scan meds, but our MAR is electronic. I always document the actual time I give the med, in case anything happens. If, for instance, there is a question about an adverse reaction a patient...
  3. Virgo_RN

    Patients on the telephone

    If there are other things I could do, I just leave them and go do those other things and check back in later. If I really need them off the phone, I will stand there with my supplies/meds in my hands...
  4. Virgo_RN

    So what do you do again?!?!?!

    A BP of 48/36 is 911
  5. Jo Dirt, I believe what you are experiencing is a regional cultural phenomenon, and I agree that you should keep your atheism to yourself, unless you are ready to move on. They don't call it the...
  6. Virgo_RN

    So what do you do again?!?!?!

    36/48 must be a typo. My understanding is that you stop perfusing vital organs when the MAP drops below
  7. It's the least of my
  8. Virgo_RN

    Do you give your 10 AM meds at 8 AM?

    Depends on the meds. Daily or BID meds, yes, I would. But Q4-6 hr. meds I would give as close to their scheduled times as possible, in order to keep the levels of the drug in the bloodstream at a...
  9. Virgo_RN

    med/tele orientee needs help with critical labs

    Our lab won't call for a minor elevation, but will call for anything above 4, I believe. Usually though, it's an expected finding so the nurse simply checks the "expected finding" box and puts a...
  10. Virgo_RN

    Medical Marijuana?

    One does not become "certified" to practice nursing. One becomes a Registered Nurse through "licensure". You will have to check with your state's Board of Nursing to determine the answer to your...
  11. I work in acute care and don't have time to check after the CNAs. It is so fast paced that I barely have time to do what I need to do, let alone make sure they are doing what they need to do. Also,...
  12. Virgo_RN

    assertiveness/confidence?

    I'm a shy person, and faking it works very well for me. I took the idea from the practice of mindfulness meditation. In mindfulness meditation, when you put a half smile on your face, regardless of...
  13. Virgo_RN

    assertiveness/confidence?

    Fake it til you make it. Behave as if you are confident, and confidence will
  14. Virgo_RN

    strange morphine reaction !!!

    I've seen this exact set of s/s in a person have a reaction to contrast. The pt. was hypertensive, tachycardic, hyperthermic, and was hallucinating. Solumedrol, dihpenhydramine and APAP took care of...
  15. I respect the privacy of former patients or their family members by not engaging in conversation unless they initiate it. As far as alcohol is concerned, alcohol is not illegal and it's my own...
  16. Virgo_RN

    ethical question

    The first time you flushed her IV, you should have explained to her what you were going to do prior to doing it. Having overlooked this, her misperception that you gave her medication that helped her...
  17. Virgo_RN

    Pulses

    Lack of pulse is a/w impaired arterial blood flow. A clot or fat embolus would not travel from one leg to another. I would suspect injury to the LLE that initially went undiagnosed. How did the R...
  18. Virgo_RN

    Can someone please tell me exaclty what RN's do?

    The question is, what is it that RNs *don't*
  19. Virgo_RN

    Have you read "Nursing Against the Odds"?

    I haven't read it, but I would like to. Truthfully, I get clobbered on a regular basis by patient assignments that are far too high acuity for one nurse to handle, have to fight for my meal breaks,...
  20. Virgo_RN

    Creatures with curative powers

    Don't forget salmon
  21. Virgo_RN

    How do you know when a pt. is actively dying?

    Leslie's description is very
  22. I am not sure of the policy where I work, but I can't even take cold medicine before work. It makes me too loopy. I can't imagine what a narcotic or benzo would do to
  23. Virgo_RN

    Things Change, People Change ;=)

    People can change their behavior on a dime. I've received report on difficult patients only to have them be very pleasant, and I've reported off on pleasant patients that have turned into nightmares....
  24. Virgo_RN

    med/tele orientee needs help with critical labs

    If the patient was asymptomatic and the trops were WNL throughout your shift, what exactly are you taking responsibility
  25. Virgo_RN

    Hep C exposure?