Virgo_RN BSN, RN

Cardiac Telemetry, ED

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All Content by Virgo_RN

  1. Virgo_RN

    Possible Pedo patient and underage visitor

    Virgo_RN replied to zoopnever's topic in General Nursing

    I agree that it's important to tread cautiously here. Risk Management does sound like the appropriate course at this
  2. Virgo_RN

    Question about Elevated BNP in the absence of CHF..Help Im new to Cardiac!

    Virgo_RN replied to Sehille4774's topic in General Nursing

    Like the others, I'm unaware of how the BNP can be in the 700s without the presence of heart failure. I would expect to see an echo ordered, probably some Lasix given, maybe a cardiology consult and...
  3. Virgo_RN

    Having Problem with Manager

    Virgo_RN replied to LelaRN's topic in General Nursing

    I think you need clarification on your facility's
  4. Virgo_RN

    Alcohol Intoxication.

    Virgo_RN replied to ghost's topic in General Nursing

    Our AWD protocol uses Ativan PRN according the Riker Sedation-Agitation Scale. I'm not aware of any new research, but my pharmacology text states that administering other benzos with short half...
  5. Virgo_RN

    Post-op amputation dressing changes *LONG!*

    Virgo_RN replied to detroitdano's topic in General Nursing

    I wouldn't go that far. Asking the RN to give pain meds, then assessing the patient's response while also monitoring the status of the extremity would have taught you a lot as well, without...
  6. Virgo_RN

    Nurses, do you thank your CNA/PCA/Nursing Assistant daily?

    Virgo_RN replied to gonzo1224's topic in General Nursing

    It seems to be a one way street. The nurses are expected to be grateful for the work the CNAs do (which I am, when they do it), but the CNAs never thank the nurses for all we do (and I do a lot for...
  7. Virgo_RN

    Post-op amputation dressing changes *LONG!*

    Virgo_RN replied to detroitdano's topic in General Nursing

    I think you meant well, and that should count for something. But I can also see how disturbing a dressing that soon after surgery would be frowned upon due to the risk of
  8. Virgo_RN

    Question from a student

    Virgo_RN replied to mbarl001's topic in General Nursing

    A med/surg unit provides an excellent foundation of nursing knowledge. Do not dis med/surg. Also, do not worry about the NCLEX. Your senior practicum should not be about passing the NCLEX, it...
  9. Virgo_RN

    Post-op amputation dressing changes *LONG!*

    Virgo_RN replied to detroitdano's topic in General Nursing

    One of the s/s of compartment syndrome is that the pain does not go away with pain meds, so giving a fast acting pain med and evaluating the response would have been one of my initial nursing...
  10. Virgo_RN

    Post-op amputation dressing changes *LONG!*

    Virgo_RN replied to detroitdano's topic in General Nursing

    If the great toe had good cap refill and was pink, warm, and dry, the patient could wiggle it and had no numbness/tingling, and the dressing didn't appear to be overly tight, I'd have given the pain...
  11. Virgo_RN

    Giving Lantus insulin when patient is NPO

    Virgo_RN replied to retiredlady's topic in General Nursing

    I would normally have agreed with the others that say give the Lantus, but I've seen people bottom out from being given their Lantus while NPO. In fact, I've seen it twice in the last week with two...
  12. Virgo_RN

    PICCs

    Virgo_RN replied to 75au78's topic in General Nursing

    Our hospital policy is to flush with 10mL NS using the pulsatile method Q8 hours. We no longer use heparin. We did a test/study before adopting this policy, and the result was that central lines did...
  13. Virgo_RN

    Nurses, do you thank your CNA/PCA/Nursing Assistant daily?

    Virgo_RN replied to gonzo1224's topic in General Nursing

    I thank them often, but I don't know about every shift. On the flip side, CNAs, do you thank your nurses
  14. Virgo_RN

    how do you take the BP in this scenario?

    Virgo_RN replied to mashamontago's topic in Nursing Student Assistance

    The problem is, I see a lot of misinformation here. Would you believe the rationale for something simply because the person telling you the rationale is a nurse? I enjoy teaching very much, but I'd...
  15. Virgo_RN

    How do you obtain a diastolic when pulse sound doesnt go away

    Virgo_RN replied to w3ndiscott's topic in General Nursing

    If it were diastolic hypertension, wouldn't the korotkoff sounds end at a higher than usual number, like 100 or better? I've never experienced the sounds never ending, but I have frequently heard them...
  16. Virgo_RN

    Cardiac Sheaths

    Virgo_RN replied to debthern's topic in Cardiac

    They often come up with NS running by gravity. If their pressure is low or they're already renally compromised, I'll put it on a pump and keep it going at 75-100/hr until they're assisted out of bed...
  17. Virgo_RN

    Things you'd LOVE to be able to tell patients, and get away with it.

    Virgo_RN replied to AngelfireRN's topic in Patient, Colleague Relations

    I wish more people understood
  18. Virgo_RN

    why is this a sign of overhydration?

    Virgo_RN replied to mashamontago's topic in General Nursing

    Yeah, but you called all of us who wanted her to think for herself "mean". That's not starting anything at
  19. Virgo_RN

    why is this a sign of overhydration?

    Virgo_RN replied to mashamontago's topic in General Nursing

    Think back to your A&P. What is one of the s/s of SNS activation? Diaphoresis, right? Why would the patient be diaphoretic? Could it be the stress of the work of breathing? Why would the work...
  20. Virgo_RN

    Things you'd LOVE to be able to tell patients, and get away with it.

    Virgo_RN replied to AngelfireRN's topic in Patient, Colleague Relations

    I'm sorry you got bumped for an emergent case, but the fact that you are not the emergency is a good thing, no? I have said
  21. Virgo_RN

    why is this a sign of overhydration?

    Virgo_RN replied to mashamontago's topic in General Nursing

    See? You're thinking now too! Much better than being told, I
  22. Virgo_RN

    Nursing, the field of medicine or customer service?

    Virgo_RN replied to jalvino1's topic in Patient, Colleague Relations

  23. Virgo_RN

    Nursing, the field of medicine or customer service?

    Virgo_RN replied to jalvino1's topic in Patient, Colleague Relations

    Another time I might say "No" is now. No. My patients are not my customers. They are very sick people who need nursing care. No. I am not a nurse in order to make people happy. I am a nurse to...
  24. Virgo_RN

    I cant take nursing anymore

    Virgo_RN replied to chenoaspirit's topic in General Nursing

    Hey, but as long as they get their milkshake, it's all
  25. Virgo_RN

    why is this a sign of overhydration?

    Virgo_RN replied to mashamontago's topic in General Nursing

    She's not going to have anyone to ask when she takes her NCLEX. I want her to do her thinking for herself. I think it does a disservice to students of nursing to just hand them the answers....