Virgo_RN BSN, RN

Cardiac Telemetry, ED

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All Content by Virgo_RN

  1. Virgo_RN

    Lantus

    Did a little research. Onset of action for Lantus is 3-4 hours, the timeframe given in the original scenario. Also, there are some people who are hypersensitive to it, meaning that they would...
  2. Virgo_RN

    Lantus

    Exactly. Try to tell some people that,
  3. Virgo_RN

    Lantus

    I'm really puzzled by this, but have to run for a class. I'll do some research when I get back and let you know if I find anything
  4. Virgo_RN

    Lantus

    The beauty of Lantus is that it is "virtually peakless", unlike all other insulins (except Levemir). For some diabetics, once or twice daily dosing of Lantus is enough to keep those sharp peaks and...
  5. Virgo_RN

    Lantus

    Ah, good question. Was this a postprandial fingerstick? Regardless, I agree with the others that 35 units of Lantus doesn't seem like enough to drop someone from 319 to 20 in four hours. I wonder...
  6. Virgo_RN

    Where Do You Dispose of Narcotics?

    We have special color coded disposal containers that are kept behind locked doors in the med rooms. They look just like sharps containers, only they're different colors. Some drugs can be placed in...
  7. Virgo_RN

    I don't want surgery!

    Ugh, I don't blame you for freaking a bit. Maybe get a second opinion? Ask around about surgeons and find one of the good ones! Best of luck to
  8. Virgo_RN

    Is this too much or am I crazy...what are your units like?

    Our protocol is anything that requires Q15 VS for more than 2 hours goes to
  9. Virgo_RN

    Is this too much or am I crazy...what are your units like?

    Sounds like too much to
  10. Virgo_RN

    Retention

    Hire enough staff that nurses can be taken off the schedule to attend educational classes and seminars and participate in unit based councils. Hire enough staff to have low patient to nurse ratios in...
  11. Virgo_RN

    would like opinions on this letter please

    At the risk of sounding like a total jerk, 1.) That triage nurse has probably seen more kids with respiratory viruses than you can shake a stick at, which would explain her lack of urgency. 2.) If...
  12. Virgo_RN

    would like opinions on this letter please

    Just out of curiousity, what was the
  13. Virgo_RN

    Some thoughts from a new nursing student

    in addition, i've never bought into the idea that "women are catty" any more than i buy into the idea that "men are pigs". i think both are a copout for explaining away bad behavior, and i think...
  14. Virgo_RN

    Some thoughts from a new nursing student

    I have to admit, your post does come across as a tad sanctimonious. I, too, have had many life experiences prior to becoming a nurse. I earned my first college degree when my children were still in...
  15. Virgo_RN

    Pregnancy considerations?

    You should ask your
  16. Virgo_RN

    would like opinions on this letter please

    Our facility sends out satisfaction surveys that have nothing to do with PG. They're just a little card that the patient fills out and puts in the mail, no postage necessary if mailed in the US....
  17. Virgo_RN

    would like opinions on this letter please

    or something to that
  18. Virgo_RN

    would like opinions on this letter please

    Okay, so you might want to include that he had suprasternal, intercostal, and substernal retractions with audible wheezes and a RR of 38. I'd leave out a bunch of the stuff you wrote though. There...
  19. Virgo_RN

    Opinion Please...problem at work

    I had a similar incident recently. I was in a room hanging TPN, lipids, and vanco on a patient that also had an insulin gtt, when the patient, who was of course C-Diff positive, was incontinent of...
  20. Virgo_RN

    would like opinions on this letter please

    I think "sternal retractions" is too vague, and does not give enough clues about your son's condition. Were they suprasternal or substernal retractions? What was his respiratory rate? Any stridor?...
  21. Virgo_RN

    Have You Found Your Niche?

    No, I really haven't found my niche. I'm okay with where I am at for now, and am committed to learning as much as I can and becoming the best nurse I possibly can, but I do plan on moving on at some...
  22. Virgo_RN

    Dealing with unreasonable PTs, SWs etc

    Mountain out of a molehill. Since you were almost finished giving report, and the oncoming nurse still needed to get report on their other patients, I'd have simply told PT that I'd be there in a...
  23. Virgo_RN

    would like opinions on this letter please

    Was the triage nurse rude to you in any way? She listened to your concerns when you advocated for your son. I'd give her credit for
  24. Virgo_RN

    Do Nurses eat their....lunch?

    I let my charge nurse know I'm too busy to take my meal break, and he'll either get me some help to cover my patients, or tell me to take the overtime. I usually take overtime. If everyone would...