Virgo_RN BSN, RN

Cardiac Telemetry, ED

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All Content by Virgo_RN

  1. Virgo_RN

    Rude Resident Physician!!

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

    The guy does sound like a jerk, but at the risk of being unpopular here, I think you set yourself up for his comments. "Because that's how we always do it" should never be a rationale. A true...
  2. Virgo_RN

    Disruptive families in acute care settings

    Virgo_RN replied to 1Tulip's topic in General Nursing

    Well, I haven't had anyone be physically violent with me, but I've dealt with some family members that made me want to pull my hair out. Recently, older woman admitted with suspected PE, accompanied...
  3. 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

    On treating patients like they are my own family members; I have already warned my family members that if they mistreat hospital staff, I will personally strangle
  4. Virgo_RN

    Simply Dehydration

    Virgo_RN replied to Tolle_lege's topic in General Nursing

    You're right, CKD does not resolve, since as the name implies, it is chronic. However, ARF on CKD can resolve. Perhaps she had ARF on CKD, and it was the ARF that they considered
  5. Virgo_RN

    distinguishing heart blocks EKG

    Virgo_RN replied to moonischasingme1's topic in Cardiac

    Congratulations!
  6. Virgo_RN

    Medical school vs Nursing School

    Virgo_RN replied to faraday68's topic in General Students

    I wanted to be a doctor when I was young, but then my life took twists and turns that took me in a direction far from institution based learning. I attended the School of Hard Knocks at the...
  7. Virgo_RN

    SELF-CPR

    Virgo_RN replied to green_serenity's topic in General Nursing

    http://www.snopes.com/medical/homecure/coughcpr.asp
  8. 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

    Not to a patient, but to a doctor who is rolling his eyes at me: "Are you okay, Dr. X? You appear to be having a
  9. Virgo_RN

    Psych patient on the acute care unit

    Virgo_RN posted a topic in Psychiatric

    Hello, psych nurses! So one of my patients had an MI, and she is mentally ill. Her working diagnosis says "Bipolar", but I'm thinking there is more to her behavior than that. Her psychiatrist, the...
  10. Virgo_RN

    How do your nurse assistants get shift report?

    Virgo_RN replied to Riseupandnurse's topic in General Nursing

    I meant that the report sheets would replace CNA to CNA report. The CNAs would still need to check in with their nurses. I think that if the system works at your facility, then that's great. It's...
  11. Virgo_RN

    OR Nurses...oral surgery experts...please chime in...

    Virgo_RN replied to AirforceRN's topic in General Nursing

    You're not concerned about
  12. Virgo_RN

    How do your nurse assistants get shift report?

    Virgo_RN replied to Riseupandnurse's topic in General Nursing

    What I would like to institute is report sheets. We currently give face to face verbal reports at shift change. I don't think this is necessary for CNAs. A report sheet that lists the patients'...
  13. Virgo_RN

    How do your nurse assistants get shift report?

    Virgo_RN replied to Riseupandnurse's topic in General Nursing

    You've pretty much described how it works on my unit. The CNAs are supposed to get report from their nurses in addition to CNA to CNA report, as well as give us their phone numbers, but some are...
  14. Virgo_RN

    distinguishing heart blocks EKG

    Virgo_RN replied to moonischasingme1's topic in Cardiac

    http://en.ecgpedia.org/wiki/Atrial_Ventricular_Conduction and, just for fun:
  15. Virgo_RN

    Why coffee with every meal?

    Virgo_RN replied to FireStarterRN's topic in General Nursing

    Not really, just get the can from the pharmacy and plunk it down in front of the patient. I've also given patients red wine with their
  16. Virgo_RN

    What should I do? Nursing Supervisor intercepting and playing doctor

    Virgo_RN replied to amy0123's topic in General Nursing

    Vasovagal my behind. He was syncopal because he was in a nonperfusing rhythm. He needed to be on tele (not neccessarily ICU, but a floor where they can administer a diltiazem gtt). I see this a lot...
  17. Virgo_RN

    What's the saddest thing you've seen in your career??

    Virgo_RN replied to Misslady113's topic in General Nursing

    Little old people who really should be DNR, but who are Full Code per the wishes of their family members. Being coded is not a nice way to
  18. Virgo_RN

    massaging a hematoma post sheath removal

    Virgo_RN replied to msperkey's topic in CCU, Coronary, Cardiac

    We use a clamp for sheath pulls. I recall reading a research article for NS that basically concluded that using clamps did not increase the incidence of complications over using manual pressure. But...
  19. Virgo_RN

    Why coffee with every meal?

    Virgo_RN replied to FireStarterRN's topic in General Nursing

    Our hospital does not do this, and especially since I'm on the cardiac unit, most patients need a doctor's order to allow caffeine. But, I do agree with the observation that a lot of elderly folks...
  20. Virgo_RN

    Doctor postponing surgery over MRSA Colonization (nares)

    Virgo_RN replied to Gr8Dane's topic in General Nursing

    What's a
  21. Virgo_RN

    he just wants to die...

    Virgo_RN replied to wishiwereanurse's topic in General Nursing

    I agree with this. By "yelling", do you mean he is actually raising his voice and shouting at you? What a
  22. Virgo_RN

    RN with the flu

    Virgo_RN replied to evilolive's topic in General Nursing

    I'd go to the
  23. Virgo_RN

    Age Discrimination in Nursing? How Old is "Too Old?"

    Virgo_RN replied to lamazeteacher's topic in General Nursing

    I'm a "Gen-Xer", and I was out of the house at 17 and have an incredibly strong work ethic, as do most of my peers in my age range. I'm not convinced that work ethic is generational. I think it's...
  24. Virgo_RN

    Vasoactive meds/ Inotropes + Rate

    Virgo_RN replied to RoyalNurse's topic in CCU, Coronary, Cardiac

    Because the line could clot off with the low volume going through it. The carrier simply adds more volume, it does not increase the rate of the drug. Rate is how quickly the drug is going through...
  25. Virgo_RN

    Blake CT with JP

    Virgo_RN replied to cardiorn04's topic in CCU, Coronary, Cardiac

    Do you have access to CINAHL through your workplace? That's where I would