Virgo_RN BSN, RN

Cardiac Telemetry, ED

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All Content by Virgo_RN

  1. Virgo_RN

    patients on reality TV

    I found the show quite interesting and educational. I find it far less offensive than programming that glorifies violence and promotes unrealistic ideals of
  2. Virgo_RN

    Not My Fault, But Worried Anyway

    Next time, call the floor nurse. In the first scenario, the floor nurse had already called the doctor and was writing the order by the time you got there. The nurse probably had no clue you were on...
  3. Virgo_RN

    Is This Accurate Information? Inaccurate?

    1. Yes, CNAs can do clean dressing changes. 2. EMTALA requires emergency departments to provide a medical screening exam for anyone who presents. "Safe harbor" would refer to the emergency...
  4. Virgo_RN

    Use of C/O in Documentation

    I have not heard of any issues using "c/o". I use c/o to report the patient's chief complaint, and "reports" to document any associated s/s or peripheral
  5. Virgo_RN

    How do you deal with a crying child?

    Okay.
  6. Virgo_RN

    foley catheters

    Practice. As someone else said, let the other nurses on your shift know you'd like to brush up on your skills. I'm sure they'd be more than happy to oblige. The urinary meatus is not too hard to...
  7. Virgo_RN

    Implications for the administration of insulin

    Our P&P states to wait until the meal trays arrive on the floor. I would either run and give the insulin along with any other dinner time pills, or deliver the meal tray to the patient myself and...
  8. Virgo_RN

    How do you deal with a crying child?

    A three year old is going to need to be sedated or
  9. Virgo_RN

    I feel like crawling under a rock....

    I'm very confused as to why you are assuming that you gave her the
  10. Virgo_RN

    ACLS

    No.......
  11. Virgo_RN

    Question about IV push meds

    Actually, that's one of my favorite jokes. After I get one in on someone who tells me they are a hard stick, I like to say "Not bad for my first
  12. Virgo_RN

    Question about IV push meds

    I would think this would be an acceptable
  13. Virgo_RN

    Comfort Care -- End of Life

    If you can defend your rationale, then you stand your
  14. Virgo_RN

    Question regarding Lasix and Bumetanide

    Yes, you can give them both, but you need to monitor serum
  15. Virgo_RN

    Question about IV push meds

    If the patient has a central line, then you use another lumen. If that is not an option for some reason, then you'll need to start a
  16. Virgo_RN

    Comfort Care -- End of Life

    I would medicate based upon my clinical judgment of whether or not the patient was in any distress. Now, having said that, signs of distress might be subtle. It might be as subtle as a wrinkled...
  17. Virgo_RN

    Calculating IV drip rate without a pump

    It is certainly not an exact science. I usually only bother when it's for an antibiotic that should run in over a specific amount of time and a pump is not readily available, or if I'm going to give...
  18. Yes, there are. I am not one of them, but they are definitely out
  19. Virgo_RN

    The Concerns of My Loving Wife

    I work 8 hour shifts. My facility discourages overtime, so I hardly ever get it. Our schedules are on two week repeating cycles. For example, one might work 3 on, 2 off, 4 on, 1 off, 2 on, 2 off....
  20. Virgo_RN

    Calculating IV drip rate without a pump

    It should say on the IV tubing package how many drops per mL it is. We use tubing that is 10gtt/mL. Once you know that, it's pretty simple. Even though we have pumps in our ED, I've used this...
  21. Virgo_RN

    When to call the Doctor regarding a fall?

    We always call the MD for a fall, whether the patient was injured or not. The doc may want to do a workup to discover the cause of the fall, if it was not
  22. Virgo_RN

    Let me hear your raves

    Raves...raves...raves...think...think...think....... J/K. I recently had a former patient recognize me. She even remembered my name. At first, I thought "Uh oh, what did I do/say?" But it turned...
  23. Virgo_RN

    New grad got fired, help

    I agree, honesty is the best policy. It shows character and speaks to your ethics. If I were hiring, I'd rather the person be honest and tell me that they were let go because they had four absences...
  24. Virgo_RN

    Things you would like the ICU to understand

    Wow. Be careful not to hurt yourself leaping to conclusions. I have never once, and do not condone or advocate making patients suffer in order to retaliate against anyone. I'm a damn good nurse,...
  25. Virgo_RN

    Things you would like the ICU to understand

    That is not at all what I was talking about! Thank you! I would never advocate making a patient suffer just to make life hard for the ICU nurse. It's just that sometimes, things are so busy, and...