Content That MunoRN Likes

Content That MunoRN Likes

MunoRN 26,590 Views

Joined Nov 18, '10. Posts: 7,263 (68% Liked) Likes: 17,290

Sorted By Last Like Given (Max 500)
  • May 21

    Quote from Anna Flaxis
    Meh, if you can't beat 'em, join 'em.

    "Well, the g-d Fentanyl didn't do s***, let's try some ******* Dilaudid."

    After an hour the pain relief kicked in?? I think better post-op pain control for your PACU patients would reduce the swearing you find so unpleasant.

    It isn't really okay to ask him, no, not for the sole purposes of addressing your own comfort levels as you've reported. He wasn't swearing at you. Unless it was offending another patient or there was a child nearby, it's a small sacrifice to make. And interestingly, it seems it might help cope with pain as PP's have said.

    Also, bear in mind the meds given peri-op can lower inhibitions, decrease ability to make decisions, temporarily change personalities and also cause loss of memory. As a PACU nurse you must have experienced patients telling you intimate details of their lives that perhaps they wouldn't usually? Similar sort of thing.

  • May 17

    I agree that you might want to talk with a financial profession about your questions ... but here is my $.02.

    Some nurses don't understand the way the US tax system works. As a result, they misunderstand what happens when someone suddenly gets a paycheck that is larger than normal.

    1. The "system" doesn't realize that the big paycheck is unusual for you and that you don't make that much every pay period. So it taxes that paycheck at the rate appropriate for someone who makes that much money on a regular basis. When you eventually file your tax returns, that takes care of itself as your final tax bill is calculated based on your total earnings for the year, not how much you made on your highest-grossing pay period. So it looks like "all of it went to taxes," when in fact, you'll be getting most of that extra taxes back.

    2. Some people don't understand how the tax brackets work. They mistakenly believe that when you are "pushed into a higher tax bracket," that higher tax rate applies to all of your income. It doesn't. That higher rate only applies to the portion of your income that falls into the higher tax bracket. So yes, if the extra income you earn working overtime pushes you into a higher tax bracket ... that money will be taxed at the higher level. But it won't increase the taxes on the money that is in the lower tax range.

    So you will never lose money by working overtime and getting paid extra. It's just that the extra money you are earning might be taxed at a higher rate.

  • Apr 15

    "Nurses in white dresses with yellow satin sashes
    These aren't a few of my favorite things..."

  • Apr 10
  • Apr 8

    CL, can you please send a link to the data that proves shedding happens after vaccinations?

  • Apr 7

    Range orders are allowed and encouraged by the american society of pain management nurses. They are NOT practicing medicine. some JC auditors mistakenly cite range orders as red flags, when JC itself allows for them. Please see

  • Apr 6

    Quote from MunoRN

    If this seems like a sore spot for me, here's why; I work in an ICU that is a regional adult ECMO center, this means that every year at this time we have a whole section devoted to VV ECMO that's unofficially referred to as "flu-ville". Unlike other forms of ECMO, VV ECMO for the flu has decent outcomes in terms of survivability, although that still involves a horrific few weeks in the hospital and often a SNF stay. Our most common patients are 35-50 and otherwise healthy and I frequently hear "I don't get it, they never get sick" and "she's never needed a flu vaccine before", or just the general sentiment that someone avoiding a vaccine "to be safer".

    Even this very aggressive treatment isn't foolproof, and there are few each year that transition to comfort care, typically patients around my age and with kids my age. Transitioning a 35 year old to comfort care and having their 3 and 6 year little girls come to hold mom's hand while she dies makes it much harder to just say "oh well, everyone's entitled to their own opinions", some opinions are harmful.
    Well said.

    I am "next in line" caring for such patients in long-term acute, and can sign under every word above. Most of these patients who made it out of ICU survive and eventually start to breath, eat, speak and walk again, but the price paid for that is nothing but horrific, in all terms. Suspiciously many of them do not come "to their own old self", according to the families. Some end up on permanent vent and other means of chronic life support. We are speaking about people in the prime of their lives, 35 to 55, and most of them thought that flu vaccine is either not important at all, or only worths the trouble for seniors.

    Add to that people literally driven crazy by chronic pain of herpes zoster, and women of my age who had to go through horrendous procedure of pelvic evisceration to treat the complications of successful treatment of their advanced cervical cancer. It is heart-breaking to see kids visiting around Christmas when they answered on usual "what would you like from Santa?" something like "I want mom to come back home".

  • Apr 6

    Thanks Katie (and again Muno) for giving us real-life examples of the risk of not getting immunized.

    Regarding the film, the negative reviews are everywhere and the turnout for the film is negligible. I'm not paying money to see it and I would hesitate to watch it free just because of the frustration regarding the lies told.

    "Wakefield is one of the most scorned men in the medical world" which is why this film is so frustrating.

  • Apr 3

    Quote from banterings

    Other studies have looked at thimerosal and its connection to autism. These studies are flawed as well because they only looked at children receiving different amounts of thimerosal, rather than comparing children who have received thimerosal to those who have not.
    Just so everyone is clear, thimerosal was removed from all childhood vaccines in the US in 2001. Autism rates haven't dropped since then have they?

  • Apr 2

    Quote from MunoRN
    I don't think I caught most of the stream-of-consciousness part of the story, but why the handcuffs?
    And the cath?

    This is what I mean by restraints of any kind.

  • Mar 31

    Personally I am more concerned about the dihydrogen monoxide in vaccines thhan mercury. Dihydrogen monoxide is a chemical that is readily absorbed, leads to far more deaths worldwide, is found in bleach and cancer cells, and is a byproduct of combustion engines.

  • Mar 12

    Quote from nurse9644
    Yes, but when acquiring a bankrupt hospital it has the opportunity to get better by a nurse's pov
    Sad to say but if you tried to run a hospital from the nurses point of view I suspect you would be even farther in debt than this already bankrupt hospital is. Unfortunately to succeed financially you would need a business point of view, preferably with a LOT of help from people with experience in the field.

  • Mar 6

    I've watched (literally) both of my parents die. I've seen my child go through two critical surgeries and multiple intubations and had to come to terms with her mortality. I spent several nerve-wracking weeks with elevated LFTs and ascites on ultrasound which brought my own mortality into sharp focus.

    I've been a floor nurse in a sub-acute facility where I cared for several end-of-life patients (cancer, ALS, and MRSA pneumonia), as well as others who were 'husks.' I've been an ED nurse for 6 years and seen any number of unresponsive shells come in from SNFs of various qualities. I've had several patients and families make 'comfort-care' declarations and I've seen a number of those fade away on my watch. I've dealt with grieving families deceased children and I've coded more than a few little ones.

    I even spent some time as a mortuary attendant in another life.

    I've been around the block and think I've got as much street cred as anybody when it comes to end-of-life.

    I believe that it is the height of social arrogance (and downright cruel) that we deem it appropriate to impose our collective wills upon what should be the ultimate choice/decision made by a person in consult with a physician who should absolutely have the license to alleviate suffering in a manner that is mutually acceptable to the patient and the physician.

    Outside of capital murder, no person should have death thrust upon them by the state. Neither should any person have someone else's definition of life thrust upon them by the state.

    Were it legal, I would certainly be willing to participate in caring for patients taking charge of their deaths.

    As a voter, I will ardently and faithfully support moves to further empower physicians and patients to make these decisions without the undue intervention of the state.

  • Feb 12

    Quote from ThePrincessBride
    Anyone who calls NICU or PICU nurses princesses clearly doesn't know what they are talking about. Spend some time with a newborn who is actively withdrawing or care for a ten year old in a coma after being hit by a drunk driver and then come back and talk.
    I took Mav's post as more about the attitudes new grads have rather than saying NICU/OB nurses are "princesses". There have been a lot of posts about how new grads dream jobs are in these specialties, which is fine, but they aren't willing to consider other areas and become frustrated when no one hires them for their dream job.

  • Jan 31

    Opiates can cause itching relieved by antihistamine . Any opiate--oxycodone, morphine, hydromorphone, codeine, hydrocodone can cause itching it's a common side effect. Many providers standing order Benadryl or Allegra for itching as long as no signs of anaphylaxis.