Latest Comments by MunoRN

MunoRN 37,659 Views

Joined Nov 18, '10 - from '.'. MunoRN is a Critical Care. She has '10' year(s) of experience. Posts: 7,790 (69% Liked) Likes: 19,268

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  • 5

    Quote from SC_RNDude
    I wasn't arguing the merit of the bill. I also thought it was not a good alternative to Obamacare and I am glad that the vote was cancelled.

    I was merely pointing out that it was inaccurate to say that coverage for those items was being "eliminated".

    Sounds like most is us agree.
    Yeah, sorry, I was responding more to the topic you brought up than you, based on what I know about your views I know this isn't your cup of tea either. Then again I'm not sure who really saw something they liked in this bill since it's approval rating was only about 17%.

  • 7

    Quote from SC_RNDude
    The new proposal eliminates the EHB as a requirement of all policies. You'll still be able to buy coverage for those items, if you choose.
    You would only be able to buy coverage for those items if there are enough people who could afford that coverage with much less assistance to make a market for that coverage in your area, so really the availability of those coverage products would reduce significantly.

    Keep in mind that the essential health benefits are what's more commonly called healthcare in general, these include hospitalizations, outpatient treatment and testing (ie cancer tx, imaging, etc), and medications. I would agree with the general conservative argument that insurance should just cover bigger ticket items, ie hospitalizations, outpatient tx, and medications, so it doesn't make a lot of sense to say that anything allowed to go by the name "insurance" wouldn't have to cover any of these bigger ticket items.

    Allowing insurance to be essentially worthless is just a way to re-frame denying people life saving care as being "freedom". Someone who's insurance doesn't cover the cancer treatment it turns out they need to have the best chance of survival and therefore can't get that treatment isn't someone we've essentially left out in the cold to die, it's a shining example of them exercising their freedom (freedome from societal ethics and morals).

  • 7
    RainMom, Here.I.Stand, BeckyESRN, and 4 others like this.

    If I was in your shoes and handing off a comfort-measures-only patient to another nurse who felt that something needed to be done about the patient's O2 sat of 45, I would hesitate to give them that patient, instead I would suggest they not take this or any other comfort care patients until they had the proper training.

  • 2

    I would say you need to balance how much you enjoy working on this unit with the benefits of looking out for your health. The health effects of night shift on you would appear to be more immediate and apparent than in most nurses, but keep in mind working night shift is a significant health risk to all nurses, it's a known cause of cancer, heart disease, stroke, and diabetes. As a result, arguing for reasonable accommodation isn't likely to get very far since skipping over someone else's place in line to get off nights or rotating shifts would negatively affect that employee, which would make the accommodation unreasonable.

  • 0

    Quote from Ughhh101
    Call respiratory for a stat albuterol then while the RRT is assessing the patient for a pneumothorax explain to the M.D. how you saved the patients life thanks to your impeccable assesment skills.
    Are you replying to the OP or a different post in the thread?

  • 0

    There's not really any good reason why fentanyl has to be limited to use in the ICU. I know there are places where there is hesitation to use it on the floors, but I think it's just due to lack of familiarity. Fentanyl is actual an ideal opiate for those with renal issues or whose BP doesn't tolerate other opiates well. Where I work now, it's the only option for PCA's, which makes more sense than using something with a 3 hour half life.

  • 1
    poppycat likes this.

    Typically inpatient units will have a handout with this sort of information, I would check with them since it doesn't really need to be different for ER. A social worker or chaplain should be able to help you.

  • 3
    LibraSunCNM, Rocknurse, and heron like this.

    Quote from russianbear
    Clearly you've not been reading this thread.
    I've read through it a couple of times, no such statements exist.

  • 3
    macawake, LibraSunCNM, and heron like this.

    Quote from russianbear
    I have defended my position admirably. I'm shocked one of you finally acknowledged the existence of drug seekers. Now, will you be courageous enough to say that physicians should not order them narcotics for the sole reason of feeding their addiction?
    It doesn't appear that anyone ever argued that drug seekers don't exist or that it's fine for physicians to order opiates for the sole reason of 'feeding their addition'. Maybe you could specify where you feel that statement was made?

  • 2
    Paws2people and kalycat like this.

    In my experience sitting for suicide attempt patients is usually considered the easiest patient to sit for, so I'm not sure why anybody should get written up for having you sit for this type of patient.

  • 10

    It seems like you're feeling fully responsible for this fall because the bed alarm wasn't on, and if the bed alarm had been on then the patient wouldn't have fallen. Keep in mind there's no evidence that having the bed alarm on would have decreased the potential for a fall.

  • 0
    In ER

    Quote from russianbear
    Because I cannot wrap my head around how someone could even ask if we ever give blood because a family member tells us the patient's blood type. As if we would ever bypass type and screen except for emergencies.
    I think it's a reasonable question if it's something the OP didn't know the answer to, which isn't unheard of. People are generally aware that we check type and rh factor, but often aren't aware that those aren't the only things we are checking.

  • 3
    NRSKarenRN, Avid reader, and elkpark like this.

    Quote from Bellaisla
    Comes a time....when the federal bloat has to be reigned in. The time has come, the time is now. Party's over, we broke, folks. Can't just keep printing money.
    I agree that we need a more fiscally responsible federal government, but I'm not sure how you think that's the direction we're heading in.

    Assuming Trump and House/Senate republicans' plans go as they hope, we'll be tripling our deficit spending. Normally, our deficit spending runs about 2-3% of GDP, going up to 4 or 5% of GDP would be normally be considered a big increase, there are occasional individual years where it's up closer to 9%, such as 2008-2009 which occurred in the setting of the recession, bailouts, and tax cuts but even then that was only a single year. What potentially lies ahead of us now is a deficit that is 10% of GDP and it won't just be for one year, it will be every year.

  • 2
    In ER
    booradley and kalycat like this.

    Quote from russianbear
    You have a lot to learn yet. And you will learn these things in nursing school. In a trauma if the patient needs blood you begin infusing oh negative. Prior to that, however, you would have drawn blood it to type and screen. Once those results are in you than administer the same type of blood. Antibodies, etc.
    I guess I wasn't clear, so again, in an emergent situation where we don't have a current crossmatch we give O negative blood, we would not give a patient a different type based on the patient or family telling us what the patient's blood type is before the crossmatch is done, which is what the OP's question was. Maybe you could clarify what you're disagreeing with.

  • 3

    "Pressure bags" aren't really for infusing and I don't consider them all that useful for that purpose. A rapid transfuser, which is different from pressure bag, is for infusing fluids rapidly.

    A pressure bag is used to create an constant elevated pressure on one side of a transducer in order for it to work properly. In a pinch, it can be used to rapidly infuse a large volume of fluid, but I don't find it all that useful since the pressure must be constantly replenished while the fluid is infusing, which makes no more convenient that just standing their applying hand-held pressure to the bag.

    A rapid transfuser on the other hand is intended for rapidly infusing large fluid volumes and is far more practical and helpful.


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