Latest Comments by MunoRN

MunoRN 34,437 Views

Joined Nov 18, '10. Posts: 7,687 (69% Liked) Likes: 18,814

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  • 0

    Quote from SC_RNDude
    Take out LA and SFO counties, that 3 million goes down to 1.

    I'm sure Trump would have made up ground in many places if the popular vote was the ultimate goal.
    I agree, he could have made up ground in the popular vote and likely would have been a different candidate with different policy positions and a different tone if the goal was to win the popular vote, that's the point.

  • 0

    Quote from MunoRN
    Why are you under the impression that the protesters didn't vote?
    Nevermind, It seems you were just reposting a Trump tweet.
    Watched protests yesterday but was under the impression that we just had an election! Why didn't these people vote? Celebs hurt cause badly.
    View details ·

    I don't necessarily agree with all of the protesters points, but I fully support their right to express their views, and I have to disagree with both you and Trump on the suggestion that this right only exists through voting.

  • 1
    herring_RN likes this.

    Quote from rnmaybe
    Perhaps your time would have better been spent organizing these people to vote in the last election, instead of destroying public property.
    Why are you under the impression that the protesters didn't vote?

  • 2
    Ruby Vee and JadedCPN like this.

    Quote from VANurse2010
    This is far enough in advance that you should just find a new job and quit. I'm a little put off by all the advocates for putting the unit before your life, but that's the lay of (some people's) land I guess.
    I would agree that as nurses we need to be willing to walk away from any job, but I'm skeptical that the OP would have any better luck securing specific multi-week vacation at the peak of summer PTO time as a new-hire, even at the most employee-friendly places.

  • 0

    It actually seems like common sense to me. Surplus supply of opiates in the home is a major contributor to opiate abuse and addiction, so it's totally reasonable to avoid those surplus supplies as much as possible, and giving people a 30 day of supply when they often only require a few days to a week of opiates is where most of those extra opiates come from.

    I would agree it's impractical if it requires a face-to-face with the prescriber, but it doesn't, in only requires a phone call, and if it applied to all refills, which it doesn't, it only applies to the first time the opiate is filled.

  • 4

    It's not unheard of for nursing school faculty to teach things that are absurdly false, this isn't completely without value in nursing school since one of the main things it needs to teach students is how to think critically, and the ability to recognize when your teacher is full of crap is one way to learn critical thinking.

    There are no universal regulatory requirements on how PRN orders are interpreted, the general rule is that how they are going to be interpreted is understood in the same way by those writing the orders and those interpreting and implementing the orders. For instance, if a facility allows no wiggle room, the providers need to be aware that patients will typically be getting their prns less frequently than what they order, so they may need to adjust the time frames accordingly.

  • 1
    herring_RN likes this.

    Quote from SC_RNDude
    Nice headline. But, this is what he actually said:

    "Under Obamacare, they always envisioned that 4 percent of the population would be uninsured even if it were fully implemented. So I wouldn’t want to be bogged down on that, but I would want to do the best thing we can for the maximum number of American people,” King said."
    The paraphrasing struck me as questionable as well, it's reasonable to wonder if he really meant that we should allow for an increase in the number of people who would have an increased risk of death because they can't afford insurance, and looking a the full context of what he said it appears that's exactly what he meant.
    SIEGEL: Should insurance companies be required to offer insurance to people regardless of a prior condition? Should that provision of Obamacare survive, whatever the Congress does?
    KING: (snip) If we guarantee people that we will - that there will be a policy issued to them regardless of them not taking the responsibility to buy insurance before they were sick, that's the equivalent of waiting for your house is on fire and then buying property and casualty insurance. And that defeats the insurance concept of it, and it defeats the personal responsibility requirements necessary to have an efficient health care system.
    I do sort of agree with him, but I would argue this is a reason to require that everyone be covered, instead of leaving those who can't afford full coverage insurance without assistance to be left untreated.

  • 3
    elkpark, heron, and herring_RN like this.

    Quote from azhiker96
    I disagree with Trump on vaccinations. However, I do agree with him on competitive bidding on pharmaceuticals.
    Trump Attacks Pharma in First Press Conference Since Election
    I agree with as well on at least some form of price controls, but I doubt he has any better chance of getting that through the republican house than Obama did in his multiple tries.

  • 0

    Quote from Spidey's mom
    We don't have many tall buildings here in CA.

    I will say I've never heard about a nurse titrating something and skipping 13. Never.

    So odd. That a random number or word holds any real power.
    I played baseball up through college, so skipping the number 13 seems pretty mild as far as superstitious behavior goes.

  • 0

    I don't think I've ever worked in a hospital that didn't skip room 13 in the numbers (ie room 512 is next to 514, there is no 513), and I've worked with nurses that never titrate anything to 13, they go from 14mg/hr to 12mg/hr, never 13mg/hr, one titrated from 14 to 12.9 to 12.

  • 4

    Propofol is not actually a controlled substance. While it doesn't fall under diversion of a controlled substance, it's still potentially grounds for termination (theft) and a BON might not necessarily turn a blind eye just because it's not controlled.

  • 3
    sevensonnets, Meriwhen, and nursej22 like this.

    I become NPO after midnight, every night, as do most diabetics, we do just fine.

  • 6
    sevensonnets, saskrn, poppycat, and 3 others like this.

    To be clear, you're concerned that by bumping her head with yours, that you gave her pneumonia? That's not really possible if that's what your worried about.

  • 9

    If your manager hired you when you were 23 weeks pregnant and then you took time off when the baby was born then you don't actually qualify for any FMLA covered time off, since that would have only been about 4 months on the job.

  • 0

    There actually is no reason to avoid BP and lab draws on the side where a mastectomy has been done, none.

    This comes from a time where mastectomies routinely included lymph node dissections, so the two were essentially synonymous. For at least the past decade, this has not been the case, and lymph node dissections should be considered a separate procedure. So the correct answer is that BP and lab draws are not in any way contraindicated in the case of mastectomy.