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Search Results Type: Posts; User: MunoRN

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  1. IV pushes
    Any sources?
    5:43 pm
    Forum: Nursing and Patient Medications
  2. IV pushes
    Comparing equivalent dosing the patient's pain was not as well controlled using either fentanyl or morphine.
    5:43 pm
    Forum: Nursing and Patient Medications
  3. IV pushes
    I can't find anything that says that. What I can find are along these lines: PAIN MANAGEMENT IN CANCER PATIENTS
    Dec 20
    Forum: Nursing and Patient Medications
  4. Can an employer ask you what medications you are taking?
    You do actually give up at least some of your privacy when taking certain jobs. You retain your right to privacy to anything not related your job, but employers aren't prohibited from requiring...
    Dec 20
    Forum: General Nursing Discussion
  5. Can an employer ask you what medications you are taking?
    Direct care nursing is legally considered to be a "safety sensitive" job, which means employers are well within their rights to inquire what medications you are taking (after a conditional offer of...
    Dec 20
    Forum: General Nursing Discussion
  6. IV pushes
    It was being managed by our palliative care doctors in conjunction with the palliative care team at the regional major teaching hospital. As far as I know there is no established dose at which...
    Dec 20
    Forum: Nursing and Patient Medications
  7. IV pushes
    Yes, that's 400 (four hundred) milligrams (not mls). The patient had developed a high tolerance of opiates due to chronic, high dose pain medication use over a long period of time, the patient then...
    Dec 20
    Forum: Nursing and Patient Medications
  8. Justify this nursing diagnosis
    You'll be relieved to know that "disturbed energy field" is being removed from 2015 NANDA version, although I don't think that really relieves the collective embarrassment that should come from this...
    Dec 18
    Forum: General Nursing Discussion
  9. PICC LINES
    Placing additional IV access carries risks and therefore shouldn't be something we do without any good reason. We actually know quite a bit about the characteristics of incompatibilities and...
    Dec 16
    Forum: Nursing Issues On Patient Safety
  10. Starting a second IV piggyback
    Why are you thinking you would need to use a new secondary tubing for a different antibiotic? Why would you need to use a different secondary tubing but not a different primary tubing?
    Dec 16
    Forum: Nursing and Patient Medications
  11. Refused admission
    It's probably for the best that the patient doesn't go back that SNF anyway since they don't seem to have a very good understanding of dementia patients. I'd be amazed if a dementia patient didn't...
    Dec 14
    Forum: Geriatric Nurses / LTC Nursing
  12. Long QT Syndrome
    It usually won't be an issue, it would depend on the severity. I have known of people with long QT who go through exacerbations where they get shocked many times a day for typically about 3-6 days...
    Dec 13
    Forum: Nurses With Disabilities
  13. IV pushes
    I typically use a "carrier" line for those that need frequent IV pushes, which is often most ICU patients. We usually run a line at 25ml/hr and use the distal and mid ports on the line to run pushes...
    Dec 13
    Forum: Nursing and Patient Medications
  14. Intubation - confused about orders
    I'm not totally clear on why the patient is being intubated either, although there is supposedly a trend of going away from using non-invasive positive pressure ventilation (ie BiPAP) for rescue...
    Dec 13
    Forum: Critical Care Nursing
  15. How do you manage Cerebrogenic tachycardia in you unit?
    In my experience it's highly variable. There's the "don't treat sinus tach" rule, although at some point the Docs will usually give in and decide to treat it directly, but usually the first goal is...
    Dec 13
    Forum: Critical Care Nursing
  16. I wish they had to stay and watch the chaos
    I don't agree that the Doc's are in the wrong by discharging patients. While they might be writing the orders "in one swoop", you should have a pretty good idea of who's got the potential for...
    Dec 13
    Forum: General Nursing Discussion
  17. the worst intubation
    There's nothing pretty about any intubation. Unfortunately there are many times where it's not safe to give the patient any sort of paralytic or sedation. Keep in mind that using a paralytic for...
    Dec 11
    Forum: General Nursing Discussion
  18. Is it legal to have RN's use full name on badge?
    We're "abused" because we follow the basic ethical premise that we should be accountable for our practice rather than being immune from any sort of oversight through anonymity? It's a pretty basic...
    Dec 11
    Forum: HIPAA and Nursing Challenges
  19. Is it legal to have RN's use full name on badge?
    Patients actually have a legal right to the full name you are licensed under, that's a requirement of the license. We are a publicly licensed profession, and the ability for patients to review our...
    Dec 11
    Forum: HIPAA and Nursing Challenges
  20. giving meds late when it's not in pixis
    The suggestion that you should give a false reason for an inability to give a med on time, to hide the fact that the pharmacy staff are overburdened, and that you're somehow helping out pharmacy...
    Dec 11
    Forum: Nursing and Patient Medications
  21. The "increase minimum wage" issue.
    While you might pay 40% of your income in another country in taxes, only a portion of that is for healthcare. Overall we pay more than twice as much per person for healthcare as those in other...
    Dec 10
    Forum: Collective Bargaining / Nursing Union
  22. Safely administering medications for coworkers violating hipaa if we're not asssigned pt ?
    HIPAA doesn't actually limit you to accessing information on only the patients assigned to you, HIPAA specifically allows access to any information related to care we are providing, whether it be to...
    Dec 10
    Forum: HIPAA and Nursing Challenges
  23. So disappointed in hospital RNs and MDs
    As you've correctly pointed out, nursing practice is being slowly phased out. I completely agree it's unacceptable for nurses not to be performing basic nursing assessments (which by the way...
    Dec 8
    Forum: Nurse Colleague / Patient Relations
  24. CDC rec to counsel all males about benefits of circumcision
    It has been studied and no, there's no evidence it has a negative effect of men. And actually studies that look at self-described loss of sensation (when able to compare after being circumcised as...
    Dec 5
    Forum: General Nursing Discussion
  25. Called back to fix charting
    We do it over the phone, it's charted by the pharmacist, supervisor, whoever as "per MunoRN's report".
    Dec 5
    Forum: General Nursing Discussion


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