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Search Results Type: Posts; User: MunoRN

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  1. Your PROPOFOL stories wanted
    I didn't think midazolam was the "drug of choice" anywhere anymore due the research that's come about regarding benzos and delirium.
    Oct 1
    Forum: CCU Nursing / Coronary / Cardiac
  2. Oxygen in dying patients.
    It used to be generally assumed that it was the oxygen that treats dyspnea, although for most patients that isn't the case and it's actually the sensation of airflow that helps alleviate dyspnea in...
    Oct 1
    Forum: Nursing and Patient Medications
  3. Obamacare and hospitals
    Actually they can't charge more. They can only charge individuals more based on a limited set of conditions, such as smoking, and even then the amount is limited. They are actually...
    Oct 1
    Forum: Nursing Activism / Healthcare Politics
  4. Obamacare and hospitals
    Blue Cross is the only insurer offering plans in New Hampshire, and it's actually the state that certifies insurers to offer plans on the exchange, not the federal government. Any insurer who is...
    Oct 1
    Forum: Nursing Activism / Healthcare Politics
  5. Are physicians that thick?
    Based on the information given I don't see any reason to believe the nurse wasn't taking appropriate actions. The nurse did make arrangements to have the draw done after she failed by putting the...
    Oct 1
    Forum: Nurse Colleague / Patient Relations
  6. Flu Vaccines. A Hassle?
    Working in the ICU I see plenty of patients who thought the same thing. Is a week on a vent possibly followed by death really less of a hassle?
    Sep 30
    Forum: Pandemic Flu
  7. Voluntary Euthanasia
    I must have missed something, have there been arguments in favor of involuntary euthanasia?
    Sep 30
    Forum: Nursing Activism / Healthcare Politics
  8. Nurse Staffing Costs
    I think healthcare consulting groups can potentially be very helpful to nursing and patient care, but as you may have noticed, that's not the experience many nurses have. I've worked at two...
    Sep 30
    Forum: General Nursing Discussion
  9. Voluntary Euthanasia
    There are many situations where morphine is unlikely to hasten death, and probably actually extends life. But there are also many where it doesn't, examples of this are more likely to be found when...
    Sep 29
    Forum: Nursing Activism / Healthcare Politics
  10. Swan question from a new CCU RN
    By "mixed" it refers to mixed venous blood from all sources; the superior vena cava, inferior vena cava, and coronary sinus. An ScvO2 is a sample of venous blood usually only from the superior...
    Sep 29
    Forum: CCU Nursing / Coronary / Cardiac
  11. Voluntary Euthanasia
    I think the point is that while you have every right to take moral guidance from your religion and use that to guide the decisions you make for yourself. But everyone else also has the right to not...
    Sep 28
    Forum: Nursing Activism / Healthcare Politics
  12. So dietitians can now write orders: Denial of rights.
    I'm not quite following the vitamin part, but ordering an ADA diet is within the scope of the RD, just like ordering a dysphagia diet is within the scope of a speech therapist, although technically...
    Sep 28
    Forum: Nurse Colleague / Patient Relations
  13. So dietitians can now write orders: Denial of rights.
    I still don't get what you're saying. Did the dietician write a order requiring the patient to stay on the unit?
    Sep 28
    Forum: Nurse Colleague / Patient Relations
  14. Nursing Dx
    I think wording your assessment in the form of a nursing diagnosis probably didn't help and may have confused what you were trying to say, which then contributed the initial criticism from your...
    Sep 28
    Forum: General Nursing Discussion
  15. Could this be construed as "abuse"?
    In the US all patients, regardless of payer, have a legal right to refuse treatments or assessments. The only exception is for patient who have lost their rights to make medical decisions through a...
    Sep 28
    Forum: Nursing Issues On Patient Safety
  16. Could this be construed as "abuse"?
    What do you mean by "if it's a requirement of the funder"?
    Sep 28
    Forum: Nursing Issues On Patient Safety
  17. So dietitians can now write orders: Denial of rights.
    Maybe you could be more specific, I'm not sure what it is you're asking about.
    Sep 28
    Forum: Nurse Colleague / Patient Relations
  18. Question on reacting to tachycardic afib
    "the dose of amiodarone should be decreased or the drug should be discontinued if the length of the QTc closely approaches or exceeds 500 msec(9)." Internet Scientific Publications
    Sep 27
    Forum: Cardiac Nursing
  19. Boston children's hospital cicu
    The CICU Director is ************, ******* appears to be the manager. I wouldn't worry about being "creepy", most of the places I've worked only consider applicants that go through the extra effort...
    Sep 27
    Forum: Massachusetts Nursing
  20. Question on reacting to tachycardic afib
    The normal QTc for men is 0.44 seconds, 0.46 for women. The recommendation for decreasing an amiodarone dose is for QTc greater than 0.5
    Sep 26
    Forum: Cardiac Nursing
  21. Please stop! Little things that are just bad practice.
    The AHA recommends the wrist as the first alternative to the upper arm, thigh measurements are only recommended if the bother upper and forearms cannot be used since the thigh is the least accurate...
    Sep 26
    Forum: Nursing and Professionalism
  22. Question on reacting to tachycardic afib
    Did you mean > 0.5 seconds?
    Sep 25
    Forum: Cardiac Nursing
  23. Please stop! Little things that are just bad practice.
    This is the CDC recommendation: In patients not receiving blood, blood products or fat emulsions, replace administration sets that are continuously used, including secondary sets and add-on...
    Sep 25
    Forum: Nursing and Professionalism
  24. Please stop! Little things that are just bad practice.
    The CDC recommendations for gowning/gloving for contact isolation doesn't include visitors, only for healthcare staff or others who are going from one patient to the next. For other types of...
    Sep 25
    Forum: Nursing and Professionalism
  25. Hospital Wide SCD patient education
    I find this can happen when something like SCD's are ordered for patients where it's not actually indicated. Does your facility limit use to patients where SCD's are truly indicated, or does it try...
    Sep 24
    Forum: Patient Education


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