Search Results

Search Results Type: Posts; User: MunoRN

From Date
  1. Do you chart lies?
    I'm all for better nurse-patient ratios, but I agree with your theory. The highest rate of delirium occurs in ICU patients, about 70% of patients in an ICU develop delirium, yet we have one or two...
    Aug 20
    Forum: General Nursing Discussion
  2. Tikosyn
    The intensive monitoring required for tikosyn induction as actually due to earlier generation antiarrhythmics such as sotalol which turned out to be extremely dangerous, which is why today they are...
    Aug 19
    Forum: Cardiac Nursing
  3. POA/HIPAA violation
    At least in my state being the designated POA doesn't actually get you access to the patient's records. The POA only gets access when your power as POA is activated, which only occurs when the...
    Aug 19
    Forum: HIPAA and Nursing Challenges
  4. POA/HIPAA violation
    HIPAA allows for facilities/providers to restrict how you access even your healthcare records to some degree, even though you are legally allowed access to your records. As POA for someone else...
    Aug 18
    Forum: HIPAA and Nursing Challenges
  5. Do you chart lies?
    There are studies that correlate restraints with worse outcomes, but I'm not aware of any that show restraints cause worse outcomes, those are two very different things. We know that patients...
    Aug 18
    Forum: General Nursing Discussion
  6. Pt's FB pictures of me
    At least in my local paper they aren't paid, you can "upgrade" for a fee. Death notices however are actually public information, regardless of whether or not the family want's that information...
    Aug 17
    Forum: HIPAA and Nursing Challenges
  7. No more 12 hour shifts?
    There is a contingent of nursing 'leaders' who, for reasons I still don't understand, have been pushing to switch to 8-hour shifts. They've been using really badly done research, much of it so...
    Aug 14
    Forum: General Nursing Discussion
  8. Providing Emergency Care to non-patient
    Depending on the specifics their may be requirements, such as if the clinic is on the same property as and affiliated with a CMS participating hospital then EMTALA would apply. The bigger issue...
    Aug 13
    Forum: General Nursing Discussion
  9. Can a patient video tape me?
    For the purposes of videotaping and a right to privacy, it's not about location but situation; two people in the same physical location can have two completely difference expectations of privacy. ...
    Aug 11
    Forum: Nursing Activism / Healthcare Politics
  10. Pain meds
    IV zofran has an onset of action of just 5 minutes, it peaks in 15 minutes, so no, there's no good reason to wait an hour to give the dilaudid.
    Aug 10
    Forum: Nursing and Patient Medications
  11. Chest Pain protocols
    We don't call a RR, but the RR Nurse is called to evaluate any patients with symptoms concerning for ACS outside of our cardiac floor. I work off a protocol when evaluating a patient with concerning...
    Aug 9
    Forum: Nursing and Patient Medications
  12. Emailing MDs for orders
    American Messaging's system, called "Intellimessage" is a secure HIPAA compliant system where PHI can be communicated, that's actually it's whole purpose. When Physicians receive these messages on...
    Aug 6
    Forum: HIPAA and Nursing Challenges
  13. What rate should I infuse at?
    In the nipride example I'd stop the drip and aspirate the lumen it's in until I hit blood, I'd then wait to flush the blood until I had a blood pressure that would allow for whatever small amount of...
    Aug 6
    Forum: Nursing and Patient Medications
  14. What rate should I infuse at?
    I'd be willing to bet a large percentage would give the same answer you did as on 'off-the-cuff' answer, it's an easy one to rationalize incorrectly. The main thing is that it's probably not...
    Aug 6
    Forum: Nursing and Patient Medications
  15. What rate should I infuse at?
    To finish the infusion at the prescribed rate, you would actually need to increase the "driver" fluid to 15 ml/hr after the medication drip at 4ml/hr is stopped. I don't think there's any reason to...
    Aug 6
    Forum: Nursing and Patient Medications
  16. Do I have a right to a copy of my employee health file?
    Employers do own the physical copies of the test results which might be confusing them. The information contained in those results however is not something they have sole ownership of, you legally...
    Aug 6
    Forum: HIPAA and Nursing Challenges
  17. Emailing MDs for orders
    I assume you're using some sort of internal messaging system, and not your personal phone. We've always used full patient names in these messages at everywhere that I've worked, which is fine as...
    Aug 5
    Forum: HIPAA and Nursing Challenges
  18. amiodarone and cardizem for a flutter
    Personally I've found that there does seem to be some sort of antiarrhythmic effect that rate control has, which would seem to make sense if it's possible that controlling the ventricular response...
    Aug 4
    Forum: CCU Nursing / Coronary / Cardiac
  19. If one is treated for MRSA, are they still contagious?
    "MRSA" isn't a disease or even an infection, it's just refers to staph bacteria that are resistant to a group of antibiotics. Just like "regular" staff (MSSA) or any number of other bacteria that...
    Aug 4
    Forum: General Nursing Discussion
  20. Heparin math question
    You are correct, your instructor is wrong. Your instructor has apparently just flunked themselves out of nursing school.
    Aug 1
    Forum: Nursing Student Assistance
  21. PVC's vs "true" HR
    That's the difference between heart rate and pulse. "Heart rate" usually refers to the number of ventricular contractions, or assumed ventricular contractions when measuring heart rate by electrical...
    Aug 1
    Forum: Medical-Surgical Nursing
  22. amiodarone and cardizem for a flutter
    Amiodarone is an anti-arrhythmic, diltiazem is a calcium channel blocker with primarily chronotropic effects and has no established anti-arrhythmic properties. Amiodarone will also lower heart rate...
    Jul 31
    Forum: CCU Nursing / Coronary / Cardiac
  23. Sentinel Events
    [/FONT] [/FONT][/SIZE]You're thinking of "Duty to Rescue" laws, not good samaritan acts. Except for a single state's good samaritan act, which no longer exists, all good samaritan laws refer to the...
    Jul 29
    Forum: Nursing Issues On Patient Safety
  24. DKA dx?
    The criteria that's been used where I've worked is primarily based on anion gap; Serum sodium - (chloride+bicarb or CO2) as well as ketone levels. We track pH, osmolality, and of course BG levels...
    Jul 28
    Forum: Emergency Nursing
  25. Commute 1 1/2 to work
    Personally, I wouldn't. From when you get out of your car in the parking lot to when you get back in it, it's at least 13 hours. Add 3 hours of travel time and now you have 8 hours at home from...
    Jul 26
    Forum: General Nursing Discussion


Top