MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Will my license be at risk?

    MunoRN replied to Elmstreet209's topic in General Nursing

    Is the patient legally deemed incompetent? Otherwise, it's the patient's discretion as to whom they want
  2. MunoRN

    Nurses smoking weed?

    MunoRN replied to bunnynurse's topic in General Nursing

    There certainly are some BONs that will take action based on evidence of any use, but it's not a blanket rule, BONs have also stated that they are only concerned with evidence of impairment at work or...
  3. MunoRN

    Ethical decision or Patient's right?

    MunoRN replied to QuietIsntAWord's topic in General Nursing

    In order to abide by their wishes, you have to first understand what they actually are, so you would need to clarify. If a patient says they don't want to bother their family with what they think is...
  4. MunoRN

    Albuterol medication as a prn but mom wants to give as continues medication ,

    MunoRN replied to marge70's topic in Patient Medications

    I would guess the doctor refused to order it as scheduled because based on multiple recommendation it shouldn't be ordered as scheduled, only prn. I would explain to the mom the lack of benefit to...
  5. MunoRN

    Potential to Violate, Employer says it's ok.

    MunoRN replied to underabus's topic in HIPAA Challenges

    There's no HIPAA violation there. To be HIPAA compliant, a secure voice messaging system must be used, but it's not non-secure just because you're accessing it using a cell phone. As for the...
  6. MunoRN

    Type 1 Diabetes - D50 or Serum Blood Glucose?

    MunoRN replied to soapparently's topic in Nursing Student Assistance

    Diabetic coma can be cause by both hyperglycemia and hypoglycemia, you pretty clearly wouldn't want to give D50 to someone who is already critically hyperglycemic, so you would check a BG
  7. MunoRN

    Changing the PPV on PICC Line

    MunoRN replied to yelworc123's topic in General Nursing

    If the PICC has clamps then that generally means it is a non-valved PICC, in which case you should be clamping before removing any device that leaves the lumen open, whether it's a displacement cap or...
  8. MunoRN

    Sedation

    MunoRN replied to ILoveHorses's topic in PICU, Pediatric

    I'm not suggesting it, ketamine is quantitatively less dangerous than lidocaine at any common dose and by any systemic route, the main risk of lidocaine even when given ID is that there is variable...
  9. MunoRN

    Sedation

    MunoRN replied to ILoveHorses's topic in PICU, Pediatric

    Ketamine is for some reason presumed to be a dangerous medication, such as proposing that ketamine is too dangerous and that they only use lidocaine, the problem with that is Lidocaine is far more...
  10. MunoRN

    Most Pressing Issues in Nursing Today

    MunoRN replied to pmcgrady's topic in General Nursing

    I think our poor understanding of the effects of BSN as entry to practice is one of the most pressing issues in nursing today. It's one thing if someone truly understands the entire range of pros and...
  11. MunoRN

    Another Nurse on Nurse hostility story

    MunoRN replied to clandestine2's topic in General Nursing

    As JKL pointed out, I think you've confused Licensed Independent Provider with Health Care Provider in considering a clinic nurse to ER nurse report to be a HIPAA violation, it's not a HIPAA violation...
  12. MunoRN

    Transferring Patients

    MunoRN replied to ILoveHorses's topic in General Nursing

    While ketamine can be used in place of sedatives for procedural sedation, it is actually a dissociative and not a sedative, it is more than safe enough to be used to help kids tolerate uncomfortable...
  13. MunoRN

    Disaster Triage Question

    MunoRN replied to waterdrifter's topic in Emergency

    Is the patient confused but able to follow simple
  14. MunoRN

    Transferring Patients

    MunoRN replied to ILoveHorses's topic in General Nursing

    I don't understand why that would necessitate a transfer to the
  15. MunoRN

    Transferring Patients

    MunoRN replied to ILoveHorses's topic in General Nursing

    It would be helpful to know why you want to send a hospital inpatient to the ER, since that would then clarify any legal or regulatory issues related to this. One of the issues would be an EMTALA...
  16. MunoRN

    ICU Uniform

    MunoRN replied to bwoodford's topic in General Nursing

    In every ICU I've worked in the nurses wear their own scrubs or scrub equivalent. There are times where we need to change into hospital-provided scrubs for actual scrubbed-in areas, such as cath lab...
  17. MunoRN

    CBD oil

    MunoRN replied to Mariatvillanueva's topic in Private Duty

    The plan of care that a nurse acts upon is partly based on the physicians plan of care, but no, nurses don't simply follow only the medical component of the overall plan of care. I have to assume you...
  18. MunoRN

    Female Foley and Witness

    MunoRN replied to jive turkey's topic in Men in Nursing

    I'm not really clear why it would help to have a witness only during foley insertion. If the purpose of the witness is to provide for a way to dispute claims made by the patient of something that...
  19. MunoRN

    Medical sales

    MunoRN replied to Nursebry91's topic in General Nursing

    If you're looking to "head home and settle down" then being a rep/sales is probably not what you're looking for. I have a friend that formerly worked in patient care with me and is now a medical...
  20. MunoRN

    CBD oil

    MunoRN replied to Mariatvillanueva's topic in Private Duty

    Most states have position statements on nurses assisting with the use of medical marijuana, and no states oppose a nurse supporting this aspect of a patient's plan of care. CBD is a non-psychoactive...
  21. MunoRN

    Milrinone drip how to declot noncontinuous ports

    MunoRN replied to Mmonroe1's topic in General Nursing

    The quote comes from a somewhat controversial "expert" who's views on a variety of practices are either ignorant of basic scientific principles, or completely contradictory to them. She has suggested...
  22. MunoRN

    Hidden camera in nursing home, cries for help unanswered

    MunoRN replied to Emergent's topic in Nursing News

    It's an interesting choice of charges since there's no basis for a murder charge, negligence is the more appropriate charge. I would guess the murder charge comes in response to public outcry,...
  23. MunoRN

    Milrinone drip how to declot noncontinuous ports

    MunoRN replied to Mmonroe1's topic in General Nursing

    A few things; I think you missed that the clotted lumen is a different lumen from the one that the milrinone is infusing through, tPA is firmly established as safe for use in declotting lines, by far...
  24. MunoRN

    NIHSS

    MunoRN replied to Joce1's topic in General Nursing

    The only evidence based use of the NIH scale is prior to tPA, where it can be predictive for the risk of hemorrhagic complications, otherwise it serves no established purpose in guiding care. Serial...
  25. MunoRN

    Tubex carpuject holder

    MunoRN replied to Chevy2783's topic in General Nursing

    The currently available carpuject holders are the Hospira ones, Wyeth sold the Tubex licensing rights to Hospira. Does it have to be specifically the Tubex branded holder? You'll have no problem...