MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Fired Due to Not Being Able to Get to Work

    MunoRN replied to Studentworker's topic in General Nursing

    I don't see how it matters exactly when the OP made it known that they had made a commitment they had no intention of honoring. There is no amount of prior notification time that you ***** up in...
  2. MunoRN

    Vecuronium... IV push??

    MunoRN replied to NurseToTheTinyHumans's topic in Patient Medications

    Generally a paralytic is a last ditch effort after analgesia and sedation have already failed, so there should have already been sufficient fentanyl on board, generally it's bad form to paralyze...
  3. MunoRN

    Fired Due to Not Being Able to Get to Work

    MunoRN replied to Studentworker's topic in General Nursing

    It's one thing if you were saying you were aware from the get-go that once it snowed you had no plan for how to get there, and as a result you would be terminated. You made a commitment to be there...
  4. MunoRN

    Vecuronium... IV push??

    MunoRN replied to NurseToTheTinyHumans's topic in Patient Medications

    The paralytic did what it was supposed to do (and as Wuzzie pointed out, that's a huge dose for a kid), the problem is that the vent settings weren't correctly set for a paralyzed patient. The idea...
  5. MunoRN

    Lawsuit

    MunoRN replied to QuietIsntAWord's topic in General Nursing

    The truth is always the right answer, if you truly don't remember then that would be the right
  6. MunoRN

    Fired Due to Not Being Able to Get to Work

    MunoRN replied to Studentworker's topic in General Nursing

    There are no states where tire chains are prohibited when necessary for traction in ice or snow. You can get cable chains for as little as $20, which is why I'm not see the insurmountable issue to...
  7. MunoRN

    I HATE contingency orders

    MunoRN replied to Melanin's topic in General Nursing

    Mistakes are how we learn, what you'll learn from this is that due to the short half-life of IV heparin, it would be unusual to have a 3 hour pause to adjust the ptt, now you know. I don't think there...
  8. MunoRN

    Fired Due to Not Being Able to Get to Work

    MunoRN replied to Studentworker's topic in General Nursing

    Then why do you make this commitment to begin
  9. MunoRN

    Fired Due to Not Being Able to Get to Work

    MunoRN replied to Studentworker's topic in General Nursing

    I am actually, life isn't easy, and this would hardly be the most trying thing that a lot of people manage to get through on a daily basis. I'm not clear why you haven't considered just putting chains...
  10. MunoRN

    Fired Due to Not Being Able to Get to Work

    MunoRN replied to Studentworker's topic in General Nursing

    Maybe I'm showing my age, but I'm not really clear why you absolutely couldn't get there. Even if it's a long walk and it's snowing, dress warm and leave
  11. MunoRN

    Please help

    MunoRN replied to Scarlett7's topic in General Nursing

    These are all questions you should be discussing with your doctor, and while none of those results are in any way concerning, your post certainly does present sufficient reason to seek medical
  12. MunoRN

    Nurses don't do their 3 med checks?

    MunoRN replied to OsceanSN2018's topic in General Nursing

    Scanning the patient and medication is checking the patient and medication, there are varying views on exactly how the nurse should double check the scanning, but there was at least one check of both...
  13. MunoRN

    Nurses don't do their 3 med checks?

    MunoRN replied to OsceanSN2018's topic in General Nursing

    The time it takes to reach for and pick up the vial is more time than it takes to read the "Heparin 5,000" on the vial, so there's not going to be additional time spent reading the labels beyond just...
  14. MunoRN

    Nurses don't do their 3 med checks?

    MunoRN replied to OsceanSN2018's topic in General Nursing

    I don't understand how she was "grabbing meds" without being able to see them, was she
  15. MunoRN

    Should nurses be able to listen to music at work?

    MunoRN replied to RockinNurse2018's topic in General Nursing

    While there certainly can be an issue with a nurse wearing headphones that make then unable to hear what's going on around them, adding some music to the all the truly distracting sounds has been...
  16. MunoRN

    Waking Up Patients?

    MunoRN replied to WanderingLeaf's topic in General Students

    It doesn't really matter if your program wants you to do vitals and head to toe assessment as part of each clinical rotation, if it's not part of the patient's plan of care to wake them for these...
  17. MunoRN

    Heparin Drip decreased Calculation

    MunoRN replied to heavenleegh1's topic in Nursing Student Assistance

    Since you need to translate a change in units to mls, how many mls would equal 1000
  18. MunoRN

    Suicide screening for all is not needed

    MunoRN replied to Emergent's topic in Emergency

    A broken arm can certainly be a result of intentional self harm, are you actually arguing that a broken arm never results from intentional self harm? If so, this is why we aren't allowed to just...
  19. MunoRN

    Is aspirin a blood thinner?

    MunoRN replied to ChloeLissa's topic in Patient Medications

    A "thinner", such as a paint "thinner" refers to something prolongs the time it takes a liquid to coagulate or affects the coagulation process in some inhibitory way. "Thinner" can also be used to...
  20. MunoRN

    Suicide screening for all is not needed

    MunoRN replied to Emergent's topic in Emergency

    The available evidence would seem to contradict the claim that suicide screening isn't necessary. While I would agree that utilizing broad, comprehensive suicide screening shouldn't be necessary, the...
  21. MunoRN

    TPA in hyperglycemia?

    MunoRN replied to detrelibre's topic in General Nursing

    My old AHA/ASA book lists hyperglycemia as a "warning", not an absolute contraindication, and I don't think it's even listed in the current recommendations. What's important before standing firm and...
  22. MunoRN

    Question about change in Coumadin dose

    MunoRN replied to Debhil50's topic in Patient Medications

    If I were you I would keep it professional (I say this because if I were me there would be a long string of expletives directed at whomever considers this to be an error worthy of punishment), but...
  23. MunoRN

    Pain management

    MunoRN replied to Matt8700's topic in Emergency

    The issue is that if a legitimate reason for the use of opiates has been ruled out, then it really doesn't matter if they find motrin sufficient, that's all they are getting (although I would argue...
  24. MunoRN

    Tips for inserting foleys

    MunoRN replied to theRPN2b's topic in General Nursing

    Use lidocaine jelly. If you're trying to force a foley through a urethra and sphincters that are all clamped down due to discomfort, then it's not only going to be more difficulty but you're more...
  25. MunoRN

    Revived when there was a DNR/AND code status

    MunoRN replied to ambersky004's topic in General Nursing

    Any reasonable risk manager would have responded that they aren't going to "consult" you on how to write your note, that opens up a huge can of legal worms. They will remind you to chart accurately...