MunoRN RN

Critical Care

Member

  • Content

    8,058

  • Visitors

    94,690

  • Followers

    9

  • Likes

    7,525

All Content by MunoRN

  1. MunoRN

    Health Care Professionals and Marijuana

    MunoRN replied to HalfBoiled's topic in General Nursing

    There have been varying stances by nursing boards and employers on medical and recreational marijuana. Some states have fairly clearly established what criteria they will use, and others are...
  2. MunoRN

    Why NANDA-NIC-NOC are not open source?

    MunoRN replied to jesusignazio's topic in General Nursing

    That answer is in response to use in an EMR which would require licensing from NANDA, your post asked about making a copy in order to study, copyright law specifically exempts copyright protections...
  3. MunoRN

    Is it a medication error if...?

    MunoRN replied to kbrowning's topic in Patient Medications

    CMS and all insurers have moved to bundled billing for inpatients, so there are no longer individual charges for medications. There are other potential problems with a conflict between the pyxis...
  4. MunoRN

    Is it a medication error if...?

    MunoRN replied to kbrowning's topic in Patient Medications

    The commonly recognized definitions of a "medication error" requires that there be a potential for harm to the patient, what you're describing seems to be more of an administrative process error....
  5. MunoRN

    Getting yelled at by a doctor for the first time....

    MunoRN replied to NewbieNurse93's topic in General Nursing

    You did nothing wrong, in places I've worked the MD who refused to fulfill their role as the covering provider would be removed as the patient's provider and reported for abandonment, if there was no...
  6. MunoRN

    Getting yelled at by a doctor for the first time....

    MunoRN replied to NewbieNurse93's topic in General Nursing

    As far as I know, it's the DEA that requires original scripts for scheduled drugs, non-scheduled drugs can be ordered and filled using only electronic ordering and signatures, scheduled meds
  7. MunoRN

    Is it legal for your boss to dictate where you poop?

    MunoRN replied to klone's topic in General Nursing

    I've learned the hard way that your boss can tell you that you can't poop in your bosses desk
  8. MunoRN

    NY Mandates "BSN in 10"

    MunoRN replied to TAKOO01's topic in General Nursing

    One thing that will be interesting is that this may actually result in no more bridge programs (RN to BSN) in New York, since ADN grads will now just be called BSN grads there will potentially be no...
  9. MunoRN

    Mixing Myers Coctail

    MunoRN replied to 3jhill's topic in Patient Safety Issues

    This is not a legal practice for an RN in California or any state I'm aware of. Even for those allowed to compound IV medications, and in most licensed compounding situations, only two accesses of...
  10. MunoRN

    Why NANDA-NIC-NOC are not open source?

    MunoRN replied to jesusignazio's topic in General Nursing

    Free use of copyrighted material is legally allowed for educational purposes. I've never seen NANDA used by facilities who would potentially need to pay for use of their copyrighted language, and...
  11. MunoRN

    NY Mandates "BSN in 10"

    MunoRN replied to TAKOO01's topic in General Nursing

    The specifics of how this will work are yet to be ironed out, but basically all NY is doing is renaming ADN programs as BSN programs. The law mandates that ADN programs use a shared curriculum with a...
  12. MunoRN

    To Suction or Not To Suction, End of Life & Hospice Patients

    MunoRN replied to NickICU-RN's topic in General Nursing

    This is certainly one of those tricky dilemmas with no definitively correct answer, but in general I don't believe it's appropriate to suction patients who are truly at the end of life, and is bad...
  13. MunoRN

    Question about priming tubing

    MunoRN replied to aship's topic in General Nursing

    Using the antibiotic to prime the tubing will typically waste at least some amount of the antibiotic, we measured the actual amount used among our nursing staff, and wasting 20ml while priming wasn't...
  14. MunoRN

    Correct way to draw blood?

    MunoRN replied to Flames9_RN's topic in Patient Safety Issues

    Drawing labs off of a peripheral IV is actually recommended practice by the Infusion Nursing Society. You certainly need to take into account what has being going through the IV, and preferably use a...
  15. MunoRN

    RN with medical marijuana card

    MunoRN replied to youenjoymyself's topic in General Nursing

    A DUI is considered evidence of alcohol abuse rather than use which is why DUIs often result in imposed monitoring programs, a DUI with Marijuana as the impairing substance would be treated the same....
  16. MunoRN

    RN with medical marijuana card

    MunoRN replied to youenjoymyself's topic in General Nursing

    A number of nursing boards have put out position statements in the wake of medical and recreational marijuana legalization at the state level, and I think people may be overstating their stances....
  17. MunoRN

    RN with medical marijuana card

    MunoRN replied to youenjoymyself's topic in General Nursing

    There are no federal laws that require employers to broadly drug test prosepective employees outside of situations where employees are directly regulated by the federal government (airline pilots for...
  18. MunoRN

    Nurse looked at my Facebook-HIPAA violation ?

    MunoRN replied to PlainB's topic in HIPAA Challenges

    It's weird and creepy, but not a HIPAA
  19. MunoRN

    Pain scale

    MunoRN replied to nurseequestrian's topic in General Nursing

    Like many situations we face, it comes down to which decision can better falls into "reasonable and prudent" practice. I feel much more comfortable with the potential of having to defend a decision...
  20. MunoRN

    Reducing CLABSIs by prohibiting blood draws from line?

    MunoRN replied to fartjohnson's topic in General Nursing

    The idea behind prohibiting the use of central lines for blood draws to reduce CLASBI is that each access of the line carries a risk of contamination, whether it's flushing the line, giving a med, or...
  21. MunoRN

    Reducing CLABSIs by prohibiting blood draws from line?

    MunoRN replied to fartjohnson's topic in General Nursing

    Groins are generally less clean than other sites, particularly when you find your femoral site submerged in a lake of diarrhea. Another big reason is that patient's can still be ambulatory with an IJ...
  22. MunoRN

    Pain scale

    MunoRN replied to nurseequestrian's topic in General Nursing

    What differentiates "practicing medicine" and acting with the scope of an RN is whether or not you are acting within the mutually understood interpretation of the order between the ordering provider...
  23. MunoRN

    Accreditation for CEUs

    MunoRN replied to Kitiger's topic in General Nursing

    If you're referring to what's required to meet license renewal CEUs then that seems to vary by state. I've worked in a state where your CEU's to maintain your license requirements had to come from an...
  24. MunoRN

    Medical POA

    MunoRN replied to jkick626i's topic in LPN, LVN Corner

    If the patient or their decision maker is only refusing this particular dose, and may take subsequent doses, then it's reasonable to just chart this particular dose as being refused but to leave it is...
  25. MunoRN

    Medical POA

    MunoRN replied to jkick626i's topic in LPN, LVN Corner

    No doctor's order is required for a patient or their designated decision maker to decline a suggested