MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    AF or AFL or Artifact

    MunoRN replied to Dsmcmm's topic in Nursing Student Assistance

    There is artifact in line 2 and the beginning of line 3, the waveforms are too sharp and erratic to be consistent with any type of intrinsic conduction. There are P-waves present throughout the strip,...
  2. MunoRN

    DNR Turning Into Do Not Treat?

    MunoRN replied to EllaBella1's topic in General Nursing

    Part of the confusion comes from differing definitions, there is a hospital system that defines "DNR" as comfort measures only, for instance. There are many physicians who view pressors as...
  3. MunoRN

    Nitroglygerin

    MunoRN replied to neuron's topic in Patient Medications

    It's possible that the lack of an order for nitroglycerin for chest pain is intentional, nitroglycerin is contraindicated in ischemia involving the right ventricle. It could also be that the ordering...
  4. MunoRN

    Going to color coded scrubs.

    MunoRN replied to mmc51264's topic in General Nursing

    I've only worked at one facility that required color coded scrubs, and the only reason why color coded scrubs were beneficial was that they the management was so negligent that they couldn't staff...
  5. MunoRN

    Working Weeknds

    MunoRN replied to MJ48's topic in General Nursing

    In order to have weekend coverage, which is a basic expectation of care for those in an LTC, every full time employee has to cover every other weekend, so I'm not sure how you got the impression that...
  6. MunoRN

    being called off..

    MunoRN replied to SaltySarcasticSally's topic in General Nursing

    RN staffing requirements typically increase by 15-25% between November and March, the way hospitals deal with these staffing variabilties is based on the the facility, some just expect their normal...
  7. MunoRN

    First Time Fall

    MunoRN replied to Nola504's topic in Patient Safety Issues

    You clearly care about your patients and the quality of care you provide, that's good, but you don't need to blame yourself for things that are in no way your fault. You've stated a few times that...
  8. MunoRN

    Medication Error

    MunoRN replied to CMA-RN29's topic in General Students

    Not to downplay your mistake, but what you would be doing as a nurse is actually very different since as a nurse you will be administering medications, as an MA you are giving medications under the...
  9. MunoRN

    what is the hospital nurses role in organ donation?

    MunoRN replied to xmilkncookiesx's topic in General Nursing

    This must vary regionally because in multiple facilities I've worked at the hospital staff RNs continue to care for the patient up to the point they are being wheeled into the OR for procurement. The...
  10. MunoRN

    Depressed patient refuses positioning even though she is lying on her own bowel movement

    MunoRN replied to MissHannaway's topic in General Nursing

    There are very clear requirements for ignoring a patient's right to refuse, failing to abide by those requirements is a crime, sometimes even a felony so it should be taken seriously. If the patient...
  11. MunoRN

    Bathroom Door Question/ Best Practice

    MunoRN replied to frances81's topic in General Nursing

    I was always taught it's proper etiquette to leave a bathroom door open when not in use because it's assumed that when the door is closed it means it is in use. There's not really anything unsanitary...
  12. MunoRN

    On the other end of the cath

    MunoRN replied to MrFoley's topic in General Nursing

    I have actually come across a couple of nurses that saw no problem with a 'dry' foley insertion, one didn't do it completely without lubricant but used a single small drop on the tip of the catheter,...
  13. MunoRN

    Pre-employment physical

    MunoRN replied to barnchic422's topic in General Nursing

    It's generally pretty basic. An independent testing facility may ask for proof of prescribed medications, although as a direct care nurse your employer is also allowed to ask what medications you...
  14. MunoRN

    Catch 22 situation

    MunoRN replied to RRRNNN's topic in LTC: Directors, Assistant

    Technically Alzheimer's Dementia is considered a psychiatric disorder and is listed by the APA as a DSM diagnosis. As a neurocognitive disorder it's classified as a separate subgroup of mental...
  15. MunoRN

    Catch 22 situation

    MunoRN replied to RRRNNN's topic in LTC: Directors, Assistant

    That's an impressive combination of bad decisions you facility is making. To start with, treating the symptoms of a condition or illness is not a "chemical restraint", and actually failing to treat...
  16. MunoRN

    Any ADNs that do not care about bachelors

    MunoRN replied to Big_Mike's topic in Pre-Nursing Students

    ADN programs have given extra "points" for previous degrees for a while now, although it does seem as though it's become effectively a requirement for admissions in some programs given the number of...
  17. MunoRN

    PVC's, APC's No Treatment?

    MunoRN replied to Kooky Korky's topic in CCU, Coronary, Cardiac

    Treatment generally isn't indicated for PVC's, this can be a fairly normal finding in the general population. Depending on the full clinical picture, ventricular ectopy generally indicates further...
  18. MunoRN

    Nurses with children always go home early?

    MunoRN replied to Agatha12's topic in General Nursing

    Once you are no longer being paid you leave, there is no obligation whatsoever that you stay beyond that point in time. So you're complaining that you're having to stay longer than people with kids...
  19. MunoRN

    Ventilator Tubing Condensation

    MunoRN replied to emeraldcitynurse's topic in Home Health

    The general rule is to leave the closed circuit closed as much as possible, if you don't really need to break the circuit then don't do it. There's no rationale basis to believe that dumping the...
  20. MunoRN

    Flu Shot = Sick

    MunoRN replied to Taina33's topic in Activism, Healthcare

    You don't get "sick" from the flu shot, when the flu shot does what it's supposed to do, you should experience an immune response to the vaccine, that's how it works. This is a self-limiting immune...
  21. MunoRN

    Mandatory flu shots????

    MunoRN replied to 45whenimdone's topic in Disaster Preparation

    I've worked ICU for a decade now and I can tell you that the one thing other than trauma that is most likely to put an otherwise completely healthy, young, and "up walking around" person on aggressive...
  22. MunoRN

    My husband wakes me up!

    MunoRN replied to BabyRN_nights's topic in General Nursing

    Each time he wakes you up during the day, wake him up at the corresponding time during the
  23. MunoRN

    Albuterol and Ipratropium

    MunoRN replied to TMarie143's topic in Emergency

    The duration of action of ipratropium is 2-3 times that of albuterol, which is why duo-neb or plain ipratropium is typically given every 4-6 hours, if additional albuterol is required in between those...
  24. MunoRN

    Dialysis catheter

    MunoRN replied to Pharmahaulic's topic in General Nursing

    Find and fix anything restricting flow, if that doesn't improve the flow, then a reduction in flow rate may be necessary although there is a limit to how much you can slow flow the dialyzer and still...
  25. MunoRN

    Dialysis catheter

    MunoRN replied to Pharmahaulic's topic in General Nursing

    The machine will alarm, notifying the nurse or dialysis tech running the machine that there is reduced flow who then troubleshoots, it may be that the patient has turned their head too far, the...