MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Non opioid pain options

    MunoRN replied to JBMmom's topic in General Nursing

    There's no reason why patients with Hep C can't have any Tylenol. There are recommendations to limit Hep C patients to 2 Grams per day when taken continuously. For chronic liver failure in general...
  2. MunoRN

    Dialysis catheter

    MunoRN replied to Pharmahaulic's topic in General Nursing

    The cuff isn't in the vein, it's in the tract under the skin that the catheter goes through to get to the vein, it's purpose is help seal the tract from contamination and encourage the tissues to...
  3. MunoRN

    Dialysis catheter

    MunoRN replied to Pharmahaulic's topic in General Nursing

    Flow into the catheter occurs due to a combination of mild positive pressure in the major veins, and the negative pressure produce by the dialysis machine's pumping action. If it is not getting...
  4. MunoRN

    Dialysis catheter

    MunoRN replied to Pharmahaulic's topic in General Nursing

    A dialysis catheter doesn't rely on all of the flow through the IJ going into the catheter. Dialysis pulls a portion of the flow in a major vein then returns it
  5. MunoRN

    Nurses with children always go home early?

    MunoRN replied to Agatha12's topic in General Nursing

    Go home when they go home, problem
  6. MunoRN

    Dialysis catheter

    MunoRN replied to Pharmahaulic's topic in General Nursing

    Dialysis catheters such as those placed in the IJ aren't intended to seal the vein or occlude flow around the catheter. Dialysis catheters generally range in size from 12-14 French (between 4 and 5...
  7. MunoRN

    pro vax=spawn of satan??

    MunoRN replied to mmc51264's topic in General Nursing

    It's much more fun and satisfying to believe everything around you is part of a vast nefarious conspiracy and that it's your job to rise up against the evil facts-peddlers. Making decisions based on...
  8. MunoRN

    Catholic Nurse Sues Duke University Hospital After Refusing to Assist with Abortions

    MunoRN replied to tnbutterfly - Mary's topic in Nursing News

    She wasn't granted an exemption from assisting with abortions because they don't perform elective abortions, you can't give someone an exemption from something you don't do in the first place. Part...
  9. MunoRN

    Question for Droplet Prec

    MunoRN replied to shllybdys's topic in General Students

    None of those are actually correct for droplet precautions. Droplet precautions include masking within 3 feet of the patient, a gown and gloves are recommended if you're likely to come into contact...
  10. MunoRN

    Admin probation (Not probation on license)

    MunoRN replied to kardz33's topic in General Nursing

    I think your assumption that employers won't see your misdemeanor charge as being related to nursing is not correct. "Culpable negligence" is when you show blatant disregard for the safety and well...
  11. MunoRN

    Assignment Despite Objection (ADO) in SNF/Sub-Acute Facility

    MunoRN replied to ronzrivera's topic in General Nursing

    Anyone in any state, regardless of whether you are part of a union, can document in some way or another that you feel an assignment is potentially unsafe. This doesn't mean you aren't liable for you...
  12. MunoRN

    Right to Refuse

    MunoRN replied to 311ltc's topic in Geriatric, LTC

    I worked with a nurse when I first started who would do this, she would also put iodine in the toilet water to keep a patient on a fluid restriction from drinking it. A family called the BON on her,...
  13. MunoRN

    Iv medication

    MunoRN replied to 2017's topic in Patient Medications

    I don't know why your preceptor believes another "line" would have to be started to run two different fluids at different rates, if by line you mean another IV. You could of course run both D5LR and...
  14. MunoRN

    Bed linens in the ICU

    MunoRN replied to Steph41's topic in MICU, SICU

    On the floors, a fitted sheet with a wicking/breathable pad is the standard. The beds in ICU are much different and the manufacturer recommends against using a fitted sheet on these beds as it...
  15. MunoRN

    Catholic Nurse Sues Duke University Hospital After Refusing to Assist with Abortions

    MunoRN replied to tnbutterfly - Mary's topic in Nursing News

    Individuals are free to make their medical decisions, nurses however cannot impose the decisions they would make for themselves onto their patients. It's one thing to make the personal decision not...
  16. MunoRN

    Vasoactive Drips with a DNR

    MunoRN replied to DaveICURN's topic in General Nursing

    Regardless of Code status of the level of intervention wanted prior to cardiopulmonary arrest, pressor treatment should only be offered when medically indicated, which is to maintain end organ...
  17. MunoRN

    Is this okay?

    MunoRN replied to NewcallRN's topic in General Nursing

    In my experience the amount of notice that you are required to give them is different than the amount of time your manager can hold you before a transfer. I would stick it out, it's two
  18. MunoRN

    Catholic Nurse Sues Duke University Hospital After Refusing to Assist with Abortions

    MunoRN replied to tnbutterfly - Mary's topic in Nursing News

    As far as I can tell, Duke University Hospital does provide elective abortion services, so her claim that her opposition to abortion led to discrimination is a stretch. As for the immunizations,...
  19. MunoRN

    F Grade Hospital

    MunoRN replied to Jessicajayyy's topic in General Nursing

    Generally hospitals that provide good working environments for their nurses have no need for these contracts, beware of the ones that know they are so bad to work for that they need to contractually...
  20. MunoRN

    F Grade Hospital

    MunoRN replied to Jessicajayyy's topic in General Nursing

    There are some states where these contracts are not binding, but in other states they are perfectly legal and the employee can be held to the penalties. A contract must offer both sides something of...
  21. MunoRN

    Violation of HIPAA

    MunoRN replied to Sunshine407's topic in HIPAA Challenges

    "leaked out" your test
  22. MunoRN

    Are anti-vaccine people conspiracy theorists generally?

    MunoRN replied to Emergent's topic in General Nursing

    It turns out there is a video version of the herd-immunity domino
  23. MunoRN

    Are anti-vaccine people conspiracy theorists generally?

    MunoRN replied to Emergent's topic in General Nursing

    In the more common strains the vaccines effectiveness is around 60% from year to year, so the number on a scenario where the vaccine "didn't work" don't "seriously outnumber" those for whom it was...
  24. MunoRN

    Are anti-vaccine people conspiracy theorists generally?

    MunoRN replied to Emergent's topic in General Nursing

    We already know that an increase in vaccination rates results in a reduction of adverse outcomes related to influenza, which is why it's completely reasonable to state that there is good reason to...
  25. MunoRN

    The backside of the opiod epidemic.

    MunoRN replied to 42pines's topic in General Nursing

    I've "thrown out my back" a few times, I've been stuck on the floor for more than 24 hours straight, I don't try and not pee though, I wouldn't recommend that, instead I use a 2-jar system; a smaller...