MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    NOC Shift & Your Health

    MunoRN replied to Future-NurseRedHeart's topic in General Nursing

    I'd be curious what study you're referring to since the research on the health effects of working night shift is fairly robust and shows clear effects. We not only know that there are differences in...
  2. MunoRN

    PICC line flush after blood draw

    MunoRN replied to Mizdeb123's topic in General Nursing

    We do use heparin to lock certain types of lines, but we don't flush with it. For valved PICCs we flush with 20ml NS after a blood draw using a 'push-pause' technique, for midlines and peripherals we...
  3. MunoRN

    Manager wants me to alter documentation on expired patient

    MunoRN replied to All4NursingRN's topic in General Nursing

    The reason EPIC asks you this is to make sure you are pulling up the correct patient, since deceased patients don't need to be charted on all that much after they are deceased. That doesn't mean...
  4. MunoRN

    Manager wants me to alter documentation on expired patient

    MunoRN replied to All4NursingRN's topic in General Nursing

    I don't ever chart vitals on the form blood bank sends, I write "see vitals flowsheet", if they were to code I would write "see code blue documentation". I don't however see the problem with...
  5. MunoRN

    potentially dangerous postpartum situation

    MunoRN replied to remotefuse's topic in General Nursing

    Not having been there I can't really speak to the nurse's actions or inaction, although by your own description your mentation was altered, so I'm not sure we can say for sure nobody ever took your...
  6. MunoRN

    When Your LPNs & PCAs Take Over

    MunoRN replied to nursingforlife24's topic in General Nursing

    I don't think anyone has argued that we shouldn't expect our coworkers to act professionally. Maybe you could clarify what "Street behavior"
  7. MunoRN

    When Your LPNs & PCAs Take Over

    MunoRN replied to nursingforlife24's topic in General Nursing

    I don't think anybody is 'supporting this kind of atmosphere', I think the issue is more with your assumption that those who have been on welfare are bad
  8. MunoRN

    Right to Refuse

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

    Physician ordered dietary restrictions are a treatment recommendation, and like any other treatment recommendation a competent patient has the right to refuse them. If the patient is deemed...
  9. MunoRN

    Irritated MDs: to SBAR or not to SBAR?

    MunoRN replied to Melanin's topic in General Nursing

    If I'm talking to an intensivist who's been dealing with the patient all day then I skip the background except for info they may not be aware of related to the situation, otherwise I go into the...
  10. MunoRN

    potentially dangerous postpartum situation

    MunoRN replied to remotefuse's topic in General Nursing

    If you had not received any opiates or other potentially altering medications then that might indicate further investigation, otherwise what you describe is not unusual after receiving narcotics and...
  11. MunoRN

    Are anti-vaccine people conspiracy theorists generally?

    MunoRN replied to Emergent's topic in General Nursing

    I would agree that we could say that it can be reasonably presumed that mandating HCW flu vaccination results in better patient outcomes, but "reasonably presume" and "definitively know" are two very...
  12. MunoRN

    Gtube

    MunoRN replied to MDSRN15's topic in MDS Coordinator Information

    I'm not sure why you think it wouldn't qualify for medicare or Medicaid
  13. MunoRN

    Are anti-vaccine people conspiracy theorists generally?

    MunoRN replied to Emergent's topic in General Nursing

    I think it's important not to overstate the evidence since this is often how conspiracy believers are born. While there are numerous recommendations and legal requirements out there, there has yet to...
  14. MunoRN

    Posted Video of Nurse Singing to Dying Patient

    MunoRN replied to DowntheRiver's topic in General Nursing

    I think if you were going to make a counterfeit badge it make more sense use a screengrab of the organizations logo from their website, which will produce a higher quality image than taking it from an...
  15. MunoRN

    Posted Video of Nurse Singing to Dying Patient

    MunoRN replied to DowntheRiver's topic in General Nursing

    I'm not sure there's much to be done about it if it was posted by family, and I would agree that's not generally appropriate even for family to post the patient's personal moments publically, but then...
  16. MunoRN

    Are anti-vaccine people conspiracy theorists generally?

    MunoRN replied to Emergent's topic in General Nursing

    I would agree there is nothing unscientific about questioning what we think we know, the basis of science is to challenge the currently accepted balance of facts with better data which then leads to...
  17. MunoRN

    RN GOP Lawmaker Says Emergency Rooms Should Be Able To Turn People Away

    MunoRN replied to Accolay's topic in Nursing News

    I was watching MTP when she came on and said this, there was a lot of yelling at the TV. Her argument was that EMTALA requires ERs to treat patients with a simple sore throat, which is embarrassingly...
  18. MunoRN

    Propofol Infusion syndrome?

    MunoRN replied to Pharmahaulic's topic in General Nursing

    If they don't really need the propofol the they don't really need the propofol, but that's a different basis for decision making than a rather unfounded time limit. The risks of propofol vs the...
  19. MunoRN

    Ethical issue?

    MunoRN replied to nursesmatter's topic in General Nursing

    I'm with you, and I find it sad that there are a number of nurses who would only advocate for their patient if the MD said it was OK. The Physician's role is basically to diagnose and treat a...
  20. MunoRN

    Manager wants me to alter documentation on expired patient

    MunoRN replied to All4NursingRN's topic in General Nursing

    I'm not getting what it is your manager wants changed, does "0" refer to charting that no vital signs were done or that the patients heart rate, BP, etc were
  21. MunoRN

    Propofol Infusion syndrome?

    MunoRN replied to Pharmahaulic's topic in General Nursing

    There's not really any evidence base for using a set time based limit on propofol infusions, Propofol Infusion Syndrome (PRIS) can occur at any duration of infusion. The incidence does increase with...
  22. MunoRN

    8 hour shifts?

    MunoRN replied to wtpsych's topic in General Nursing

    Day shifters often prefer 8 hour shifts, but that's sort of irrelevant since it's night shifters that are most impacted by shift length which then determines the number of nights worked per week....
  23. MunoRN

    Paying to travel to other hospitals

    MunoRN replied to EdmondsRN's topic in Emergency

    They are required to pay you during the time you are travelling but aren't generally required to pay for mileage, gas, etc, unless you could prove that these costs would reduce your effective pay rate...
  24. MunoRN

    BSN is a joke

    MunoRN replied to nurseguy22's topic in General Nursing

    Employers that state a preference for BSN grads generally attribute this to academia, ANA, IOM, etc, so I don't think it's really originating with employers, who are at least claiming they are just...
  25. MunoRN

    BSN is a joke

    MunoRN replied to nurseguy22's topic in General Nursing

    For the purpose of determining what the effect would be of doing away with the ADN pathway they would still need to be looked at as ADN grads, not BSN grads, since we would lose some portion of these...