MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Is there a place that lists everything within the RN scope of practice?

    MunoRN replied to zygee's topic in General Nursing

    There is no single list because there is no single scope of practice for all nurses, everyone posting so far in this thread likely has different scopes of practice. The legally defined scope of...
  2. MunoRN

    Calling patients by "pet" names.

    MunoRN replied to dbabz's topic in Patient, Colleague Relations

    I think that vulnerability is the reason we sometimes use less formal terms with patients, I'm not sure "Mr." and "Mrs." always convey that we recognize they feel vulnerable as much as 'warmer' terms...
  3. MunoRN

    Ingrezza

    MunoRN replied to debi49's topic in General Nursing

    I hadn't heard of it either, it is pretty expensive at a quoted price of $64,000 per year, although even that price is a bait switch since that's the cost of half the recommended dose, so to take the...
  4. MunoRN

    Setting CADD pump reservoir volume

    MunoRN replied to kyrajls's topic in General Nursing

    Regardless of what you set the volume to be, once air gets to the pump it's going to alarm, so I'm not sure how it really helps unless you're very sure that there really are at least 265mls in the bag...
  5. MunoRN

    Spouse vs. MPOA and feeding tubes

    MunoRN replied to anon456's topic in General Nursing

    A person can designated someone specifically to be their POA, which then overrides the hierarchy of next of kin that would become the POA by default. However there are no laws that say that the person...
  6. MunoRN

    Spouse vs. MPOA and feeding tubes

    MunoRN replied to anon456's topic in General Nursing

    I think maybe you're misunderstanding the laws related to this as there are no laws that state what you are describing. A spouse is often the default POA following the usual next of kin list, but if...
  7. MunoRN

    Are medication prior auths impacting your day? Feedback please

    MunoRN replied to 5150rn2's topic in Patient Medications

    I'm not sure how that would mean less for the physician. Without your proposed service, they would have to document the basis for covering an non-formulary medication and communicate that to the...
  8. MunoRN

    Is APA taught in Intro English class?

    MunoRN replied to bookwormom's topic in Nursing Educators, Faculty

    There is no standard format, APA is just one of a number of citation formats, so many schools do not include APA as a required part of their curriculum. Personally I think it's a bit silly to mandate...
  9. MunoRN

    8 Dead at Florida Nursing Home without power after Hurricane Irma

    MunoRN replied to Blackcat99's topic in Nursing News

    According to the coverage, the problem is that the nursing staff didn't have all the patient brought over to the hospital across the street, that wouldn't have been affected by lack of staff or...
  10. MunoRN

    Oxygen

    MunoRN replied to Marija1's topic in General Nursing

    I'm guessing by signing for the portable tank you are saying that it's being filled. If the patient switches to the portable tank during the day then it seems like it would make more sense to be...
  11. MunoRN

    Oxygen

    MunoRN replied to Marija1's topic in General Nursing

    If the patient is getting oxygen, at the ordered rate, and using the correct route then there is no med error, the source of the oxygen is a separate matter. To have both an oxygen concentrator and...
  12. MunoRN

    Navy Corpsmen Caught

    MunoRN replied to guest52816's topic in Nursing News

    According to the Navy these weren't nurses, "Capt. Brenda Malone, spokeswoman for the*U.S. Navy Bureau of Medicine and Surgery, which oversees several hospitals around the country, said the employees...
  13. MunoRN

    Nursing Director removed my pts restraints

    MunoRN replied to remotefuse's topic in General Nursing

    Personally, I would have handled it by reporting the actions of your nursing director to the BON as they were pretty clearly negligent, but then again I'm a trouble
  14. MunoRN

    Are medication prior auths impacting your day? Feedback please

    MunoRN replied to 5150rn2's topic in Patient Medications

    I'm not sure how that would benefit a physicians office since insurers already employ nurses who deal with prior authorizations. If a physician prescribes something that is not on a plan's formulary...
  15. MunoRN

    Nursing Director removed my pts restraints

    MunoRN replied to remotefuse's topic in General Nursing

    If she preferred that the patient have a sitter, did she provide you with a sitter? Sometimes aggressive patients require both a sitter and restraints, I'm not sure what alternative plan she...
  16. MunoRN

    If a pt. is allergic to codeine, can she have morphine (sulfate, PO)?

    MunoRN replied to dura.mater's topic in Nursing Student Assistance

    Assuming it's a true allergy and not a fairly normal and expected side effect or pseudoallergy symptom, an opiate from the semi-synthetic family (ie hydrocodone) could be tried since there's a decent...
  17. MunoRN

    Non clinical boss wants to sit in on pre-op visit with patients

    MunoRN replied to erica2117's topic in General Nursing

    The QA requirement is not all that strictly defined, it's pretty much up to the facility to determine what they define as
  18. MunoRN

    Non clinical boss wants to sit in on pre-op visit with patients

    MunoRN replied to erica2117's topic in General Nursing

    I completely agree her behavior is inappropriate and she seems to be completely lacking in basic healthcare etiquette, and that the bigger problem is that she has no clinical knowledge
  19. MunoRN

    Non clinical boss wants to sit in on pre-op visit with patients

    MunoRN replied to erica2117's topic in General Nursing

    According to the description she's the OP's direct supervisor, HIPAA allows for her to directly observe her staff even when providing patient care under the quality assurance exception. Whether she's...
  20. MunoRN

    Obtaining Consent and Confrontation With Physician

    MunoRN replied to rn21191's topic in General Nursing

    I find it a little hard to believe that the physicians behavior was tolerated as much as it was, if the patient was capable of making decisions, and at every opportunity had refused the surgery, then...
  21. MunoRN

    Non clinical boss wants to sit in on pre-op visit with patients

    MunoRN replied to erica2117's topic in General Nursing

    I don't know where people are getting that this is a potential HIPAA violation, from the description it's the nurses direct supervisor, so whether she's a nurse or not her involvement in observing...
  22. MunoRN

    8 Dead at Florida Nursing Home without power after Hurricane Irma

    MunoRN replied to Blackcat99's topic in Nursing News

    A Florida nursing home where 8 residents died in the aftermath of hurricane Irma when the facility lost air conditioning. The facility has been closed and it is considered a crime scene by police,...
  23. MunoRN

    Police Barred from Contact with Utah Hospital Nurses after Appalling Arrest

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

    I think there's some confusion about the steps the hospital has taken. The hospital hasn't banned all LEO's from the hospital, they now require LEOs to direct their requests to the house supervisor...
  24. MunoRN

    Patient Rights and POA

    MunoRN replied to shannonh17's topic in Patient Safety Issues

    There's not really any gray area here, assuming there wasn't information left out then the scenario includes a patient who is competent to make their own decision, in which case the POA doesn't come...
  25. MunoRN

    Ethical dilemma- Administering medications to patients with TBI

    MunoRN replied to MissJessP's topic in Nursing Professionalism

    There needs to be an assessment of the patient's competence to make medical decisions in order to answer your question. These are sometimes referred to as the 3 "magic questions" required to make...