MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Epinephrine error

    MunoRN replied to katie4593's topic in General Nursing

    Why was the epi ordered as SQ when they had IV access? For what reason was the Epi being given? O.5mg epi is not an unusually "high dose", it's half of the cardiac arrest/crashing patient dose....
  2. MunoRN

    Repealing ACA

    MunoRN replied to OnceMorewithFeeling's topic in Activism, Healthcare

    This is supposedly what we wanted, an insurance market that is at the whim of market survival-of-the-fittest, if such a system is working properly then plans and companies will come and go
  3. MunoRN

    Repealing ACA

    MunoRN replied to OnceMorewithFeeling's topic in Activism, Healthcare

    Correct me if I'm wrong but you stated you had a plan through the individual market prior to Obamacare, these did not offer the same protections as the group market, I think you're confusing an...
  4. MunoRN

    Rooming in on another unit?

    MunoRN replied to Lady_Leijing's topic in Ob/Gyn

    OB definitely isn't my thing, I'm on the other end of these examples as we sometimes get moms in the ICU, usually for DIC, sepsis, or severe cardiomyopathies. Because of the drugs and dosages these...
  5. MunoRN

    All Hail ICU Nurses

    MunoRN replied to purplegal's topic in Critical Care

    As a Critical Care nurse I would say all hail every nurse who takes 5, 6, 7 etc of patients that aren't that much less sick than my 2. I remember when I first started in ICU, a nurse who was...
  6. MunoRN

    Sunday Service and Weekend shift

    MunoRN replied to gigglebotRN's topic in Spirituality, Religion

    I think what you're not considering is whether or not attending church is the only way to serve the core Christian beliefs such as the compassionate, healing mission taught by Jesus
  7. MunoRN

    Rehab, feeding tubes, & constipation

    MunoRN replied to CrunchRN's topic in General Nursing

    Keep in mind that fiber is more likely to cause constipation than prevent it. We often reflexively add fiber to tube feeding to avoid diarrhea, but then forget to d/c it when there is
  8. MunoRN

    Repealing ACA

    MunoRN replied to OnceMorewithFeeling's topic in Activism, Healthcare

    I get that it can be frustrating to think you're paying exponentially more for the same thing you were getting before, although the price those in the individual market were paying before wasn't...
  9. MunoRN

    Beacon Award

    MunoRN replied to Steph41's topic in Critical Care

    Beacon is basically a unit specific magnet award, it's basically the same criteria as magnet. Like magnet, it rewards management for creating a good work environment for nurses and good patient care,...
  10. MunoRN

    Suctioning with Distilled water ???

    MunoRN replied to Nat07's topic in Geriatric, LTC

    Are you referring to instilling distilled vs sterile water down the trach? As far as I know the current best practice answer is 'neither'. For clearing the suction catheter between passes either...
  11. MunoRN

    Abandonment Question

    MunoRN replied to Tmows25's topic in General Nursing

    Each state is a little different, but generally it's not abandonment if there is someone else on the premises who can perform the same duties, it doesn't matter if that leaves that staff person with...
  12. MunoRN

    Manager interrupting

    MunoRN replied to lifeisgood516's topic in General Nursing

    Patient hand-offs are well known as an opportunity to prevent or contribute to harm to a patient, they should not be interrupted for a non-emergent issue. I wouldn't have any problem reminding my...
  13. MunoRN

    Clean off the dead skin!

    MunoRN replied to Gizmopup1's topic in General Nursing

    It's not about confidence with wound care, it's that wound care nurses tend to be territorial, and sometimes scold "regular" nurses for doing things they consider to be their territory, such as...
  14. MunoRN

    Pain Scale

    MunoRN replied to 5228shamrock's topic in General Nursing

    It''s not really possible for a self-reported pain scale to be either accurate or inaccurate, it's not supposed to be a defined measurement system, so long as you're not dosing meds based on the...
  15. MunoRN

    Restraints

    MunoRN replied to emm1256's topic in Patient Safety Issues

    I completely agree that the nurse needs to get the order renewed as quickly as possible, but the solution is not to instead remove the restraints avoid needing the
  16. MunoRN

    Restraints

    MunoRN replied to emm1256's topic in Patient Safety Issues

    In a way, yes of course there is a huge difference, but they are also two interventions that directly ensure the patient's safety, the paperwork that reflects those interventions is not. If you...
  17. MunoRN

    Restraints

    MunoRN replied to emm1256's topic in Patient Safety Issues

    Remember that nursing is all about prioritizing, given the choice between keeping the patient safe and ensuring administrative compliance you keep the patient safe, and then work on correcting the...
  18. MunoRN

    Hospice patient is requesting food, but the family denies her

    MunoRN replied to RNgemini's topic in General Nursing

    That is actually what the term traditionally refers to, usually in reference to someone suffering from another more agonizing chronic and/or terminal illness. The term was coined by Sir William Osler...
  19. MunoRN

    Hospice patient is requesting food, but the family denies her

    MunoRN replied to RNgemini's topic in General Nursing

    I think you're confusing choking with the type of aspiration that typically occurs in dementia patients, which is particulate aspiration. Dysphagia is not uncommon in dementia patients and the...
  20. MunoRN

    Repealing ACA

    MunoRN replied to OnceMorewithFeeling's topic in Activism, Healthcare

    Catastrophic plans usually refer to very high deductible plans, usually $30,000 or more, meaning you pay the first $30,000 in medical bills and then pay for insurance that would pay for costs above...
  21. MunoRN

    Beacon Award

    MunoRN replied to Steph41's topic in Critical Care

    It's important to remember that both the Beacon award and it's facility-wide big brother Magnet are not awards for nursing staff, they are awards that nursing staff advocates for their nursing...
  22. MunoRN

    Hourly pay/commission

    MunoRN replied to JQRN's topic in Aesthetics

    I know a nurse who switched to an aesthetics job because she really had to go to a M-F 9-5 job, she makes a few dollars over minimum wage, so $25/hr sounds pretty
  23. MunoRN

    Iv infusion confusion

    MunoRN replied to Joy101's topic in General Nursing

    To answer your question about the rate to flush it at, no you don't have to flush it at a rate of 30 ml/hr, that's a bit silly if you're flushing something that was infusing at 100 ml/hr. Keep in...
  24. MunoRN

    Iv infusion confusion

    MunoRN replied to Joy101's topic in General Nursing

    If there is no primary infusion and I'm going to disconnect it when the intermittent infusion is complete then I just program the volume to be infused at 20-30ml more than the volume of the bag, this...
  25. MunoRN

    Hospice patient is requesting food, but the family denies her

    MunoRN replied to RNgemini's topic in General Nursing

    There should be some sort of process for resolving these issues at your workplace, but there's no facility I've worked at where we would honor the family members request, despite being the POA....