MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Religious accommodation means no Saturdays....ever?

    MunoRN replied to momto6msn's topic in General Nursing

    According to the OP told them they have Saturdays off as a religious requirement, when so such requirement actually exists. Employers generally look for the path of least resistance, so even they...
  2. MunoRN

    Religious accommodation means no Saturdays....ever?

    MunoRN replied to momto6msn's topic in General Nursing

    The problem with that is that there isn't any religion or religious sub-group that adheres to a Sabbath which doesn't also believe that caring for the sick is allowed activity on the Sabbath, so...
  3. MunoRN

    Does she look in pain?

    MunoRN replied to tsm007's topic in General Nursing

    It's hard to respond without knowing where the conversation went from there. I'm assuming/hoping you asked for clarification about what "does she look like she's in pain" meant. Just based on what...
  4. MunoRN

    Low Census

    MunoRN replied to allstressedout1's topic in General Nursing

    Unless you work somewhere that has a defined and consistent census, the expectation of low census needs to be something that you expect to happen and your budget should be based on how much you're...
  5. MunoRN

    Green O2 Christmas trees

    MunoRN replied to SandraCVRN's topic in General Nursing

    I'm not sure what the rationale for replacing it would be. It's not really possible for patient secretions, nosejuice, etc to make it all the way back up to the tree, and if it's true that the tree...
  6. MunoRN

    Inappropriate nurses?

    MunoRN replied to hgraves64's topic in Patient, Colleague Relations

    It's actually pretty important for nurses to discuss their workloads so that: 1)other nurses on the floor are aware of the overall workloads so that they can prioritize their care and their assisting...
  7. MunoRN

    Pre Employment Physical

    MunoRN replied to Tdrichie's topic in General Nursing

    I once had to get an MMR titer and nothing else, for whatever reason they drew 5 full SST tubes, I still don't understand what the purpose of that
  8. MunoRN

    MRSA in Nares- contact precautioned?

    MunoRN replied to maxxilla's topic in Operating Room

    MRSA screens look for colonization, not infection, which are two very different things. Whether or not a facility uses contact isolation precautions for colonization as well as active infection...
  9. MunoRN

    Tramadol and Nursing School

    MunoRN replied to N_madison's topic in Nurse Disabilities

    Your best option is to be honest failing to disclose can potentially get you into far more trouble with the school and more importantly with the Board of Nursing. I would think that generally schools...
  10. MunoRN

    Religious accommodation means no Saturdays....ever?

    MunoRN replied to momto6msn's topic in General Nursing

    "Reasonable accommodation" cannot adversely affect the employer or any employees, requiring an employee to do more work than they would otherwise is often given as an example of what would make an...
  11. MunoRN

    Do psychotropic meds contribute to poor decision making sometimes?

    MunoRN replied to Emergent's topic in General Nursing

    Your Mileage May
  12. MunoRN

    Lab Values in the ICU

    MunoRN replied to Santiago Pinon III's topic in General Nursing

    We use iSTAT, I'm not sure how many other approved devices exist, iSTAT is the only POC tester I've heard of that can do a variety of labs. Results take less than a few minutes. If you get your labs...
  13. MunoRN

    Lab Values in the ICU

    MunoRN replied to Santiago Pinon III's topic in General Nursing

    We use them but only for specific patients, mainly ECMO and sometimes CRRT, new MCS devices, etc. In general we use the central lab and our ABG
  14. MunoRN

    Do psychotropic meds contribute to poor decision making sometimes?

    MunoRN replied to Emergent's topic in General Nursing

    It depends on what exactly he's taking for his anxiety. Long term use of benzodiazepines is associated with cognitive decline and disability, although it's completely possible that he would make...
  15. MunoRN

    Documentation of times

    MunoRN replied to hlnorrn's topic in General Nursing

    If the times the patient leaves and returns the unit are being documented elsewhere (this is usually done by the transporter or other ancillary staff), then I would discourage you from...
  16. MunoRN

    IV Push med– do you always have to pull back for blood return?

    MunoRN replied to missjune's topic in Patient Medications

    You are wildly misrepresenting the status of research on this subject, there is absolutely no "new research" that has supported this position, it appears to be based on a poor understanding of the...
  17. MunoRN

    Documenting injection the MD gave

    MunoRN replied to SaltySarcasticSally's topic in General Nursing

    Every EMR has some way of charting, either as a drop down box or at least a comment, that a medication you're charting as given was given by someone else, "MD reported injection of such and such was...
  18. MunoRN

    ADN or BSN: What's the Big Deal?

    MunoRN replied to allnurses's topic in General Nursing

    Actually what I think was interesting was the lack of a trend. The portion of BSN nurses has not changed, but the portion with an advanced degree has increased and ASN has decreased (although there's...
  19. MunoRN

    Do separate Norco orders stand alone

    MunoRN replied to elli3's topic in Nursing Student Assistance

    I would argue that any provider who is ordering opiates using this dose-by-the-number formula isn't competent enough to be ordering opiates, and any facilitate that encourages this practice should be...
  20. MunoRN

    Hippa breech question

    MunoRN replied to Khall7716's topic in HIPAA Challenges

    Unless the clinic you used to work for dealt with only a single diagnosis or was a mental health specific clinic, it was not a HIPAA violation. A HIPAA violation only occurs when specific health...
  21. MunoRN

    Diversity/Religion In The Workplace

    MunoRN replied to RutgersFlower2016's topic in General Nursing

    Except they haven't "trampled on this young lady's religious freedom" since she isn't wearing this for religious reasons. Even if she was a practicing orthodox jew, which she is not, the religious...
  22. MunoRN

    NPC hot topic for our unit***

    MunoRN replied to obrngbpackers's topic in General Nursing

    I think the first problem is that your unit is by design short staffed for the weekends, if you need 6-7 on weekdays then there's no reason you wouldn't also need 6-7 on weekend days. I would guess...
  23. MunoRN

    IV MED NOT INFUSED - Advice please!

    MunoRN replied to teeroze201069's topic in Patient Medications

    If your hospital's practices are up to date then there shouldn't be any sort of punishment, but since it sounds as though your hospital still rotates IVs based on how long they've been in place it's...
  24. MunoRN

    Within scope of practice?

    MunoRN replied to bkchick's topic in Nursing Professionalism

    As a nurse helping to manage heart failure patients in the outpatient setting, assessing volume status is usually the number one expectation. The HF clinic nurses in my area are generally expected to...
  25. MunoRN

    Insurancedo

    MunoRN replied to Jdawg55's topic in General Nursing

    I don't know why this is, but every nursing program I've ever been familiar with has required all nursing students to have health