MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Crushing nitro on right side STEMI!

    MunoRN replied to Banana nut's topic in General Nursing

    That's a good reason why the EKG needs to be read prior to treatment by someone adequately competent at reading ischemic changes and where they are located. Pretty much every ED nurse can recognize a...
  2. MunoRN

    Crushing nitro on right side STEMI!

    MunoRN replied to Banana nut's topic in General Nursing

    This is why the usual rule at every ED I've worked in is to get a 12 lead first, then
  3. MunoRN

    Confidentiality

    MunoRN replied to Arghn's topic in HIPAA Challenges

    HIPAA specifically allows hospitals to confirm that someone is a patient there, with the exceptions of mental health or patients that have either requested Do Not Announce (DNA) or are DNA by default...
  4. MunoRN

    URGENT!!! Did I miss up?! Can I get in trouble?

    MunoRN replied to 2bnpcout's topic in General Nursing

    It's not a HIPAA violation, but that doesn't mean it can't raise the hackles of your employer since there are really very few limits on that. It would seem unlikely that your hospital would fire you...
  5. MunoRN

    My coworker was high and got away with it

    MunoRN replied to Volley88's topic in General Nursing

    The OP, by her own description, spent a good portion of her shift looking for evidence that "Jon" was impaired and found none. Distraction is a major patient safety issue, and this nurse was clearly...
  6. MunoRN

    NPA/Nasal Trumpet

    MunoRN replied to Leafylane's topic in General Nursing

    A nasal trumpet typically extends into the pharynx, and would act as a physical barrier to normal swallow coordination, so generally patients should be strict NPO with a nasal trumpet in place. This...
  7. MunoRN

    Question for nurses that are male...

    MunoRN replied to NurseLife88's topic in General Nursing

    I have no problem being referred to as a "male nurse" or "murse" for that matter. The overwhelming majority of nurses are women, it's normal to use descriptors to clarify something that is an...
  8. MunoRN

    Diversity/Religion In The Workplace

    MunoRN replied to RutgersFlower2016's topic in General Nursing

    It doesn't appear that her use of a head covering is due to a deeply held religious belief, so there would be no religious discrimination case to
  9. MunoRN

    ADN or BSN: What's the Big Deal?

    MunoRN replied to allnurses's topic in General Nursing

    While it's true this hasn't always been the case, there is nothing currently fundamentally different about ADN and BSN curriculum that would create a different way of thinking. In the states where...
  10. MunoRN

    Gender Pay Gap in Nursing: 2017 Salary Survey vs. 2015?

    MunoRN replied to allnurses's topic in General Nursing

    I don't know how you can compare what two people earn in a year without looking at how much they worked during that year. Do you really think someone who works 10 hours a week over the course of a...
  11. MunoRN

    Anyone w/ experience on out of pocket Humira cost?!

    MunoRN replied to wannabeny's topic in General Nursing

    There are now generics available, which cost as little $600/month (compared to over $3000 per month for brand name Humira). When generics are available, some insurance plans will only cover the...
  12. MunoRN

    Is it customary where you work to recheck BPs manually?

    MunoRN replied to klone's topic in General Nursing

    This is a nursing practice that has always perplexed me, we typically on recheck on a BP we don't like, and keep rechecking until the BP is what we want it to be. Either automatic BP's aren't...
  13. MunoRN

    My coworker was high and got away with it

    MunoRN replied to Volley88's topic in General Nursing

    We're talking about what someone (supposedly) did on the day before work, not same day right before a
  14. MunoRN

    My coworker was high and got away with it

    MunoRN replied to Volley88's topic in General Nursing

    So If I had a beer with dinner, then was working a day or two later, you would refuse that I take care of your grandma because of the IPA I had with dinner yesterday or the day
  15. MunoRN

    My coworker was high and got away with it

    MunoRN replied to Volley88's topic in General Nursing

    I'm curious how you came to this
  16. MunoRN

    Tips for delirium behavior management

    MunoRN replied to CCU BSN RN's topic in General Nursing

    http://www.toysrus.com.au/www/732/files/704318_steelcraft-jetta-baby-walker.jpg[ATTACH=CONFIG]24453[/ATTACH] That's pretty close, but I can't find one with that's basically a seating sling on wheels,...
  17. MunoRN

    My coworker was high and got away with it

    MunoRN replied to Volley88's topic in General Nursing

    It seems as though it's possible you're making more of a social judgment than a work-performance judgment. Working extra shifts or beyond your scheduled shift has been shown to adversely affect work...
  18. MunoRN

    Tips for delirium behavior management

    MunoRN replied to CCU BSN RN's topic in General Nursing

    I get the desire to give him Ativan when he starts to get out of hand, but I would suggest using Haldol in these instances instead, think of Seroquel, xyprexa, valproic acid etc has basal delirium...
  19. MunoRN

    ADN or BSN: What's the Big Deal?

    MunoRN replied to allnurses's topic in General Nursing

    I think maybe the author misunderstood the Villanova article, Magnet does not actually require 50% or more of staff nurses to have a BSN, it only requirement is for management staff. I think it's...
  20. MunoRN

    My coworker was high and got away with it

    MunoRN replied to Volley88's topic in General Nursing

    I'm confused how you came to the conclusion that he "was high" when you've also pointed out that despite scrutinizing his work you found no evidence he was
  21. MunoRN

    My Mom passed away. Did I do the right thing?

    MunoRN replied to LovingMom1's topic in General Nursing

    Your mom was going through some very natural and normal steps in the dying process, these weren't caused by you or any decisions made about her care. From your description, you took exquisite care of...
  22. MunoRN

    Did I imagine IV compatibility, or is it a real thing?

    MunoRN replied to Capp's topic in Patient Medications

    The main purpose of a multi-lumen line is that you can run infusions separately. In the case of an open-ended PICC, the infusions do exit the different lumens right next to each other, but there is...
  23. MunoRN

    Tips for delirium behavior management

    MunoRN replied to CCU BSN RN's topic in General Nursing

    As others have said, first on the priority list would be to get rid of the benzos, while they are tempting since they give the patient (and you) an hour or so of calm, it only perpetuates and worsens...
  24. MunoRN

    Gave a med I shouldn't have given... worried about repercussions

    MunoRN replied to tired_panda's topic in Patient Medications

    While it's important to be aware of your facility specific policies, as a nurse I'm also required to apply some level of assessment as to whether these source of these policies is a reasonably...
  25. MunoRN

    EVP for 12hr shifts

    MunoRN replied to Feelgood RN's topic in Nurse Management

    You'll find the most relevant research in non-nursing specific sources, such as OSHA and DOT white papers. Nursing focused research is mostly on shift length, generally finding that shifts greater...