MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Waffle mattress over ICU bed?

    MunoRN replied to Szbeylik's topic in Critical Care

    Unless the mattress and bed and truly ancient, you definitely shouldn't be using a waffle mattress over an ICU bed, since that negates most of what the bed is doing to protect their skin. They should...
  2. MunoRN

    MD order

    MunoRN replied to rnpete's topic in General Nursing

    I've never worked at a facility that required an additional order after the xray to use the tube, it doesn't really make sense to me why that would be necessary since they've already specified where...
  3. MunoRN

    Not entering vital signs in pt chart per MD orders...

    MunoRN replied to Sadie2016's topic in General Nursing

    I would politely remind the doctor that intentionally omitting relevant information is not something I can do, regardless of his request to do so. I would also notify your manager that a doctor has...
  4. MunoRN

    Case Review: Suboxone Overdose and Treatment

    MunoRN replied to Catticus11's topic in Critical Care

    My understanding of suboxone, which is admittedly limited, is that overdose symptoms are not typically due to the suboxone, but usually due to another substance in combination with the suboxone, often...
  5. MunoRN

    Straight caths - to clamp or not to clamp?

    MunoRN replied to SaraO'Hara's topic in General Nursing

    I can't speak to what specifically caused your bladder retention or the spasms, there are a number of possible culprits which could have caused both, but in general spasms can be caused by basically...
  6. MunoRN

    Chris Christie in charge of Trump's Opioid Commission

    MunoRN replied to Emergent's topic in Activism, Healthcare

    While I don't generally agree with Chris Christie, I have no problem with him heading an opiate addiction commission. The steps New Jersey has taken have been pretty reasonable, they've shut down a...
  7. MunoRN

    Hospice patient o2 needs

    MunoRN replied to Suzie070307's topic in General Nursing

    If I was in your shoes and handing off a comfort-measures-only patient to another nurse who felt that something needed to be done about the patient's O2 sat of 45, I would hesitate to give them that...
  8. MunoRN

    Night shifts and medical issues

    MunoRN replied to MNNICU, RN's topic in General Nursing

    I would say you need to balance how much you enjoy working on this unit with the benefits of looking out for your health. The health effects of night shift on you would appear to be more immediate...
  9. MunoRN

    I feel so dumb... I got flustered - about a patient in respiratory distress

    MunoRN replied to LalaJJB's topic in Emergency

    Are you replying to the OP or a different post in the
  10. MunoRN

    post op pain mgmt

    MunoRN replied to Flo.'s topic in Critical Care

    There's not really any good reason why fentanyl has to be limited to use in the ICU. I know there are places where there is hesitation to use it on the floors, but I think it's just due to lack of...
  11. MunoRN

    When Your Patient is an Addict...How to Deal

    MunoRN replied to Nurse Beth's topic in General Nursing

    I've read through it a couple of times, no such statements
  12. MunoRN

    When Your Patient is an Addict...How to Deal

    MunoRN replied to Nurse Beth's topic in General Nursing

    It doesn't appear that anyone ever argued that drug seekers don't exist or that it's fine for physicians to order opiates for the sole reason of 'feeding their addition'. Maybe you could specify...
  13. MunoRN

    Should I report the person who scheduled me to a patient I should not have been sitting?

    MunoRN replied to Rayrayma's topic in Patient Safety Issues

    In my experience sitting for suicide attempt patients is usually considered the easiest patient to sit for, so I'm not sure why anybody should get written up for having you sit for this type of...
  14. MunoRN

    Pt fall- need advice

    MunoRN replied to dma13's topic in General Nursing

    It seems like you're feeling fully responsible for this fall because the bed alarm wasn't on, and if the bed alarm had been on then the patient wouldn't have fallen. Keep in mind there's no evidence...
  15. MunoRN

    ER

    MunoRN replied to rhedge's topic in Emergency

    I think it's a reasonable question if it's something the OP didn't know the answer to, which isn't unheard of. People are generally aware that we check type and rh factor, but often aren't aware that...
  16. MunoRN

    Trump budget axes financial aid to Nursing Education

    MunoRN replied to NRSKarenRN's topic in Activism, Healthcare

    I agree that we need a more fiscally responsible federal government, but I'm not sure how you think that's the direction we're heading in. Assuming Trump and House/Senate republicans' plans go as they...
  17. MunoRN

    ER

    MunoRN replied to rhedge's topic in Emergency

    I guess I wasn't clear, so again, in an emergent situation where we don't have a current crossmatch we give O negative blood, we would not give a patient a different type based on the patient or...
  18. MunoRN

    Pressure infuser bag questions?

    MunoRN replied to medtechguy's topic in General Nursing

    "Pressure bags" aren't really for infusing and I don't consider them all that useful for that purpose. A rapid transfuser, which is different from pressure bag, is for infusing fluids rapidly. A...
  19. MunoRN

    ER

    MunoRN replied to rhedge's topic in Emergency

    I don't think we would skip that step, which I was I said "In non-emergent situations we still crossmatch even if we're absolutely sure of the patient's blood
  20. MunoRN

    ER

    MunoRN replied to rhedge's topic in Emergency

    I think maybe you misunderstood the question, if a family member stated that a patient is O positive for instance, would we consider that reliable enough to transfuse O positive blood, which we don't...
  21. MunoRN

    Reasonable Accomodations/Reassignment

    MunoRN replied to cbccern's topic in Nurse Disabilities

    Keep in mind that Reasonable Accommodations doesn't require employers to really go out of their way to accommodate a disability, it's probably more accurate to look at it as prohibiting unreasonable...
  22. MunoRN

    Flu Shots and RFID chips: Mandatory or not?

    MunoRN replied to LuKeeU's topic in General Nursing

    You'll find a variety of threads on mandatory flu vaccines for nurses. If employers believe it protects their patient's safety then there's not really any argument about it being "unfair"....
  23. MunoRN

    5 weeks notice for a transfer?

    MunoRN replied to Lulubeans's topic in Nursing Professionalism

    Transfers within the same facility or organizations that I've worked at use a 90 day hold as the starting point, the releasing and receiving managers can shorten that if they're both agreeable to it,...
  24. MunoRN

    what is the legal term of this matter?

    MunoRN replied to esolmayor's topic in General Nursing

    Just to clarify because this term often misunderstood, treating behaviors that result from a medical or psychiatric condition is not chemical restraint. If for instance someone is screaming for 7...
  25. MunoRN

    Wasting non-narcotics?

    MunoRN replied to emmafrancis's topic in Patient Medications

    I think maybe you're getting more worked up than the situation merits, and that may be more the source of the problem from the managers perspective. That doesn't mean you can't make a reasoned...