MunoRN RN

Critical Care

Member

  • Content

    8,058

  • Visitors

    94,696

  • Followers

    9

  • Likes

    7,525

All Content by MunoRN

  1. MunoRN

    Is it legal to mandate casual and per diem workers in NYS

    MunoRN replied to Makaulasue's topic in General Nursing

    Nurse Mandatory overtime laws vary by state, and there states where that's how it works, but in New York nurses can't be mandated to work beyond their scheduled shift: New York's mandatory overtime...
  2. MunoRN

    Taking the assignment or dispute it???

    MunoRN replied to DNTcode's topic in General Nursing

    You're always free to dispute staffing assignments, including how fairly the 'high maintenance' and higher acuity patients are divided up, but your employer is also free to terminate your employment....
  3. MunoRN

    Is it legal to mandate casual and per diem workers in NYS

    MunoRN replied to Makaulasue's topic in General Nursing

    New York state has mandatory overtime law for nurses, this means you can't be mandated to work beyond your agreed upon FTE, so I'm not sure why you felt you had to make the switch to per diem in the...
  4. MunoRN

    Okay to yell at the pharmacist for this?

    MunoRN replied to T-Bird78's topic in Patient Safety Issues

    What you're describing is a delayed sensitivity reaction, not an IgE mediated allergic reaction. Based on the Antibiotic Stewardship programs everywhere that I've worked, this wouldn't justify a...
  5. MunoRN

    intravenous diazepam

    MunoRN replied to rjrule's topic in Emergency

    While Diazepam forms a precipitate in pretty much any IV fluid, it doesn't actually matter, the precipitated diazepam can be injected without any safety or efficacy issues so long as it is injected...
  6. MunoRN

    3 medication-related errors in 6 months. Is this a sign I should quit?

    MunoRN replied to hnnrgh's topic in General Nursing

    To start with, "TID" and "q 8 hours" are not the same thing, if a patient got a dose rescheduled to coincide with surgery then the next dose would be according to the TID schedule, not 8 hours from...
  7. MunoRN

    First time doing CPR/losing a patient

    MunoRN replied to LilianGrace's topic in General Nursing

    People die, particularly elderly people, it's a normal and expected thing, you shouldn't view it as some sort of personal failure. Under the right circumstances CPR can be a very good thing, when a...
  8. MunoRN

    Does "BSN preferred" mean "ADNs need not apply"?

    MunoRN replied to nursewall-e's topic in Diploma, ADN, BSN

    It doesn't hurt to apply, and keep in mind that the person who writes the postings are often not the person doing the hiring, and they may not necessarily agree. I worked at a facility where there was...
  9. MunoRN

    TTM Exclusion Criteria

    MunoRN replied to Catticus11's topic in CCU, Coronary, Cardiac

    "Biting the tube" is definitely not a reason to rule out TTM. If the patient was purposefully reaching for, grabbing the tube, and able to perform clearly purposeful movements then that would rule...
  10. MunoRN

    haldol & parkinsons

    MunoRN replied to guest114's topic in Patient Medications

    I would advocate for better management of the patient's sinemet in relation to their delirium, since sinemet is a known cause of delirium and psychosis. Keep in mind that sinemet is essentially...
  11. MunoRN

    Hospital policies and procedures

    MunoRN replied to Toadd35's topic in General Nursing

    That's not really something a hospital specific policy is required for, proper considerations and technique for removing a temporary dialysis catheter doesn't change based on geography. There...
  12. MunoRN

    When patients keep calling 911

    MunoRN replied to JJ the crit RN's topic in Patient, Colleague Relations

    Non-compliant and incompetent are two different things. A fluid restriction is a medical intervention, and even patients on behavior contracts can decline medical treatments, under federal and many...
  13. MunoRN

    If you go to a hospital get ready to YELL

    MunoRN replied to BSN16's topic in General Nursing

    Sorry, I missed this was a linked article. Looking at the original article, I can't tell if he's giving an example of how patients and their families can get really upset based on a poor...
  14. MunoRN

    If you go to a hospital get ready to YELL

    MunoRN replied to BSN16's topic in General Nursing

    I think you've confused a few things. The purpose of an immediate CT for someone with a persistent neurological deficit is not to look for a clot, it's to look for the absence of a bleed, a clot is...
  15. MunoRN

    When patients keep calling 911

    MunoRN replied to JJ the crit RN's topic in Patient, Colleague Relations

    I worked with a nurse who believed they had the right to enforce doctor's fluid restriction, they lost their license and were facing jail time for felony abuse charges. What is it that you're having...
  16. MunoRN

    Advice re: long maternity leave and going to per diem after baby?

    MunoRN replied to ricki76's topic in General Nursing

    What you really need to consider is your insurance coverage. If you go on leave and then don't come back in a position that qualifies for coverage, your employer can retroactively rescind your...
  17. MunoRN

    CVU- is this considered critical care?

    MunoRN replied to tlscot09's topic in General Nursing

    "CVU" usually stands for Cardiovascular Unit. These are usually considered progressive care or stepdown, whether that's considered within the realm of "critical care" depends on who you ask. If it's...
  18. MunoRN

    So what's going to happen to health care now?

    MunoRN replied to Rocknurse's topic in General Nursing

    The currently proposed plan has already been scored by the CBO and it's expected to increase premiums by 20-25%, so I wouldn't hold out hope that you're going to see prices go down. One way to pay...
  19. MunoRN

    So what's going to happen to health care now?

    MunoRN replied to Rocknurse's topic in General Nursing

    $450 a month for a family premium is the employee's contribution, not the entire amount. Even pre-ACA, the average total premium for a family plan was just under
  20. MunoRN

    Nurse Satisfaction comes before Patient Satisfaction

    MunoRN replied to JanineKelbach's topic in General Nursing

    Maybe you could say what you actually think is incorrect. The government does not pay out less in total due to HCHAPS, hospitals that fall in a broad average range don't have any change in their...
  21. MunoRN

    Fluid Resuscitation for Renal Failure/CHF

    MunoRN replied to FazzDazzle's topic in Critical Care

    The commonly used screening tool has been 2 or more SIRS criteria (temp, RR, etc). From Sepsis 3 "The current use of 2 or more SIRS criteria (Box 1) to identify sepsis was unanimously considered by...
  22. MunoRN

    Fluid Resuscitation for Renal Failure/CHF

    MunoRN replied to FazzDazzle's topic in Critical Care

    The current recommendation of the Sepsis Consortium (Sepsis 3) is that these broad screening tools like the ones commonly used to screen ED patients should no longer be used, which includes just...
  23. MunoRN

    Assignment: Feeding tube w/dementia patient

    MunoRN replied to olaureno's topic in Nursing Student Assistance

    Being the patient's next-of-kin POA, the husband can choose to withdraw treatments including artificial feeding on behalf of the patient. Declining medical treatments that artificially prolong life...
  24. MunoRN

    Nurse Satisfaction comes before Patient Satisfaction

    MunoRN replied to JanineKelbach's topic in General Nursing

    I don't think it's unreasonable to pay less for a product that falls well below average quality. What the HCAHPS survey essentially asks patients is whether or not the facility is staffing properly...
  25. MunoRN

    Oh no! Prohibited to Practice Letter

    MunoRN replied to Nurse Nanobot's topic in General Nursing

    Have you ever had a license to practice nursing? It's sounds as though you haven't, which means you can't practice independently as a