MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Refusing to do Surgery Outpatient due to Bleomycin in 2008

    MunoRN replied to DowntheRiver's topic in General Nursing

    I know there is supposedly increased risk of postoperative respiratory complications in patient's who have received bleomycin, and that it's usually associated with excessive supplemental oxygen peri...
  2. MunoRN

    when is the best time to do ECG for dialysis patient

    MunoRN replied to uae808's topic in Dialysis, Renal, Urology

    The signs of ischemia that we would be using a 12 lead to look for don't vary based on electrolyte levels. They can be obscured by electrolyte levels that are severely out of range, for instance if...
  3. MunoRN

    Should ICU get more pay than floor nursing?!?

    MunoRN replied to francoml's topic in MICU, SICU

    It's supply and demand, night shift nurses don't get paid more because they are superior nurses, it's because extra pay is required to offset the fact that nurses don't generally like to work nights....
  4. MunoRN

    Cleveland Clinic EVAR graft question

    MunoRN replied to solneeshka's topic in General Nursing

    I think this gets confusing because for some reason there are still some hospitals that track these sorts of things for internal purposes, but there are no longer any payers (insurers, CMS, medicaid)...
  5. MunoRN

    Cleveland Clinic EVAR graft question

    MunoRN replied to solneeshka's topic in General Nursing

    I sort of doubt that you're going to get a response from someone who sets prices at the Cleveland Clinic, and there is no one single price, different payers negotiate different prices. But Cleveland...
  6. MunoRN

    Policy and Procedures for Cycle Meds...

    MunoRN replied to PierreB's topic in Patient Medications

    A lot depends on who essentially owns the meds in the facility's stock. The type of facility you're referring to can't require patients to provide their own meds, or provide the service of aquiring...
  7. MunoRN

    Propofol Dosing in ER

    MunoRN replied to rhkenji's topic in Emergency

    An analgesic should have come before intubation, not something added later. We have a couple of docs where I work who 'forget' to order an analgesic, we don't give them an option, if they say "start...
  8. MunoRN

    I can't do chest compressions (CPR) will I be terminated?

    MunoRN replied to 42pines's topic in General Nursing

    I wouldn't necessarily assume you can't do CPR. I have the same condition you referenced, among others, which are more commonly known as just a "bad back". I see a physical therapist regularly and...
  9. MunoRN

    I can't do chest compressions (CPR) will I be terminated?

    MunoRN replied to 42pines's topic in General Nursing

    Unfortunately if the job requires that you be able to do CPR then you can't get out of that with ADA accommodations, accommodations are only available for things that don't really affect your ability...
  10. MunoRN

    Propofol Dosing in ER

    MunoRN replied to rhkenji's topic in Emergency

    What was the analgesic being used? Sedation and particularly paralytics must include an analgesic, that may have been your
  11. MunoRN

    Understanding different gtts for sedation: Propofol vs Precedex vs Versed vs Fentanyl, etc

    MunoRN replied to Catticus11's topic in Critical Care

    You generally want an analgesic component as part of vent sedation, which is what the fentanyl is for. Propofol is not an analgesic, so should not be used alone. Benzos should be used sparingly if...
  12. MunoRN

    Night shift alterative hours poll

    MunoRN replied to Wolf at the Door's topic in General Nursing

    I think in general, night shifters would like to get to bed as soon as possible, preferably before the sun comes up, the bigger question is how many day shifters would want to start at 3
  13. MunoRN

    BON investigaton

    MunoRN replied to dialysisrnmom's topic in Nursing Professionalism

    I think maybe you're generalizing coverage plans a bit too broadly. There are plans that don't provide license defense coverage, but it's been included in every plan I've ever had, so it actually is...
  14. MunoRN

    Ordering controlled meds, then refusing prescription?

    MunoRN replied to mystory's topic in Patient Medications

    A rehab-SNF stay is a Medicare part A covered stay, all major insurers also cover it in the same way they cover inpatient hospital stays, which is why I was asking. If a SNF is accepting a patient as...
  15. MunoRN

    Ordering controlled meds, then refusing prescription?

    MunoRN replied to mystory's topic in Patient Medications

    We never send hard scripts for patients going to a "rehab SNF", since a true rehab SNF stay includes necessary medications. What are you doing with a hard script if a patient comes with
  16. MunoRN

    Injecting into a cannula; does syringe size matter?

    MunoRN replied to Thankgodforativan's topic in General Nursing

    10cc syringes aren't required for peripheral lines, central lines, or PICCs. So long as the line is patent, no size syringe will produce dangerous pressure levels, which is why the recommendation is...
  17. MunoRN

    Should Obama care be repealed?

    MunoRN replied to luv2's topic in General Nursing

    At 63 it's actually other people are subsidizing your costs, not the other way around. The per-person healthcare costs of those 60-65 are many times that of someone in their 20's, but thanks to the...
  18. MunoRN

    Should Obama care be repealed?

    MunoRN replied to luv2's topic in General Nursing

    One of the effects of the ACA is that HSA based plans are more common than ever, using higher deductibles to lower premiums, so it doesn't appear there's much of a push to make deductibles even...
  19. MunoRN

    Should Obama care be repealed?

    MunoRN replied to luv2's topic in General Nursing

    I don't think you'll find many who will disagree that we could do better than the ACA, but what would you replace it with? Not liking the ACA is the easy part, have something idea of what you would...
  20. MunoRN

    Should Obama care be repealed?

    MunoRN replied to luv2's topic in General Nursing

    We probably have widely varying reasons why we don't like the ACA, but at least people generally agree we could do better, so what would you all
  21. MunoRN

    Should Obama care be repealed?

    MunoRN replied to luv2's topic in General Nursing

    No such requirement exists in the ACA, employers are not being required to place new employees in a marketplace plan, they're not even allowed to if they wanted to. Small businesses can choose to...
  22. MunoRN

    Norovirus going around!

    MunoRN replied to Pharmahaulic's topic in General Nursing

    Up until recently that was thought to be it's primary route of transmission, but more recent evidence shows that it's often airborne and is frequently present in sufficient concentrations in the air...
  23. MunoRN

    Denied PTO for my marriage

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

    I would agree that as nurses we need to be willing to walk away from any job, but I'm skeptical that the OP would have any better luck securing specific multi-week vacation at the peak of summer PTO...
  24. MunoRN

    Gov. Christie impose pain pill limit: 5 days for initial RX despite N.J. docs objections

    MunoRN replied to NRSKarenRN's topic in Nursing News

    It actually seems like common sense to me. Surplus supply of opiates in the home is a major contributor to opiate abuse and addiction, so it's totally reasonable to avoid those surplus supplies as...
  25. MunoRN

    New nurse here. Questions about PRN intervals and "HIPAA spooking"

    MunoRN replied to Axmann, RN, BSN, NREMT-B's topic in General Nursing

    It's not unheard of for nursing school faculty to teach things that are absurdly false, this isn't completely without value in nursing school since one of the main things it needs to teach students is...