MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Superstitious

    I played baseball up through college, so skipping the number 13 seems pretty mild as far as superstitious behavior
  2. MunoRN

    Superstitious

    I don't think I've ever worked in a hospital that didn't skip room 13 in the numbers (ie room 512 is next to 514, there is no 513), and I've worked with nurses that never titrate anything to 13, they...
  3. MunoRN

    Propofol question

    Propofol is not actually a controlled substance. While it doesn't fall under diversion of a controlled substance, it's still potentially grounds for termination (theft) and a BON might not...
  4. MunoRN

    diabetic npo iv fluids

    I become NPO after midnight, every night, as do most diabetics, we do just
  5. MunoRN

    Maternity leave length dictated

    If your manager hired you when you were 23 weeks pregnant and then you took time off when the baby was born then you don't actually qualify for any FMLA covered time off, since that would have only...
  6. MunoRN

    Why no sticks after mastectomy

    There actually is no reason to avoid BP and lab draws on the side where a mastectomy has been done, none. This comes from a time where mastectomies routinely included lymph node dissections, so the...
  7. MunoRN

    Socks & clogs??? - Help!!

    This a bit off topic, but your school doesn't allow 'regular' shoes? They have to be
  8. MunoRN

    Yacker Tracker in the NICU ???

    We don't use that particular brand, but in general I'm glad that these are around. I don't mind being reminded when I'm using my 'midnight-at-the-bar' voice instead of my midnight-in-the-hospital...
  9. MunoRN

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

    The median 2017 cost for a $5k deductible plan for a family is $1k per month, and I would agree that a family making say $50k a year would find that prohibitively unaffordable which is why it's...
  10. MunoRN

    Undocumented Patients

    (Bolding mine) You posted a link to this article, which doesn't actually say Obama redefined deportation. What it says is that previously, both ICE and the Border patrol were deporting illegals, then...
  11. MunoRN

    Undocumented Patients

    In theory that's how it should work, in practice however patients are often effectively "dumped" via medical repatriation. Report: U.S. hospitals deported hundreds of immigrants - CBS
  12. MunoRN

    What's In A Name Badge?

    I think maybe you've missed some sarcasm as I don't believe all BSN RN's feel they are superior, and I completely agree we are both RN's, which is why there generally isn't any purpose to clarifying...
  13. MunoRN

    Undocumented Patients

    There's a common belief that undocumented immigrants burden our healthcare system in that they use more in services than they contribute, which is actually false. Undocumented immigrants often still...
  14. MunoRN

    Undocumented Patients

    It's not all that uncommon, there are various transport companies that provide "medical repatriation" services. This sometimes refers to people who have transport coverage on travel insurance who...
  15. MunoRN

    What's In A Name Badge?

    I think I've been pretty clear that we can't say either route to an RN is so definitively superior that it needs to be clarified along with "RN". An RN is an RN, with various routes of getting there....
  16. MunoRN

    What's In A Name Badge?

    I also worked hard to become an RN, the BSN route is what I happened to choose to get there. Are you saying you want to make sure to separate yourself from other nurses who have an ADN because they...
  17. MunoRN

    Central venous line, blood withdrawal

    It's actually very common to return the waste in the critical care setting, that's what a VAMP does. The main advantage to a VAMP is that the waste remains in a closed system during the process,...
  18. MunoRN

    What's In A Name Badge?

    The purpose of a name badge to communicate who you are and your role, if clarifying that you have a BSN is necessary in defining your role, which is it is in a relatively small number of situations,...
  19. "Foot fracture" can refer to a wide range of conditions, and not all of them justify the use of opiate pain medications, so it's possible the MD's refusal to write for anything beyond acetaminophen is...
  20. MunoRN

    How can I enter the world of Holistic Medicine ?

    All of nursing is by definition based on holistic care, there is no such thing as non-holistic based nursing. Nursing hasn't done a very good job of defending the usage of the main term that...
  21. MunoRN

    "Fixin' to die"

    I don't think anybody is arguing that it's a normal colloquialism in the south, and I don't know that it's worth getting irate about, but it was certainly a missed opportunity to educate the public...
  22. MunoRN

    "Observed" urine drug screen

    Except for the facility that required no UDS at all, every place I've worked has required you to show the observer a 360 degree view of your lower abdomen, pelvis, and upper thighs. There are a wide...
  23. MunoRN

    nihon kohden telemetry monitor a good idea??

    The NK Lifescope telemetry monitors do actually have an SpO2 waveform, you can get ride of it and replace it with another wave (I think you can choose three different waves, whatever waves you want)...
  24. MunoRN

    Feel like I'm too dumb to be a nurse

    I have to disagree that you made some sort of "huge mistake". The O2 sat, if it was significantly below her normal indicated the need for a CXR, which was done. I've never encountered an LTC...
  25. MunoRN

    Resigning: Counter Offer Advice?

    The common wisdom out there is that you usually shouldn't stay for a counter offer. Basically, it's an employer saying they've only now decided to treat you fairly in or to retain you, typically...