MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    "Observed" urine drug screen

    MunoRN replied to thisgirldrums's topic in General Nursing

    I've worked at a place where I had to be completely naked except for socks for a pre-employment screen. My understanding is that it's up to the MRO to decide what level of scrutiny (nakedness) is...
  2. MunoRN

    Defibrillator Pads

    MunoRN replied to christinaaaamarie's topic in General Nursing

    From Zoll regarding pad placement:
  3. MunoRN

    Defibrillator Pads

    MunoRN replied to christinaaaamarie's topic in General Nursing

    It largely depends on physician preference, but in general for cardioversions for atrial arrhythmias Anterior/Posterior (A/P) is often preferred because the conduction pathway goes directly through...
  4. MunoRN

    Don't write an order like this

    MunoRN replied to Leonardo Del Toro's topic in General Nursing

    These orders unfortunately are not all that unusual, but they are a pet peeve of mine. An appropriate order should contain the actual ordered dose in the ordered, which in this case seems to be...
  5. MunoRN

    Can a supervisor force you to take a second floor?

    MunoRN replied to Ccinct's topic in General Nursing

    An employer can ask you to do anything included in your job description, which often includes "and other duties as assigned", so yes, they can ask you to do just about anything. You're free to...
  6. MunoRN

    Two weeks notice

    MunoRN replied to superarn86's topic in General Nursing

    I would check your requirements related to insurance coverage during FMLA, since if you don't come back for a long enough period following FMLA they can retroactively cancel your insurance, which...
  7. MunoRN

    Damned if you do/don't

    MunoRN replied to Nursey1108's topic in General Nursing

    Nurses are not only allowed to ensure that the patient is kept up-to-date and is well informed about their condition, it's a legal requirement of the license. If the story is correct, that the PCC...
  8. MunoRN

    Urine Drug Screen ....surprise!

    MunoRN replied to casias12's topic in Advanced Practice

    If the patient was using a short acting prn opiate appropriately it wouldn't be unusual for them to test negative on a UDS. I'm not sure why you would take away their medication because they were...
  9. MunoRN

    To tell or not to tell?

    MunoRN replied to freckles23's topic in General Nursing

    I guess I'm a bit confused as to how you got stuck in a room for 2 hours trying to start a drip? If it becomes an issue with patients or families, I explain that we have to prioritize our workloads,...
  10. MunoRN

    Did I say too much? Hipaa Violation?

    MunoRN replied to guest998179's topic in HIPAA Challenges

    Even if you had used personal identifiers, revealing that someone has died is not protected information so long as you don't reveal a specific medical
  11. MunoRN

    Nursing Boards control of Nurses

    MunoRN replied to Cougar1113's topic in Nursing Professionalism

    Here's the full text of her online statements: It might have been different had she offered a specific and reasoned critique of the care provided, but instead she made vague but severe accusations...
  12. MunoRN

    Flu shot and GBS

    MunoRN replied to Gyurkiv's topic in Patient Safety Issues

    A history of GBS by itself isn't a contraindication to vaccination, the general rule is that people who had GBS within 6 weeks of vaccine should avoid vaccines. If their GBS was unrelated to a...
  13. MunoRN

    PDN Nurses-asking about previous pt's Hipaa violation?

    MunoRN replied to smartnurse1982's topic in HIPAA Challenges

    You're not revealing any PHI so no, it is not a HIPAA violation. As an example, if the patient was in the hospital and someone called and inquired how they were doing, HIPAA specifically allows us to...
  14. MunoRN

    PDN Nurses-asking about previous pt's Hipaa violation?

    MunoRN replied to smartnurse1982's topic in HIPAA Challenges

    That's not actually a HIPAA violation since it doesn't reveal any protected medical information and HIPAA specifically allows for the patient's overall condition to be given out using "general terms",...
  15. MunoRN

    Being Ordered to Give Whiskey

    MunoRN replied to purplegal's topic in General Nursing

    This used to be common, then went away, now is making a comeback. Would you rather deal with a combative, belligerent, paranoid, agitated, seizing DT patient or the hassle of giving someone a drink...
  16. MunoRN

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

    MunoRN replied to Rocknurse's topic in General Nursing

    As for what to expect going forward, Trump has already stated that plans on keeping key parts of the ACA, including requiring insurers to cover pre-existing conditions, which effectively also requires...
  17. MunoRN

    Are nurses allowed to turn in wanted criminals?

    MunoRN replied to Emergent's topic in General Nursing

    That's actually a pretty clear HIPAA violation as it doesn't abide by the notification of law enforcement requirements, and no, treating someone accused of a crime is not aiding and abetting. Aside...
  18. MunoRN

    Tube feedings: To pause or not to pause?

    MunoRN replied to melisach19's topic in Nursing Student Assistance

    I've never paused TF because I've never seen the logic in doing so, out of curiosity, what's rationale that pausing provides airway protection? If normal gastric volumes can be around 250ml, then...
  19. MunoRN

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

    MunoRN replied to Rocknurse's topic in General Nursing

    True insurance wasn't really available in the individual market prior to the ACA, the majority of people who declared bankruptcy due to medical bills prior to the ACA had insurance, so it wasn't doing...
  20. MunoRN

    Holding benzos

    MunoRN replied to ss033's topic in General Nursing

    It's never really as simple as just a number, so given your combination of medications I would guess you're talking about a patient in alcohol withdrawal. The withdrawal symptoms we're treating with...
  21. MunoRN

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

    MunoRN replied to Rocknurse's topic in General Nursing

    I'm curious what that
  22. MunoRN

    Are nurses allowed to turn in wanted criminals?

    MunoRN replied to Emergent's topic in General Nursing

    You're generally only allowed to notify police when there is an "imminent threat" to public safety, which requires more than just the fact that the person is a suspected or known criminal. An example...
  23. MunoRN

    Clinical Judgement Call...Not sure if I did the right thing

    MunoRN replied to AvaRose's topic in General Nursing

    There's not really any reason not to by itself since troponins can remain elevated (critical) for up to 2 weeks after a cardiac ischemic event has already fully
  24. MunoRN

    Clinical Judgement Call...Not sure if I did the right thing

    MunoRN replied to AvaRose's topic in General Nursing

    It sounds like we're talking about an acute short term SNF, not LTC or
  25. MunoRN

    Union gave away random drug testing

    MunoRN replied to Emergent's topic in General Nursing

    I've worked at a place that pushed for broad random testing, they were pretty straightforward about the reason why; it's cheaper to 'randomly' weed out (no pun intended) a portion of their staff and...