MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Organ Donation Organization Unethical

    "Thar be vultures afoot" is a normal feeling when the organ donation people are on site, although from a more rational point of view I don't find anything unethical about the overall process when the...
  2. MunoRN

    Insulin and phenylepherine

    Trissels lists 4 studies, which included the finding of precipitate when combined at normal diluations and for normal duration. I usually put the insulin in through the introducer,...
  3. At-will employment states are not exempt from federal employment laws. What at-will employment means is that an employee can be fired for any reason so long as it does not violate any laws. The NLRA...
  4. It's against federal law to fire someone because they disclosed their pay rate to coworkers, so that's pretty
  5. There are a couple of ways of looking at this sort of problem; one is that when an employee gets upset that they are not being treated fairly the problem is that they aren't being treated fairly,...
  6. MunoRN

    84 hours = Full Time?

    They usually can't get out of OT pay with that requirement, but even so it's still probably cheaper to pay OT. Straight pay is only a portion of what an employee costs a company, a large portion is...
  7. There's nothing wrong with sharing how much you make with coworkers, it's actually pretty empowering to staff as a whole. Managers don't like employees sharing how much they make, but that's only...
  8. MunoRN

    Curious how Magnet Hospitals & employment?

    BSN is not actually a Magnet requirement for staff nurses, only for nursing management, so I don't think you'll find a common definition of such a requirement from other magnet hospitals, that's a...
  9. MunoRN

    I need intracatheter pressure explained to me

    So long as the lumen is patent then you aren't going to develop high intraluminal pressure no matter what size syringe you use, this is why a common recommendation is to assess patency with a 10ml...
  10. MunoRN

    Having to meet with the hospitals lawyer

    The purpose of meeting with the hospital's lawyers is to help you feel more at ease with a deposition, in my experience they are pretty good and getting you adequately prepared. Since you're not a...
  11. MunoRN

    anxiety about evening Childcare

    I would make sure you're considering what your schedule will look like. Outside of work and class, you're left with one full day (Sunday) and 3 evenings per week. The general rule of thumb is to...
  12. MunoRN

    $15 Min Wage - Effect on RNs

    I think you're overstating the likelihood of a $15 federal minimum wage, but you're fears are based on some very bad math, which seems to be common to most anti-minimum wage increase hysteria. First,...
  13. MunoRN

    FREE Colleges?! & How it affects Nursing

    There is and has been no federal proposal for free higher education across the nation, what are you referring to? There was a candidate who campaigned on making public college "free", and as a result...
  14. MunoRN

    hiring pregnant RN

    The Pregnancy Discrimination Act doesn't guarantee that you can get and then keep a job while pregnant, all it says is that employers cannot decide not to hire you just because they don't like...
  15. MunoRN

    Foley statlocks

    There sometimes male patients where there's not enough extra length between where it exits the member and where the bifurcation is and the statlock can't be anchored at the bifurcation. It is...
  16. MunoRN

    Question about fent OD?

    My first question would be what her ammonia level is, CO2 level as well. Short bypass times are particularly important in liver failure patients in order to reduce post-bypass liver failure...
  17. MunoRN

    Assault against nurses

    In general I don't think it's appropriate to put someone in jail for symptoms of a medical condition. It's important to understand "DT's", specifically that the "D" stands for delirium, since that is...
  18. MunoRN

    Nurses with Contracts

    Those new grad time commitment contracts are usually pretty airtight, it's unlikely you'll get out of paying the penalty for leaving early. It's not unheard of for hospitals to have no-compete...
  19. MunoRN

    invasive procedures during comfort cares?

    The decision about what medical orders are initiated is solely up to the Physicians, family members cannot enter orders for medical tests, treatments, etc, so I'm not sure what you're referring to...
  20. MunoRN

    Double Shifts

    Don't work doubles, problem
  21. MunoRN

    Teaching a CNA how to chart

    Those are charted observations, not a nursing progress note. A nursing progress note takes observations such as those and determines how those observations fit into the patients overall plan and...
  22. There's generally not really any such thing as drug testing "before hire", drug testing as part of a hiring process is typically done after a "conditional offer of employment" is made, so it...
  23. That's only true if the employer has directed the MRO to report only illegally used drugs as positive, which is the most common criteria for employment drug screening, but it's not what employers are...
  24. MunoRN

    Calibrate at Phlebostatic axis?

    There are two things we zero a transducer to: atmospheric pressure and hydrostatic pressure. Zeroing to atmospheric pressure is done by opening the transducer to atmospheric pressure using the side...
  25. MunoRN

    Teaching a CNA how to chart

    It's not really appropriate to have CNA's charting "progress notes", it's one thing to have them chart observations in a narrative form, but a true nursing progress note, which involves applying the...