MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Hospital & The Drug Screen: I thought they had to wait?

    MunoRN replied to cassimoo's topic in General Nursing

    The Dura Automotive case dealt with workers that were not in safety-sensitive jobs, Dura wasn't arguing that these workers had an exemption from being tested due to working in safety sensitive jobs,...
  2. MunoRN

    Hospital & The Drug Screen: I thought they had to wait?

    MunoRN replied to cassimoo's topic in General Nursing

    The legal basis that prevents all jobs (non-safety sensitive) from being subject to testing for prescribed medications is the ADA, which is enforced by the EEOC, here's their explanation of the...
  3. MunoRN

    Hospital & The Drug Screen: I thought they had to wait?

    MunoRN replied to cassimoo's topic in General Nursing

    There is no defined list. The legal precedent in the past had been that employers could prohibit use (even legally prescribed use) of any medication that included a warning of potential impairment...
  4. MunoRN

    Hospital & The Drug Screen: I thought they had to wait?

    MunoRN replied to cassimoo's topic in General Nursing

    For safety sensitive jobs, screening for prescription medications that can be deemed potentially impairing can occur after the conditional offer of employment is made, which is when most "pre-hire"...
  5. MunoRN

    Hospital & The Drug Screen: I thought they had to wait?

    MunoRN replied to cassimoo's topic in General Nursing

    Workers in general are covered by ADA which is why employers can't test for legally prescribed medications in general. Where it can be established that use of prescribed medications could affect the...
  6. MunoRN

    Help me understand an Ampule

    MunoRN replied to Femine91's topic in Patient Medications

    Drugs that contain unstable chemicals often require glass ampules because the rubber cap of a vial with interact with the chemicals in the drug. Some chemicals are best stored hermetically...
  7. MunoRN

    Possible adult admit with minor child in tow

    MunoRN replied to Monkey Nurse's topic in General Nursing

    I'd say in general that if you're worried about liability, then being too eager to hand the kid off to someone else isn't necessarily the best way to protect yourself or the facility liability-wise....
  8. MunoRN

    Possible adult admit with minor child in tow

    MunoRN replied to Monkey Nurse's topic in General Nursing

    I think you've responded to a statement that was probably a bit broad with one that's also probably too broad. Our job as nurses isn't just to be a doctor's assistant and execute the plan they put...
  9. MunoRN

    Are NPs allowed to strike?

    MunoRN replied to AAC.271's topic in Activism, Healthcare

    Nurse's aren't generally allowed to strike either, at least not without certain restrictions. Legally, nurses have to provide adequate notice prior to going on strike to allow for temporary staff to...
  10. MunoRN

    Hospital & The Drug Screen: I thought they had to wait?

    MunoRN replied to cassimoo's topic in General Nursing

    For jobs that aren't considered "safety sensitive", a drug test that is positive for drug but a valid prescription exists will be resulted as negative. Direct care nursing however is classified as a...
  11. MunoRN

    Order of preference for sedation?

    MunoRN replied to rhkenji's topic in Emergency

    Benzo's should be avoided as much as possible, particularly versed, so that' usually last on my list. Generally you should provide analgesia as part of sedation, which means usually starting with...
  12. MunoRN

    Reason for IV fluids

    MunoRN replied to Matt8700's topic in Emergency

    Unfortunately providing services, medications, etc that are aren't well justified is pretty common, this is an area where nursing could do a better job of questioning these orders and determining if...
  13. MunoRN

    How do you draw up small amounts of medications for Picc lines?

    MunoRN replied to Hockeynursing's topic in Patient Medications

    You can actually generate the same PSI with any size syringe, the difference is how a single force applied to the plunger translates to PSI. More force=same PSI in a larger bore syringe. A larger...
  14. MunoRN

    Reason for IV fluids

    MunoRN replied to Matt8700's topic in Emergency

    There are certainly patients coming to the ED that need IV fluids, but a lot of it seems to come from the old ED wisdom that IV fluids and O2 can cure just about anything. I have worked with an ED...
  15. MunoRN

    How do you draw up small amounts of medications for Picc lines?

    MunoRN replied to Hockeynursing's topic in Patient Medications

    A 10 ml size plunger is only required when assessing patency, once patency has been established any size syringe can be
  16. MunoRN

    Nurses Week at the VA

    MunoRN replied to sbtr50's topic in General Nursing

    I've never worked anywhere that the facility initiated any nurses week activities, it's always been something that nurses do for themselves, usually organized by a nursing based
  17. MunoRN

    Why white shoes?

    MunoRN replied to oldsockventriloquist's topic in General Nursing

    Unlike women's shoes, there aren't many mens shoes that come in all-white, so for nursing schools I got the shoes I need for my back in mostly white, and a can of white spray paint that works on...
  18. MunoRN

    "I have a PhD, I know more than you do!"

    MunoRN replied to MendedHeart's topic in General Nursing

    Sharing proper wound care practices is unlikely to put the patient into cardiac arrest, but if it were then yes, the nurse should be prepared to do CPR. Nursing assessment and diagnosis is not...
  19. MunoRN

    *IV infusion question!

    MunoRN replied to Renaa15's topic in Medical-Surgical

    While a peripheral may have two ports that doesn't mean it has two separate lumens, those two ports enter the same
  20. MunoRN

    "I have a PhD, I know more than you do!"

    MunoRN replied to MendedHeart's topic in General Nursing

    I'm still not sure where in that algorithm you feel it says that, I'm guessing you saw this: "c. are there agency/facility policies and procedures in place which outline performance criteria for the...
  21. MunoRN

    "I have a PhD, I know more than you do!"

    MunoRN replied to MendedHeart's topic in General Nursing

    It's probably not a conversation I'd interject into either, but like other social mores that's not automatically equivalent to nursing legal limitations. I work with nurse who believe it's...
  22. MunoRN

    Versed IV push or Ativan IVP

    MunoRN replied to icumurse1122's topic in Critical Care

    I try really hard not to give either in the ICU, the use of benzos is strongly linked to ICU delirium, versed in particular should be avoided. It is tempting because you do get a period of calm, but...
  23. MunoRN

    Normothermia and shivering

    MunoRN replied to calivianya's topic in MICU, SICU

    I have a feeling what you were seeing was more likely status myoclonus rather than shivering. As a general rule based on the evidence, paralytics should be used as little as possible in TH and should...
  24. MunoRN

    Working a specialty with or with out proper traning!

    MunoRN replied to definit1on's topic in General Nursing

    The use of telemetry seems to be going in two different directions, some hospitals are using tele everywhere, others are cracking down on excessive use of telemetry even on tele floors. If putting...
  25. MunoRN

    BSN and Associate Nurses Are Neck and Neck. Will This Change?

    MunoRN replied to allnurses's topic in General Students

    That's a misleading answer to a misleading question, which was "No(t) quite sure if magnet desire for BSN and above really improves patient care". There is no BSN requirement for Magnet in terms of...