MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Too sick to leave AMA?

    MunoRN replied to Rexie's topic in General Nursing

    It's not unheard of for a patient to decline treatment, if it's a life-threatening condition then we don't really think of it as AMA, it's a patient choosing comfort care / allow natural death. We'll...
  2. MunoRN

    Worried That Doctor's Orders Will Hasten A Patient's Death

    MunoRN replied to PrincessNur's topic in Patient Safety Issues

    There are times when opiates can extend life, but it's also well established that opiates can and often does cause death and hastens death in the actively dying patient. Hospice and palliative care...
  3. MunoRN

    Worried That Doctor's Orders Will Hasten A Patient's Death

    MunoRN replied to PrincessNur's topic in Patient Safety Issues

    Hospital-aquired anemia, which is primarily caused by lab draws, is an established risk to patients and can influence outcomes, although this could be better recognized by physicians and nurses. If...
  4. MunoRN

    Difference between pulse and HR

    MunoRN replied to romantic's topic in CCU, Coronary, Cardiac

    Heart rate and pulse are two different measurements, so it's possible for them to be different without one of them being inaccurate. Heart rate is the number of presumed ventricular contractions...
  5. MunoRN

    Question to Catholic nurses

    MunoRN replied to KatieMI's topic in General Nursing

    If the patient is competent then she's free to decide if she wants to apply her recommended restrictions to communion or not. If the she chooses not to or can't swallow the wafer then my...
  6. MunoRN

    Day shift lists, night nurses unsafe to move to days

    MunoRN replied to kittyhawk19's topic in General Nursing

    I think it can be unsafe to have an entire ICU shift made up of all novice nurses, but I'm not sure why it would be safer to have most of your novice nurses working on night shift rather than evenly...
  7. MunoRN

    An awkward workplace conflict

    MunoRN replied to TU RN's topic in General Nursing

    I don't think it's enough of an issue for you NTL to override your care, but at the same time it's not an order I or the nurses I work with follow. We do have an old school cardiac surgeon who likes...
  8. MunoRN

    Failed Nursing 4 by .8 of a point

    MunoRN replied to Cherway95's topic in Nursing Student Assistance

    First I would avoid mentioning to your program or the facility that only take ADD meds to help you study, that will raise major red flags since that's how those medications are most commonly abused...
  9. MunoRN

    What would a single payer system look like?

    MunoRN replied to Xlorgguss's topic in Activism, Healthcare

    The majority of healthcare costs, and the services being paid for, can only really be fully paid for through some sort of cost pooling (insurance). In order to make all healthcare services payable as...
  10. MunoRN

    What would a single payer system look like?

    MunoRN replied to Xlorgguss's topic in Activism, Healthcare

    Everything I can find from them says that they do their own heart surgery. I've worked at hospitals just across the border, and sent canadian residents up to BC for surgery, which wouldn't make a lot...
  11. MunoRN

    What would a single payer system look like?

    MunoRN replied to Xlorgguss's topic in Activism, Healthcare

    Are you saying you think they should be required to accept any amount or form of payment? In general, being able to pay for a service greatly increases your chance of being able to obtain that...
  12. MunoRN

    HIPAA and Demanding Family Members

    MunoRN replied to Taiin's topic in HIPAA Challenges

    Responding to an inquiry about whether or not a specific person is in the facility is not a HIPAA violation, HIPAA specifically allows for this information to be disclosed. It also allows for...
  13. MunoRN

    What would a single payer system look like?

    MunoRN replied to Xlorgguss's topic in Activism, Healthcare

    If you're having to ignore that an HSA only system wouldn't be able to pay for the majority of healthcare services then there may be a problem with your plan, but as to your points: "1. It would earn...
  14. MunoRN

    What would a single payer system look like?

    MunoRN replied to Xlorgguss's topic in Activism, Healthcare

    The overall effect of the ACA is actually a net reduction in cost compared to no ACA, the money the ACA has us paying in a different (more equitable) way for care is money we would have to pay either...
  15. MunoRN

    What would a single payer system look like?

    MunoRN replied to Xlorgguss's topic in Activism, Healthcare

    I'm not sure how you're claiming that not having insurance results in the same access as having insurance. The ability to pay for services greatly increases your ability to obtain those services, and...
  16. MunoRN

    Nurse forced to work as a CNA

    MunoRN replied to hillbillienurse's topic in General Nursing

    You complained that the responses to your question were "laden with venom" after only three responses and I don't really see where the venom was, maybe you could clarify, here are the three
  17. MunoRN

    What would a single payer system look like?

    MunoRN replied to Xlorgguss's topic in Activism, Healthcare

    I think you may have misunderstood my post, another poster claimed that Canada sends it's open heart patients to the US for surgery which I pointed out wasn't actually
  18. MunoRN

    Nurse forced to work as a CNA

    MunoRN replied to hillbillienurse's topic in General Nursing

    There's generally not any reason why they can't, this is why job descriptions usually include a phrase along the lines of "and other duties as directed". Personally I don't have any problem with...
  19. MunoRN

    The Ethics of Crowdfunding in Healthcare

    MunoRN replied to Not_A_Hat_Person's topic in Activism, Healthcare

    I would assume this isn't really what you mean, but are you really suggesting jars at convenience stores and bingo would be a viable way to pay for our health care? How would that work? When someone...
  20. MunoRN

    SCD'S with history of DVT

    MunoRN replied to sirwinston1's topic in Medical-Surgical

    There actually not much agreement that SCD's are contraindicated in a current DVT, so it would sort of depend on what view the ordering MD takes on the subject. It used to be thought that patients...
  21. MunoRN

    Pressure Ulcer Prevention

    MunoRN replied to RLDickman's topic in Patient Safety Issues

    The general goal of pressure ulcer prevention is to even distribute the patient's weight as evenly as possible over the available body surface, which means avoiding focusing the patient's weight on a...
  22. MunoRN

    Client vs Patient

    MunoRN replied to srercg's topic in General Nursing

    The term "client" had been around in some settings for a while, then around the year 2000 a work group with the ANA recommended that we use the term "client" as a general replacement for "patient"....
  23. MunoRN

    Client vs Patient

    MunoRN replied to srercg's topic in General Nursing

    I'm not sure how being on medicaid is equated with not paying anything at all towards healthcare. The vast majority of those on healthcare have at least paid into medicaid in the past and the...
  24. MunoRN

    Patient Conscious During CPR

    MunoRN replied to Emergent's topic in General Nursing

    I've dealt with a number of coding patients who are responsive during part or all of resuscitation. Good quality CPR can produce systolic blood pressures in the 80's or even 90's by art line, and a...
  25. MunoRN

    Being blamed for fall after shift

    MunoRN replied to notyetnurse's topic in General Nursing

    If there was some evidence that chair alarms reduce the risk of falls then there might be some argument that the nurse allowed an overtly unsafe situation to occur but the evidence doesn't appear to...