MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Someone in my charts....

    MunoRN replied to Maevish's topic in General Nursing

    There are certainly some nursing environments where teamwork just doesn't ever happen, but for the most part in my experience nursing is a team sport, in which case other nurses aren't only allowed...
  2. MunoRN

    Can a meth dealer become a HIPAA Auditor?

    MunoRN replied to AdianA's topic in General Nursing

    Is she a meth dealer or a former meth dealer? You refer to her as a convict but describe her has an
  3. MunoRN

    Lpn & asn are are being phased out.

    MunoRN replied to shermainenevels's topic in Diploma, ADN, BSN

    An ADN isn't 15 months or a vocational degree, thus the term "LVN" (V=vocational). Things were different 20 or so years ago, but currently ADN programs, either through competitive necessity or state...
  4. MunoRN

    Being blamed for fall after shift

    MunoRN replied to notyetnurse's topic in General Nursing

    I think once the argument is focused on who's "fault" it is and what counts and doesn't count a fall to blame someone for then the process has failed. What the focus should be is to how best care for...
  5. MunoRN

    AMA discharges

    MunoRN replied to jdub6's topic in General Nursing

    At every place I've worked we don't withhold any treatments or other medical care that the patient is still consenting to just because they decline a particular recommendation. If an ED is a CMS...
  6. MunoRN

    Nurses smoking weed?

    MunoRN replied to bunnynurse's topic in General Nursing

    If anything that can be described as a "psychological addiction" (as opposed to a physical addiction) is a "crutch" that should prevent someone from being a nurse, then I'm not sure who would be left...
  7. MunoRN

    Can I still be a nurse?

    MunoRN replied to dragonhawk's topic in Pre-Nursing Students

    It's going to be challenging since it's not really the nursing school's requirements you need to worry about, it's the facility policies where you will need to do clinicals. Hospitals tend to have...
  8. MunoRN

    pt complains hospital too much like a hotel

    MunoRN replied to Double Dunker's topic in General Nursing

    Some of my shifts are as a rapid response nurse, which involves following up on patients transferred out of the ICU. One of the most common complaints, usually from family, is that they are concerned...
  9. MunoRN

    How much is a normal raise

    MunoRN replied to Sully64's topic in General Nursing

    Policies actually are required to not violate applicable laws, an employer who enforces a policy and terminates an employee based on that policy has illegally terminated the employee and is subject to...
  10. MunoRN

    Balloon pumps and swans on a stepdown??

    MunoRN replied to boston.nurse's topic in General Nursing

    Balloon pumps definitely shouldn't be 3:1, patients vented by ET tube should usually be 2:1, and frequently titrated cardiac drips should be 2:1. But patients often go home with an LVAD, so unless it...
  11. MunoRN

    Nurses smoking weed?

    MunoRN replied to bunnynurse's topic in General Nursing

    You may want to re-read your linked article: Huzlers is a satirical "news" site, basically the clickbait version of The Onion. Here is Huzler's own
  12. MunoRN

    Nurses smoking weed?

    MunoRN replied to bunnynurse's topic in General Nursing

    Source?
  13. MunoRN

    Why do nurses.....

    MunoRN replied to offlabel's topic in General Nursing

    In some settings, such as publishing research, it's totally appropriate to list the alphabet soup of credentials and degrees, in many other settings though it makes it appear like we're trying spruce...
  14. MunoRN

    bridge the gap: Article Hospitals must educate nurses about health care costs

    MunoRN replied to Natasha A.'s topic in Activism, Healthcare

    While I strongly agree with the premise of the article in the title, the author is disturbingly misinformed about how inpatient hospital billing works, and mainly what I took from the article that...
  15. MunoRN

    So I kind of messed up

    MunoRN replied to oopsmybad's topic in General Nursing

    Whether or not a drug test will be reported as positive with a valid prescription depends on what the employer has directed the MRO to define as positive. For the majority of jobs, employers can only...
  16. MunoRN

    Hospital with Money Back Guarantee

    MunoRN replied to twss2323's topic in General Nursing

    I know I'm going against the grain here, but I don't have any issue with this policy and actually I'm all for it. First of all, they aren't refunding anyone's bill, they're only refunding the co-pay...
  17. MunoRN

    Inpatient Hospice Ethical Dilemma?

    MunoRN replied to CNSnurse's topic in Hospice, Palliative

    Unless the doctor extensively made the family aware of his financial ties to the nursing home and documented the family's awareness of this very well, including a witness to the disclosure, then this...
  18. MunoRN

    Religion or Medicine

    MunoRN replied to ambojcksn's topic in Activism, Healthcare

    Parents aren't really as free in decision making for their children as they are in making decisions for themselves. An adult can make pretty much whatever decision they want, but parents are legally...
  19. MunoRN

    Nurses smoking weed?

    MunoRN replied to bunnynurse's topic in General Nursing

    The excretion half life of THC, which includes the time it spends as an inactive metabolite, is often quoted at about 30 hours, but the duration of circulating active forms of THC is not anywhere near...
  20. MunoRN

    Meaning of your username?

    MunoRN replied to Flightless Bird's topic in General Nursing

    Everybody does, it's ok, it's the "R" right after "Muno". I also see it that way
  21. MunoRN

    Is this a hipaa violation?

    MunoRN replied to NurseRatchedTheBest's topic in HIPAA Challenges

    Obviously there's a bit more to it, but generally when the next of kin decides the patient would no longer stop CPR we stop CPR. Are there places where you just say "too bad" and keep
  22. MunoRN

    Nurses smoking weed?

    MunoRN replied to bunnynurse's topic in General Nursing

    11-OH-THC is an intermediate metabolite and is typically further metabolized prior to lipid absorption. I wonder if you're confusing 11-OH-THC for THC-COOH which is the metabolite commonly found long...
  23. MunoRN

    Initial Drug Test

    MunoRN replied to Damiapa's topic in General Nursing

    Typical testing for marijuana doesn't test for active marijuana, it tests for the metabolites of the drug which are fat soluble. The metabolites are stored in body fat, then when that fat is...
  24. MunoRN

    Meaning of your username?

    MunoRN replied to Flightless Bird's topic in General Nursing

    My kid was watching yo-gabba-gabba when I was picking a name, Muno is this guy: Yo Gabba Gabba! Muno Action Figure | Tv's Toy Box At the time, I found it funny that he looks like a mascot for some...
  25. MunoRN

    So I kind of messed up

    MunoRN replied to oopsmybad's topic in General Nursing

    That's really bad avice. One of the main thing that pre-employment or nursing school drug tests are looking for is use of a controlled substance without a prescription, and they usually take that...