MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    art lines

    MunoRN replied to martymoose's topic in General Nursing

    At every place I've worked any arterial access is staffed as not more than 1:2. Patients with post-procedure sheaths either go to a dedicated recovery area (ie cath lab recovery), the ICU, or they...
  2. MunoRN

    Nurses smoking weed?

    MunoRN replied to bunnynurse's topic in General Nursing

    That's at least a little misleading. Marijuana "overdose" currently only exists in theory. A lethal overdose has never been known to occur. The general consensus on the amount required to cause...
  3. MunoRN

    Palliative Bedside Fans

    MunoRN replied to BiohazardBetty's topic in General Nursing

    There's not actually any reason to prohibit fans in general from an infection prevention standpoint, I'm a little surprised your IP director was that badly informed. There are relatively limited...
  4. MunoRN

    Nurses smoking weed?

    MunoRN replied to bunnynurse's topic in General Nursing

    That may have come out differently than you intended, since what accumulates in your body are non-psycho active metabolites, not active components of the drug. Both alcohol and marijuana have acute...
  5. MunoRN

    Hospice Challenges with SNFs/ALFs?

    MunoRN replied to HazelnutCream's topic in Hospice, Palliative

    I don't work in an SNF or ALF, I help coordinate care between a hospital and nursing facilities, so I'm by no means an expert on hospice billing, but from what I understand here's how it works; Prior...
  6. MunoRN

    Nurses smoking weed?

    MunoRN replied to bunnynurse's topic in General Nursing

    I'm not sure what you're referring to since testing for active blood THC levels are widely available in legalized states (as opposed to testing for inactive metabolites which can be detectable for...
  7. MunoRN

    My father's health information

    MunoRN replied to Catcar1963's topic in General Nursing

    That's never been how it's worked in my experience. Next of kin are the default decision makers because without contradicting information, it can usually be assumed that next of kin is who the...
  8. MunoRN

    Is it okay to cut UNscored tablets?

    MunoRN replied to kyegirl's topic in Patient Medications

    That's definitely one of the more ridiculous nursing myths I've ever heard of. All tablets are manufactured in the same basic process and the active components exist throughout the tablet. Whether...
  9. MunoRN

    Unprofessional charting

    MunoRN replied to Nurse131382's topic in Nursing Professionalism

    PCT's aren't nurses and aren't trained in nurse-speak, so it's unreasonable to expect that of them. What's expected is that they write down what they are seeing in plain english and in laymen's...
  10. MunoRN

    Work declining vacation request?

    MunoRN replied to bunnynurse's topic in General Nursing

    It's never to late to ask for what's available, but that's different than expecting a certain week to be available. That's not usually what employers are planning for when they bring in travellers to...
  11. MunoRN

    Work declining vacation request?

    MunoRN replied to bunnynurse's topic in General Nursing

    Where I've worked in the past and currently we bring in travelers to cover June through August vacations, the agency contracts are often set shortly after the new
  12. MunoRN

    Angry..

    MunoRN replied to JellyDonut's topic in Critical Care

    I'm not sure there's any reason that you don't need to go through the same hiring process as a diploma nurse just because you have 3 graduate degrees, that doesn't somehow automatically mean you're...
  13. MunoRN

    Work declining vacation request?

    MunoRN replied to bunnynurse's topic in General Nursing

    At most places I've worked you don't get vacation time until you've been there a year, and even after a year you certainly can't expect to get specific time off in July when asking for it in April...
  14. MunoRN

    Reasons to lose nursing license?

    MunoRN replied to Srobbins2310's topic in General Nursing

    The first time a nurse I worked with lost their license, it was a nurse who enforced a fluid restriction order despite the patient declining the restriction. She lost her license and when she left...
  15. MunoRN

    Scrubs: Are Colorful Ones Unprofessional?

    MunoRN replied to purplegal's topic in Nursing Professionalism

    I'm all for some "fun" and individuality in scrubs, although it's really easy for fun looking scrubs to look much more like you came to work in pajamas. "Fun" prints in peds is appropriate, I'm not...
  16. MunoRN

    The film: Vaxxed.

    MunoRN replied to macawake's topic in General Nursing

    Exactly, more robust evidence makes for better treatment, less reliable evidence (non-existent, made up, etc) makes for worse treatment, I'm still not sure which one of those you're arguing
  17. MunoRN

    The film: Vaxxed.

    MunoRN replied to macawake's topic in General Nursing

    Exactly, it's all about trust which brings us back to the topic of the thread; should we blindly trust what Wakefield is promoting, a man who performed and promoted widespread use of invasive...
  18. MunoRN

    The film: Vaxxed.

    MunoRN replied to macawake's topic in General Nursing

    When something promoted as evidence based practice turns out to not actually be supported by the evidence then it's no longer "evidence based". If the evidence says povidine-iodine is actually better...
  19. MunoRN

    OK to piggyback IV potassium?

    MunoRN replied to MeganC012's topic in Patient Medications

    You can actually have issues following hospital policies, they aren't foolproof and don't supersede the requirements of your license. More importantly, you should always understand the basis of your...
  20. MunoRN

    The film: Vaxxed.

    MunoRN replied to macawake's topic in General Nursing

    I agree that the bolded part of your post is what this all hinges on, the question is whether ignoring all of the available evidence is how we avoid "blind trust", or is that the balance of evidence...
  21. MunoRN

    The film: Vaxxed.

    MunoRN replied to macawake's topic in General Nursing

    While the federal manslaughter statute is a starting point for understanding how the law affects medical practice, it's primarily case law that defines this legally since just like many statutes, it's...
  22. MunoRN

    OK to piggyback IV potassium?

    MunoRN replied to MeganC012's topic in Patient Medications

    There's absolutely no difference in safety between hanging 20 meq's as a single bag or two bags y'd together, functionally it's the exact same thing since it becomes a single fluid column despite...
  23. MunoRN

    OK to piggyback IV potassium?

    MunoRN replied to MeganC012's topic in Patient Medications

    Potassium is almost universally hung as a primary infusion, due the reflexive belief that it shouldn't be hung as a secondary even though many nurses don't seem to know why, so I'm not sure why you...
  24. MunoRN

    Do I aspirate too violently?

    MunoRN replied to lorelei13's topic in General Nursing

    Back when it was still considered good practice to aspirate, that was the amount of time you were supposed to aspirate for (5
  25. MunoRN

    The film: Vaxxed.

    MunoRN replied to macawake's topic in General Nursing

    Whether or not "the death was unlawful or not" when it comes to patients who die as a result of medical interventions is actually based on a risk/benefit analysis and can also be based on other...