MunoRN RN

Critical Care

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OK to piggyback IV potassium?

MunoRN replied to MeganC012's topic in Patient Medications

I think there's maybe some confusion about what the OP is describing, correct me if I'm wrong, but it sounds like they are only stocked with 10 meq bags of potassium, so to give 40 meq they are...
Do I aspirate too violently?

MunoRN replied to lorelei13's topic in General Nursing

Aspirating prior to IM injections is actually not recommended, the only exception being the dorsogluteal which should be avoided anyway. There's no benefit to aspirating in other sites, and the...
Epic electronic medical records

MunoRN replied to Nasir Awan's topic in General Nursing

The identity of hospital systems that use Epic isn't secret, here's Epic's list: Epic: Organizations on the Care Everywhere Network Many of these are multi-state systems and you'd have to look up...
The film: Vaxxed.

MunoRN replied to macawake's topic in General Nursing

I only repeated your scenario of a child who dies from adverse effects of a vaccine, I added no other assumptions, only what you specifically stated. That's not actually the definition of...
The film: Vaxxed.

MunoRN replied to macawake's topic in General Nursing

You posed a question which I responded to, I did not alter anything you said or treat you disrespectfully. Maybe you could clarify how I put words into your mouth or failed to respect your dignity....
The film: Vaxxed.

MunoRN replied to macawake's topic in General Nursing

The evidence of vaccine caused deaths is exceedingly rare, particularly compared to the number of deaths vaccines prevent, which is the balance of risk vs benefit is clearly in favor of vaccinations....
The film: Vaxxed.

MunoRN replied to macawake's topic in General Nursing

"Vaccine shedding" isn't actually a thing, but if what you're saying is that if it were, and those who've been recently vaccinated had a higher risk of infecting others should be isolated while that...
The film: Vaxxed.

MunoRN replied to macawake's topic in General Nursing

So just to be clear you really are saying that Wakefield is not a reliable source for what's in a movie that he made? If a source is only reliable if the person(s) being sourced actually posts here,...
The film: Vaxxed.

MunoRN replied to macawake's topic in General Nursing

Hearsay refers to information that may not be reliable because it does not come directly from the source, Andrew Wakefield has not only seen the movie, he made the movie, so what he say is in and...
range order rationale

MunoRN posted a topic in General Nursing

So you've got an order for 1-2 Norco q 4hrs prn pain, you give 1 at 1200 for 6/10 pain. At 1330 their pain is still 4/10, does you interpretation of the order allow you to give the second or do you...
My thoughts. Literally. Catheter. Psych Pt. ED

MunoRN replied to Ronda89's topic in Emergency

I work ED and with suicidal patients in the ED and the OP's description is far, far outside what is acceptable and legal in every ED I've worked in. I realize there are regional variations in...
The film: Vaxxed.

MunoRN replied to macawake's topic in General Nursing

I'm basing that on the descriptions of people including Wakefield who wrote and directed the movie, I don't consider that to be hearsay. Thorough descriptions of the movie are widely available and...
Daily PICC assessment

MunoRN replied to missyjones1's topic in Infusion, Intravenous

The OP's question was if there was is there some sort of supporting recommendations for daily assessments by a dedicated IV team member, you responded that this was a CDC recommendation, which doesn't...
The film: Vaxxed.

MunoRN replied to macawake's topic in General Nursing

According those familiar with the movie on both sides of the issue there is no new information on the subject being presented in the film, so what is it that you feel people are avoiding by not seeing...
The film: Vaxxed.

MunoRN replied to macawake's topic in General Nursing

That's not really how your immune system works, saying it's strong because you've never been sick is like saying your arms are strong because you've never made them do anything. The most effective...
The film: Vaxxed.

MunoRN replied to macawake's topic in General Nursing

A basic premise of science is that there is always more knowledge to be gained, so what we say we "know" in science really just refers to a balance of data strongly in favor of a certain conclusion....
Is a fall occurrence of "zero" possible?

MunoRN replied to nursidosis's topic in General Nursing

I applaud your attempt to reduce falls, that's certainly an important goal, but I don't think your suggestions really move us any closer to significant fall reduction. This is quite honestly a...
Libertarian Healthcare

MunoRN replied to 1edwood79's topic in Activism, Healthcare

That's why they're employed by the people. We can hire and fire them as
The film: Vaxxed.

MunoRN replied to macawake's topic in General Nursing

"Vaxxed" is a video adaptation of Andrew Wakefield's attempts to gain fame and fortune by intentionally harming children, this included rectally probing autistic children for no other purpose than to...
The film: Vaxxed.

MunoRN replied to macawake's topic in General Nursing

A few problems with that; Dr. William Thompson never reported that the "CDC had lied to world", data had been intentionally omitted from a study he had done because actual ages of some of the children...
Secretaries who believe they rule the unit or hospital

MunoRN replied to DesiDani's topic in Patient, Colleague Relations

I'm not sure why you're equating a UC who "rule's the unit" with one who enters orders that nobody has written, those are two different things. Personally I expect a UC to be a type A control freak,...
Vinyl Gloves

MunoRN replied to Louisminnijr's topic in General Nursing

A kiwi allergy makes it more likely you have a latex allergy since the antigens of both are almost identical, you might make sure there isn't any latex in your work
My thoughts. Literally. Catheter. Psych Pt. ED

MunoRN replied to Ronda89's topic in Emergency

There once was a time when this was true for suicidal patients, back when suicide was illegal which then supposedly justified some of these measures, but that hasn't been the case for more than a...
Vinyl Gloves

MunoRN replied to Louisminnijr's topic in General Nursing

Vinyl and nitrile gloves, as well as the powder that sometimes comes in them, can trigger contact dermatitis or other irritant reactions but they can't cause an anaphylactic allergic reaction, latex...
My thoughts. Literally. Catheter. Psych Pt. ED

MunoRN replied to Ronda89's topic in Emergency

I don't think I caught most of the stream-of-consciousness part of the story, but why the

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