MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Daily PICC assessment

    MunoRN replied to missyjones1's topic in Infusion, Intravenous

    Where specifically in those recommendations are you seeing
  2. MunoRN

    Video Cameras in Medication Rooms

    MunoRN replied to tg0313RN's topic in General Nursing

    Why would you think they wouldn't be allowed in medication
  3. MunoRN

    Daily PICC assessment

    MunoRN replied to missyjones1's topic in Infusion, Intravenous

    I'm not sure where you're getting that from, the CDC hicpac recommendations include a 1A recommendation that staff who insert and maintain IVs should demonstrate competence in IV therapy, but nowhere...
  4. MunoRN

    No pain meds in ER??

    MunoRN replied to ShaneTeam's topic in Emergency

    Despite many of the headlines, it doesn't appear that this hospital has stopped or plans on stopping opiate prescribing, they just try to avoid it, which isn't all that unusual. From one article: I...
  5. MunoRN

    Atrial pacing above 100 to increase CO/MAP

    MunoRN replied to CardiacDork's topic in General Nursing

    Cardiac output is the volume of blood the heart pumps with each beat times the number of beats, so given the same volume pumped, more beats equals more CO. But the faster the heart beats, the less...
  6. MunoRN

    Does HR have this much power?

    MunoRN replied to Horselvr's topic in General Nursing

    Keep in mind that having a valid prescription doesn't always mean that an employer can't know about it. Many jobs only screen for illegally used drugs, which is why an MRO will check for a valid...
  7. MunoRN

    Is this a big deal?

    MunoRN replied to guest769224's topic in General Nursing

    Tube feedings should not be paused when repositioning, regardless of where the tube is, there is absolutely no benefit to this but it does often result in long periods of missed feedings when staff...
  8. MunoRN

    Admitting a Patient

    MunoRN replied to hawkfan0511's topic in General Nursing

    The JC doesn't actually require standardized prn orders based on a numerical pain scale, they actually discourage that based on professional practice recommendations that forbid that method of...
  9. MunoRN

    Admitting a Patient

    MunoRN replied to hawkfan0511's topic in General Nursing

    The main question I ask is when they're going to be here to admit their patient. It doesn't alway work out like that and tying up loose ends is unavoidable, over time you'll end up remembering things...
  10. MunoRN

    Libertarian Healthcare

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

    I'm not sure how you see Flint as an example of how we need more decentralization and market competition, since it's a pretty good example of what can go wrong when we try to utilize those concepts as...
  11. MunoRN

    Blood Collection Variables are a Risk to Patients

    MunoRN replied to Nerd eNurse's topic in General Nursing

    The reason why lactate tubes should be cooled using an ice slurry is actually because it gets the sample colder faster, not because it cools the sample less. Water transfers heat much better than air...
  12. MunoRN

    Debriefing after death

    MunoRN replied to city midwife's topic in General Nursing

    I understand feeling shaken up after the death of a newborn you've cared for, but I think your expectations might be excessive. The first red flag is that you've said you wish you had known so you...
  13. MunoRN

    Do Bachelor's Degrees Save Lives? - The Facts about Earning a BSN

    MunoRN replied to Rasmussen University's topic in General Nursing

    While the information that appears on your website is a bit hard to believe, it does say that the BSN program is 181 credits which would be in addition to, not including credits obtained in the...
  14. MunoRN

    Do Bachelor's Degrees Save Lives? - The Facts about Earning a BSN

    MunoRN replied to Rasmussen University's topic in General Nursing

    I think you're misinterpreting what the Penn (Aiken) studies say about the current state of RN education. The studies did not focus on current graduates, they included all nurses which included a...
  15. MunoRN

    Do Bachelor's Degrees Save Lives? - The Facts about Earning a BSN

    MunoRN replied to Rasmussen University's topic in General Nursing

    While I get Rasmussen's desire to sell their $47,000 RN to BSN program, it is a bit ironic that one of the supposed advantages of a BSN is a better understanding of statistics and research, and yet...
  16. MunoRN

    Systemic Infection vs Sepsis

    MunoRN replied to Nanz_B's topic in General Nursing

    That infographic is a bit misleading, since SIRS and Sepsis are not actually continuations of the same thing. The presence of bacteria in the blood is bacteremia, if the presence of bacteria in the...
  17. MunoRN

    Haldol, Pneumonia, PD

    MunoRN replied to Rnfortuna's topic in General Nursing

    There's an important difference between "snowing" the patient and appropriately treating symptoms. Haldol is actually not all that sedating, it sometimes appears that way since alleviation of...
  18. MunoRN

    What would a single payer system look like?

    MunoRN replied to Xlorgguss's topic in Activism, Healthcare

    I'm not sure how you think the VA represents single payer, the VA is government run healthcare delivery, which is a very different thing from single
  19. MunoRN

    Haldol, Pneumonia, PD

    MunoRN replied to Rnfortuna's topic in General Nursing

    Haldol isn't absolutely contraindicated in Parkinsons patients but should be used sparingly compared to other patients. The severity of Parkinson's symptoms correlate to dopamine levels, which is...
  20. MunoRN

    Sodium bicarbonate push

    MunoRN replied to lvcrn's topic in Critical Care

    It is actually in the ACLS algorithm under the H's and T's to consider; H for Hydrogen ion (acidosis). Like any electrolyte deficiency, treating the cause of the deficiency is necessary, but often...
  21. MunoRN

    Sodium bicarbonate push

    MunoRN replied to lvcrn's topic in Critical Care

    I've never heard of sodium bicarb as having what can be described as a "half-life", it's a normally occurring electrolyte, so it's similar to saying potassium or sodium has a "half life". It will go...
  22. MunoRN

    Sodium bicarbonate push

    MunoRN replied to lvcrn's topic in Critical Care

    There are certainly types of acidosis where bicarb will be of little use, such as anion gap acidosis (ie DKA), and isn't of much benefit in only mild bicarb deficient acidosis, but if you're patient...
  23. MunoRN

    Triage question

    MunoRN replied to gvrn13's topic in Emergency

    The most common sites of pain in an inferior wall MI is the epigastric and RUQ's, which is why every ED I've worked uses epigastric and upper abdominal pain as equal indications for a 12-lead compared...
  24. MunoRN

    Haldol, Pneumonia, PD

    MunoRN replied to Rnfortuna's topic in General Nursing

    In general, all medications should be avoided in everyone whenever possible. Sometimes medications are needed despite attempts to avoid
  25. MunoRN

    Haldol, Pneumonia, PD

    MunoRN replied to Rnfortuna's topic in General Nursing

    Parkinson's is a relative contraindication for haldol, not an absolute contraindication. Haldol should be avoided whenever possible in both the elderly and PD patients, and should not be a scheduled...