MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Haldol, Pneumonia, PD

    MunoRN replied to Rnfortuna's topic in General Nursing

    Because outcomes for untreated hospital delirium are far worse than when it's treated. And it's cruel to leave it untreated, it's very distressing and traumatic for the
  2. MunoRN

    Do you go to work with parabens on you?

    MunoRN replied to RNdynamic's topic in General Nursing

    To answer your question, I don't think there is any arguing that parabens, which have no established adverse health effects, are safer than the various pathogens that would thrive in these products...
  3. MunoRN

    Need some advice - am I that unreasonable?

    MunoRN replied to ACNPmomof2's topic in General Nursing

    If you really feel like your only option is to quit, I'd first try utilizing the chain of command and be sure to include risk management. One thing that will make a risk managers ears perk up is when...
  4. MunoRN

    Post ops coming back to ED as "holding" patients

    MunoRN replied to anursedad's topic in Emergency

    If patient are being told immediately post-op to get themselves to ER and tell them they need medical care since they just came out of surgery, then that would be problem, but there is nothing against...
  5. MunoRN

    High Alert Medications during Transport

    MunoRN replied to bobbi_marieda's topic in General Nursing

    You've misunderstood ISMP's recommendations, and actually have them backwards. ISMP specifically recommends not doing double checks on all high alert medications, such as opiates, benzos, SQ insulin,...
  6. MunoRN

    Warfarin and cardiac catherization

    MunoRN replied to kakamegamama's topic in General Nursing

    In the US, the (conservative) practice recommendation is here: http://content.onlinejacc.org/article.aspx?articleid=1212373 It does recommend stopping warfarin prior to an elective cath, although...
  7. MunoRN

    Lack of Professionalism in PACU

    MunoRN replied to MamaJean, RN's topic in Nursing Professionalism

    I think you overreacted in the first example, "that one" refers to the task of post-op recovery, which is correctly referred to as "that one". If the nurses spent your entire recover period watching...
  8. MunoRN

    Blood cultures

    MunoRN replied to AMR21's topic in Dialysis, Renal, Urology

    If you're not trained to access to dialysis catheters then you shouldn't be drawing cultures off of them, but otherwise it can actually be important to get a sample off of potential sources of...
  9. MunoRN

    0200 BP's - Dealing with Tired Rude Doctors

    MunoRN replied to Jennifer in Cali's topic in Patient, Colleague Relations

    To be fair it does vary quite a bit from one setting to another. In ICU we often prefer extra BP to too little BP, so we often don't bat an eye at 170's, but even that's not always true, I'm...
  10. MunoRN

    Solutions for Drinks at Nursing Station?

    MunoRN replied to ImNicoEh's topic in General Nursing

    We keep them sitting out at the nursing stations, they just need to be covered drinks (coffee cups with lids, bottles with tops), the Joint Commission and department of health have both been fine with...
  11. MunoRN

    0200 BP's - Dealing with Tired Rude Doctors

    MunoRN replied to Jennifer in Cali's topic in Patient, Colleague Relations

    Ideally we'd just not bother patients at all at night, although if the patient really didn't need any sort of monitoring or assessments all night we'd just discharge them and have them come back in...
  12. MunoRN

    Troponins

    MunoRN replied to mugs's topic in Cardiac

    When cardiac muscle suffers ischemic injury, various enzymes are released that can be detected through bloodwork. The problem is that the serum levels of these enzymes don't rise immediately,...
  13. MunoRN

    Unsafe ICU staffing/ patient ratios! Please help!

    MunoRN replied to sophiern1's topic in Critical Care

    Does your facility have step-down as well? What is their
  14. MunoRN

    0200 BP's - Dealing with Tired Rude Doctors

    MunoRN replied to Jennifer in Cali's topic in Patient, Colleague Relations

    I usually just remind the Doc that they admitted the patient to the hospital so that we will assess them which includes vital signs, if they were confused about what being an inpatient involves and...
  15. MunoRN

    Patient positioning aids

    MunoRN replied to JenMacBSN's topic in General Nursing

    Ceiling lifts would be the ideal solution. I know in the past they've been considered more of a luxury, but there's been more of a shift to considering them a basic component of an acute care patient...
  16. MunoRN

    Cognitive delays in children

    MunoRN replied to simplycurious's topic in General Nursing

    There isn't much potential for exposure to teratogenic chemicals in dialysis so it would seem pretty
  17. MunoRN

    The Fifth Vital Sign

    MunoRN replied to bgxyrnf's topic in General Nursing

    Here's is what you said: You've been provided with evidence that your claim contradicts the established knowledge of whether or not a sleep can be equated with adequate pain control and still have...
  18. MunoRN

    What do you do when a pt goes into anaphylactic shock?

    MunoRN replied to xmilkncookiesx's topic in General Nursing

    Sorry to go way off topic, but there's actually a really interesting answer to that question. The recommendation to switch was supposedly based on evidence that CHG was more effective than iodine...
  19. MunoRN

    What do you do when a pt goes into anaphylactic shock?

    MunoRN replied to xmilkncookiesx's topic in General Nursing

    The component of iodine based prep that someone can be allergic to is the povidone, it's not possible to have a true allergy to
  20. MunoRN

    What do you do when a pt goes into anaphylactic shock?

    MunoRN replied to xmilkncookiesx's topic in General Nursing

    What this reflects is that those prone to any antibody mediated reaction have an increased potential for having other antibody mediated responses. Someone who's immune system is prone to antibody...
  21. MunoRN

    What do you do when a pt goes into anaphylactic shock?

    MunoRN replied to xmilkncookiesx's topic in General Nursing

    That's probably not going to help much since that is a well-debunked myth. It used to be assumed that the reason someone would be allergic to shellfish is that it contains higher levels of iodine,...
  22. MunoRN

    BSN New Graduate Salaries

    MunoRN replied to jchurnock's topic in First Year After Licensure

    Actually the tax burden in Canada is quite a bit less. In Canada the tax burden is $17,500 per capita, in the US it's $20,300 and that only counts a portion of our healthcare costs, with those costs...
  23. MunoRN

    Forced transfer

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

    The State won't really care about the forced transfers, but they will generally expect that nurses forced to transfer are properly trained for the competencies they will be using on their new unit....
  24. MunoRN

    inoffensive words to describe an event

    MunoRN replied to RayRPN's topic in General Nursing

    First I'd suggest getting rid of the term "client" if you want to avoid being offensive, but that's not your fault, go along with whatever your teachers want. To describe the event, I would say...
  25. MunoRN

    The Fifth Vital Sign

    MunoRN replied to bgxyrnf's topic in General Nursing

    I did read your write-up and I get the gist of your hypothesis, but using your hypothesis as the reference to support your hypothesis is scientific quackery. While the source in your previous link...