MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Can Someone else do a nurse's charting?

    MunoRN replied to karentou's topic in General Nursing

    There is nothing wrong with someone being the one that actually writes down or types a nurse's charting, what matters is if the source of the content of the charting is actually the nurse or not....
  2. MunoRN

    Jury Duty

    MunoRN replied to lpn954's topic in General Nursing

    Jury Duty is not an unexpected financial obligation so it should have been included in your potential expenses as a self-employed
  3. MunoRN

    Not Criminally Responsible

    MunoRN replied to Tylerr's topic in Nursing Student Assistance

    The portion of those "diagnosed with a mental health disorder" that are truly unable to tell right from wrong is very small, so no, I don't think it would be appropriate or respectful to those with...
  4. MunoRN

    Catheters/ IV starts

    MunoRN replied to Jengon9344's topic in General Nursing

    I hadn't thought that just anybody could go out and buy IV catheters, if that was the case every IV drug user would use those instead of individual injections. The wings are both for holding while...
  5. MunoRN

    The Fifth Vital Sign

    MunoRN replied to bgxyrnf's topic in General Nursing

    I'm not sure if you meant to provide a different source, because neither of the two you've linked to support your claim, and actually the second source goes into depth about the effects of sleeping...
  6. MunoRN

    Day in the life of a Holistic Nurse?

    MunoRN replied to planetearth's topic in General Nursing

    Holistic care is an integral part of nursing, there are no non-holistically trained nurses. Holistic care refers to treating the whole patient in all aspects of their health needs, using a wide range...
  7. MunoRN

    2 year nursing program?

    MunoRN replied to EternalVVoid's topic in General Students

    Whether it's an ADN or BSN, the "program" portion is typically 2 years. There have certainly been successful nurses who are ADN prepared. Depending on your regional market and where you would like...
  8. MunoRN

    Tube Feeding on Hold

    MunoRN replied to grace08's topic in Critical Care

    If we routinely didn't feed anybody because they had a HR in the 50's and/or MAP 60-65 then a lot of people wouldn't get tube feedings, which would likely do more harm than keeping them going. If...
  9. MunoRN

    When the Hospital Fires the Bullet

    MunoRN replied to Not_A_Hat_Person's topic in Nursing News

    I'm not sure where you're getting that this was a "police issue" since the police were not called until after the shooting. The HOSPITAL SECURITY GUARDS that shot the patient also worked as police...
  10. MunoRN

    Bernie Sanders gets NNU nod

    MunoRN replied to Farawyn's topic in Nursing News

    Venezuela is a Marxist government, which is extremely different from a democratic socialist system. Democratic socialist countries are typically referred to as the "nordic" countries; Denmark, Norway,...
  11. MunoRN

    Bernie Sanders gets NNU nod

    MunoRN replied to Farawyn's topic in Nursing News

    You really should consider reevaluating how you get your information on the world. There have been extensive investigations on Benghazi which have proved your severe yet vague accusations false....
  12. MunoRN

    peg tube without flush order

    MunoRN replied to supaflyz's topic in General Nursing

    The confusion is often that Docs assume you're asking about how much free water the patient should be getting, which would often fall under an MD order, they rightly assume that the nurse wouldn't be...
  13. MunoRN

    peg tube without flush order

    MunoRN replied to supaflyz's topic in General Nursing

    Flushing for maintenance, not therapeutic purposes, does not typically require a physicians order and should be consider within the nurse's scope since you aren't administering water to treat a...
  14. MunoRN

    Giving a PRN Medication on Accident

    MunoRN replied to ichiro12's topic in General Nursing

    If you thought you were giving the patient tramadol or meant to give tramadol but instead gave trazadone then that's an obvious med error. So long as the reporting system is focused on root causes...
  15. MunoRN

    Tennessee Hospital Performed Procedure on Wrong Baby

    MunoRN replied to DoGoodThenGo's topic in Nursing News

    I'm mainly amazed that there is still a hospital where the baby leaves mom's side to go to a nursery, even just for a few hours. Is this hospital in Tennessee and also in the year
  16. MunoRN

    Scanning in the supply room

    MunoRN replied to elizabeast7's topic in General Nursing

    Hospitals don't actually bill for things like flushes, dressings, IV tubing, etc separately, all major insurers follow the CMS inclusive room charge method of billing. It's only very specialized (and...
  17. MunoRN

    The Fifth Vital Sign

    MunoRN replied to bgxyrnf's topic in General Nursing

    Pain should not be assumed to be adequately controlled if the patient is able to sleep, again, it's well established that sleep is possible even with severe pain. The perpetuation of that myth leads...
  18. MunoRN

    The Fifth Vital Sign

    MunoRN replied to bgxyrnf's topic in General Nursing

    C fiber pain typically refers to nueropathic pain, pain that responds well to opiates is not C fiber pain. One of the most damaging myths that interferes with appropriate pain management is that...
  19. MunoRN

    Inappropriate Facebook postings by family and friends of the patient

    MunoRN replied to morman's topic in General Nursing

    Were they drawing genitalia on their face with sharpies then taking pictures of them? That would clearly violate the patient's dignity, but just taking a picture is actually a normal thing for a lot...
  20. MunoRN

    The Fifth Vital Sign

    MunoRN replied to bgxyrnf's topic in General Nursing

    That's not really how opiates work. While it's true that the euphoric/impairing effects relative to the analgesic effects are strongest in someone who is opiate naive, the decrease is relatively...
  21. MunoRN

    Transfusion not given

    MunoRN replied to amandagracen's topic in General Nursing

    Many patients have thrombocytopenia that is refractory to transfusions; they'll quickly "chew up" additional platelets above their baseline amount. Frequent prophylactic transfusions in these...
  22. MunoRN

    Fresh RSI & Vomitting

    MunoRN replied to airwick1987's topic in General Nursing

    Those Evac tubes are pretty handy for secretions that settle on the cuff, although they aren't all that good with solids. I had a patient once who got intubated at the casino, and apparently they...
  23. MunoRN

    Fresh RSI & Vomitting

    MunoRN replied to airwick1987's topic in General Nursing

    Intubated patients can be turned onto their side if that is part of what you're asking. Intubated patients can vomit just like anybody else can, the goal when any patient is vomiting is to protect...
  24. MunoRN

    From nursing to customer service rep

    MunoRN replied to Orientedindependent's topic in Activism, Healthcare

    There's been stories about the supposedly recent focus on customer service in nursing for at least the last 30 years, it's nothing new. Long ago, I worked for a hotel company that had a "hospitality...
  25. MunoRN

    The Fifth Vital Sign

    MunoRN replied to bgxyrnf's topic in General Nursing

    "Pain is the fifth vital sign" was an initiative of the American Pain Foundation, a group which dissolved after a Senate investigation was launched and found that it was front for a group of...