MunoRN RN

Critical Care

Member

  • Content

    8,058

  • Visitors

    94,699

  • Followers

    9

  • Likes

    7,525

All Content by MunoRN

  1. MunoRN

    Short Term Disability/2 Weeks notice

    MunoRN replied to snm2399's topic in General Nursing

    It's not unusual for employer-provided short term disability (as opposed to insurer or pubic provided) to require that you pay back funds received from short term disability if you don't return to...
  2. MunoRN

    Cardiac Observation Unit-a step down unit?

    MunoRN replied to minmin11's topic in Cardiac

    The name is confusing since those clearly aren't observation patients, I would guess from the name that it would be rule-outs with some pre-post diagnostic cath patients, ie observation patients that...
  3. MunoRN

    Inappropriate Facebook postings by family and friends of the patient

    MunoRN replied to morman's topic in General Nursing

    I know it sounds weird, but post-mortem portraits are actually pretty common and have been around for as long as cameras, and many consider it an important part of recognizing someone's passage into...
  4. MunoRN

    Confronted about charting at patient's school

    MunoRN replied to doodlebuttRN's topic in Private Duty

    This is what I could see the teacher and school taking issue with: It does seem pretty benign, but there isn't really any necessity to provide the parents with quoted dialogue from school to express...
  5. MunoRN

    Confronted about charting at patient's school

    MunoRN replied to doodlebuttRN's topic in Private Duty

    I have to agree with the teacher and school on this one. You're completely free to tell the parents how the student did at school from a health perspective, but you should defer questions about his...
  6. MunoRN

    ET tube questions

    MunoRN replied to Thedevinestman's topic in Critical Care

    You're disconnecting the circuit for
  7. MunoRN

    Refusing to take a resident bac

    MunoRN replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Is the danger he presents now significantly different compared to before going into the hospital? The basic purpose of anti-dumping statutes is to prevent facilities from using a hospitalization as a...
  8. MunoRN

    Nursing Diagnosis conflict help!

    MunoRN replied to Emantsch's topic in Nursing Student Assistance

    If she's 28 and her last menstrual cycle was 8 years ago, that would seem to be an issue as well, but 100.1 is barely hyperthermic. Normal circadian rhythms can produce a temperature range that goes...
  9. MunoRN

    Refusing to take a resident bac

    MunoRN replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    I don't know the specific laws in MA, but the main problem will be Federal anti-patient-dumping statutes. If the patient is sent out to the hospital and at discharge will require a level of care that...
  10. MunoRN

    What kind of integrative medicine jobs exist for RNs?

    MunoRN replied to healtheducatorinCA's topic in Holistic

    "Integrative Medicine" refers to medical practitioners who have adopted the nursing view of patient care and treatment. There is no specific area of nursing that shares integrative medicine's view of...
  11. MunoRN

    Inserting an NG tube post arrest

    MunoRN replied to abidingpanda's topic in General Nursing

    I prefer OG in an intubated patient, there's more potential trauma with have tube down the nostril for an extended period of time. If you're intent on placing an an NG in an intubated patient right...
  12. MunoRN

    Administering Tylenol to a friend

    MunoRN replied to Em31200's topic in General Nursing

    The friend is free to sue for anybody for anything they want, but the nurse doesn't really have to worry that a claim of "administering" will be valid since the situation described does not come close...
  13. MunoRN

    CABG recovery ratios?

    MunoRN replied to brook0224's topic in CCU, Coronary, Cardiac

    We do 1:1 only until extubated, same at a previous place I've worked. I don't really have a problem with that, they're certainly still busy after extubation but no more than any other ICU patient can...
  14. MunoRN

    One Liner to Diffuse Escalating Situation With Patient

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

    You're certainly not going to see people at their best in the ED, so if they are a jerk on their best day... I try to keep in mind that they are in pain, or that they're having to watch their loved...
  15. MunoRN

    Rally for National Nurse-Patient Ratios

    MunoRN replied to nrsadvocate's topic in Activism, Healthcare

    It's not actually a rally for national patient ratios, it's just for ratios within the District of Columbia. I'm all for legally mandated workload limits for nurses, but I don't think simple ratios...
  16. MunoRN

    Mortality rates for cardiac surgery

    MunoRN replied to SororAKS's topic in General Nursing

    CMS collects data on CABG mortality rates by hospital, you can look at their data here
  17. MunoRN

    A doctor needs to be present to draw blood?

    MunoRN replied to psu_213's topic in Patient Safety Issues

    There's no general reimbursement requirement that says an MD has to be physically present in the building in order to bill for phlebotomy. Some blood draw clinics are located in the same complex as a...
  18. MunoRN

    3rd Shift Disability Resources

    MunoRN replied to happyclouds's topic in General Nursing

    HR is still part of "your employer", and it doesn't matter if you have paperwork that says you can't work nights, if working nights is part of the job then they don't have to accommodate
  19. MunoRN

    3rd Shift Disability Resources

    MunoRN replied to happyclouds's topic in General Nursing

    I don't know that you've reduced the amount of misinformation related to this topic more than you've added to it. While you don't have to reveal your medical condition any more than is is required to...
  20. MunoRN

    Commuity Nurse- legal question

    MunoRN replied to youngin14's topic in General Nursing

    I'm not really clear what your role is in this to begin with since you've described yourself as a "community nurse", aka public health nurse, yet you're describing a individual patient care role. I...
  21. MunoRN

    What does TID PRN really mean?

    MunoRN replied to PolishGirlRN's topic in General Nursing

    ? I'm not sure it takes less cajones to point out to a Doc how they could better communicate what they
  22. MunoRN

    What does TID PRN really mean?

    MunoRN replied to PolishGirlRN's topic in General Nursing

    TID prn can pretty clearly be interpreted inconsistently. If the point of the order is that the nurse can give doses at any interval, just not more than 3 doses per 24 hours, then that would be "1-3...
  23. MunoRN

    What does TID PRN really mean?

    MunoRN replied to PolishGirlRN's topic in General Nursing

    If an order isn't going to be consistently interpreted the same why by those who wrote it and those interpreting it then that is a problem, and an unnecessary problem at that since there are other...
  24. MunoRN

    What does TID PRN really mean?

    MunoRN replied to PolishGirlRN's topic in General Nursing

    TID prn does mean different things depending on who you ask which is why it shouldn't be used. If it's meant to mean "q 8hrs prn.." then it should be written as q 8 hrs. If it's meant to only be...
  25. MunoRN

    What does TID PRN really mean?

    MunoRN replied to PolishGirlRN's topic in General Nursing

    If the Doc wanted you to read that as: 1 dose as often as every 5 minutes and not to give more than three doses per day then that's what they should have written: "1mg q 5 minutes prn ___ NTE 3mg per...