MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Does Percocet make someone itch?

    MunoRN replied to tsm007's topic in Patient Medications

    Opiate and H1 antagonist effects on histamine induced pruritus and alloknesis. - PubMed - NCBI By itself, itching with opiates does not suggest an anaphylactic allergic
  2. MunoRN

    How many days do you work in a row?

    MunoRN replied to Jaellys's topic in General Nursing

    When working night shift it's usually a broken up schedule that is most likely to cause fatigue. The more you're trying to adjust back and forth, the more fatigue it's going to cause. If you're...
  3. MunoRN

    Ridiculous NCLEX Wait Times

    MunoRN replied to terrafermata's topic in Activism, Healthcare

    Get over it. I had to wait almost two months and even then had to make a four hour drive to get it done that soon (and had to drive in snow uphill both ways). Nursing students don't graduate at a...
  4. MunoRN

    Administering Tylenol to a friend

    MunoRN replied to Em31200's topic in General Nursing

    Giving someone a pill is not "administering" a medication, that's a very different thing. "Administering" refers to when a patient is under your care (not the case in this situation) and you are...
  5. MunoRN

    Administering Tylenol to a friend

    MunoRN replied to Em31200's topic in General Nursing

    Protection from liability refers to civil suit protection, a nurse is expected to not violate the standard of care in any situation, which is not a particularly difficult requirement to abide by. It...
  6. MunoRN

    Ethics: Brain bleed sign out AMA

    MunoRN replied to Kbig2's topic in General Nursing

    There is no regulation in any state that says a patients appropriately established consent or refusal to a treatment is void once their condition changes. When a doctor says to a patient with...
  7. MunoRN

    ICU Nurses - IV Carrier Rate for Infusing Pressors

    MunoRN replied to rebrrn's topic in Critical Care

    When used to facilitate the administration of ordered medications, fluids are not actually considered a medication, they're technically classified for that use as a device. If you have an order for...
  8. MunoRN

    ICU Nurses - IV Carrier Rate for Infusing Pressors

    MunoRN replied to rebrrn's topic in General Nursing

    There's no one-size-fits-all rule for this, where I've worked it's nursing judgement since basically what you're doing is managing how drugs are infusing which is within a nurse's scope. I think many...
  9. MunoRN

    Verbal Hand-off Reports - Are they no longer necessary?

    MunoRN replied to yr.pedsnurse's topic in General Nursing

    The argument for how the receiving nurse still has the opportunity to ask questions is that they can call the ED nurse, so by definition both nurses still have to be available at the same time to talk...
  10. MunoRN

    Verbal Hand-off Reports - Are they no longer necessary?

    MunoRN replied to yr.pedsnurse's topic in General Nursing

    The JC recommends a handoff process that includes "interactive communication", as does a number of other groups that look at patient errors and what can be done to reduce them. The most glaring...
  11. MunoRN

    Verbal Hand-off Reports - Are they no longer necessary?

    MunoRN replied to yr.pedsnurse's topic in General Nursing

    If cutting out verbal report is as good as or better than report that contains a verbal component, why do we have a verbal shift -to-shift report? What's less important about an ED to floor
  12. MunoRN

    Verbal Hand-off Reports - Are they no longer necessary?

    MunoRN replied to yr.pedsnurse's topic in General Nursing

    The purpose of no-verbal report varies by who you ask. We tried it out because of a consultant the administration had brought in who referred to it as a part of "revenue optimization". A good sized...
  13. MunoRN

    Verbal Hand-off Reports - Are they no longer necessary?

    MunoRN replied to yr.pedsnurse's topic in General Nursing

    I don't think anyone is arguing that there are errors that occur regardless of whether or not a verbal report is used. Errors kill about 100,000 hospital patients a year, the largest single root...
  14. MunoRN

    Ethics: Brain bleed sign out AMA

    MunoRN replied to Kbig2's topic in General Nursing

    At least where I've worked, "implied consent" is differentiated from "medical necessity", but yeah, either way you don't get to have your way with a patient just because they aren't able to physically...
  15. MunoRN

    ETOH withdrawal, CIWA, and transfer to the ICU.

    MunoRN replied to HeadingWest's topic in Medical-Surgical

    There can actually be very little difference between a score of 4 and a score of 27, which is why the total score isn't all that useful in itself, particularly for the purpose of determining what...
  16. MunoRN

    J tip - Anyone using this?

    MunoRN replied to AnnieOaklyRN's topic in General Nursing

    I don't know of any diabetics who would seek out a local anesthetic for their SQ injections. J-tips are not always considered pain free by patients, it's debatable whether or not the total amount of...
  17. MunoRN

    IV piggy back help

    MunoRN replied to mm5256's topic in General Nursing

    While some pumps that actually control which bag it is pulling from refer to that as a "secondary", a true secondary is a bag that connects to the primary line above the pump, and hangs higher than...
  18. MunoRN

    Verbal Hand-off Reports - Are they no longer necessary?

    MunoRN replied to yr.pedsnurse's topic in General Nursing

    The Joint Commission's safety goal for communication includes both a standardized approach as well as interactive communication. https://psnet.ahrq.gov/primers/primer/9/handoffs-and-signouts The JC...
  19. MunoRN

    Ethics: Brain bleed sign out AMA

    MunoRN replied to Kbig2's topic in General Nursing

    There is no law or regulation in any state that allows us to ignore the patient's established wishes just because they are asleep or unconscious, where are you getting that from? And being competent...
  20. MunoRN

    Administering Tylenol to a friend

    MunoRN replied to Em31200's topic in General Nursing

    I can't find any state's good sam law that defines an emergency by whether or not the person recognized it as an emergency at the time. Going to the ED for a headache is not the standard of care....
  21. MunoRN

    Administering Tylenol to a friend

    MunoRN replied to Em31200's topic in General Nursing

    In order to successfully sue someone for not recognizing something as an emergency condition you'd have to argue that an emergency actually existed at the time, which would also then cause it to fall...
  22. MunoRN

    Verbal Hand-off Reports - Are they no longer necessary?

    MunoRN replied to yr.pedsnurse's topic in General Nursing

    I'm not sure why you're jumping to who can be labelled as being at fault, that actually never came up in reviewing the incident, it was the process that was at fault. It's not a question of...
  23. MunoRN

    Administering Tylenol to a friend

    MunoRN replied to Em31200's topic in General Nursing

    That's generally true; people can sue others for whatever they want, despite having no chance of winning. There are exceptions however the law specifically makes someone not liable, good samaritan...
  24. MunoRN

    Administering Tylenol to a friend

    MunoRN replied to Em31200's topic in General Nursing

    Unless the friend paid you for advice then good samaritan laws generally shield you from any liability, so that's not really an example of where the nurse should refuse to talk to their friend about...
  25. MunoRN

    Verbal Hand-off Reports - Are they no longer necessary?

    MunoRN replied to yr.pedsnurse's topic in General Nursing

    There's a variety of evidence to choose from as to why communication is the hot topic these days when it comes to patient safety, take your pick from IHI, AHRQ, or other industries. "Why hospitals...