MunoRN RN

Critical Care

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All Content by MunoRN

  1. From AHRQ: "The Joint Commission National Patient Safety Goal also contains specific guidelines for the handoff process, many drawn from other high-risk industries: interactive communications "...
  2. The chart contains the various bits of data that fit into the more complex understanding of a patient that an RN is expected to formulate. If a (short) interactive conversation about the patient...
  3. One of the main things the ACA did was to tell private insurers that they can't refuse as much coverage as they have been, so between the government and private insurers it's hasn't been the...
  4. MunoRN

    Administering Tylenol to a friend

    I really hope you just misunderstood your teacher because that's a level of ignorance that really should prohibit someone from being a nursing
  5. I'm curious where you're getting that info from. I've worked at a hospital that frequently traded patients with BC. We'd get Canadians who were down here visiting in our ED who would go to the cath...
  6. And that's great and all but I'm not sure where in there you as the nurse handing off the patient is confirming that the nurse you're handing off to received and understood the report. I get...
  7. The JC is not a regulatory body so you can fail on a number of points and still pass the overall survey. Under the communication safety section relating to handoffs, the person receiving the patient...
  8. You believe that regardless of how well a person manages their diabetes their risk of stroke, DKA, etc is exactly the
  9. How do you think that would be different than how it already works? If someone doesn't adequately treat their "diabeetus" and ends up needing treatment for DKA, for heart attack, stroke, etc, who do...
  10. MunoRN

    Scope of Practice - alternative approaches + RN?

    There is absolutely nothing that prevents a nurse from practicing
  11. MunoRN

    Where are all of the holistic nurses?

    If you're licensed as an RN then you don't have "conventional" credentials, you already have holistic credentials, that's what an RN license
  12. In the UK, hospitals are operated at the Federal level, in Canada they are generally operated by local public entities (province or "health authorities"), but are still non-profit publicly operated...
  13. How does the receiving nurse ask a question of a faxed piece of
  14. In my state that would be considered patient abandonment by the BON, handoffs must include a verbal component. It's also a Joint Commission requirement. If it's really true that nothing is lost by...
  15. Single payer only refers to how we pay our healthcare costs, it doesn't change who we receive care from. I think sometimes it gets confused with "government run healthcare" which is much different....
  16. You need to learn the difference as a nursing student because it's part of the hazing/initiation process. Other than that, no, there's not much purpose. The difference between how medicine...
  17. It's always hard to determine right and wrong in these stories since there's always so little to go on, but I don't actually think there is any clear evidence the hospital was clearly in the wrong,...
  18. MunoRN

    Ethics: Brain bleed sign out AMA

    Are you talking about the hip or the brain
  19. I don't understand how we're supposed to know what this facebook conversation
  20. Generally counting carbs is a more accurate method anyway and there are 5 carbs per 1 oz serving. Something can have no "sugars" and still have carbs that need
  21. MunoRN

    Health Insurance

    Value Penguin is a good site for comparing multiple insurers at once. I'm not sure what county in Michigan you're in, but in Wayne county for instance a Humana catastrophic plan is $108/month, a...
  22. MunoRN

    Reinfusing gastric residuals

    We only check residuals in tube feeds that aren't beyond the pyloric sphincter. We use a syringe to remove the residual and it's placed into a graduated container and measured. Either the full amount...
  23. You should look into what your true costs for employer-provided benefits would be compared buying on your own with the money you wouldn't have to put towards an employer-provided plan. Where I work,...
  24. In general, all arterial access should be continuously transduced primarily for safety reasons; to have an alarm for if the line should become dislodged, disconnected, etc. When hooking up a NS...
  25. Every IR doc I know if would tell you to ask a nurse. IR docs don't generally or really ever deal with transduced lines, only an anesthesiologist, an intensivist, or an interventional cardiologist...