MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    DuraPrep use in pt with mild iodine allergy

    MunoRN replied to coleeliza's topic in Patient Safety Issues

    While it's possible to be allergic or to have an intolerance to Povidone, it's not possible to have a true allergy to iodine. Iodine is intentionally unavoidable, if you could somehow avoid it you'd...
  2. MunoRN

    Pt.s Ordering Food from Outside Hospital?

    MunoRN replied to annie.rn's topic in General Nursing

    A diet order is like any other order, a competent patient is free to refuse the order, which is probably better described as a suggestion. Providing the patient with the ideal diet isn't going to work...
  3. MunoRN

    Welfare Fraud

    MunoRN replied to RNBSN1591's topic in General Nursing

    If you have knowledge of fraud I would report it and let them figure out exactly how much they've been stealing, but the amounts you're suggesting aren't really possible. First, there are no welfare...
  4. MunoRN

    Integrative Medicine for Nurse Practitioner

    MunoRN replied to momrn5's topic in Nurse Practitioners, NP

    They all do, that's the main difference between becoming an independent practitioner through the medical route vs the nursing route. "Integrative medicine" is what those in the medical community call...
  5. MunoRN

    My preceptor is everything they taught us NOT to be...

    MunoRN replied to Live..&..Learn's topic in Patient, Colleague Relations

    Washing hands and changing gloves is part of "clean technique", not "sterile technique" which is why the claim that dressing changes are always sterile procures was correctly dismissed. "Eating our...
  6. MunoRN

    Vent: dealing with nursing home nurses who refuse to provide comfort medication to patient

    MunoRN replied to stacyRN11's topic in Hospice, Palliative

    I think you may have misspoken in the original post
  7. MunoRN

    Vent: dealing with nursing home nurses who refuse to provide comfort medication to patient

    MunoRN replied to stacyRN11's topic in Hospice, Palliative

    I think there are some misconceptions about the effects of medications like morphine that get promoted when trying to argue for adequate comfort measures in a dying patient. To tell someone with any...
  8. MunoRN

    First Incident Report

    MunoRN replied to gemmi999's topic in General Nursing

    I think something you'll learn as you go forward is that your attempts will be far more successful when you discuss disagreements about proper care directly with other nurses. I work with some of the...
  9. MunoRN

    First Incident Report

    MunoRN replied to gemmi999's topic in General Nursing

    You don't think it's necessary to monitor patients with a K of 2.4 because you've never seen then have arrhythmias before? That's an "if a tree falls in the woods and there's nobody there to here it"...
  10. MunoRN

    Buying a new car for a new nurse ??

    MunoRN replied to gabriela1993's topic in General Nursing

    As others have said, it's all about the tires. I would avoid SUV's and trucks, since they aren't actually all that good on ice and snow, even if they are AWD, the center of gravity and overall weight...
  11. MunoRN

    Hospital getting ECMO

    MunoRN replied to Icualltheway's topic in Critical Care

    I've never worked anywhere that the pay for being ECMO trained is any different than any other nurse. You get paid for on-call time and we cross-cover the cath code team with mechanical circulatory...
  12. MunoRN

    How do you know when to get an order?

    MunoRN replied to oldsockventriloquist's topic in General Nursing

    The username bstobsn would seem to refer to someone with a BS who is planning on or is actively pursuing a BSN, so I don't think the name makes any claim that the person currently has a
  13. MunoRN

    KVO After Blood Transfusion

    MunoRN replied to Hope888's topic in General Nursing

    Alterations to normal clotting can occur with transfusion reactions or result from transfusions without reactions to varying degrees, these alterations can be either abnormal clot formation, abnormal...
  14. MunoRN

    KVO After Blood Transfusion

    MunoRN replied to Hope888's topic in General Nursing

    This is an area that could certainly be better defined through more research, but what the research to this point has shown is that using a TKO / KVO rate is not any more effective at keeping the line...
  15. MunoRN

    Bedside report - hate it? Like it? Love it?

    MunoRN replied to ixchel's topic in General Nursing

    Incidental disclosures are very clearly not HIPAA violations. As much as I wish HIPAA essentially banned the use of double rooms, it does not. It's certainly reasonable to clear the room of anybody...
  16. MunoRN

    Never wanna take students again.

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

    There is no reason to pause tube feeds when laying a patient flat, it's an old myth that never really had any good supporting rationale and has been thoroughly debunked for some time now, is this...
  17. MunoRN

    Calling in sick, boss harassing me.

    MunoRN replied to swweetipie's topic in General Nursing

    You're free to tell them it's none of their business, but they're also free to fire you if you refuse to answer job-related inquiries. For instance, if you broke your leg, you can refuse to answer...
  18. MunoRN

    What about Hawaii?

    MunoRN replied to Ruger8mm's topic in General Nursing

    I wouldn't say the pay is at all proportionate to the cost of living. I worked there many years ago but I lived with family, and even then I was still probably losing money compared to working on the...
  19. MunoRN

    Welfare Fraud

    MunoRN replied to RNBSN1591's topic in General Nursing

    There are a number of ways of reporting fraud, google "reporting welfare fraud", "reporting medicaid fraud", etc. And as others have said, it's not HIPAA
  20. MunoRN

    to intervene or not to intervene

    MunoRN replied to nursephillyphil's topic in General Nursing

    Opinions do vary from person to person and there's nothing wrong with that, but I can't help but wonder if the facts you're basing those opinions on are accurate. Whether not a patient gets CPR during...
  21. MunoRN

    CVC dressing change

    MunoRN replied to drdonna's topic in General Nursing

    The "standard of practice", aka the "standard of care" is a term for how we establish negligence in a legal sense. Some practice organizations also care their recommendations "standards of practice",...
  22. MunoRN

    to intervene or not to intervene

    MunoRN replied to nursephillyphil's topic in General Nursing

    Is getting paid the only way we are "obligated" to help someone else? The difference between someone who's in the worst situation possible; alive but with impaired neurological functioning and...
  23. MunoRN

    lasix not given..

    MunoRN replied to acts456's topic in Patient Medications

    In all of your posts I can't find what you're basing the need for additional lasix on, maybe this is why you've had trouble convincing the Docs to up the
  24. MunoRN

    Concealed Carry for Caregivers

    MunoRN replied to ClaraRedheart's topic in General Nursing

    That's actually pretty apt comparison; a car is something that has useful, lawful purpose but can also pose a threat to others. So we place restrictions on who can drive a car, we have a screening...
  25. MunoRN

    Concealed Carry for Caregivers

    MunoRN replied to ClaraRedheart's topic in General Nursing

    And conversely I thought less restricted gun ownership was supposed to reduce crime. California has actually had sharp decrease in gun related crimes although probably not related to gun control...