MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Safe to take new admit at shift change

    I think you could argue that the ratios many facilities are not safe, but I don't think it's significantly less safe to take an admit at the beginning of your shift so long as it's not exceeding your...
  2. MunoRN

    Following the Rules ... Broken System

    Actually, we'd pay less with single payer, that's the point. If we funded single payer through taxes, you're correct that we would likely be paying more in taxes, although we'd have more available...
  3. MunoRN

    Following the Rules ... Broken System

    We pay about $9,000 per person in the US for healthcare, European countries pay between about $4000 and $5000 per person, so I'm not sure where you're getting your information
  4. MunoRN

    Health Insurance costs

    Someone who makes no money at all and therefore owes no taxes isn't subject to the mandate penalty, it's only for those who could pay their fair share but chose not to, shifting those costs onto...
  5. MunoRN

    Health Insurance costs

    Anyone without insurance, whether it's you or an illegal immigrant, has a high likelihood of not paying if large bills occur. Even during the peak of the mortgage crisis bankruptcy due to medical...
  6. MunoRN

    Health Insurance costs

    Whether you rent or own you're still paying into property taxes, hate to break it to you. And you're still required to pay income taxes, payroll taxes, sales taxes, etc to pay for services. And...
  7. MunoRN

    Following the Rules ... Broken System

    How is a mail order pharmacy penalizing you for using a local pharmacy? Do you mean your insurer? Going to the ER costs money, as does using any healthcare services, so you're expected to help pay...
  8. MunoRN

    How would you interpet this order?

    I would interpret that as "M.O.M. 15-30ml q 24 hours". Exactly how this is interpreted is dependent on how the ordering physician intended it to be interpreted, which is often defined by facility...
  9. That's why we have doctors and nurses, to educate and explain how to optimize and protect their health, that's the question; should doctors and nurse address guns in the home (ie should they assess,...
  10. I have a Gunvault Speedvault handgun safe with a fingerprint sensor, I can have it ready actually much faster than if I was just stashing it somewhere, it's essentially instant
  11. I'm not sure where you're quoting me from since I never said what you're quoting, and no I don't think risk assessment and education is only the responsibility of Physicians, this particular example...
  12. MunoRN

    Health Insurance costs

    That's actually the same as what I said. If you are able to pay a potential bill (any potential bill) then you do actually qualify to be considered as self-insured. I never said there is no...
  13. MunoRN

    Health Insurance costs

    If you are self-insured then you do have proof of qualifying insurance and wouldn't be subject to a penalty. But just being able to pay some of your potential bills doesn't qualify as self-insured,...
  14. Pediatricians do actually know the answers to those questions, that's part of their job in protecting their patient. "Lock it up" wouldn't be very useful if every gun owner already secured their guns...
  15. MunoRN

    Health Insurance costs

    We're required to pay into police departments, fire departments, the military, etc. Why should you have a legal right to walk into a hospital with an acute condition and rack up a...
  16. MunoRN

    Health Insurance costs

    One of the reasons health insurance reform was inevitable was that insurance rates were climbing long before the ACA, and at a rate much higher than overall inflation and that gap was growing year by...
  17. I've never gotten a differential for hours 9 through 12, although even without that I wouldn't come out ahead by switching to 8's to get that extra 4 hours per week. I know from experience that I...
  18. MunoRN

    Your Patient

    The main difference is that I don't usually say "let's roll you over and look at your butt" right after meeting someone in a social
  19. I think the goal is to prevent senseless death from all of those things by taking reasonable safety precautions, you don't think pediatricians ask parents if they smoke in the home? Assessing for and...
  20. I own a handgun and have gotten the "do you keep a gun in the house" question from our Pediatrician and she was actually very well informed. The assumption that because someone owns a gun there gun...
  21. MunoRN

    A sobering story-------

    At least according to someone who's reviewed the entire 1500 page report from the Washington NCQA investigation, there wasn't any sort of pattern of negligence or reckless behavior or even just med...
  22. That doesn't actually include "gangbanger homicides", and even you exclude suicide attempts there are still more than 2000 injuries to children from unintentional shootings involving guns obtained...
  23. ? How do you feel the second amendment relates to encouraging the safe storage and handling of firearms in the
  24. MunoRN

    Health Insurance costs

    If you're truly able to self pay a potential bill then you won't be charged a fine since you would qualify as self-insured. It's also possible that you aren't actually uber-rich, and what you're...
  25. Guns in the home and whether they are stored properly are very clearly pertinent to a child's health. I don't think the ability to recklessly endager a child's life by improperly securing a firearm is...