MunoRN RN

Critical Care

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All Content by MunoRN

  1. I've worked places with new grad contracts and they certainly do pursue those fees and aggressively at that. Hospitals already have active systems for dealing with people who owe them money so it's...
  2. MunoRN

    IV starts in arm with a DVT

    You shouldn't place a new PIV in an arm with a DVT, but it's worth clarifying that it's not actually generally considered to be good practice to remove a PICC in an arm with a DVT just because of the...
  3. Requiring you to stay in the job whether you like it or not is the whole purpose of a contract, what did you think you were
  4. The problem with that is that it's not actually a religious belief. There is no JW doctrine against administering blood, only receiving blood, and the JW church has actually come out and specifically...
  5. Core measures already come from private, non-governmental groups, no core measures are made up from scratch by the government. For instance, the next core measures to come out are for sepsis, these...
  6. MunoRN

    Depressed self-referral to ED

    Your statement earlier was that a patient can be prevented from leaving without having been seen, and then it's up the Physician to decide if they can leave, which is the opposite of how it works, the...
  7. In a truly free market, all participants are able to influence the market, this includes society as a whole, and how a society acts as a group is typically through their government. Studies actually...
  8. MunoRN

    Depressed self-referral to ED

    A physician is an LIP and LIP's can place a hold on a patient, ED RNs
  9. MunoRN

    Depressed self-referral to ED

    Up until the mid 90's there were some state-to-state differences in initiating involuntary measures for a patient presenting with SI, but since then it's the same basic rules for every
  10. MunoRN

    Depressed self-referral to ED

    You're free to ask a patient presenting with SI if they would change into a gown, but you can't legally require them to or initiate any forms of restraint that legally requires pre-approval of an LIP...
  11. I'm not sure how you're making the jump from libertarianism to Core measures, but the general premise of libertarianism is that the basic liberties and freedoms of all individuals should be protected....
  12. MunoRN

    Depressed self-referral to ED

    Restraints for medical purposes can be nurse initiated with a time limit on how long they can be continued without being seen by an LIP who will write a continuing order for restraints. Restraints...
  13. MunoRN

    Depressed self-referral to ED

    I'm not sure where you're getting that I said someone who is drunk can't be deemed incompetent for medical decision making, they certainly can but it's not based solely on being drunk, it's based on...
  14. If your description is accurate, then yes some aspects were bad care. As for your meds, it actually is really important to stop some home meds. Clonazepam can actually be a cause of rhabdo, and can...
  15. MunoRN

    Resigning while on maternity leave

    That's not actually how it works in the description provided by the OP, if the employee resigns their position at the end FMLA without returning to work they are responsible for the full cost of...
  16. MunoRN

    Depressed self-referral to ED

    It's certainly not unheard of for a patient to present to the ED with suicidal thoughts, and then to decide to leave prior to being evaluated for a legal hold. No legal hold=no legal hold. Our legal...
  17. MunoRN

    Depressed self-referral to ED

    Detaining due to being incompetent to make the decision to leave can't be based solely on having had some drinks anywhere in the
  18. MunoRN

    Resigning while on maternity leave

    Generally you can continue to use your PTO to maintain your benefits while on FMLA, you're essentially using your PTO to maintain your minimum number of hours required per pay period for the employer...
  19. MunoRN

    5-year-old chooses heaven over hospital

    According to every source on child development I can find, 5 year olds are well within the normal range for understanding the permanence of death, and I'd be willing to be a five year old with a...
  20. MunoRN

    5-year-old chooses heaven over hospital

    In general I don't really think that spending a good portion of one's final time in a hospital, when all that's doing is contributing to and prolonging the suffering is either the "smart" or "brave"...
  21. MunoRN

    Correcting Others mistakes?

    Just being on a heparin drip by itself is not a reason for a second IV. The volume of a peripheral IV is typically a fraction of a ml, so flushing the IV, giving a medication, and flushing again does...
  22. MunoRN

    honeymoon during orientation

    I was offered a job prior to graduation, then in June I found out I would have to start the week of my wedding, so no honeymoon, it was either that or no job until a full year later. I ended up...
  23. MunoRN

    How to File a Complaint against BON

    Much of this doesn't make sense; why is your workplace filing paperwork for your license renewal? More importantly, you've made it pretty clear that your license wasn't suspended during it's active...
  24. That doesn't make any sense since the definition of the zero level is where the tip of the drainage catheter is. I'm not sure how I would respond to someone that thought we should be using the...
  25. MunoRN

    Do others follow this practice?

    Where are you getting that statistic