MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Hospitals discriminating against medical conditions..?

    MunoRN replied to CosmoRN77's topic in General Nursing

    If you're going to argue that a hospital should not be allowed to violate a nurse's "right" to treat their medical condition in whatever way they choose and have the hospital allow it, you'd first...
  2. MunoRN

    Oxygen therapy

    MunoRN replied to guest114's topic in General Nursing

    It depends on the specific type of mask, but generally masks need sufficient oxygen inflow to flush out exhaled CO2. It doesn't necessarily even have to be oxygen, just some source of fresh air that...
  3. MunoRN

    pre employment drug screen help

    MunoRN replied to Ozymandia's topic in General Nursing

    If your employer requires you to declare potentially impairing medications and you don't then have a positive test then yes, there is certainly a chance a BON will take disciplinary action, I've seen...
  4. MunoRN

    pre employment drug screen help

    MunoRN replied to Ozymandia's topic in General Nursing

    In terms of your license, the misconception that you can't fail a drug screen if you have a prescription is a potentially dangerous one, I know of one nurse who nearly lost her license because of...
  5. MunoRN

    pre employment drug screen help

    MunoRN replied to Ozymandia's topic in General Nursing

    I worked for places that prohibit benzos as an entire class, but all meds are reviewed as case by case. My back goes out every year or two, often requiring muscle relaxers and/or norco, my option has...
  6. MunoRN

    TPA when drunk

    MunoRN replied to bear14's topic in Emergency

    Confirmation that a patient is actually having a stroke to give TPA is done solely by symptoms, so it is often difficult to differentiate stroke symptoms from ETOH intoxication unless it's really...
  7. MunoRN

    Abandonment if I don't pick up over time shifts??

    MunoRN replied to hollyspiller0253's topic in Nursing Professionalism

    I would respond by saying: "I agree that everything you're saying needs to reported to the state, if you write down what you're telling me and sign it, then I'll be happy to send it in for
  8. MunoRN

    pre employment drug screen help

    MunoRN replied to Ozymandia's topic in General Nursing

    So long as the nurse reports such use as required by an employer they are usually fine, it's when they fail to notify their employer, often because the mistakenly believe they cant be required to...
  9. MunoRN

    nursing care for chest tube of cabg patient

    MunoRN replied to Altin's topic in Critical Care

    "Milking" refers to repeatedly squeezing the tube to break up clots or other obstructions, or squeezing the tube and pulling down the length of the tube with the tubing is crimped or clamped on the...
  10. MunoRN

    nursing care for chest tube of cabg patient

    MunoRN replied to Altin's topic in Critical Care

    Stripping chest tubes is well established to be a bad practice, and while a CT surgeon's view on it is useful if you want to know what the views was on it 20 years ago, it's generally not a good...
  11. MunoRN

    Nursing Dose

    MunoRN replied to guest449786's topic in Patient Medications

    Generally you shouldn't have multiple orders for the same med, it should be one order with a range for that order. Set doses based on a 1-10 pain scale is not good practice and is specifically advised...
  12. MunoRN

    Magnet status

    MunoRN replied to dec2007's topic in General Nursing

    Magnet can be an incentive that drives positive change for nurses, and it can also be nothing more than $2,125,000 logo for the hospital's website that does nothing to improve a nurse's practice...
  13. MunoRN

    IVC but no policy

    MunoRN replied to MendedHeart's topic in General Nursing

    The forms and specifics vary by state, but generally there is a difference between an involuntary "hold" and involuntary "commitment", involuntary commitment can only occur through legal proceedings....
  14. MunoRN

    Hand Hygiene

    MunoRN replied to Dikid's topic in Patient Safety Issues

    I think you're confusing hand washing (soap and water) with hand hygiene which can consist of gelling or washing. My statement was that hand hygiene in the form of gelling is sufficient when entering...
  15. MunoRN

    Hand Hygiene

    MunoRN replied to Dikid's topic in Patient Safety Issues

    C diff that results from being on antibiotics isn't actually something you catch from staff or other patients, it's usually that you already had C diff bacteria in your GI tract which is held in check...
  16. MunoRN

    How do YOU handle these situations?

    MunoRN replied to SleeepyRN's topic in Rehabilitation

    Temperature would only be a small part of the overall picture that could potentially warrant being really worried about a patient, and by itself a temp of 101 is rather meaningless. If you're...
  17. MunoRN

    Don't profit off people's "not-wellbeing."

    MunoRN replied to zephyr9's topic in Activism, Healthcare

    Was that meant to be posted in a different
  18. MunoRN

    How do YOU handle these situations?

    MunoRN replied to SleeepyRN's topic in Rehabilitation

    I would hope you mean a sepsis "screening" rather than a "full sepsis work-up". Only a sepsis screening is indicated for a temp of 101. Not every person with a temp of 101 requires things like...
  19. MunoRN

    Union Contract v Hospital Policy

    MunoRN replied to kdkrn20's topic in General Nursing

    That's why you have a union, refer it to
  20. MunoRN

    How do YOU handle these situations?

    MunoRN replied to SleeepyRN's topic in Rehabilitation

    A patient with a temp of 101.4 doesn't necessarily benefit from interventions to bring the temp down, such as tylenol. If the temp is due to infection, a fever is actually an important part of...
  21. MunoRN

    Safe telemetry unit?

    MunoRN replied to jdenni12's topic in Cardiac

    It's worth pointing out that the supposed "step down" unit in that other thread turned out to be cardiac tele, not step down, those are two different things. For cardiac tele 4:1 is about the best...
  22. MunoRN

    Question about weekend schedules

    MunoRN replied to melc0305's topic in General Nursing

    If you work full time you should expect to work every other weekend, working only 2 weekend days per month only works if you are a 0.5 FTE, otherwise it's not really mathematically possible to work a...
  23. MunoRN

    MAR how should it read?

    MunoRN replied to newrnontheblock's topic in Patient Medications

    What regulation are you referring to? Massachusetts, like most states, differentiates between how an order should read, and how a that label should be interpreted by a pharmacist when it is dispensed...
  24. MunoRN

    Isopropyl Alcohol for Nausea (Protocol Info Needed)

    MunoRN replied to mtcorias's topic in General Nursing

    Using IPA wipes for post-operative nausea are actually FDA classified as aromatherapy, so no MD order is required, aromatherapy can be nurse
  25. MunoRN

    The cost of medications and universal healthcare

    MunoRN replied to macawake's topic in General Nursing

    The vast majority of people admitted to a hospital fall under EMTALA mandated care, there really aren't many people anymore that are admitted to a hospital that don't fall under EMTALA, mainly...