MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    The cost of medications and universal healthcare

    MunoRN replied to macawake's topic in General Nursing

    EMTALA applies to all medicare and medicaid participating facilities and requires them to provide acute care to all patients under their care up until the point they no longer require acute care (the...
  2. MunoRN

    MAR how should it read?

    MunoRN replied to newrnontheblock's topic in Patient Medications

    A legal order to administer a med must have the ordered dose in order. 2 x 5mg does not have the actual ordered dose (10mg) anywhere in the order and essentially just encourages a med error by...
  3. MunoRN

    The cost of medications and universal healthcare

    MunoRN replied to macawake's topic in General Nursing

    Healthcare has long been established to be a legal right in the US and as a result we already have partial universal healthcare in the US. We legally require acute treatment of any medical condition...
  4. MunoRN

    The cost of medications and universal healthcare

    MunoRN replied to macawake's topic in General Nursing

    In total you'll actually pay a lot less in any other country. The annual per person healthcare cost in the US is about $9,000, all other industrialized nations range between $3000 and $5000. We pay...
  5. MunoRN

    Very Low Dose Insulin Administration

    MunoRN replied to ILoveMyJobRN's topic in General Nursing

    I believe the echo is replacing the novopen junior as their pediatric pen, and while it's a very nice pen it's also not disposable and costs about $65 without any insulin in it, the replaceable...
  6. MunoRN

    Is this my responsibility?

    MunoRN replied to Charlie Raye's topic in General Nursing

    It's a pretty common part of the discharge process to notify a patient that a follow up CT is recommended in 6 months or whatever it is. I'm not sure why it's not something an RN can
  7. MunoRN

    Very Low Dose Insulin Administration

    MunoRN replied to ILoveMyJobRN's topic in General Nursing

    I don't actually know of any pens where you can do 0.5 units, we use Lispro "Kwikpen" and they only do whole units. The Novopens I've seen also do only whole
  8. MunoRN

    Now my employer has threatened us with calling the BON if we don't get a pain scale...

    MunoRN replied to Cola89's topic in General Nursing

    Seems like we just went through this, but no, there are no BON's that will care if you are administering pain medication without the order having a defined dose based on pain scale level, that is...
  9. MunoRN

    Transferring to another level of care

    MunoRN replied to RN010101's topic in Case Management

    At facility I've worked at, social takes into account patient/family preferences for a particular facility to be transferred to but we're not bound by it, and if they haven't made a choice by the time...
  10. MunoRN

    Really, is this real?!?!

    MunoRN replied to FlossyRN's topic in General Nursing

    For true stepdown patients I sometimes find 3 patients to be too much, and often I'd rather have 3 ICU patients than 3 stepdown patients. What the OP is describing is not stepdown, at least in the...
  11. MunoRN

    Drug seekers

    MunoRN replied to russianbear's topic in General Nursing

    I think that's more of failure the admitting and previous physicians. This is what pain contracts are for, particularly if they have had "numerous admissions complaining of vague pain", they should...
  12. MunoRN

    Really, is this real?!?!

    MunoRN replied to FlossyRN's topic in General Nursing

    Every once in a while a CP rule out might require a NTG gtt, but it's certainly not the majority of them, and I don't find them all that time consuming when they do. I'd hazard a guess the OP isn't...
  13. MunoRN

    Drug seekers

    MunoRN replied to russianbear's topic in General Nursing

    I don't think anyone is "pain seeking". Most hospital patients are "drug seeking", people with a heart failure exacerbation come seeking lasix, people having an MI come seeking nitro, morphine, etc....
  14. MunoRN

    Very Low Dose Insulin Administration

    MunoRN replied to ILoveMyJobRN's topic in General Nursing

    There probably isn't much difference between given 0.5 units lispro and giving none at all, why are you giving 0.5
  15. MunoRN

    Hostage situation

    MunoRN replied to ClaraRedheart's topic in General Nursing

    The "rating system" your referring, HCAHPS, comes from Value Based Purchasing, which was part of the HiTECH act, not the ACA, and predates the ACA by quite a bit. My hospital started using HCAHPS in...
  16. MunoRN

    Really, is this real?!?!

    MunoRN replied to FlossyRN's topic in General Nursing

    It doesn't sound as though are actually "fresh" hearts, yes that would be ridiculous if they
  17. MunoRN

    Really, is this real?!?!

    MunoRN replied to FlossyRN's topic in General Nursing

    I think it's an important distinction that this is not a patient load of step down patients. CP rule outs, pre/post cath are not step down, many those are obs
  18. MunoRN

    Really, is this real?!?!

    MunoRN replied to FlossyRN's topic in General Nursing

    8 is a lot for cardiac tele, although I'm still not clear if you've got all of those patients at once or if you're counting your discharges and admits cumulatively. There are a wide range of "cardiac...
  19. MunoRN

    Really, is this real?!?!

    MunoRN replied to FlossyRN's topic in General Nursing

    Earlier it sounded like your matrix was to take up to an 8 patient load, do you actually have 8 patients at once or are you counting the total number of patient you might have had during a shift...
  20. MunoRN

    The cost of medications and universal healthcare

    MunoRN replied to macawake's topic in General Nursing

    And that's the problem; a "sellers market" is what makes an economy unhealthy. In a free market both sellers and buyers have influence over the price. By necessity, healthcare is a largely shared...
  21. MunoRN

    The cost of medications and universal healthcare

    MunoRN replied to macawake's topic in General Nursing

    I think you're confusing universal/comprehensive health coverage with socialism, which are two different things. Of all industrialized nations, we are the only one without universal/comprehensive...
  22. MunoRN

    The cost of medications and universal healthcare

    MunoRN replied to macawake's topic in General Nursing

    That's what Big Pharma would like us to believe, but it's not actually true. Drug companies do spend massive amounts on R&D as well as regulatory approval, but they actually spend even more on...
  23. MunoRN

    Question about ScVo2 and I-STAT

    MunoRN replied to nurs1ng's topic in General Nursing

    "Mixed" refers to a sample that contains venous blood from the entire body, which you usually can't really get from a typical PICC or central line since the tip should be above where blood from the...
  24. MunoRN

    Should I Wear this to Work?

    MunoRN replied to lilgop's topic in General Nursing

    I wouldn't be worried about the message, I'd be worried that necklaces generally aren't safe to wear in many if not most patient settings. The chances of finding a care setting where it's guaranteed...
  25. MunoRN

    The state made a weird request

    MunoRN replied to angeloublue22's topic in General Nursing

    You don't allow them coffee or outside food, but you then sit there in full view of them while you enjoy your coffee and outside food? That's a dick-move. I would hope anybody who comes through and...