MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Lose your license for administering a PRN med without a pain scale?

    MunoRN replied to Cola89's topic in General Nursing

    The Joint Commission has never required pain scale based medication dosing. What they require is a common understanding of how prn orders will be interpreted by those writing the orders as well as...
  2. MunoRN

    PICC Line: Flushes, But No Blood Return

    MunoRN replied to SleeepyRN's topic in General Nursing

    The only thing that's opposite about withdrawing vs infusing is that you're creating negative instead of positive pressure, the physics that determine how the weight applied to the plunger compared to...
  3. MunoRN

    Frustrating case at clinical

    MunoRN replied to Jrhemming's topic in General Nursing

    Eliquis is not a thrombolytic, but then again neither are coumadin or heparin. There is a balance in your body of clotting mechanisms and clot lysing mechanisms, basically what all these drugs do is...
  4. MunoRN

    Assisting with Circumcisions

    MunoRN replied to Babsten22's topic in General Nursing

    My kids have had them done at the doctor's office, no RN's work there, the assist was an MA for one and I think an LPN for the other. I see no compelling reason why it needs to be an
  5. MunoRN

    Libertarian Healthcare

    MunoRN replied to 1edwood79's topic in Activism, Healthcare

    Healthcare costs has gone up for many reasons, included reasons pointed out here: healthcare today is a completely different product than it was 50 years ago, treating an MI with inpatient comfort...
  6. MunoRN

    Libertarian Healthcare

    MunoRN replied to 1edwood79's topic in Activism, Healthcare

    From the beginning of your link: It is true that healthcare was much cheaper in the 1960's and prior, have you thought why that is? If you showed up in an ER having a heart attack the most common...
  7. MunoRN

    Libertarian Healthcare

    MunoRN replied to 1edwood79's topic in Activism, Healthcare

    Maybe you could be more
  8. MunoRN

    Libertarian Healthcare

    MunoRN replied to 1edwood79's topic in Activism, Healthcare

    It's a bit difficult to discuss the specific libertarian ideals you feel would benefit nursing and health care in general since you haven't really offered any, maybe you could offer an
  9. MunoRN

    Frustrating case at clinical

    MunoRN replied to Jrhemming's topic in General Nursing

    There was "Nothing to make sure the meds were at a therapeutic level" because that's not recommended for eliquis. The only way to measure it is an anti-xa test, which hasn't been proven to be of any...
  10. MunoRN

    Libertarian Healthcare

    MunoRN replied to 1edwood79's topic in Activism, Healthcare

    That is actually what Libertarian means, I think you're referring to the Tea Party, which often mislabels themselves as Libertarian. On borders for instance, from the Libertarian Party Platform:...
  11. MunoRN

    Libertarian Healthcare

    MunoRN replied to 1edwood79's topic in Activism, Healthcare

    I think if you want to have a meaningful conversation about how your views relate to nursing you'll have to go beyond just listing buzzwords. It should also be pointed out that the term "Libertarian"...
  12. MunoRN

    Consent issue

    MunoRN replied to TurismoDreamin's topic in Operating Room

    I would hope that a nurse considers two questions; what is the policy and is the policy
  13. MunoRN

    Consent issue

    MunoRN replied to TurismoDreamin's topic in Operating Room

    Everyplace that I've worked the provider is discouraged from having the patient sign the forms because then the witness is also the provider. The consent should be signed by the patient with someone...
  14. MunoRN

    Lose your license for administering a PRN med without a pain scale?

    MunoRN replied to Cola89's topic in General Nursing

    You might point out to your manager that the type of order they want the Physician to write is actually not recommended: Consensus Statement of the American Society of Pain Management Nurses and...
  15. MunoRN

    Taking notes during an interview

    MunoRN replied to cbebes's topic in General Nursing

    Note taking is by definition for the purpose of augmenting memory, why else are you suggesting someone would be taking
  16. MunoRN

    Ambulating a pt while on vasoactive drugs?

    MunoRN replied to nurs1ng's topic in CCU, Coronary, Cardiac

    By itself, being on vasoactive drips is not a reason to not get somebody up. There is sufficient evidence to say with some certainty that being irrationally careful and keeping them in bed will do...
  17. MunoRN

    Taking notes during an interview

    MunoRN replied to cbebes's topic in General Nursing

    Out of curiosity, what are the sorts of things that you feel need to be written
  18. MunoRN

    Taking notes during an interview

    MunoRN replied to cbebes's topic in General Nursing

    To be honest, I would find it a bit odd; it would cause be to be curious as to the severity of the short term memory deficits this applicant has that requires them to take notes during an interview or...
  19. MunoRN

    Having trouble interpreting this ECG

    MunoRN replied to JuliusSeizure's topic in Study Tips for Students's Share Tips

    It's SVT and A-fib with RVR. Remember that supraventricular tachycardia is any tachycardic rhythm that originates above the ventricles, this can include sinus tach, A-flutter, A-fib, etc. Reentry...
  20. MunoRN

    INR range .86 - 1.8 ???

    MunoRN replied to SleeepyRN's topic in General Nursing

    The reference range is a standardized number for patients not on warfarin, the lab result template doesn't know what the goal range for that particular patient
  21. MunoRN

    Give inhaler w/o doctor's consent?

    MunoRN replied to clockwood's topic in School

    I'm not familiar with school policies, but it would seem pretty reckless to take an asthmatic kid's inhaler since being "left with a very wheezy student" is one of the better scenarios that could...
  22. MunoRN

    Asking Former Preceptor for Some Space

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

    It's not unusual for there to be an ongoing maternal-like relationship between a preceptor and preceptee, sometimes for years after the new nurse has left the nest. The much bigger problem here is...
  23. MunoRN

    Nurses with back issues

    MunoRN replied to mag2124141's topic in Nurse Disabilities

    I throw my back out annually to semi-annually, what I've done is to have a couple of PT sessions while at work (with the facility's permission), where my therapist basically evaluates and 'fixes'...
  24. MunoRN

    Is Coreg part of a standard treatment for heart failure at your facility?

    MunoRN replied to E.Renez's topic in Cardiac

    Beta blockers, not limited to coreg, are recommended for HF. Coreg has an added alpha effect that can further reduce afterload similar to the effect of an ACE inhibitor, the downside is that you...
  25. MunoRN

    Pain Med Orders and Critical Care Pain Obsevation Tool (CPOT)

    MunoRN replied to rabitona's topic in Critical Care

    The interesting thing about CPOT is that it's accuracy was validated by comparing it to nursing judgement; they had nurses say whether or not a patient needed sedation and compared that to whether or...