MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Core Measures, who is responsible?

    MunoRN replied to CosmoRN77's topic in General Nursing

    Making sure a patient is receiving appropriate care is not "outside of nursing practice", there are few things more core to nursing
  2. MunoRN

    HIPAA and the Undocumented

    MunoRN replied to nurseactivist's topic in HIPAA Challenges

    I don't really have much sympathy for people who expect things without having to follow the rules, but the effect of undocumented workers/illegal immigrants on the economy (and our taxes) is what...
  3. MunoRN

    HIPAA and the Undocumented

    MunoRN replied to nurseactivist's topic in HIPAA Challenges

    I think there's some confusion about the story; there was no potential identity theft since both the license and the SS card listed her real name. Randomly making up a license number and a SSN but...
  4. MunoRN

    Need help with Naming EKG Tele Strips ASAP!

    MunoRN replied to PVL_RN86's topic in General Nursing

    This is a handy game for learning to identify rhythms quickly; Free ECG Simulator! -
  5. MunoRN

    Discovery of Falsified Documentation

    MunoRN replied to travelingrn2001's topic in Nursing Professionalism

    Of course I'm in a position to explain their condition to them, I'm their nurse, how else would it work? Would you just not replace their low potassium level until after the Doc has rounded the next...
  6. MunoRN

    How do Hospitals save money changing 12 hr shifts into 8 hrs?

    MunoRN replied to Adenosine6's topic in General Nursing

    Patient safety is really important which is why 12-hour shifts are still pretty common. There is no legitimate evidence that shifts up to 12.5 hours in length are less safe than an 8.5 hour shift...
  7. MunoRN

    Med Error by CNA

    MunoRN replied to TriecyJay's topic in Patient Medications

    That's part of what's confusing because I did look it up and it appears that medication administration is not included in a Type B facility, only medication assistance. Are giving medications by...
  8. MunoRN

    Meds in unlabeled bags... Is it safe?

    MunoRN replied to BiohazardBetty's topic in Patient Medications

    The only appropriate identifier needed is the name of the medication, dose, etc. You are still going to be applying the steps of medication administration so it doesn't matter if you got the med from...
  9. MunoRN

    Am I On Camera? No Paparazzi Please!

    MunoRN replied to Bridgid Joseph's topic in General Nursing

    They are places of public accommodation, just like restaurants, stores, etc. Private property vs public property is a whole different thing. For the purpose of privacy laws, places of public...
  10. MunoRN

    Med Error by CNA

    MunoRN replied to TriecyJay's topic in Patient Medications

    Having someone take a pill can be two different things; "administering" and "assisting with self-administration." Administering involves interpreting the order, measuring the dose, etc, while...
  11. MunoRN

    Discovery of Falsified Documentation

    MunoRN replied to travelingrn2001's topic in Nursing Professionalism

    If there are questions you can't answer, or you foresee questions you won't be able to answer, then absolutely, defer to the MD. But if the patient asks what their potassium level is, you wouldn't...
  12. MunoRN

    Pain med admin

    MunoRN replied to kimdav's topic in Patient Medications

    This is one reason why I find these pain scale based orders moronic. Other than the odd belief that people's description of their pain is a standardized measurement that have established correlating...
  13. MunoRN

    Meds in unlabeled bags... Is it safe?

    MunoRN replied to BiohazardBetty's topic in Patient Medications

    I think your new grad has gone a little HIPAA crazy, which understandably happens, but you might explain to him that HIPAA doesn't require or even encourage all patient identifiers to be removed from...
  14. MunoRN

    The Controversy: Mandatory Flu Vaccines

    MunoRN replied to Julie Reyes's topic in General Nursing

    I'm not having any trouble finding recent placebo-controlled studies on the influenza vaccine, where did you get the impression that they don't
  15. MunoRN

    narrative documentation and use of "this nurse"

    MunoRN replied to anon456's topic in General Nursing

    In high school it's not unusual to break academic/scientific writing down into overly-simplified rules, such as "never use I", just like you might learn that everything you write has to be five...
  16. MunoRN

    Sorry-help again..

    MunoRN replied to RN_TOBE's topic in Nursing Student Assistance

    It's usually best to start with figuring out what the concentration of your available medication is, think if this like your decoder ring. The dose of this medication is measured in units, so how...
  17. MunoRN

    The Controversy: Mandatory Flu Vaccines

    MunoRN replied to Julie Reyes's topic in General Nursing

    All vaccines licensed for use in the US must be evaluated by an RCT, so I'm not really sure where you're getting that vaccines aren't studied in trials with a control (placebo)
  18. MunoRN

    narrative documentation and use of "this nurse"

    MunoRN replied to anon456's topic in General Nursing

    Keep in mind "this nurse" is also first person, so you're not really altering the perspective by using that term, just making it sound like bad english and adding an element of confusion. Most of the...
  19. MunoRN

    Diabetic Alert Dog at work in Hospital

    MunoRN replied to Brookieakorsie's topic in General Nursing

    A hospital cannot legally deny access to a service dog for patients, visitors, or employees except for relatively rare instances. They can only limit access to those places where they also limit...
  20. MunoRN

    Documentation for Readmission

    MunoRN replied to aenermd's topic in General Nursing

    That's usually facility specific, things like medical history shouldn't have to be completely redone whether they are readmitted the same day or 10 years later, just updated. The risk assessments and...
  21. MunoRN

    Maternity discrimination

    MunoRN replied to Kmendi's topic in General Nursing

    It's not discriminatory for an employer to ask a new-grad to commit some sort of time period, pregnant or not, which is pretty reasonable. It's sort of useless for an employer to hire a new grad...
  22. MunoRN

    Your local policy on caring for Jehovah's Witness neonates

    MunoRN replied to wensday's topic in NICU, Neonatal

    We try very hard not to transfuse anyone, but we don't apply different thresholds for JW kids vs non-JW kids. We have a pretty routine process set up for getting a court order, parents actually seem...
  23. MunoRN

    The Controversy: Mandatory Flu Vaccines

    MunoRN replied to Julie Reyes's topic in General Nursing

    I think there's general agreement that we should all be wary of information provided by any company that offers carefully crafted, often misleading or outright false information to sell a product....
  24. MunoRN

    Afib: A question of nursing judgment

    MunoRN replied to crazycat1's topic in General Nursing

    The A-fib is largely unrelated, the OP already stated the BP and HR were normal. Unexplained chest pain in a patient with a history of CAD and active signs of impaired cardiac function is always...
  25. MunoRN

    Discovery of Falsified Documentation

    MunoRN replied to travelingrn2001's topic in Nursing Professionalism

    If we're still discussing this in the context of the OP, then the example was mentioned in a prog note, which means they've already been to see the patient and didn't mention it. It's not all that...