MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Discovery of Falsified Documentation

    MunoRN replied to travelingrn2001's topic in Nursing Professionalism

    I'm glad I've never worked at any of these places where inpatients can only get information about their care by making an appointment with medical records. I'm not sure how that meets the legal...
  2. MunoRN

    The Controversy: Mandatory Flu Vaccines

    MunoRN replied to Julie Reyes's topic in General Nursing

    I'm not sure how being a supporter of 'alternative' treatments became synonymous with being anti-vaccine, and I have couple of questions related to that; Why would a supporter of alternative...
  3. MunoRN

    Should I have stayed?

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

    At everywhere that I've worked you would have gotten a nasty-gram for staying that long, you should clarify what the expectation is, personally I would have asked what the manager would have preferred...
  4. MunoRN

    ideas on correcting med error

    MunoRN replied to chapsam's topic in General Nursing

    If a charting action comes up and you don't need to hang a new bag yet, or if you need to hang a new bag and there isn't a charting action for another two hours, a functional EMR should allow the...
  5. MunoRN

    Am I On Camera? No Paparazzi Please!

    MunoRN replied to Bridgid Joseph's topic in General Nursing

    Everywhere that I've worked encourages patients or family to record discharging teaching, medication teaching, etc which I'm all for and I don't really see why any nurse would have a problem with...
  6. MunoRN

    Hypothermia s/p cardiac arrest...waking up

    MunoRN replied to veggie530's topic in MICU, SICU

    The purpose of therapeutic hypothermia is to optimize the neurological recovery potential, so if they are awake and following commands there is nothing to be gained from TH and it's use is no longer...
  7. MunoRN

    The Controversy: Mandatory Flu Vaccines

    MunoRN replied to Julie Reyes's topic in General Nursing

    The number of annual influenza deaths is reported as both "Influenza and Pneumonia", and Influenza alone. The reason they are combined is that influenza is the most common cause of fatal pneumonia....
  8. MunoRN

    Patient Complaint/Failure to Rescue

    MunoRN replied to Scared54's topic in Critical Care

    In general, bagging a patient does not avoid the need for re-intubation, but rather it's just a way to maintain the patient until they can be either re-intubated or put on BiPAP. It's possible the...
  9. MunoRN

    Type and crossmatch

    MunoRN replied to Tnicole09RN's topic in General Nursing

    If the patient does not receive any transfusions the crossmatch should be good for 30 days, if the patient is transfused then the crossmatch needs to be repeated for additional transfusions more than...
  10. MunoRN

    Why is medicare going to be nonexistent?

    MunoRN replied to Vtachy1's topic in Activism, Healthcare

    That's pretty out there even for ACA related hysteria. The entire bill including reconciliation language is 955 pages with gigantic margins, headers, and footers. There is no medicare phase out...
  11. MunoRN

    Why is medicare going to be nonexistent?

    MunoRN replied to Vtachy1's topic in Activism, Healthcare

    There is no "gradual phase out" of medicare under the ACA or anything else. The requirements for a supporting diagnosis or other data for tests and procedures is actually not new. There is no such...
  12. MunoRN

    Why is medicare going to be nonexistent?

    MunoRN replied to Vtachy1's topic in Activism, Healthcare

    Medicare didn't actually pay $400 for those tests. Labs and other billing entities will show on their bill what they charge, but medicare doesn't pay what they charge if that exceeds their maximum...
  13. MunoRN

    DVT and leg elevation

    MunoRN replied to medicalmeg's topic in General Nursing

    Early ambulation is actually now recommended for patients with a new DVT. Based on conjecture, it was assumed patients with a new DVT should be on bedrest to avoid a PE or other complications, but a...
  14. MunoRN

    Why is medicare going to be nonexistent?

    MunoRN replied to Vtachy1's topic in Activism, Healthcare

    Defensive medicine doesn't dictate that those be done, medicare doesn't require or even encourage that they be done so I'm not sure what medicare has to do with it, your grandma doesn't have to agree...
  15. MunoRN

    New Grad, work calling on days off

    MunoRN replied to hopemedsurg2picu's topic in General Nursing

    I get worried when I think I'm not scheduled but nobody calls to see if I can come in and work extra, it makes me think I must be already scheduled. It only works when I get a call during the week...
  16. MunoRN

    The Controversy: Mandatory Flu Vaccines

    MunoRN replied to Julie Reyes's topic in General Nursing

    I'm a strong advocate of comprehensive and compulsory vaccinations but I think any discussion of how to better protect patients needs to include the current evidence, which doesn't show any clear...
  17. MunoRN

    You are NOT allergic to...

    MunoRN replied to BuckyBadgerRN's topic in General Nursing

    I completely agree that we should be assessing for and properly documenting medications that the patient does not want to take and under what circumstances they do not want the med, but I don't really...
  18. MunoRN

    You are NOT allergic to...

    MunoRN replied to BuckyBadgerRN's topic in General Nursing

    Coughing with an ace inhibitor is actually considered a serious reaction due to altered bradykinens, which can cause bronchospasm and closure of the airway. There are treatments out there to...
  19. MunoRN

    Walking from school at night with deer and no street lamps?

    MunoRN replied to KatFUTUREnurse's topic in General Students

    Are you under the impression that deer are aggressive predators of humans? By "deer", we're both referring to this,
  20. MunoRN

    Attorney contacted me about lawsuit

    MunoRN replied to forgop's topic in General Nursing

    If you truly don't recall then you can answer that way, otherwise no, you cannot say that. You can actually be asked about the actions of other based on your understand of standards of care,...
  21. MunoRN

    Nurse Supervisor retaliating against patient

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

    I was trying not imply anything but if you really want me to guess, then I would guess
  22. MunoRN

    Nurse Supervisor retaliating against patient

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

    For the type of surgery you seem to be pursuing, an above average level of long-term cooperation with your healthcare team is required to avoid both short and long term complications. I think it's...
  23. MunoRN

    Nurse Supervisor retaliating against patient

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

    I think maybe how things work in this practice and more specifically for pre-op evaluation weren't properly explained to you. The 'nursing supervisor' is probably actually a case manager, and...
  24. MunoRN

    Would you wait for Dr orders?

    MunoRN replied to AcuteCare4Life's topic in General Nursing

    Unless it refers to some sort of feline invasion I would guess it's a misunderstood way of saying
  25. MunoRN

    Uptick before crashing?

    MunoRN replied to AcuteHD's topic in General Nursing

    To varying degrees, people have compensatory mechanisms on standby for acute illness and for different stages of that illness. I like to think of it as reserve fuel tanks. When a patient gets sick,...