MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Report me???

    MunoRN replied to MendedHeart's topic in General Nursing

    I know some states don't allow you to work more than 16 hours per 24 hour period, and they have been known to crack down on nurses who get around this by working two different jobs (going straight...
  2. MunoRN

    Would you wait for Dr orders?

    MunoRN replied to AcuteCare4Life's topic in General Nursing

    I would hope facilities that utilize a RR nurse have a protocol they can use. I use a RR protocol that has various tests and meds, all based off of some sort of defined indications. Given the...
  3. MunoRN

    You are NOT allergic to...

    MunoRN replied to BuckyBadgerRN's topic in General Nursing

    I think you're confusing the presence of IgG antibodies with symptomatic sensitivity or allergy. It's not unusual to have circulating antibodies to a number of things you are regularly exposed to,...
  4. MunoRN

    ICU burnout?

    MunoRN replied to infinitynotzero's topic in Critical Care

    What does your charting consist
  5. MunoRN

    Attorney contacted me about lawsuit

    MunoRN replied to forgop's topic in General Nursing

    The OP has already stated the plaintiff has named him as a witness for trial, you could certainly push that to requiring an actual subpoena which is extremely easy for the plaintiff's counsel to do...
  6. MunoRN

    Attorney contacted me about lawsuit

    MunoRN replied to forgop's topic in General Nursing

    It's not at unusual to get general nursing practice questions, which you must answer regardless of whether or not you feel it's related to the case. You can certainly limit your answers to what you...
  7. MunoRN

    Attorney contacted me about lawsuit

    MunoRN replied to forgop's topic in General Nursing

    You can certainly answer that you don't remember (so long as it's true) but you can't on your own decide what types of questions you will answer. Contempt isn't a theoretical slipper slope, I've seen...
  8. MunoRN

    ICU burnout?

    MunoRN replied to infinitynotzero's topic in Critical Care

    I can't imagine staying over 2 hours to document much less 4. If that's how long it takes to chart when that is all you have left to do, I'd say the charting is a major contributor to why you are...
  9. MunoRN

    Doctor charts later?

    MunoRN replied to nursefromcali's topic in General Nursing

    If a doctor asks for a med then that's your order. If I pull a med for a doctor I don't wait for them to write the order, I write it and chart who gave it within the order itself; 250 mcg fentanyl IV...
  10. MunoRN

    Would you wait for Dr orders?

    MunoRN replied to AcuteCare4Life's topic in General Nursing

    I assume "cat code" is actually "cath code", AKA a STEMI code? Your facility should have either a rapid response protocol, which should include a treatment protocol for flash pulmonary edema...
  11. MunoRN

    Pt hits/kicks you

    MunoRN replied to Laur927's topic in General Nursing

    The patient is in no way delirious? No encephalopathy? No sort of altered
  12. MunoRN

    You are NOT allergic to...

    MunoRN replied to BuckyBadgerRN's topic in General Nursing

    I can't think if any medication off the top of my head that consists only of the active ingredient, they all contain various binders, stabilizers, preservatives, and other assorted additives. Someone...
  13. MunoRN

    Pt hits/kicks you

    MunoRN replied to Laur927's topic in General Nursing

    There are a wide range of responses to being hit or kicked by a patient; are they oriented? Where they aware of what they were doing? Is it related to a medical or psych condition or are they just...
  14. MunoRN

    Attorney contacted me about lawsuit

    MunoRN replied to forgop's topic in General Nursing

    That's pretty common advice so long as it is a yes or no question; if the question can be sufficiently answered with yes or no then leave it at that. If an opposing attorney asks what your resource...
  15. MunoRN

    Attorney contacted me about lawsuit

    MunoRN replied to forgop's topic in General Nursing

    In a legal deposition or court proceedings you cannot decide you will only answer questions about your own charting, you will most likely be asked questions that go well beyond your own charting and...
  16. MunoRN

    Attorney contacted me about lawsuit

    MunoRN replied to forgop's topic in General Nursing

    In every deposition I've been in, sticking to that rule would probably have got me a contempt of court charge. There are actually a long list of commonly asked questions in a deposition that can't be...
  17. MunoRN

    You are NOT allergic to...

    MunoRN replied to BuckyBadgerRN's topic in General Nursing

    There may be some sort of rare non-celiac from of gluten intolerance, but there actually is very good quantifiable evidence that "gluten allergy" does not exist at anywhere near the level people claim...
  18. MunoRN

    You are NOT allergic to...

    MunoRN replied to BuckyBadgerRN's topic in General Nursing

    Nothing in the article said that, if you read the full text it actually goes into good detail about what causes allergic reactions to insulin analogue preparations, nowhere does it claim someone could...
  19. MunoRN

    You are NOT allergic to...

    MunoRN replied to BuckyBadgerRN's topic in General Nursing

    What you want them to write is "contrast dye", not iodine, since writing "iodine" won't help you avoid contrast dye in the
  20. MunoRN

    You are NOT allergic to...

    MunoRN replied to BuckyBadgerRN's topic in General Nursing

    It's not real. It is not possible to be allergic to iodine and there is no evidence that an allergic reaction to iodine has ever occurred. There is no evidence of cross-reactivity between iodine and...
  21. MunoRN

    You are NOT allergic to...

    MunoRN replied to BuckyBadgerRN's topic in General Nursing

    If the decrease in blood pressure that occurs in anaphylaxis dropped your BP to 210/130 then maybe some anaphylaxis is just what you needed. Since your body produces insulin it is actually pretty...
  22. MunoRN

    You are NOT allergic to...

    MunoRN replied to BuckyBadgerRN's topic in General Nursing

    I've also experienced a lot of push back in trying to get nurses to chart allergies, intolerances, and preferences separately, which is unfortunate because the difference between a true allergy and...
  23. MunoRN

    What are we allowed to share?

    MunoRN replied to ixchel's topic in General Nursing

    A very small pneumo, often an apical pneumo, does not justify chest tube placement. As with anything you're not sure of, you should always check with MD about the plan of care, but in general it's...
  24. MunoRN

    You are NOT allergic to...

    MunoRN replied to BuckyBadgerRN's topic in General Nursing

    It used to be thought that the reason someone could be allergic to shellfish, but not other types of meats was that shellfish had higher levels of iodine, which is where the shellfish/iodone allergy...
  25. MunoRN

    Shift length and nurse error rate

    MunoRN replied to granolapher's topic in Patient Safety Issues

    That's a really long way of saying they are just repeating the findings of the Rogers (2004) and Scott (2006) studies, which represent a failure to understand the basic principles of statistical...