MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Cardiac arrest caused by a seizure

    Are you maybe using "cardiac arrest" and "MI" interchangeably? Cardiac arrest can be caused by an MI as well as a number of other things. A seizure can lead to cardiac arrest, usually secondary to...
  2. MunoRN

    Patient bathing

    I've been a patient have been bathed with both and personally I prefer the wipes to washcloths. Washcloths that are industrially cleaned repeatedly are about as comfortable as 80 grit sandpaper. I...
  3. I don't think the correct process should be any different in outpatient where only a single dose will be given with that it is for inpatient. The first problem is the initial priming of the line,...
  4. I think assignments should always consider patient preferences, patient needs, skill mixes, etc, so a patient's preference for a female nurse should be generally accommodated, so long as it doesn't...
  5. I work with a population that also often refuses male nurses, oddly they like their Physicians to be male and will even refuse female
  6. MunoRN

    Why is insulin drawn clear to cloudy?

    If only adding some NPH to a vial of regular can make it less predictable then that would make sense. But if the reason it makes it less predictable is that getting insulin of one rate of action into...
  7. Or get a
  8. MunoRN

    Consent issue

    I'm not seeing what the problem was, the CRNA/anesthesiologist already consented the patient, all that was left was for the nurse to have the patient sign the form and witness the signature, what else...
  9. MunoRN

    Why is insulin drawn clear to cloudy?

    I think the OP was asking why we do it that way, and nobody has really answered that, just that we do it that way. It's not to avoid potential harm that could occur by accidently injecting some...
  10. MunoRN

    Benchmarking help! Please rally!

    I don't know how intermittent infusions could be done away with, does that mean they no longer give patients antibiotics? Once a secondary tubing is connected to the primary there is no reason for...
  11. MunoRN

    Bernie Sanders gets NNU nod

    Yes, black people only voted for the democratic candidate for president because he happened to black, because otherwise black people always vote
  12. MunoRN

    Patient bathing

    While re-using basins make it far more disgusting, even using a brand new basin for each patient still results in just redistributing whatever you're trying to clean off to various other parts of...
  13. MunoRN

    Patient bathing

    The reason pre-packaged wipes have become more commonly used is that there's been evidence that the tub-of-soapy-water and washcloth method is actually pretty disgusting, far worse in terms of just...
  14. We're actually now up to as many as 14 rights of medication administration. 14 Rights of Drug Administration Flashcards -
  15. MunoRN

    Monitoring & PCA Use

    The evidence is pretty clear that end-tidal CO2 is by far the most effective way to catch early signs that a patient is being over-narced, continuous pulse ox is actually of surprisingly little use...
  16. MunoRN

    Time Paradox of 12 hour shifts

    I think we sometimes make the mistake of comparing 8 and 12 hour shifts based on what length of shift it would be preferable to do while working days. Really, it doesn't matter which shift length day...
  17. MunoRN

    Time Paradox of 12 hour shifts

    I'm not sure how working 12 hour shifts really makes any of that worse. I agree that it would suck to have a 2 hour commute to work, but why would it be better to have to do that 5 times a week...
  18. MunoRN

    Drawing labs from CVC locked with heparin

    I was asking if you were referring to a flush volume because that would be about the amount of volume required if for some reason the waste was also used as the flush. The study you cited did...
  19. MunoRN

    Insurance & Weight Loss Meds

    No, a "baseline" mammogram is of absolutely no use to a radiologist reading your future mammograms. Your negative mammogram will not look clinically different from anyone else's negative mammogram....
  20. If we were truly going with what's most convenient for the majority of people using the bathroom, then women should be expected to leave the seat up when mostly men use the
  21. MunoRN

    Insurance & Weight Loss Meds

    Insurance companies are actually now required to cover legitimate preventive care. A "baseline mammogram" has no evidence to support it and is actually more likely to cause cancer than it is to...
  22. So here's what has never made sense to me about the default 'seat must always be down' rule. If I'm going pee and the seat is down, I put it up, not for my benefit but so that women using the...
  23. If the rationale is that people using that bathroom sometimes have to use the toilet in the dark, that's actually a really good reason to leave the seat up. What do you think happens when a male goes...
  24. MunoRN

    is your immune system suffering?

    Your immune system is like your muscles, they both only get stronger when challenged. If you've spent your whole life making sure your muscles never have to do any work then they aren't going to be...
  25. MunoRN

    How do I transfer Nursing credits?!

    I've always been under the impression that Oregon Health Sciences University is the major nursing program in the Portland area, you many want to research them as well. Fall admissions for any school...