MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    How do I transfer Nursing credits?!

    They have HLC accreditation which will allow you to sit for the NCLEX but they have lost NLNAC accreditation which is typically what you would need to for another school to accept transfer
  2. MunoRN

    Is ADN sufficient to ba trauma RN?

    The latest data on 6-month job placement rates for ADNs compared to BSNs is 62% for ADN grads and 71% for BSN grads, different but not as different as some would have you believe. Talk to the...
  3. MunoRN

    How do I transfer Nursing credits?!

    I think you're going to have to check with each school individually. Since Chamberlain has lost NLNAC accreditation it's going to be even harder to find a school willing to start you mid-program,...
  4. Absence seizures are not considered a contraindication for activity. It's actually pretty rare for a patient to fall while having an absence seizure even while unassisted, if it occurs while working...
  5. MunoRN

    Endorsing to the next shift.

    Charting is the only thing that's been an absolute requirement anywhere that I've worked. Nurses are expected to prioritize and critically think, I don't think replacing that with rigid requirements...
  6. MunoRN

    Metallic taste/nausea with saline flushes

    This is supposedly due to the components of the flush solution being excreted into the lungs which then causes the patient to taste or smell those components on exhalation. Many medications are also...
  7. MunoRN

    Drawing labs from CVC locked with heparin

    Are you maybe confusing the amount of flush required with the amount of waste? Blood should not be used to flush the catheter, it should be sufficiently flushed with saline or other appropriate...
  8. MunoRN

    Elephant in the China Shop

    Mixed metaphors aside, I haven't actually found it to be that uncomfortable of an issue, at least until you suggested some people "enjoy the intimacy" of placing a catheter which I don't think is...
  9. MunoRN

    Drawing labs from CVC locked with heparin

    Older reagents used in INR testing are sensitive to heparin and can throw off the result, although I was under the impression that none of those were used anymore. There is a fair amount of evidence...
  10. It's not just a single study, Cochrane Collaboration looked at 12 different studies involving more than 1800 patients and found no apparent benefit, although they deemed the overall power of the...
  11. MunoRN

    Endorsing to the next shift.

    Is your computer substituting "endorse" for various words for some reason? Nursing is a 24/7 job and I don't think I've ever asked an offgoing nurse to keep working to knock more things off the list....
  12. MunoRN

    Off duty RN scope of practice on an airplane.

    Actually, yes you can, that's part of your
  13. MunoRN

    Off duty RN scope of practice on an airplane.

    To be fair to rnmaybe, SVTs (which include RVR A-fib) can actually be pulseless and it's not totally unheard of. A pulse refers to a detectable variation in arterial flow, which makes it a term that...
  14. MunoRN

    Medical Marijuana for nurses

    There are test for both inactive metabolites of the drug as well as active circulating drug. Washington and Colorado use a cutoff level of that test to define being under the influence of an...
  15. MunoRN

    Road Trip Essentials

    That really sounds like it defeats the whole purpose of having Registered Nurses caring for patients, not to mention the whole point of
  16. That's actually a pretty serious case of malpractice and should be reported to both the board and the department of health. The Physicians legal and ethical obligations is to follow the patient's...
  17. MunoRN

    Off duty RN scope of practice on an airplane.

    I'm not getting the premise for arguing that ACLS is not within a nurse's scope. Generally, scope of practice is defined as a broad description of potential scope with exclusions specifically listed,...
  18. Luckily you don't have to worry that an insurance plan will cost more on the false assumption that you will need maternity care since that would be illegal under the law. Insurers must now meet...
  19. "Everyone could always use more practice, that's where you come
  20. MunoRN

    Off duty RN scope of practice on an airplane.

    ACLS is essentially a medical protocol so I'm not sure it's completely true that an ACLS trained nurse who follows it is acting outside of medical direction. As for the use of epinephrine and...
  21. I've never heard of "immunocompromised precautions". If immunocompromise as defined by an ANC below a certain level then neutropenic precautions are
  22. MunoRN

    Am I the only one that's done this?

    Fertilizers sold as "Organic" are often primarily blood meal; dried blood collected during meat processing. I had a woman once who usually did her own therapeutic phlebotomy at home, when she needed...
  23. Why would you want to do
  24. MunoRN

    Alteplase infusion for clot in port

    What you describe suggests that it's more than just the port that has a clot, the facial swelling would be caused by a thrombus in the vein itself and not just the lumen of the line. I've never seen a...
  25. There is a specific type of lawyer for this sort of thing, which is different than a malpractice lawyer, a 'license defense attorney' who deals specifically with cases involving public licensing...