MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Doctors Don't Always Listen: Bridging the Communication Gap

    MunoRN replied to Julie Reyes's topic in General Nursing

    In my experience, if you want to "bridge the communication gap" using a failure-of-communication event as a catalyst for change, then that event absolutely must be legitimate, otherwise you're doing...
  2. MunoRN

    It's not my job to pray with you.

    MunoRN replied to kickatthedark's topic in Spirituality, Religion

    Like Christianity, Islam worships the God first defined in the Old Testament, Islam just uses a different name for the same God. Islam also traces it's roots back to Abraham and his descendents,...
  3. MunoRN

    A question??

    MunoRN replied to Salisburysteak's topic in Patient Medications

    Flushing is sufficient to prepare tubing for a new medication after a previous medication, even an incompatible one. More importantly, it makes absolutely no sense to change only the secondary...
  4. MunoRN

    A question??

    MunoRN replied to Salisburysteak's topic in Patient Medications

    To use a different secondary tubing for each antibiotic requires you to manipulate the secondary to primary connection repeatedly, that manipulation can introduce bacteria
  5. MunoRN

    "To BSN or Not to BSN That is the question." Should BSN be minimal requirement?

    MunoRN replied to nurseactivist's topic in Diploma, ADN, BSN

    It's an interesting idea on the face of it, but I've never heard anybody explain how that would work. How would we alter ADN curriculum from what it is now? How would it work to have half as many...
  6. MunoRN

    A Push for the Return of Team Nursing in Medical-Surgical and Telemetry/Step-down Units

    MunoRN replied to Lev's topic in Medical-Surgical

    Team Nursing isn't necessarily a bad set-up in a low-acuity environment, it's still often used in Nursing homes for instance. And long ago when hospitalized patients were comparable to today's...
  7. MunoRN

    Doctors Don't Always Listen: Bridging the Communication Gap

    MunoRN replied to Julie Reyes's topic in General Nursing

    The paramedic/EMT comparison is valid if we're talking about an RN leaving care to a CNA, but an RN is actually qualified to provide ongoing management of such a patient, an EMT (or CNA) is not. I'm...
  8. MunoRN

    "To BSN or Not to BSN That is the question." Should BSN be minimal requirement?

    MunoRN replied to nurseactivist's topic in Diploma, ADN, BSN

    We've managed to avoid some of the degree inflation that has hit the rest of the job market, I don't think that's a bad thing. I don't think it's at all accurate to say that nursing "hasn't...
  9. MunoRN

    Want to test in different state 2nd time

    MunoRN replied to jh92's topic in General Nursing

    It doesn't matter what state you take the test in, it's a national not state-specific
  10. MunoRN

    Am I the only one that's done this?

    MunoRN replied to Trama_junky's topic in General Nursing

    The IV was actually not nearly as bad as I thought it would be, the NG was far worse than I thought it would be. That turn at the back of the nose feels likes it's digging around in your
  11. MunoRN

    Am I the only one that's done this?

    MunoRN replied to Trama_junky's topic in General Nursing

    I started an IV on myself in nursing school, also put down an NG on myself, I'm not going to expect someone to let me do something to them that I would never do to
  12. MunoRN

    Nursing Shortage: Yea or Nay?

    MunoRN replied to BabyRN2Be's topic in General Nursing

    Based on the number of nurses needed to adequately care for patients there is clearly still a significant shortage. The nursing job vacancy rate is lower however (employers chose not to actually...
  13. MunoRN

    "To BSN or Not to BSN That is the question." Should BSN be minimal requirement?

    MunoRN replied to nurseactivist's topic in Diploma, ADN, BSN

    As far as I'm aware, NY has abandoned it's plans for BSN in 10, like many states have before them, and the only state to actually make the switch reversed their decision shortly after. I can't speak...
  14. MunoRN

    Jane Doe, RN, AAS, BSN, MSN, CCRN BFD

    MunoRN replied to Oceanpacific's topic in General Nursing

    I use the alphabet soup after my name when it's relevant, otherwise RN is appropriate and is nothing to be ashamed of. When used unnecessarily, it makes it appear as though we don't consider "RN" to...
  15. MunoRN

    Waitlist for nursing school

    MunoRN replied to LisaKolls's topic in Pre-Nursing Students

    I would generally avoid schools that use wait lists rather than competitive admissions. Typically the best change a school that's lost accreditation can do is switch from wait list/lottery admission...
  16. MunoRN

    Calling diabetes experts

    MunoRN replied to Libby1987's topic in General Nursing

    As a flat rule, that's a pretty silly protocol. Current recommendations say to keep BG between 110 and 180 when controlling BG with interventions, but they don't recommend interventions to push it...
  17. MunoRN

    Calling diabetes experts

    MunoRN replied to Libby1987's topic in General Nursing

    70-85 is a normal BG level. The ADA defines hypoglycemia as being less than 70, and recommends intervention
  18. MunoRN

    Doctors Don't Always Listen: Bridging the Communication Gap

    MunoRN replied to Julie Reyes's topic in General Nursing

    How would that have changed the patient's course? Are there not ACLS trained staff on the unit? If having patient that very well could code was sufficient reason to require an intensivist to...
  19. MunoRN

    Doctors Don't Always Listen: Bridging the Communication Gap

    MunoRN replied to Julie Reyes's topic in General Nursing

    I can think of plenty of examples of where A Physician didn't initiate the actions that were warranted because they didn't take something seriously, but to be honest I have to agree with the Physician...
  20. MunoRN

    Yellow Gowns: Fall preventative or bandaid solution?

    MunoRN replied to Emergent's topic in General Nursing

    We use yellow socks, which apparently bestow some sort of anti-gravity properties to patients so they don't fall. I started noticing that every patient I saw in the cafeteria had yellow socks on, and...
  21. MunoRN

    Curious-why do people put ADN, RN? It's ASN...

    MunoRN replied to RN_SummerSeas's topic in General Nursing

    "ADN" does actually designate your degree since if you have an ADN, the type of degree you have is an Associates degree. Many Associates in nursing programs do not designate being Associates of Arts...
  22. MunoRN

    Curious-why do people put ADN, RN? It's ASN...

    MunoRN replied to RN_SummerSeas's topic in General Nursing

    I was part of a group once that was looking into differences between nursing programs in my state. We have two programs that partner together and essentially share curriculum yet one grants a...
  23. MunoRN

    Curious-why do people put ADN, RN? It's ASN...

    MunoRN replied to RN_SummerSeas's topic in General Nursing

    I don't know of any BA programs that don't require a senior thesis, so I'm not sure that's a standard difference between the
  24. MunoRN

    Your worst nightmare

    MunoRN replied to nursingaround1's topic in General Nursing

    If a patient was there for chest pain for more than 4 hours and only had an initial troponin drawn then the nurse should probably have to answer why another troponin was never drawn and take some...
  25. MunoRN

    Curious-why do people put ADN, RN? It's ASN...

    MunoRN replied to RN_SummerSeas's topic in General Nursing

    Whether you have a degree (associates or bachelors) that is an arts degree or a science degree is based on how the school or university organizes themselves administratively, and actually has...