MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Is this legal?

    MunoRN replied to MendedHeart's topic in General Nursing

    Medicare and insurers don't pay for an "ICU bed", or for any particular staffing. They pay for a DRG and level of complexity which takes into account workload but is not strictly defined by staffing...
  2. MunoRN

    both respiratory and metabolic acidosis - possible?

    MunoRN replied to coolplanet2003's topic in Critical Care

    It's "mixed" respiratory and metabolic acidosis; both are out of normal range and are in the direction of acidosis. If the CO2 was elevated and the Bicarb was also elevated then that would be...
  3. MunoRN

    Tell me what nurse does not get this one....

    MunoRN replied to CrunchBerries's topic in General Nursing

    We're do-it-yourself'rs, if it's not something we can fix ourselves then it wasn't meant to be fixed. Cyanoacrylate, aka "superglue" is also sold under the trade name "dermabond" which is a commonly...
  4. MunoRN

    lunch

    MunoRN replied to healthcare2015's topic in General Nursing

    Our breakroom is "directly across the hall" from a number of patient rooms, which often contain patients with C diff and MRSA. I'm not sure you have a very good understanding of how these bacteria...
  5. MunoRN

    Kicking out visitors during report

    MunoRN replied to delphine22's topic in MICU, SICU

    If they are sufficiently sedated to ensure they can never rouse then that's generally considered excessive sedation by today's standards. In order to reliably assume a patient won't wake up at all...
  6. MunoRN

    Power of Attorney VS. PT Rights

    MunoRN replied to court11779's topic in General Nursing

    Generally there shouldn't be a conflict between the two since what's "right" is to provide care in keeping with the patient's wishes, and the POA's legal responsibility is to ensure that the patient...
  7. MunoRN

    Subversion

    MunoRN replied to healthcare2015's topic in General Nursing

    Is your issue with the fact that responsible subversion exists in nursing, or that it can be used to allow one nurse throw another nurse under the bus? What you referenced, responsible subversion,...
  8. MunoRN

    Kicking out visitors during report

    MunoRN replied to delphine22's topic in MICU, SICU

    Many years ago that was true, that would mean they weren't getting enough sedation, although that level of sedation isn't really considered appropriate
  9. MunoRN

    Shocked and Floored-Chronic Pain Mgmt

    MunoRN replied to CrunchBerries's topic in General Nursing

    There are legitimate pain clinics and then there are "pill mills". You went to a pill mill, that's what they're
  10. MunoRN

    Would a BSN in arizona be ignored in california?

    MunoRN replied to CaliRN284's topic in General Nursing

    For the most part your BSN is just as good in California as it is in Arizona, but that isn't always true. The California BON doesn't actually recognize BSN's from certain schools, even accredited...
  11. MunoRN

    Is it normal to have not retained any information in nursing school

    MunoRN replied to Guest878640's topic in General Nursing

    It's normal to think you didn't retain anything, but I'm willing to bet the roots of your potential nursing knowledge are in their somewhere. It's not unusual for a new grad to finish nursing school...
  12. MunoRN

    Kicking out visitors during report

    MunoRN replied to delphine22's topic in MICU, SICU

    We actually request that family or members of the patient's support system be there during report since staff won't be doing the continuous monitoring we would usually be doing, which is why the...
  13. MunoRN

    Notes in 3rd person style

    MunoRN replied to MunoRN's topic in General Nursing

    The are reasonable and prudent nurses that do use those terms, but it's also not hard to find examples of reasonable and prudent nurses who don't, which means it's not a standard of
  14. MunoRN

    Did Grey's Anatomy Get It Right With The Superhero Pose?

    MunoRN replied to Michael M. Heuninckx's topic in General Nursing

    So according the study, those who did a "power pose" showed more dominance and a higher potential for risk taking. I'm not sure I really want my surgeon imposing an increased sense of invincibility...
  15. MunoRN

    Notes in 3rd person style

    MunoRN replied to MunoRN's topic in General Nursing

    Using "passive voice" or whatever we want to call it does appear to be pretty standard, using terms such as "this nurse", "the nurse", etc do not appear to overwhelmingly
  16. MunoRN

    Notes in 3rd person style

    MunoRN replied to MunoRN's topic in General Nursing

    Not that I know of, but basically what you'd be saying is that it is something that is done by many nurses but not to the level of a standard of care, which then would need a good rationale. Just...
  17. MunoRN

    Notes in 3rd person style

    MunoRN replied to MunoRN's topic in General Nursing

    The problem would be the highlighted part. It doesn't appear like it would be particularly difficult to find other practitioners who find "this nurse" or "the nurse" to be less than perfectly
  18. MunoRN

    Notes in 3rd person style

    MunoRN replied to MunoRN's topic in General Nursing

    If it was an actual standard of care then it could presented as such, but it's not. The legal definition of "standard of care" is pretty strict, there has to be near universal agreement that it's...
  19. MunoRN

    Thickened liquids and straws?

    MunoRN replied to jilllambert's topic in General Nursing

    This has been an ongoing debate where I work and it would be nice to see a more evidenced based rationale than what is currently used. For a long time I had assumed that patients with "no straws"...
  20. MunoRN

    California Vaccine Bill Eliminates Personal Exemption

    MunoRN replied to wtbcrna's topic in Disaster Preparation

    hallelujah
  21. MunoRN

    Notes in 3rd person style

    MunoRN replied to MunoRN's topic in General Nursing

    The role of the opposing attorney isn't to create a reasoned, fair discussion about the complexities of nursing practice. Before my first deposition I clearly remember our attorney starting my prep...
  22. MunoRN

    Notes in 3rd person style

    MunoRN replied to MunoRN's topic in General Nursing

    The textbook refers to "Academic writing style" as what should be used in nursing notes, which isn't uncommon. I get the context criticism and it's a valid
  23. MunoRN

    Delirium tremens, level of care?

    MunoRN replied to hybr1d's topic in Patient Safety Issues

    It's also added to various foods and beverages as both a preservative and "texture enhancer", such as with ice cream. Polypropylene glycol is very similar, which is what miralax and Go-lytely is. We...
  24. MunoRN

    Notes in 3rd person style

    MunoRN replied to MunoRN's topic in General Nursing

    I did ask my Risk Management department and they said are well aware of the use of "this nurse" and "this writer" and have tried to educate staff about it in the past. They said notes should be...
  25. MunoRN

    Case study - what would you do?

    MunoRN replied to Lev's topic in General Nursing

    It seems almost predictable in a 'young' male, particularly one who claims "no medical history", which more accurately means "I've never been to doctor". Many men have peculiar ways rationalizing...