MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Case study - what would you do?

    MunoRN replied to Lev's topic in General Nursing

    "Hypoxia" is not an accepted basis for declaring a patient incompetent to make medical decisions. There are number of medical conditions that are likely to cause the patient to fail the criteria...
  2. MunoRN

    Notes in 3rd person style

    MunoRN replied to MunoRN's topic in General Nursing

    I'm not sure you can really call something either first or third person without any speaker pronoun usage since that's what defines perspective. Notes typically are written without pronouns which...
  3. MunoRN

    Notes in 3rd person style

    MunoRN replied to MunoRN's topic in General Nursing

    I'm wondering if it's a regional thing because it's something I've rarely ever seen and I've never once seen in a Physicians note, H&P, Op report, etc. Any idea why it's considered necessary for...
  4. MunoRN

    Notes in 3rd person style

    MunoRN replied to MunoRN's topic in General Nursing

    Thanks, I'll pass that along, hopefully they find it helpful. I can't say I really understand OWL's rationale, since it's not that part of a sentence that determines if it is objective vs subjective...
  5. MunoRN

    Notes in 3rd person style

    MunoRN replied to MunoRN's topic in General Nursing

    The problem is that this is one likely scenario for how that questioning will go: Lawyer: "Do you follow established standards of nursing care?" Nurse: "Yes" Lawyer: "Is this because you believe...
  6. MunoRN

    Notes in 3rd person style

    MunoRN replied to MunoRN's topic in General Nursing

    A nurse is getting deposed for a court case, it doesn't sound like there is anything deficient in the care she provided, so the opposing lawyer is trying to create an argument that her charting is...
  7. MunoRN

    Notes in 3rd person style

    MunoRN replied to MunoRN's topic in General Nursing

    "Neutral" narration isn't really the problem, it's the use of "this nurse" that has gotten one of our nurses into a difficult position in court. It's being argued that it's not clear who exactly...
  8. MunoRN

    Why don't you just read the chart?

    MunoRN replied to Guest219794's topic in Patient, Colleague Relations

    Even when floor nurses have access to the EMR used in the ED, charting on a patient they are receiving often isn't available to them while the patient is still in the ED, and when it is available I...
  9. MunoRN

    Notes in 3rd person style

    MunoRN replied to MunoRN's topic in General Nursing

    The only thing I could find was that it's considered a "formal" style, although the question our lawyers need an answer to is why that is a more effective way to communicate or why it's better for the...
  10. MunoRN

    What Nurses Really Want

    MunoRN replied to herring_RN's topic in Activism, Healthcare

    I would agree that unions shouldn't be using their resources to advocate for issues that are not nursing issues but rather personal issues of nurse, but public health has long been a general nursing...
  11. MunoRN

    Measuring hourly urine output

    MunoRN replied to ladydanger's topic in General Nursing

    The urometer box is split into two columns; a 50ml column to the right and 300 ml on the left. The larger left column is a continuation of the 50 ml column, so it starts at 51mls and goes to 350 mls....
  12. MunoRN

    Physical Restraint in Intensive care unit

    MunoRN replied to samer2014's topic in Patient Safety Issues

    The solution to what the study found is that the other 56% should be have restrained, and the 44% who were restrained should have been restrained better. From an overall patient care and outcomes...
  13. MunoRN

    Case study - what would you do?

    MunoRN replied to Lev's topic in General Nursing

    He's not currently meeting the requirements to be able to refuse, although clearing that up should be high up on the list since legally and ethically you're going to be somewhat limited until you do....
  14. MunoRN

    Case study - what would you do?

    MunoRN replied to Lev's topic in General Nursing

    Not optional... based
  15. MunoRN

    Examples of Nursing Documentation

    MunoRN replied to LSUGIRL's topic in General Nursing

    Any problems in
  16. MunoRN

    Are these the same concept?

    MunoRN replied to LorieStesk's topic in General Nursing

    I'm sure it's related to A&P but I really don't think it's considered
  17. MunoRN

    Is this right?

    MunoRN replied to kariace's topic in General Students

    They are pretty similar pre-req
  18. MunoRN

    Is this right?

    MunoRN replied to kariace's topic in General Students

    What are the requirements for O.chem and A&P1? I'd be willing to bet intro biology is a requirement for at least A&P and often O.chem as well. Nursing programs typically list their required...
  19. MunoRN

    Is this right?

    MunoRN replied to kariace's topic in General Students

    Your 3/5 in HS AP Bio placed you in Bio1, which is likely required to be completed prior to taking
  20. MunoRN

    Delirium tremens, level of care?

    MunoRN replied to hybr1d's topic in Patient Safety Issues

    Are you sure DT's were the cause of arrest? Withdrawal symptoms can occur in severe alcoholics even before their alcohol level reaches zero, but true DT's typically don't occur until a couple of days...
  21. MunoRN

    declining a pt assignment

    MunoRN replied to tinybbynurse's topic in Home Health

    There's nothing illegal about it generally. Unless you have a contract (ie job description) that says you can't be asked to take responsibilities designated as LPN, or cook for that matter, they can...
  22. MunoRN

    Another Case Study For Your Learning Pleasure

    MunoRN replied to blondy2061h's topic in General Nursing

    If the condition worsened with erythromycin, which is effective against gram positive bacteria, then it's possible she as a gram-negative folliculitis, which could be potentially worsened by knocking...
  23. MunoRN

    What would you do in this situation? (If you know it all ;) )

    MunoRN replied to Emergent's topic in Emergency

    The national average for CHF 30-day readmissions is around 24%, ours is around 7%, which is mainly due to intensive outpatient management, but reading through this thread it might also be partly due...
  24. MunoRN

    What would you do in this situation? (If you know it all ;) )

    MunoRN replied to Emergent's topic in Emergency

    Maybe we have a completely different population in my area, but the OP's description could easily describe a CHFr's condition when they're ready for discharge from the hospital, so I'm not really...
  25. MunoRN

    What would you do in this situation? (If you know it all ;) )

    MunoRN replied to Emergent's topic in Emergency

    If that's all the information I get to have then we would usually just monitor and wait for labs (need to ensure reasonable K+ level prior to giving lasix in a reasonably stable patient, you're...