MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    How to deal with this?

    MunoRN replied to colorsofthewind's topic in General Nursing

    If you really aren't allowed to submit an incident report without listing the specific cause of a skin tear, then I would write an incident report about how you were unable to complete an incident...
  2. MunoRN

    Heparin

    MunoRN replied to bear14's topic in Medical-Surgical

    It sounds counterintuitive, but thrombocytopenia does not actually reduce the risk of DVT or other thrombus formation. And in cancer patients it's not at all unusual for there to be both a...
  3. MunoRN

    Travel Company Saying I can be reported

    MunoRN replied to nursy_2014's topic in Travel

    Employers will sometimes threaten to report an employee for abandonment when they quit, although it's usually a baseless threat, what you do have to worry about is financial liability based on the...
  4. MunoRN

    What does an order of "Q2D" mean to you?

    MunoRN replied to Manofstone's topic in General Nursing

    I'm pretty sure "q2d" isn't on any of the "do not use" lists, "Q1D" is on list because it's easily confused with "QID" (and vice versa), but Q2d, Q3d, etc is technically acceptable, although the...
  5. MunoRN

    Supreme Court upholds nationwide health care law subsidies

    MunoRN replied to herring_RN's topic in Activism, Healthcare

    From the article: I'm all for a more mathematically "smooth" way of calculating the amount of tax credit someone qualifies for, although one of the main arguments of tax code is that using these...
  6. MunoRN

    How much of a pay cut is worth the name and experience?

    MunoRN replied to mooshgigila's topic in General Nursing

    I applaud your effort to make sure that you're starting your nursing career in the best learning environment, but you may want to keep some things in mind when making those decisions. Nursing...
  7. MunoRN

    MedSurg/ED Initiatives

    MunoRN replied to mentall's topic in Nurse Management

    I assume "intercontinental rounding" was an autocorrect
  8. MunoRN

    IV push meds

    MunoRN replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    I don't think the need for IV lasix or steroids alone is sufficient reason to admit someone to a hospital, that's always been in the realm of what nursing homes can do for as long as I can remember....
  9. MunoRN

    ObamaCare program saves Medicare $400M

    MunoRN replied to herring_RN's topic in Activism, Healthcare

    I'm not sure where you're getting that from. More than 90% of physicians accept medicare, I've had various private insurance plans and have never been able to claim that more than 90% of physicians...
  10. MunoRN

    Tracing Lines Each Time

    MunoRN replied to mgturtle's topic in General Nursing

    Tracing lines when you take over care of a patient (either when coming on shift or when a patient returns from procedure, OR, care of another nurse etc. I've never heard anyone advocate for tracing...
  11. MunoRN

    Narcotic vs controlled substance

    MunoRN replied to guest114's topic in General Nursing

    "Narcotic" is a poorly defined term that in general shouldn't be a term used by healthcare providers since it has too many meanings. As just a general word definition, "narcotic" refers to any...
  12. MunoRN

    To blood sugar or not to blood sugar. That is the question.

    MunoRN replied to lkoch002's topic in MICU, SICU

    Actually achieving "normal" blood sugars has been clearly associated with higher mortality (normal being about 80-110). Permissive mild hyperglycemia is actually what's associated with the best...
  13. MunoRN

    Pot, teenagers, and the psych ward

    MunoRN replied to nursingaround1's topic in General Nursing

    You can't smoke it without possessing it, are you trying to say that people don't actually go to jail for marijuana
  14. MunoRN

    Is this a new trend?

    MunoRN replied to hppygr8ful's topic in General Nursing

    A brief by definition does not keep pee or stool from "getting all over themselves", it actually guarantees far more urine/stool skin contact than no
  15. MunoRN

    Is this a new trend?

    MunoRN replied to hppygr8ful's topic in General Nursing

    Actually my facility's biggest concern was that it's far more expensive to not use briefs and just change linen more frequently. Each linen/pad change is a few bucks worth cleaning charges but a...
  16. MunoRN

    Pot, teenagers, and the psych ward

    MunoRN replied to nursingaround1's topic in General Nursing

    I'm not sure it's necessarily true that surfers and skateboarders are generally people who didn't "turn out fine", but more importantly it raises the question; does marijuana use cause people to surf...
  17. MunoRN

    Pot, teenagers, and the psych ward

    MunoRN replied to nursingaround1's topic in General Nursing

    I would agree that in general we should avoid any 'altering' medications in teens, although the benefits sometimes would appear to outweigh the risks, such as for kids with seizures not controlled by...
  18. MunoRN

    Epidural question

    MunoRN replied to Simonesays's topic in General Nursing

    Positioning can alter an epidural's effect and dermatome level, although usually pretty minimally, but more importantly it's no longer recommended to put a patient in trendelenburg due to hypotension...
  19. MunoRN

    Is this a new trend?

    MunoRN replied to hppygr8ful's topic in General Nursing

    As threads here have shown, avoiding the use of briefs in hospitalized patients is actually becoming somewhat common, the reason being that incontinence should be managed with immediate clean-up and...
  20. MunoRN

    No visiting hours?

    MunoRN replied to NursesRmofun's topic in General Nursing

    I actually find visitors to be much less of a hassle when there are no defined visiting hours. With defined hours, family and friends seem to feel the need to be there that entire time or for a large...
  21. MunoRN

    No more fingersticks in ICU?

    MunoRN replied to ccer99's topic in Critical Care

    I'd be curious what the "ton of research" is, I'm not aware of any at all that shows finger-sticks should not be used in the ICU. Glucometers use the amount of hemoglobin present in a sample to...
  22. MunoRN

    Nursing's Transition: Creating Inclusive Healthcare Settings for Transgendered Patients

    MunoRN replied to Jessica Quigley's topic in General Nursing

    I think there's some confusion between "genetic" and "innate", if something is genetic that would mean it is determined by the genetic code given to someone, and no there's not much evidence that...
  23. MunoRN

    1 minute scrub the hub

    MunoRN replied to sistrmoon's topic in General Nursing

    That's pretty a stupid idea based on what we know about this. There was once a push to encourage a 30 second scrub (despite the lack of evidence to support this) with the idea that if the rule was 30...
  24. MunoRN

    Wellness Programs - Incentive or Violation of Privacy

    MunoRN replied to MatrixRn's topic in Activism, Healthcare

    The original proposed CVS wellness program was never mandatory, the employee who suing described as being "essentially" mandatory since to get the discount you had to take part (which would seem...
  25. MunoRN

    Thinking of leaving ED after 6 months

    MunoRN replied to NicoletheRN's topic in General Nursing

    Unfortunately in most RN roles you aren't going to be able to avoid having patients who could be on the verge of crashing, so you should make sure you've exhausted all the resources available to help...