MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Staffing

    MunoRN replied to EDRN1408's topic in General Nursing

    Unfortunately, outside of California there are no defined staffing requirements, but every state does require nurses to be able to take their legally required breaks and employers are required to...
  2. MunoRN

    Wellness Programs - Incentive or Violation of Privacy

    MunoRN replied to MatrixRn's topic in Activism, Healthcare

    CVS's wellness program was not actually mandatory, employees who choose to take part and lower their risks of incurring high costs get a discount on their insurance, which seems totally appropriate....
  3. MunoRN

    Illegal immigrant nurses can now be licensed in California

    MunoRN replied to Guest07/13/15's topic in Immigration Advice

    If illegal immigrants were actually allowed to collect welfare, food stamps, medicaid, etc then I would absolutely agree with you, but they aren't actually allowed access to any of those services...
  4. MunoRN

    Methadone analgesia.

    MunoRN replied to midazoslam's topic in Hospice, Palliative

    Methadone is an opioid receptor agonist so your monitoring is going to be the same as other
  5. MunoRN

    IV push failure - how I am failing

    MunoRN replied to Brandazzle1's topic in Patient Medications

    There certainly are some situations where two IV's are warranted, but that need should be based on an actual rationale and just being on a heparin drip by itself is not a rationale. Just blindly doing...
  6. MunoRN

    Close call

    MunoRN replied to Asystole721's topic in Patient Safety Issues

    Having the weight wrong doesn't cause propofol to make the patient more hypotensive than if the weight is correct, that makes no difference. If the patient is hypotensive due to the propofol then...
  7. MunoRN

    IV push failure - how I am failing

    MunoRN replied to Brandazzle1's topic in Patient Medications

    Are you under the impression that interrupting a drip, with a half life of more than an hour, to push a med over a couple of minutes is of any clinical
  8. MunoRN

    IV push failure - how I am failing

    MunoRN replied to Brandazzle1's topic in Patient Medications

    It used to be common in my ICU as well, but we've learned to keep our practice
  9. MunoRN

    IV push failure - how I am failing

    MunoRN replied to Brandazzle1's topic in Patient Medications

    I also remember the days when it was just sort of routine to have extra IV's in place for unspecified "convenience" reasons, that's not really considered good practice anymore. IV starts are not...
  10. MunoRN

    IV push failure - how I am failing

    MunoRN replied to Brandazzle1's topic in Patient Medications

    I don't think there is any obvious reason to use a separate IV access, what are you basing that
  11. MunoRN

    Pre-employment Physical/med list request?

    MunoRN replied to zuluRN's topic in General Nursing

    Under federal law an employer cannot require health information prior to a "conditional offer" of employment. Once that conditional offer has been made they can then pursue this information. The...
  12. MunoRN

    IV push failure - how I am failing

    MunoRN replied to Brandazzle1's topic in Patient Medications

    I obviously missed where the preceptor criticized the OP for not looking up the drug, the only thing I saw mentioned was that the preceptor criticized the OP for not knowing to pause the heparin with...
  13. MunoRN

    IV push failure - how I am failing

    MunoRN replied to Brandazzle1's topic in Patient Medications

    I'm not saying it's never done, but it's incorrect that this is widely accepted as a safe practice. Unlike the type of plastic used for IV fluid bags, labels/tape often don't stick well to syringes,...
  14. MunoRN

    Close call

    MunoRN replied to Asystole721's topic in Patient Safety Issues

    At least where I've worked, we don't actually change the weight we're using for drips after those drips are established, we would also just note it in the weight charting on the flow sheet or EMR if a...
  15. MunoRN

    IV push failure - how I am failing

    MunoRN replied to Brandazzle1's topic in Patient Medications

    Is It Really Saline The concern is that by using a syringe that is labelled as "Normal saline" and adding a medication you now have a mis-labeled syringe which could lead to an error. What's...
  16. MunoRN

    IV push failure - how I am failing

    MunoRN replied to Brandazzle1's topic in Patient Medications

    I have to disagree with apparently about everyone here and say your preceptor was incorrect to say it's generally understood and practiced that the heparin should be paused when using a y-port....
  17. MunoRN

    IS THIS TRUE???

    MunoRN replied to nurse2211's topic in General Nursing

    In my experience this has been a pretty common part of nursing school. Yeah, it's super weird to be near naked (we wore bathing suits under the gown) and have someone poking and prodding your...
  18. MunoRN

    Narcan prescriptions in NH

    MunoRN replied to aeris99's topic in General Nursing

    What is it you don't agree
  19. MunoRN

    69 Medications Every New ER Nurse Must Master!

    MunoRN replied to Michael M. Heuninckx's topic in Emergency

    Levo is the primary pressor for sepsis, I mentioned the vaso only because levo was already on the list. At a couple places where I've worked the vaso is started fairly soon after the levo, we started...
  20. MunoRN

    Where in Texas is Joint Commission now?

    MunoRN replied to SaraKitty's topic in LPN, LVN Corner

    It might help to remember they aren't evaluating you, there's evaluating your facility and how well they help you do your job. Relax, remember that if they ask you a simple question, that's all it...
  21. MunoRN

    suspended for doing the right thing...

    MunoRN replied to farmernurse26's topic in Patient, Colleague Relations

    I don't get patient's chocolate milkshakes but that's because it's not something I have access to for any patient, regardless of what they should or shouldn't be eating. If we consider a different...
  22. MunoRN

    SA Node (decreasing)

    MunoRN replied to Crew2Nursing's topic in Cardiac

    Cells in general don't really decrease as we age, but they do lose normal function. So if we're talking about a decrease in properly functioning SA node cells then that probably is accurate. Various...
  23. MunoRN

    suspended for doing the right thing...

    MunoRN replied to farmernurse26's topic in Patient, Colleague Relations

    I think there's maybe some confusion about whether or not certain exceptions are being included in broad statements, such as "But someone can't tell us to do something that goes against the physician...
  24. MunoRN

    suspended for doing the right thing...

    MunoRN replied to farmernurse26's topic in Patient, Colleague Relations

    If the burden of consent was on the patient to refuse an intervention then one could argue that restricting food intake was appropriate, but that's not how it works. The burden is on us to obtain...
  25. MunoRN

    3 Pdn agencies in home.....Hipaa violation to look at chart?

    MunoRN replied to smartnurse1982's topic in HIPAA Challenges

    The physical paper the information is on belongs to the agency, but an agency can't prevent another agency caring for the patient from accessing (viewing) the information on that paper. If requested,...