MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    This seems like Hipaa violation

    MunoRN replied to shabish's topic in HIPAA Challenges

    Who are you getting that information
  2. MunoRN

    This seems like Hipaa violation

    MunoRN replied to shabish's topic in HIPAA Challenges

    Definitely not a HIPAA violation, the PCP is expected to be looped in to inpatient information. Making sure the PCP has access to this information isn't just allowed, it's essentially
  3. MunoRN

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

    MunoRN replied to smartnurse1982's topic in HIPAA Challenges

    The information in the chart is actually the legal property of the patient, not any of the agencies involved, so unless it's at the direction of the patient, none of the agencies involved can legally...
  4. MunoRN

    suspended for doing the right thing...

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

    What are you referring to by "something"? A person doesn't need a physicians order to eat, if that's what you're referring
  5. MunoRN

    suspended for doing the right thing...

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

    Without sufficient pre-activity intake and if glucose stores are depleted then it will often go down, although usually after an initial spike due to metabolism induced release initially. With...
  6. MunoRN

    suspended for doing the right thing...

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

    I think you're possibly mis-prioritizing due to misunderstanding of type 1 diabetes. It's expected that when a type 1 exercises, their BG level will go up, not down, even if the patient doesn't eat...
  7. MunoRN

    suspended for doing the right thing...

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

    I don't understand how nurses can be so misinformed about this. A patient's, or their POA's, refusal of a physician's order is what we are legally required to abide by. Continue to implement a...
  8. MunoRN

    suspended for doing the right thing...

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

    Obviously not since they were apparently upset the kid didn't get the snack along with the other kids. Is there really confusion out there among nurses about whether upholding a patient's right to...
  9. MunoRN

    suspended for doing the right thing...

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

    Your intentions were clearly good, although there seemed to be a misunderstanding on your part as to what the patient's rights are. It is certainly beneficial to avoid ketosis, particularly for...
  10. MunoRN

    Continuing education compensation with PRN work?

    MunoRN replied to nyc2011's topic in General Nursing

    I don't know of any places any more that give out money for school, but even the ones that did never gave it out for prn's unless you signed a contract to work for time for a certain amount of time...
  11. MunoRN

    suspended for doing the right thing...

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

    Probably the less long-winded version of that is; did you have any reason to believe the parents were consenting to that diet restriction? I get that you were concerned because the medical treatment...
  12. MunoRN

    suspended for doing the right thing...

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

    They are employing you as a nurse, which means you have professional responsibilities that they can't override. An employer cannot absolve you of your responsibility to clarify questions of consent...
  13. MunoRN

    suspended for doing the right thing...

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

    I don't understand what you are saying, are you saying you're somehow legally prohibited from speaking to the parents? The school has no legal basis to consent to the treatments you are providing,...
  14. MunoRN

    suspended for doing the right thing...

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

    You need the patient's permission to enforce any MD order, regardless of who signs your paycheck. If you've got an order to give a patient a medication and they refuse, are you still allowed to give...
  15. MunoRN

    Scientific or paranormal explanation?

    MunoRN replied to Mavrick's topic in General Nursing

    I've never understood why they refuse to make them two-sided, but maybe they know that would cause the nametags to become unstable, spinning wildly potentially causing
  16. MunoRN

    Scientific or paranormal explanation?

    MunoRN replied to Mavrick's topic in General Nursing

    You'd think it should have a 50/50 chance of facing the wrong way, but you're right it does seem like it's backwards closer to 90% of the time. I've always assumed it's voodoo
  17. MunoRN

    suspended for doing the right thing...

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

    I think what people are arguing that the nurse doesn't actually have to follow all physician orders, and sometimes they can't follow physician orders. A competent patient or their decision maker,...
  18. MunoRN

    Which pain meds together???

    MunoRN replied to Graduatenurse14's topic in Patient Medications

    Extended release (ER) morphine, which includes the brand name "MS Contin", exerts essentially the same effect all the time when given as a round-the-clock scheduled medication (usually BID depending...
  19. MunoRN

    suspended for doing the right thing...

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

    Are you saying that even if the doctor did write an order that said "no cupcakes" you would prevent the child from being able to eat a cupcake? Even if the child and their parents were refusing the...
  20. MunoRN

    Nursing Dose

    MunoRN replied to guest449786's topic in Patient Medications

    To be fair, the use of CAM-ICU is not intended to prevent oversedation and delirium, it's only intended to assess for already existing delirium. And while it's more accurate than other delirium...
  21. MunoRN

    Break away valve for central IV lines

    MunoRN replied to nightnurse93's topic in Patient Safety Issues

    I'm all for the general goal, but I don't see this particular idea as being of much use. I've had many patients remove IV access, but not once have they grabbed the IV tubing and pulled it out, they...
  22. MunoRN

    suspended for doing the right thing...

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

    Does the school have legal custody of the child? If not, you are still under the ethical and professional obligation to ensure that the patient or their decision makers (the parents) have their right...
  23. MunoRN

    suspended for doing the right thing...

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

    30 grams of carbs is equivalent to one banana, and no it's considered neglect to allow a diabetic kid to have a banana. Proper insulin coverage should include a calculation for the person's BG level...
  24. MunoRN

    suspended for doing the right thing...

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

    It's possible that it might have been reasonable to let the kid have the snack. One myth about diabetes is that it's better to avoid snacking in order to keep blood sugars normal rather than...
  25. MunoRN

    PPD Allergy?

    MunoRN replied to Sparrow91's topic in General Nursing

    Have you had a BCG