MunoRN RN

Critical Care

Member

  • Content

    8,058

  • Visitors

    94,707

  • Followers

    9

  • Likes

    7,525

All Content by MunoRN

  1. MunoRN

    69 Medications Every New ER Nurse Must Master!

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

    Kayexalate has been removed from commonly referenced hyperkalemia treatment recommendations. There's no evidence it works as intended, the only thing it's been proven to do is cause bowel necrosis....
  2. MunoRN

    What makes a nursing contract binding & official?

    MunoRN replied to Kit.Kat's topic in General Nursing

    This doesn't appear to be a well-written contract, as it leaves multiple loopholes for the employee, but there is nothing about it that makes it automatically unenforceable or something that can't be...
  3. MunoRN

    Nursing Home Chest Pain

    MunoRN replied to aloha57's topic in General Nursing

    Your supervisor doesn't work under your license, only you do. While a supervisor is free make suggestions about your professional practice, it's up to you to make your own decisions. That does...
  4. MunoRN

    Pressing Assault Charges WITHOUT disclosing your full Name??

    MunoRN replied to orientbeachgirl's topic in General Nursing

    It's not any different in the US than in the UK. The "confrontation clause" in our Constitution that prohibits someone from being found guilty of a crime without ever knowing who made the accusations...
  5. MunoRN

    Illegal immigrant nurses can now be licensed in California

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

    That's not the flaw, the flaw is the catch-22 she gets stuck in that prevents her from gaining citizenship despite doing exactly what should allow her to become a citizen; working hard to become a...
  6. MunoRN

    Illegal immigrant nurses can now be licensed in California

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

    One of the ways to become a citizen, and what I would argue should the preferred way, is to make yourself an asset to our society, which becoming a Physician does given the shortage of Physicians....
  7. MunoRN

    Illegal immigrant nurses can now be licensed in California

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

    If the law makes sense then I've no problem with expecting people to suffer the legal consequence of speeding, but if the speeding limit is universally set at 3 mph, then is breaking the speed limit...
  8. MunoRN

    69 Medications Every New ER Nurse Must Master!

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

    Good list, thanks for taking the time to write this. I'd have to add vasopressin as it's probably in the top 25 of medications that I give in the ED, although I do tend to be the one to get sepsis...
  9. MunoRN

    Pressing Assault Charges WITHOUT disclosing your full Name??

    MunoRN replied to orientbeachgirl's topic in General Nursing

    With the exception of sexual assault, you generally can't press criminal charges anonymously where you are the primary witness or victim of the crime. This is because the 6th amendment of the...
  10. MunoRN

    Medication Administration Query

    MunoRN replied to kenyon's topic in Patient Medications

    You've got your order which in terms of mg's per minute, for programming the pump you need to translate that into ml's per hour. For converting the mg's to ml's you know the concentration you are...
  11. MunoRN

    Didn't follow through and caused med error

    MunoRN replied to Fishingaround's topic in General Nursing

    Shift change and report does actually mean that report should not be interrupted by non-urgent issues, uninterrupted hand-off communication is an essential part of patient safety, even for...
  12. MunoRN

    Didn't follow through and caused med error

    MunoRN replied to Fishingaround's topic in General Nursing

    You're not charting that you gave the medication, you're charting that it was reported to you the medication was given, that's all you're taking "responsibility" for. Knowing that a nurse reported to...
  13. MunoRN

    Medication Administration Query

    MunoRN replied to kenyon's topic in Patient Medications

    I've never seen a pump that is programmed using "drops/min", are you sure that's what you
  14. MunoRN

    Your opinion please

    MunoRN replied to AngelKissed857's topic in General Nursing

    If there's a chance it's a coroner's case then no tubes or lines can be removed until cleared by the M.E., the blood certainly could have been given at least a quick wipe down. If not an M.E. case...
  15. MunoRN

    Didn't follow through and caused med error

    MunoRN replied to Fishingaround's topic in General Nursing

    Why would you not chart that another nurse reported to you that a med was given? Do you just leave that charting action blank? Or do you disregard that you were told the med was already given and...
  16. MunoRN

    Code Blue Systems

    MunoRN replied to WillowNMe's topic in General Nursing

    Within the floor/unit where the code blue is located there is an arrhythmia-inducing alarm and an "all page" is called to the specific room. We use an overhead page throughout the hospital with the...
  17. MunoRN

    Didn't follow through and caused med error

    MunoRN replied to Fishingaround's topic in General Nursing

    That's never actually been a NPSG, discouraging the use of verbal orders when practical has been part of the NPSG on communication, which is a National Patient Safety Goal, but not yet a NPS...
  18. MunoRN

    Recliner Entrapment!

    MunoRN replied to AZ Ogre's topic in General Nursing

    They actually are able to hold their position so long as the patient is able to remember and follow directions, and in a perfect world all patients would be able to that, which would mean intubated...
  19. MunoRN

    Management and modified duty

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

    I don't know how often it actually happens, but in Texas carrying workers comp insurance is voluntary so it's possible there is no workers comp claim to be
  20. MunoRN

    Didn't follow through and caused med error

    MunoRN replied to Fishingaround's topic in General Nursing

    If your new employers sees this as a reason to terminate you rather than a teaching opportunity I would question if that's really someone you want to work for. As a way of dealing with this in the...
  21. MunoRN

    Recliner Entrapment!

    MunoRN replied to AZ Ogre's topic in General Nursing

    So you would consider any person unable to get out bed without assistance to be restrained? Or are you only applying this to
  22. MunoRN

    Recliner Entrapment!

    MunoRN replied to AZ Ogre's topic in General Nursing

    If it is positioned for the purpose of acting as a restraint then it is a restraint, but just because a person is physically unable to get up out of a recliner that is a 'normal' position that is...
  23. MunoRN

    Recliner Entrapment!

    MunoRN replied to AZ Ogre's topic in General Nursing

    There are actually no alternatives, we have recliners from all current and even now-defunct manufacturers in use, if you're aware of an alternative recliner please feel free to share. We've found...
  24. MunoRN

    Schools push APRN immediately-$$

    MunoRN replied to Jules A's topic in General Nursing

    Is it possible to summarize the findings (I don't have a Lippincott
  25. MunoRN

    Arizona CNA State Board Skills Exam Question.?

    MunoRN replied to gagamonster385's topic in Medical Assistant, CNA/MA

    It's the same