MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Didn't follow through and caused med error

    MunoRN replied to Fishingaround's topic in General Nursing

    If the MD administered the med themselves I'm not sure why you ever got involved in the ordering/order entry/charting med given process. That should be all on the
  2. MunoRN

    Wellness Programs - Incentive or Violation of Privacy

    MunoRN replied to MatrixRn's topic in Activism, Healthcare

    Insurance companies have actually always had access to your health history, including BMI and other health indicators. As part of their basic role, insurers have also taken into account the actuarial...
  3. MunoRN

    Pain Assessment in the Cath Lab

    MunoRN replied to toomuchbaloney's topic in Cardiac

    The JC provides accreditation services for a regulatory agency (CMS) but isn't a regulatory agency itself, so outside of a survey process I doubt they will do much. The state Dept of Health might be...
  4. MunoRN

    Recliner Entrapment!

    MunoRN replied to AZ Ogre's topic in General Nursing

    There is no published research that compares injury rates in people jumping out of an airplane with and without a parachute, are you suggesting we should then assume the risk of injury is not...
  5. MunoRN

    Recliner Entrapment!

    MunoRN replied to AZ Ogre's topic in General Nursing

    Part of my job involves regulatory compliance, and while I've heard a number of odd interpretations from surveyors, I've yet to hear that sitting in a recliner is a restraint. Having a table across...
  6. MunoRN

    Recliner Entrapment!

    MunoRN replied to AZ Ogre's topic in General Nursing

    It's pretty clearly a reduced risk of injury, and there is no modification to the recliners being done. It also covers our requirement by the manufacturers instructions that the patient be prevented...
  7. MunoRN

    Recliner Entrapment!

    MunoRN replied to AZ Ogre's topic in General Nursing

    It's part of the unit policy, training check off, and care plans. Risk management is not only aware, but they are the ones that make sure everyone knows to use some form of support. Are people...
  8. MunoRN

    Recliner Entrapment!

    MunoRN replied to AZ Ogre's topic in General Nursing

    We've purchased them from all the existing
  9. MunoRN

    Recliner Entrapment!

    MunoRN replied to AZ Ogre's topic in General Nursing

    The problem is well known, the manufacturers position is that their chairs are not intended for the patient to be changing the position of the chair, which is included in their IFU. We used to use...
  10. MunoRN

    Pain Assessment in the Cath Lab

    MunoRN replied to toomuchbaloney's topic in Cardiac

    I should point out the most concerning thing is the description of how the site was managed. I sort of hope that by "pressure dressing" you're referring to something like a femostop, which is a...
  11. MunoRN

    Recliner Entrapment!

    MunoRN replied to AZ Ogre's topic in General Nursing

    These recliners aren't actually intended to be adjusted by the patient, the manufacturer intends them to remain in position unless changed by
  12. MunoRN

    ratio's with induced hypothermia patients

    MunoRN replied to **LaurelRN's topic in CCU, Coronary, Cardiac

    I'm curious what ICU's that keep these patients 1:1 throughout TH staff for other types of patients? They are busy, but once they're cooled they're well within "normal" ICU busy, so are all the ICU...
  13. MunoRN

    Recliner Entrapment!

    MunoRN replied to AZ Ogre's topic in General Nursing

    I've worked with a couple of brands of patient recliners where the "two-can-method" is required; a small garbage can under the feet and a tall garbage can under the head of the recliner. Ideally...
  14. MunoRN

    Management and modified duty

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

    Keep in mind your employer is under no obligation to offer you light duty work, they are free to deny you any hours at all if you can't perform all of your assigned duties. To be honest, I would also...
  15. MunoRN

    Pain Assessment in the Cath Lab

    MunoRN replied to toomuchbaloney's topic in Cardiac

    That's certainly not typical of any cath lab or cath recovery that I've worked in, analgesia is typically needed to be given liberally in the recovery period in a patient with a bad back. There is no...
  16. MunoRN

    Indications for IV fluids.

    MunoRN replied to Khaan's topic in Infusion, Intravenous

    Large volumes of NS can cause a metabolic acidosis, we're talking like 8 liters over 24 hours, this is because the balance of sodium and chloride in NS is different than it is in serum; the chloride...
  17. MunoRN

    insulin question

    MunoRN replied to nurse2289's topic in Medical-Surgical

    Which type of insulin needs to be held or adjusted due to low blood sugars is completely dependent on why their blood sugar was low, which can be due to either short acting or long acting. When a...
  18. MunoRN

    Art line set up and blood sampling

    MunoRN replied to Lev's topic in Critical Care

    Are you looking for how to set up pressure transducing tubing in general or how arterial set-ups are different than a CVP or
  19. MunoRN

    I.V Tubing Change

    MunoRN replied to NGYSUN's topic in Medical-Surgical

    Once the secondary tubing is connected to the primary it should be considered the same set and should be changed together; no more often than every 96 hours. The infusion nursing society recommends...
  20. MunoRN

    not comfortable with giving narcotic injection due to street drug interaction

    MunoRN replied to Sarge_BSN_RN's topic in Patient Medications

    I wouldn't do a UDS as a "standard precaution", but if I was aware the patient used opiates due to a UDS the only way that would figure in to my decision making is that it would tell me the patient...
  21. MunoRN

    RNs with a Bachelor's in another field

    MunoRN replied to TwistaKrista's topic in Activism, Healthcare

    An ADN with a bachelors in another field is not the same as a BSN, but it's not as different as some are making it out to be. An Associates journalism degree for instance is really a transfer degree...
  22. MunoRN

    Sepsis Screening?

    MunoRN replied to annie.rn's topic in General Nursing

    It's important to remember that sepsis screening tools do not determine what patients are septic, they only tell us what patients might warrant a closer look. The tricky thing about sepsis is that...
  23. MunoRN

    Legal responsibility to perform CPR?

    MunoRN replied to smellslikesarah's topic in General Nursing

    She did not have a POLST or other DNR, that was more of an alternate reality created in the discussion of it here on AN. The facility had not made it clear they didn't do CPR and admitted that was a...
  24. MunoRN

    IVP pain med safety

    MunoRN replied to Swellz's topic in Patient Medications

    I've only ever heard of nurses putting a pain med push into a minibag and hanging it as a secondary in threads here, I've never actually seen it done, much less seen it as a standard practice on any...
  25. MunoRN

    I'm being investigated by the BON!

    MunoRN replied to daisy_duke's topic in Patient Safety Issues

    Look for a "License Defense Attorney" in your state. Unfortunately licensing boards dont' really operate like a regular legal system, so specialized lawyers are valuable. Were you part of a union at...