MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Unsafe assignment?

    MunoRN replied to _Skittles_'s topic in Patient Safety Issues

    What is or isn't an unsafe assignment is unfortunately very poorly defined. It varies by nurse; what's unsafe for one nurse might not be unsafe for another, and the perception of what's safe varies...
  2. MunoRN

    72 hour notice/AMA

    MunoRN replied to sassyann85's topic in Psychiatric

    We use a form provided by the state which covers the documentation that they were a voluntary admit, they are requesting discharge within the 72 hour period, and includes language that covers the AMA...
  3. MunoRN

    Advice on creepy doctors?

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

    That's not sexual harassment, that's sexual assault. Mace him/pepper spray him/kick him the crotch (whatever seems most effective) and call the cops if he does
  4. MunoRN

    Downside to accepting management position?

    MunoRN replied to jrn1315's topic in General Nursing

    Keep in mind there is a huge difference between an hourly management position with a pay raise and a salaried management position with a "pay raise". At places where I've worked, a move to management...
  5. MunoRN

    Wilderness first responder vs. wilderness EMT

    MunoRN replied to lux libertas's topic in General Nursing

    Wilderness first responder, or "Woo-fer" is a step below a wilderness EMT. WFR certification is what people need to be a volunteer ski patroller, river raft guide, mountain guide, etc. It's...
  6. MunoRN

    CC RN moving into home hospice

    MunoRN replied to hopefulinTN's topic in Hospice, Palliative

    Patient's aren't in charge in hospital or home care
  7. MunoRN

    Question about ICD/pacemaker

    MunoRN replied to AnnieOaklyRN's topic in CCU, Coronary, Cardiac

    I rarely if ever see ICD's that aren't programmed to first attempt override pacing. It's far more comfortable for the patient and uses far less of the generator's energy supply. I suppose if it's...
  8. MunoRN

    Doctors want Dr. Oz off Columbia medical faculty

    MunoRN replied to NRSKarenRN's topic in Activism, Healthcare

    Glyphosate, aka round-up, is not a GMO. There are GMO strains that are "round-up" ready, but the strains themselves pose no health risks whatsoever, just like all other GMO's. Ironically, opposing...
  9. MunoRN

    Taking care of DNR patients. The point?

    MunoRN replied to cholmes1223's topic in General Nursing

    I didn't agree with your DNR post but I do have to give you credit for acknowledging the criticism and being open to it. I was pretty sure we'd never hear from you again or if we did it would be...
  10. MunoRN

    Shared Responsibility (30hr/wk) Petition

    MunoRN replied to angiebusbee's topic in General Nursing

    I'm all for de-coupling employers and health insurance, this being a big reason why, but I don't think your description is really accurate. The employer and the OP are still free to keep their...
  11. MunoRN

    Taking care of DNR patients. The point?

    MunoRN replied to cholmes1223's topic in General Nursing

    You're view is concerning. There are certainly a large number of patients who might very well be better off choosing less aggressive care beyond just being DNR, and in those situations ensuring that...
  12. MunoRN

    violating HIPAA?

    MunoRN replied to michlynn's topic in HIPAA Challenges

    It all sounds like information tele should have, and has been part of the information tele gets on patients everywhere I've worked and for good reason. Those in the tele room are allowed to think,...
  13. MunoRN

    how to write a letter to director of nursing reguarding nurse manager

    MunoRN replied to brifitzzzy11's topic in General Nursing

    If your concern is that this is a union issue then contact the union, that's what they're
  14. MunoRN

    Haldol IV?

    MunoRN replied to RelleyRN's topic in Patient Medications

    FDA approval doesn't determine how a medication can be used, it determines how it can be marketed. Once it's on the market it's use is basically a free-for-all legally speaking. Like many drugs,...
  15. MunoRN

    Patient Safety Question/Nurses Conduct

    MunoRN replied to ChrisMonty's topic in Patient Safety Issues

    Bath salts also often produce the same psychotic behavior and those also don't show up on routine drugs-of-abuse
  16. MunoRN

    Patient Safety Question/Nurses Conduct

    MunoRN replied to ChrisMonty's topic in Patient Safety Issues

    Marijuana toxicity? Are you sure you're not referring to synthetic "marijuana", AKA "spice"? Spice is known to produce the effects you are referring to. Marijuana toxicity on the other hand is still...
  17. MunoRN

    can RN order another RN to bring medicine for a client prescribed by physician

    MunoRN replied to d123456789's topic in Nursing Professionalism

    I don't think that in general a nurse, doctor, anyone can "order" a nurse to do anything. Why wouldn't an RN be able to call pharmacy to request a medication ordered by a
  18. MunoRN

    marijuana and nursing.

    MunoRN replied to middleagednurse's topic in General Nursing

    Working under the influence is working under the influence regardless of prescription. There's of course nothing magical about a prescription that alters the effect of the medication to negate it's...
  19. MunoRN

    Protocol for blood pressure?

    MunoRN replied to hotflashion's topic in Patient Safety Issues

    While a protocol would be wise if the person obtaining and evaluating the BP is an MA, it's not necessary if the person is an RN. That's the whole point of employing RN's; they are legally allowed to...
  20. MunoRN

    Can PRN's refuse insurance???

    MunoRN replied to ashemson's topic in Activism, Healthcare

    If you are working full time as a PRN then your employer has to offer insurance, but the employee is not required to use it, in which case the employer is free to give the employee the employers...
  21. MunoRN

    Pressure bag pump flush systems

    MunoRN replied to suzikjg's topic in General Nursing

    Do neonatal transducers not require an elevated pressure upstream from the
  22. MunoRN

    Pressure bag pump flush systems

    MunoRN replied to suzikjg's topic in General Nursing

    Each transducer allows an intentional small leak to pass through continuously, which ends up being about 3ml/hr. So if you've got 3 different transducers all connected to a pressure bag (by splitter...
  23. MunoRN

    Pressure bag pump flush systems

    MunoRN replied to suzikjg's topic in General Nursing

    I was referring to the idea of putting the pump distal to the transducer, although I don't see how it would work to put the pump between the pressure bag and the transducer since then you would loose...
  24. MunoRN

    Pressure bag pump flush systems

    MunoRN replied to suzikjg's topic in General Nursing

    I'm not really sure what you're asking OP. There are a couple of ways of connecting multiple transducers to a pressure bag. One would be to directly connect two transducers to the two ports on a...
  25. MunoRN

    Pressure bag pump flush systems

    MunoRN replied to suzikjg's topic in General Nursing

    You're putting a transduced line in a pump? I'm not sure how that would work since the stiffer tubing wouldn't work in a pump to begin with, but also it wouldn't be usable as a transduced line since...