MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Unsafe assignment?

    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

    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?

    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?

    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

    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

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

    Question about ICD/pacemaker

    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. 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?

    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

    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?

    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?

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

    Haldol IV?

    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

    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

    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. 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.

    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?

    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???

    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

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

    Pressure bag pump flush systems

    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

    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

    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

    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...