MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Urban ED Meets Rural ICU

    MunoRN replied to NurseSmallHands's topic in Critical Care

    What sort of "basic diagnostics" are you suggesting be done that your preceptor is shutting you down
  2. MunoRN

    School Nurse Abandonment over Pledge?

    MunoRN replied to E Non Imus, RN's topic in General Nursing

    A good commentary on the
  3. MunoRN

    What EXACTLY causes GI symptoms r/t myocardial ischemia

    MunoRN replied to sugarmagnolia3's topic in Critical Care

    I've always been under the impression that GI distress can be caused by an inferior wall MI due to vagus nerve irritation, since the inferior wall is connected to the vagus
  4. MunoRN

    Adequacy of orientation

    MunoRN replied to Photofosterrn's topic in General Nursing

    Unfortunately nursing students come out of school with widely varying levels of direct care experience and proficiency. It's not unheard of for a nursing student to take a full load with their...
  5. MunoRN

    Calling a transgender patient an "it"

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

    It's been fairly commonly accepted knowledge, at least among risk managers, for about 15 years that there is actually far less monetary liability in proactively disclosing fault and admitting to...
  6. MunoRN

    Repeat trops and ekgs?

    MunoRN replied to applesxoranges's topic in Emergency

    It mainly depends on when the symptoms started. Even the most sensitive troponin assays take about 4 hours after the beginning of a cardiac event to become elevated enough to be significant for...
  7. MunoRN

    Calling a transgender patient an "it"

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

    It's not 911 that someone would call to report something to the BON, but I'm pretty sure you know
  8. MunoRN

    Calling a transgender patient an "it"

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

    At one time it was common practice to surgically alter infants at birth who were born with ambiguous or otherwise abnormal genitalia, most often surgically creating 'normal' female genitalia since...
  9. MunoRN

    Calling a transgender patient an "it"

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

    Verbal abuse is not legally considered part of free speech, and there have been examples where BON's have taken action against nurses who are verbally abusive towards patients based on personal biases...
  10. MunoRN

    Triage process

    MunoRN replied to emetcal1's topic in Emergency

    The rule has been 10 minutes to EKG in every ED I've worked in, and there's a long list of people who would be throwing a fit if that wasn't happening (cardiologists, outcomes coordinators, etc) so...
  11. MunoRN

    Calling a transgender patient an "it"

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

    The existence of, and scientific understanding of gender dysphoria is not really an opinion. The suggestion that it may not exist is and opinion, and a poorly substantiated one. The rational basis...
  12. MunoRN

    What is your opinion on getting the flu shot?

    MunoRN replied to Surg-OncRN's topic in Holistic

    I don't think you understand the basic premise of vaccinations as a public health issue. While you may not mind the flu, immunocompromised people do, mainly because it has a high likelihood of...
  13. MunoRN

    97% O2 with NRM

    MunoRN replied to iluvnoodles's topic in Emergency

    A non-rebreather mask only works correctly when there is sufficient O2 flow to expel the exhaled CO2, otherwise the patient is actually re-breathing their own CO2 with a little bit of oxygen mixed in....
  14. MunoRN

    COPD and O2 sat

    MunoRN replied to Soran's topic in Emergency

    I've noticed there's been a swing from one myth to another. At one time, it wasn't unusual to find nurses who believed no COPD'r should get "too much" oxygen", which they incorrectly defined as the...
  15. MunoRN

    500 cc of Vanco/Ns over 2 hours via pump via picc line

    MunoRN replied to lumbarpain's topic in Patient Medications

    That's well within the flow rate capacity of a PICC. A "Power" lumen is rated for 300 cc per minute and even non-power lumens can handle significantly more than 250
  16. MunoRN

    Calling a transgender patient an "it"

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

    The mismatch of the appearance of external genitalia (sex) and inherent sense of gender is not a mental illness, it's a physiologic issue. Suggesting it's a mental health issue is disturbingly...
  17. MunoRN

    I made a big mistake

    MunoRN replied to Birdy2's topic in Patient Safety Issues

    I'm still not sure what it was that you think the Xanax did? You said he wasn't in pain, but you also said he felt "awful". It's not unusual for a patient to describe only a certain type of pain,...
  18. MunoRN

    Anti X-a off line

    MunoRN replied to FineAgain's topic in General Nursing

    It's an alternative to an APTT for titrating heparin infusions. Supposedly it can be more accurate, although we tried switching to it at my facility and found it to be unreliable, so went back to...
  19. MunoRN

    In the old days, 10 patients on med/surg?

    MunoRN replied to dudette10's topic in Medical-Surgical

    A large portion of the med-surg patients 10-20 years ago are now in nursing homes or even home far sooner than they were then, and the patients that were higher nursing acuity back then, and on floors...
  20. MunoRN

    Anti X-a off line

    MunoRN replied to FineAgain's topic in General Nursing

    We don't use the same lumen the heparin is infusing through, but there shouldn't be a problem using a different lumen to draw labs from. If the patient is a difficult stick and only has a single...
  21. MunoRN

    I made a big mistake

    MunoRN replied to Birdy2's topic in Patient Safety Issues

    I think you're being overly critical of yourself and seeing harm that doesn't appear as evident as you make it out to be. You seem to base your regret over giving him Xanax on his 0300 complaint of...
  22. MunoRN

    Axillary IABP

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

    We've done maybe a couple of axillary access IABP and securement is difficult, particularly since the main purpose of axillary access is that it allows the patient to ambulate, which requires very...
  23. MunoRN

    Axillary IABP

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

    I think you might have missed that the question was about axillary IABP
  24. MunoRN

    Problems with ER

    MunoRN replied to ReggieN's topic in Patient Safety Issues

    That's exactly why a patient deemed to require continuous cardiac monitoring needs to be transported by an ACLS trained RN or someone otherwise capable of providing adequate emergent care in...
  25. MunoRN

    IVP vs Drip

    MunoRN replied to Matt8700's topic in Emergency

    What requires an order in general is a regulatory issue and in that context there is no difference between and IV push and intermittent infusion, those are different terms for the same thing. Part of...