MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Told a salary is non negotiable. True? or room to wiggle

    MunoRN replied to graft's topic in General Nursing

    I've never worked in a union hospital where the salary was negotiable as a new-hire. Even if the hospital wanted to offer you more than the set starting rate, they are not allowed to in the union...
  2. MunoRN

    Nurses: You've Been LIED to about your Back and Body Mechanics

    MunoRN replied to Lynda Lampert, RN's topic in General Nursing

    Your argument is ridiculous. Using the same premise it could be argued we've been lied to about the safety of seat belts since people are still injured and even killed despite wearing
  3. MunoRN

    Should Nurses know procedural costs?

    MunoRN replied to Nolagrace1202's topic in Activism, Healthcare

    What the hospital charges and the amount insurers reimburse are two different things, but typically patients aren't asking at what rate an insurer will reimburse, they're asking what the hospital...
  4. MunoRN

    NG Tube

    MunoRN replied to Tbajeux2010's topic in Medical-Surgical

    At my facility all patients with NG's for gastric evacuation are on low intermittent suction, even if the doctor ordered low continuous suction. There is a big risk to continuous suction, even with...
  5. MunoRN

    Should Nurses know procedural costs?

    MunoRN replied to Nolagrace1202's topic in Activism, Healthcare

    Advocating for the patient is actually a basic responsibility of nursing. Ensuring that a patient's questions regarding a procedure they are considering consenting to have been answered is also a...
  6. MunoRN

    Question on PAD and wedge (& Gasparis)

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

    Laura Gasparis' educational programs are well packaged and many nurses find them to be useful, one issue I've found though is that the information it's based on is not always up to date or...
  7. MunoRN

    Who takes the med error hit?

    MunoRN replied to BuckyBadgerRN's topic in Patient Safety Issues

    If the medications that were given to the patient were the ones that the Physician ordered, then I don't see how it's a true med error. It sounds like what happened was that the hospital sent over a...
  8. MunoRN

    Is this a HIPAA Violation - Invasion of Patient's Privacy?

    MunoRN replied to hayest's topic in HIPAA Challenges

    These "portals" are typically required to be HIPAA compliant, and to ensure all communications are HIPAA compliant, Physicians offices typically route all communication through them. This ensures...
  9. MunoRN

    Diabetes study shows benefits of expanded Medicaid under Obamacare

    MunoRN replied to NRSKarenRN's topic in Activism, Healthcare

    That's a pretty accurate description of why health insurance reform was necessary, but it's contradictory in describing the effect of reform. While I agree that reform could have gone much farther...
  10. MunoRN

    Problems with ER

    MunoRN replied to ReggieN's topic in Patient Safety Issues

    Unless something has changed recently that you could direct me to, there is no set requirement for ED throughput times. In order to receive full incentive payment for participating in meaningful use...
  11. MunoRN

    IABP: Why is augmentation better in 1:2?

    MunoRN replied to nightshift82's topic in CCU, Coronary, Cardiac

    We use the Datascope and I've never heard that 1:2 would provide better support than 1:1 (with a manageable heart rate). Our docs always prefer 1:2 if we can get by with 1:2, less support is always...
  12. MunoRN

    Patient Safety Question/Nurses Conduct

    MunoRN replied to ChrisMonty's topic in Patient Safety Issues

    (That was supposed to read if the AMS isn't
  13. MunoRN

    Patient Safety Question/Nurses Conduct

    MunoRN replied to ChrisMonty's topic in Patient Safety Issues

    It's not at all unusual for patients with a head injury to suffer from an altered mental status. The the AMS isn't preventing them from ensuring their own safety, or at least be fully cognizant of...
  14. MunoRN

    The Ethics of Crowdfunding in Healthcare

    MunoRN replied to Not_A_Hat_Person's topic in Activism, Healthcare

    "Crowdfunding" healthcare has been around for awhile, that's basically what medicare and other insurance is. I think the only unethical thing about it is when it's not available to everyone, just...
  15. MunoRN

    37.50/hr ( but position is salary).....

    MunoRN replied to babynurse73's topic in Home Health

    If the position truly is "salaried" I'd be careful to clarify what your hours would be. If the pay would be about $37.50/hr based on a 40 hour work week, keep in mind that "salaried" usually means...
  16. MunoRN

    IV bolus ordered because pt hypertensive

    MunoRN replied to Are Enn's topic in Patient Medications

    I think the reason the Doc couldn't really explain is that he didn't really know why he was ordering the bolus, it sounds as though he was misdirected by the positive prelim BC. While we do use...
  17. MunoRN

    Should Nurses know procedural costs?

    MunoRN replied to Nolagrace1202's topic in Activism, Healthcare

    I used to find pricing to be beyond my ability to understand, but it's actually not all that complicated. More importantly, providing a patient with that sort of information when asked is a core part...
  18. MunoRN

    Family member hurt my somewhat fragile new grad confidence

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

    I would seriously reconsider that stance, that's a fairly serious license
  19. MunoRN

    FNP - PMHNP required vaccinations

    MunoRN replied to 3**835Y's topic in Student Nurse Practitioner

    The problem isn't typically the school's requirement for students in general to be vaccinated, but rather what the facilities will require and your ability to meet the school's clinical requirements...
  20. MunoRN

    Dreadlocks

    MunoRN replied to PauperRN's topic in Men in Nursing

    It's not really an issue of the appearance of dreadlocks, it's more about whether or not your dreadlocks can be maintained while still maintaining basic hygiene. There are hair types that can dread...
  21. MunoRN

    Problems with ER

    MunoRN replied to ReggieN's topic in Patient Safety Issues

    In my state what you describe is illegal since it's patient abandonment. It would be legal so long as the nurse caring for the patient comes up with the patient and continues to care for the patient...
  22. MunoRN

    giving meds with other name on them

    MunoRN replied to nurseat52's topic in General Nursing

    Providing a patient with their own medications and administering medications are two very different things. Non-licensed caregivers are limited to providing patients with medications that have...
  23. MunoRN

    Patient's family requesting pain medication

    MunoRN replied to quirkystar's topic in Patient Safety Issues

    I take into account the families input in my assessment of the patient's comfort and ask for their input, but it's not the only thing I base my assessment of the patient's medication needs on. I've...
  24. MunoRN

    Foley placement

    MunoRN replied to mymichael2009's topic in General Nursing

    If you've used sufficient lubricant you often won't get blood return immediately since the tip is covered in water soluble lubricant, although the blood returning could have been a sign that there...
  25. MunoRN

    Really dumb blood admin question

    MunoRN replied to Curious1alwys's topic in General Nursing

    I can't speak for the the rationale of those who put the recommendations, but if the purpose of the close observation period for the first 15 minutes to ensure the patient is closely observed during...