MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Best way to document late medications

    MunoRN replied to HSclinicaleducator's topic in Patient Medications

    We have the option in our drop down box for that a med is late due to "workload". This goes for anything that should have been done but wasn't due to excessive workloads and is also used by other...
  2. MunoRN

    DCDs and the one who should not be. What do you do?

    MunoRN replied to blinky's topic in Nursing Professionalism

    I still have no idea what a DCD is. In my area of work "DCD" refers to donation after cardiac death", I assume this refers to something
  3. MunoRN

    Would you quit over white uniforms?

    MunoRN replied to TexMex22's topic in General Nursing

    Patients should know who their nurse is because it's the person who comes in and says "Hi, I'm your nurse, Muno", typically followed by further discussion and assessment which would establish...
  4. MunoRN

    Mispronunciations That Drive You Nuts

    MunoRN replied to ixchel's topic in General Nursing

    How do they pronounce umbilical cord? Do they also say um-bi-LIE-cul
  5. MunoRN

    Mispronunciations That Drive You Nuts

    MunoRN replied to ixchel's topic in General Nursing

    If we could do away with "sont-i-meter" I'd learn to live with everything else. Personally I'm pro-Oxford comma, although I don't necessarily disagree with
  6. MunoRN

    Unit Practice Council Haters?

    MunoRN replied to jrall60's topic in Patient, Colleague Relations

    I'm a big proponent of shared governance when done right, but when it's done wrong it typically fails, just as it should when done wrong. The basic premise of good shared governance is that it...
  7. MunoRN

    Hospice Care vs Palliative Care

    MunoRN replied to VickyRN's topic in Hospice, Palliative

    The speciality of "palliative care" actually predates hospice, it just hasn't always been called "palliative care". Palliative care refers to speciality of treating a patient's response to a disease...
  8. MunoRN

    (IN)Appropriate Dress

    MunoRN replied to trinitymaster's topic in General Nursing

    I think what's proper is whatever their patient's see as appropriate and worthy of their respect and trust which isn't just one type of attire. In my area, "professional" attire doesn't meet these...
  9. MunoRN

    Would you quit over white uniforms?

    MunoRN replied to TexMex22's topic in General Nursing

    It's different for men. I typically don't care how I look but if I had two choices where everything was equal except one required all whites I'd avoid the all white uniforms. For big guys like me,...
  10. MunoRN

    Do you auscultate your NGs?

    MunoRN replied to Carpediem1012's topic in General Nursing

    It's not unheard of for instructors to be going off of old standards, and the move towards making imaging confirmation an absolute requirement for putting something down a tube is relatively
  11. MunoRN

    I heard today on the radio

    MunoRN replied to Vtachy1's topic in Activism, Healthcare

    Muslims aren't actually exempt from having to buy health insurance: “Dhimmitude” and the Muslim Exemption HSA's are far more common now under Obamacare than in the past and the proposed...
  12. MunoRN

    Do you auscultate your NGs?

    MunoRN replied to Carpediem1012's topic in General Nursing

    We auscultate but only to help determine if we're ready to confirm placement with imaging. If nothing is going to be put down it then it doesn't require imaging confirmation, although that's pretty...
  13. MunoRN

    Police Holds

    MunoRN replied to ICURN3020's topic in General Nursing

    I think it makes more sense to determine a patient's security/officer needs based on the specific patient, I've never found that whether or not they are a jail patient determines whether or not they...
  14. MunoRN

    Working in a Teaching Hospital?

    MunoRN replied to License2Heal's topic in General Nursing

    That's a good point, I should have clarified; teaching hospitals are not the only places where nurses can have an above average learning experience as a new grad. "Teaching" hospital refers to...
  15. MunoRN

    Illegal Drugs & HIPAA

    MunoRN replied to bagface's topic in HIPAA Challenges

    The legal view of every facility I've worked at has been the opposite: what legal authority does staff have to take someone's possessions? Without any authority that's usually considered theft. Your...
  16. MunoRN

    Working in a Teaching Hospital?

    MunoRN replied to License2Heal's topic in General Nursing

    I actually found that a non-teaching hospital was a better learning environment for a nurse (keep in mind that "teaching" refers to teaching physicians, not nurses). There's much less autonomy for...
  17. MunoRN

    Displaying credentials

    MunoRN replied to jetMA96's topic in Nursing Professionalism

    For the most part I only use the one credential that matters: "RN". If you're publishing a paper, for instance, then other credentials become relevant, but for the most part I find the alphabet soup...
  18. MunoRN

    Police Holds

    MunoRN replied to ICURN3020's topic in General Nursing

    I've often had officers ask us to call them when a patient get's discharged, but I've never worked at a facility that allows that without a subpoena or court order. Otherwise it's up to the police to...
  19. MunoRN

    O2 sat monitor question

    MunoRN replied to createun's topic in General Nursing

    Peripheral O2 sat monitoring requires really ideal conditions in terms of blood flow, light permeability, etc, so it's often not easily usable. With difficult to obtain readings a monitor that shows...
  20. MunoRN

    Police Holds

    MunoRN replied to ICURN3020's topic in General Nursing

    While hospital staff can hold a patient on a medical or safety basis, they can't hold a patient for legal reasons as they have no authority do so. Everywhere I've worked it's up to law enforcement to...
  21. MunoRN

    Illegal Drugs & HIPAA

    MunoRN replied to bagface's topic in HIPAA Challenges

    When does the Privacy Rule allow covered entities to disclose protected health information to law enforcement officials? http://www.acutecare.com/wp-content/uploads/2014/01/HIPAA-Executive-Summary.pdf...
  22. MunoRN

    Conflict of Interest

    MunoRN replied to jj1975's topic in LPN, LVN Corner

    Congratulations on your license but all that does is open the door to an LPN position when one becomes available, it doesn't mean your employer suddenly has to make an LPN spot for you. I wouldn't...
  23. MunoRN

    Wow, these patients are SICK!

    MunoRN replied to dannibeeRN's topic in General Nursing

    It's a pretty well documented trend although most of the research comes from outside the US, it's still consistent with patient acuity trends in the US. Basically, a large number patients who are now...
  24. MunoRN

    Healthcare deductables

    MunoRN replied to CriticalCareRN1's topic in Activism, Healthcare

    Deductibles and premiums for employer provided plans have actually been increasing drastically since before Obamacare was passed. The rapid increase in the inflation of employer sponsored insurance...
  25. MunoRN

    Questions about Problem charting at night

    MunoRN replied to downsouthlaff's topic in LPN, LVN Corner

    If the patient has already left you a plan in the event of a "change in condition" such as congestion, why would you need to notify them? They've already said that if the patient complains of...