MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Internal jugular IV

    MunoRN replied to maloneys's topic in Critical Care

    At peripheral sites there actually isn't much if any risk of an air embolism due to the number of valves between the site and the source of intermittent negative pressure, which is why the use of...
  2. MunoRN

    Letting very young children see a dying patient

    MunoRN replied to Cuddleswithpuddles's topic in Critical Care

    I've actually always found that children consistently deal with death far better than many adults do. I think the poor coping skills regarding death many adults have are learned and therefore aren't...
  3. MunoRN

    Thoughts? Nurse in independent living facility refused to perform CPR

    MunoRN replied to valliloves's topic in Activism, Healthcare

    It was discussed a while back in this thread: Nurse Refused to Give CPR I don't think that should stop you from discussing it now with whomever is interested. It's an interesting situation and...
  4. MunoRN

    What's your dress code at work?

    MunoRN replied to Nola009's topic in General Nursing

    I don't get how this is something that helps patients/family know who's who. It would take me some time to remember what each color means and that's with working there and being there almost every...
  5. MunoRN

    Ethical question-WWYD?

    MunoRN replied to mmc51264's topic in General Nursing

    Good samaritan laws don't apply to us when we are receiving monetary compensation for the care we are providing, otherwise all state good samaritan laws do actually apply to nurses. The only thing...
  6. MunoRN

    Ethical question-WWYD?

    MunoRN replied to mmc51264's topic in General Nursing

    Sorry to pick on you since you were hardly the only one to express this view, but that is ridiculously incorrect. Outside of a true nurse-patient relationship, the rules are bit different, but the...
  7. MunoRN

    Should nurses be able to pull chest tubes?

    MunoRN replied to Ninjateagan's topic in Patient Safety Issues

    It's been nurses that pull chest tubes everywhere I've worked. It's not particularly complex and certainly isn't out of the realm of what nurse's do everyday. It does need to be something where a...
  8. MunoRN

    how often do you need to get a PPD test?

    MunoRN replied to flipnbrenda's topic in General Nursing

    We follow the current CDC guidelines which don't recommend routine TB skin testing for surveillance except for an initial screen on hire for it what terms "low-risk" settings, which is most
  9. MunoRN

    Do You Ever Ignore Your Employer's VM When They Try to Call You In?

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

    I used to just ignore the calls from staffing asking if I want to work on my day off, which is just about every day off. Now I answer it and forward the call to the HR hiring adminsitrator's office...
  10. MunoRN

    Narcan with negative tox screen

    MunoRN replied to RainMom's topic in Patient Medications

    Narcan should be used conservatively as it does have high potential for very serious complications particularly with certain comborbidities. The common recommendation is that it should only be...
  11. MunoRN

    Nursing shortage

    MunoRN replied to Red Kryptonite's topic in General Nursing

    Job vacancy rates are fluid, the number of nurses needed to adequately care for patients on the other hand is fairly stable and
  12. MunoRN

    Nursing shortage

    MunoRN replied to Red Kryptonite's topic in General Nursing

    A "nursing shortage" in terms of the number of nurses we need to adequately take care of patients and the number of nurses facilities actually want to hire are two different things. While there is a...
  13. MunoRN

    Healthcare deductables

    MunoRN replied to CriticalCareRN1's topic in Activism, Healthcare

    Buying insurance plans is a good idea, but it already exists. You can buy multi-state plans, and states are free to standardize their regulations to make that even easier. I can't say that I see any...
  14. MunoRN

    Healthcare deductables

    MunoRN replied to CriticalCareRN1's topic in Activism, Healthcare

    From the article: Medicare enrollees already have the option to buy a plan administered by a private insurer, they're called medicare advantage, and cost significantly more than traditional medicare...
  15. MunoRN

    Being delgated a new task outside your job description.

    MunoRN replied to graft's topic in First Year After Licensure

    Typically RN job descriptions are written to allow for pretty much any task to fall within the job description, including QA tasks. The ACC registry is actually optional, not required. It's also...
  16. MunoRN

    Healthcare deductables

    MunoRN replied to CriticalCareRN1's topic in Activism, Healthcare

    What sort of "truly market based solutions" are you referring
  17. MunoRN

    Do you cap off a discountinued IV?

    MunoRN replied to northmississippi's topic in Patient Safety Issues

    Are you referring to discontinuing the IV tubing, or the IV
  18. MunoRN

    “Your privacy is important to us� so how did patients’ medical exams get on Youtube?

    MunoRN replied to Alnitak7's topic in General Nursing

    Option G seems the most likely; this is what is called 'reality Media', which includes many sub-categories including realistic appearing but staged medical exams with actors pretending to be patients...
  19. MunoRN

    No 1:1 sitter for fall risk patient

    MunoRN replied to RNKX's topic in Patient Safety Issues

    Identifying that a patient is a high fall risk and therefore should have a 1:1 sitter is often done by the nursing staff, although MD's sometimes make the same observation which they document with an...
  20. MunoRN

    Healthcare deductables

    MunoRN replied to CriticalCareRN1's topic in Activism, Healthcare

    The cadillac tax is one area where I agree with republicans. The basic premise of the cadillac tax is that when able, people should be spending their own money up to a point, which encourages them to...
  21. MunoRN

    Healthcare deductables

    MunoRN replied to CriticalCareRN1's topic in Activism, Healthcare

    What are the republican's alternative ideas? Republicans did not vote for the ACA, although it wouldn't appear that can be assumed this was because it didn't include anything republicans like. The...
  22. MunoRN

    Hospice patient requests to smoke

    MunoRN replied to eatenalive365's topic in Hospice, Palliative

    I'm not sure why a doctor's order matters here. It would appear smoking is allowed at this facility in a designated area, which is all that really matters. Doctor's "orders' in this case aren't...
  23. MunoRN

    Patient refuses blood products. How does your hospital ensure their wishes are followed?

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

    There are some potential problems with that idea. When we give blood products to a JW who wants them, we typically move them down to a procedural area where visitors aren't allowed and make sure no...
  24. MunoRN

    Can we do this?

    MunoRN replied to medic978's topic in HIPAA Challenges

    It's not a HIPAA violation to review your own care, which may include reviewing information related to your care obtained after you stopped caring for the patient. To comply with the rule though,...
  25. MunoRN

    A New Study Shows Why Obamacare Should Have Been Single-Payer

    MunoRN replied to herring_RN's topic in Activism, Healthcare

    It actually was pretty accurate which makes me wonder if you actually read it. The Vermont plan initially proposed changing to quasi-single payer, which then transitioned into universal coverage by...