MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

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

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

    It's the nurse's responsibility to ensure that the patient is aware of everything they are getting, blood product or not, and willing to take it. Albumin isn't actually against JH doctrine, although...
  2. MunoRN

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

    MunoRN replied to herring_RN's topic in Activism, Healthcare

    Are you try to say that Medicare costs are lower because 16% is a lot or a little? The overhead costs as a percentage of total costs were actually from before Obamacare. The only role the IRS...
  3. MunoRN

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

    MunoRN replied to herring_RN's topic in Activism, Healthcare

    Being that Obamacare continues to base our system on a fragmented, for-profit system I would agree that it continues to allow the excessively high administrative costs of private insurers that already...
  4. MunoRN

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

    MunoRN replied to herring_RN's topic in Activism, Healthcare

    People in england are actually physiologically identical to Americans. They don't have 5 hearts or 2 heads, so the costs shouldn't vary that much, at least not double. Having a larger population...
  5. MunoRN

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

    MunoRN replied to herring_RN's topic in Activism, Healthcare

    One of the main reasons for healthcare insurance reform was that we were seeing the beginning of a health insurance "death spiral", which is when fewer and fewer people pay into the overall costs of...
  6. MunoRN

    Hired at an employer I owe a medical bill to.

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

    That seems like a better question for whomever is handling your bankruptcy
  7. MunoRN

    Should urine catheterization hurt?

    MunoRN replied to swellnurse's topic in General Nursing

    I've had a broken femur reduced and a foley placed one right after another, it was the catheter that hurt the most. Keep in mind you're pushing a foreign object up a tract not made for it through...
  8. MunoRN

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

    MunoRN replied to herring_RN's topic in Activism, Healthcare

    Are you under the impression we're not paying for healthcare now? How would we need to figure out who would pay for something that costs us less than we're already
  9. MunoRN

    Getting report during change of shift

    MunoRN replied to CTnewgrad826's topic in General Nursing

    In my state that's patient
  10. MunoRN

    Getting report during change of shift

    MunoRN replied to CTnewgrad826's topic in General Nursing

    Isn't getting report on your patients what's supposed to happen during change of shift? It doesn't matter if one of your patients is physically still located in the ER or not, it's your patient so...
  11. MunoRN

    What did I do wrong?

    MunoRN replied to mzsuccess's topic in Medical Assistant, CNA/MA

    I'm confused, what is it that the son thinks the medication did to his
  12. MunoRN

    New grad and HIPAA question

    MunoRN replied to CTnewgrad826's topic in General Nursing

    Does the HIPAA Privacy Rule permit hospitals and other health care facilities to inform visitors or callers about a patient's location in the facility and general condition? It's only a violation to...
  13. MunoRN

    New grad and HIPAA question

    MunoRN replied to CTnewgrad826's topic in General Nursing

    You're by no means prohibited from giving information to family as a flat rule, you do need the patient's permission or permission of the patient's decision maker which usually isn't that hard to do....
  14. MunoRN

    2015 Taxes

    MunoRN replied to CriticalCareRN1's topic in Activism, Healthcare

    For 2015 it's $325 or 2% of your income up to the maximum which is equal to the national average for a bronze plan (about $2500/person), whichever amount is greater. For the first few years of the...
  15. MunoRN

    Pierce County, Washington nurses suing over mandatory flu shots

    MunoRN replied to SmilingBluEyes's topic in General Nursing

    Religious reasons? What would the religious reason for refusing a vaccine
  16. MunoRN

    Shaken up by reaction to a patient

    MunoRN replied to jenfro's topic in General Nursing

    It's about the perspective you take. The fact that unfortunate things happen to people is just the way it is, working in a hospital only makes you more aware of that reality. If you interpret that...
  17. MunoRN

    Do you lie when they ask, "how long?"

    MunoRN replied to delphine22's topic in Patient, Colleague Relations

    I've seen a number of BON actions against nurses that are based solely on hearsay (patient's word vs nurses's word). Keep in mind that BON proceedings on actions against licenses are not subject to...
  18. MunoRN

    Do you lie when they ask, "how long?"

    MunoRN replied to delphine22's topic in Patient, Colleague Relations

    It's one thing to deflect the question, but I have to doubt that every BON would have no problem with clearly lying about your nursing experience to a patient. Whether it's an accurate judge of your...
  19. MunoRN

    Insulin drip policy

    MunoRN replied to SteveDE's topic in Diabetes, Endocrine Nursing

    Are you referring to titration protocols? As more facilities transition to electronic drip rate calculators for insulin it's getting harder to find examples of written protocols. The Yale insulin...
  20. MunoRN

    Hippa and confidentiality

    MunoRN replied to maybabe's topic in General Nursing

    The age of medical consent is actually often below 18, depending on the state, and in many states it is 16 or even 14. This often also defines that age at which parents no longer have free access to...
  21. MunoRN

    Why can't hospitals do better?

    MunoRN replied to ORNurseCOS's topic in Activism, Healthcare

    The problem is that the care that the current system too often doesn't actually reflect these values, including extending life. There have been recent large scale studies on the terminal illness...
  22. MunoRN

    Respiratory depression

    MunoRN replied to Kissy1818's topic in Patient Medications

    It's important to understand why we typically give opiates to comfort care patients, particularly that respiratory depression is part of why we give opiates, rather than being something we're...
  23. MunoRN

    Killing flu germs on scrubs..

    MunoRN replied to seasons18's topic in General Nursing

    Normal washing and machine drying is considered sufficient to render viruses inactive (they aren't actually "alive" at any
  24. MunoRN

    Could I have done anything else?

    MunoRN replied to MDMBSNRN's topic in Critical Care

    An important thing to remember about troponins, even the most sensitive ones, is that they are delayed. A cardiac event/ishchemia will not be immediately reflected in the troponin level, it takes...
  25. MunoRN

    Could I have done anything else?

    MunoRN replied to MDMBSNRN's topic in Critical Care

    If based on your nursing judgement, which isn't defined by your employer, a medication should be held then the expectation of every single BON in the country is that you hold the medication. You can...