MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Intubation necessary?

    MunoRN replied to ScottieDNurse2b's topic in Critical Care

    I can't really speak the specific situation since I wasn't there, but in general it is sometimes necessary to sedate a patient for an MRI, often the level of sedation required necessitates intubation...
  2. MunoRN

    Would you take a patient's blood sugar without an "order"?

    MunoRN replied to Nola009's topic in General Nursing

    When a diabetic asks to have their blood sugar checked I do it in typical circumstances, I can't really imagine not doing
  3. MunoRN

    Why can't hospitals do better?

    MunoRN replied to ORNurseCOS's topic in Activism, Healthcare

    In every hospital I've worked at, by far the most common complaint is that the food is too healthy, and lack of salt is probably a close second. Hospitalizing patients is extremely expensive,...
  4. MunoRN

    Ventricular Tach -- when to call the doc

    MunoRN replied to StJohnRiver's topic in Cardiac

    In general treat the patient's response and their potential response to a rhythm, not the rhythm. The number of beats that require a call to the Doc isn't a set number. Different care settings,...
  5. MunoRN

    IV pushes

    MunoRN replied to #NurseB's topic in Patient Medications

    Any
  6. MunoRN

    IV pushes

    MunoRN replied to #NurseB's topic in Patient Medications

    Comparing equivalent dosing the patient's pain was not as well controlled using either fentanyl or
  7. MunoRN

    IV pushes

    MunoRN replied to #NurseB's topic in Patient Medications

    I can't find anything that says that. What I can find are along these lines: PAIN MANAGEMENT IN CANCER
  8. MunoRN

    Can an employer ask you what medications you are taking?

    MunoRN replied to blah_blah_blah's topic in General Nursing

    You do actually give up at least some of your privacy when taking certain jobs. You retain your right to privacy to anything not related your job, but employers aren't prohibited from requiring...
  9. MunoRN

    Can an employer ask you what medications you are taking?

    MunoRN replied to blah_blah_blah's topic in General Nursing

    Direct care nursing is legally considered to be a "safety sensitive" job, which means employers are well within their rights to inquire what medications you are taking (after a conditional offer of...
  10. MunoRN

    IV pushes

    MunoRN replied to #NurseB's topic in Patient Medications

    It was being managed by our palliative care doctors in conjunction with the palliative care team at the regional major teaching hospital. As far as I know there is no established dose at which...
  11. MunoRN

    IV pushes

    MunoRN replied to #NurseB's topic in Patient Medications

    Yes, that's 400 (four hundred) milligrams (not mls). The patient had developed a high tolerance of opiates due to chronic, high dose pain medication use over a long period of time, the patient then...
  12. MunoRN

    Justify this nursing diagnosis

    MunoRN replied to malenurse69's topic in General Nursing

    You'll be relieved to know that "disturbed energy field" is being removed from 2015 NANDA version, although I don't think that really relieves the collective embarrassment that should come from this...
  13. MunoRN

    PICC LINES

    MunoRN replied to Birdy2's topic in Patient Safety Issues

    Placing additional IV access carries risks and therefore shouldn't be something we do without any good reason. We actually know quite a bit about the characteristics of incompatibilities and have a...
  14. MunoRN

    Starting a second IV piggyback

    MunoRN replied to girlinred's topic in Patient Medications

    Why are you thinking you would need to use a new secondary tubing for a different antibiotic? Why would you need to use a different secondary tubing but not a different primary
  15. MunoRN

    Refused admission

    MunoRN replied to savoytruffle's topic in Geriatric, LTC

    It's probably for the best that the patient doesn't go back that SNF anyway since they don't seem to have a very good understanding of dementia patients. I'd be amazed if a dementia patient didn't...
  16. MunoRN

    IV pushes

    MunoRN replied to #NurseB's topic in Patient Medications

    I typically use a "carrier" line for those that need frequent IV pushes, which is often most ICU patients. We usually run a line at 25ml/hr and use the distal and mid ports on the line to run pushes...
  17. MunoRN

    Intubation - confused about orders

    MunoRN replied to RNexplorer's topic in Critical Care

    I'm not totally clear on why the patient is being intubated either, although there is supposedly a trend of going away from using non-invasive positive pressure ventilation (ie BiPAP) for rescue...
  18. MunoRN

    How do you manage Cerebrogenic tachycardia in you unit?

    MunoRN replied to salvadorgalvanjr's topic in Critical Care

    In my experience it's highly variable. There's the "don't treat sinus tach" rule, although at some point the Docs will usually give in and decide to treat it directly, but usually the first goal is...
  19. MunoRN

    I wish they had to stay and watch the chaos

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

    I don't agree that the Doc's are in the wrong by discharging patients. While they might be writing the orders "in one swoop", you should have a pretty good idea of who's got the potential for...
  20. MunoRN

    the worst intubation

    MunoRN replied to Fruit Sucker's topic in General Nursing

    There's nothing pretty about any intubation. Unfortunately there are many times where it's not safe to give the patient any sort of paralytic or sedation. Keep in mind that using a paralytic for...
  21. MunoRN

    Is it legal to have RN's use full name on badge?

    MunoRN replied to nitrorocket's topic in HIPAA Challenges

    We're "abused" because we follow the basic ethical premise that we should be accountable for our practice rather than being immune from any sort of oversight through anonymity? It's a pretty basic...
  22. MunoRN

    Is it legal to have RN's use full name on badge?

    MunoRN replied to nitrorocket's topic in HIPAA Challenges

    Patients actually have a legal right to the full name you are licensed under, that's a requirement of the license. We are a publicly licensed profession, and the ability for patients to review our...
  23. MunoRN

    giving meds late when it's not in pixis

    MunoRN replied to Birdy2's topic in Patient Medications

    The suggestion that you should give a false reason for an inability to give a med on time, to hide the fact that the pharmacy staff are overburdened, and that you're somehow helping out pharmacy staff...
  24. MunoRN

    The "increase minimum wage" issue.

    MunoRN replied to shermrn's topic in Collective Bargaining, Union

    While you might pay 40% of your income in another country in taxes, only a portion of that is for healthcare. Overall we pay more than twice as much per person for healthcare as those in other...
  25. MunoRN

    Safely administering medications for coworkers violating hipaa if we're not asssigned pt ?

    MunoRN replied to Cynnie24's topic in HIPAA Challenges

    HIPAA doesn't actually limit you to accessing information on only the patients assigned to you, HIPAA specifically allows access to any information related to care we are providing, whether it be to...