MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Ethical Dilemma...Shingles :(

    MunoRN replied to pnut520's topic in Nursing Professionalism

    Based on the CDC's recommendations, you likely wouldn't be restricted during your classroom period, but the CDC recommends that Occupational Health and/or Infection Control be aware of your VCV...
  2. MunoRN

    Obamacare and hospitals

    MunoRN replied to mee9mee9's topic in Activism, Healthcare

    So how would that work? Should insurers/medicare give the patient cash for their diagnosis rather than paying the facility/providers directly? I think most people agree that they would prefer to...
  3. MunoRN

    Obamacare and hospitals

    MunoRN replied to mee9mee9's topic in Activism, Healthcare

    So you're saying that even though taking a medicare-run plan and having it instead run by a for-profit insurers increases the cost of that plan 12%, it's not due to the for-profit insurer? It would...
  4. MunoRN

    Obamacare and hospitals

    MunoRN replied to mee9mee9's topic in Activism, Healthcare

    There could well be a long list of reasons why it costs more for us to use for-profit insurers, but in the end the fact still remains that it costs us more. Are you saying you're not opposed to...
  5. MunoRN

    Initialing MARs with no prescription and no access to doctor

    MunoRN replied to SusanKayBergman's topic in Patient Medications

    In my state confirming the identity of meds is not outside the scope of RN's and we do so regularly during the medication reconciliation process. What we can't do is to relabel medications that don't...
  6. MunoRN

    PICC line blood draw

    MunoRN replied to greyL's topic in General Nursing

    The INS recommendation for general blood draws from a PICC or CL is to waste 1.5 to 2x the lumen volume, or about 3ml for a typical power lumen. Bard's recommendation is higher at
  7. MunoRN

    Obamacare and hospitals

    MunoRN replied to mee9mee9's topic in Activism, Healthcare

    We have been overpaying, based on the insurance industries own complaints that they just can't do what regular medicare does for the same price.
  8. MunoRN

    Obamacare and hospitals

    MunoRN replied to mee9mee9's topic in Activism, Healthcare

    Exactly, medicare advantage, which is just medicare benefits managed by a private company instead of the government, costs more than government run plans and exist on the back of taxpayers, so why...
  9. MunoRN

    Obamacare and hospitals

    MunoRN replied to mee9mee9's topic in Activism, Healthcare

    I've yet to see an article you've provided that says medicare is less efficient. You provided one article, from AHIP, that didn't even say that. It sort of implied it, but if you actually look at...
  10. MunoRN

    HIPAA violation

    MunoRN replied to joe007's topic in HIPAA Challenges

    That's actually not necessarily a HIPAA violation. HIPAA acknowledges that incidental exposures occur and that avoiding them are not always practical, although they should be avoided whenever...
  11. MunoRN

    Obamacare and hospitals

    MunoRN replied to mee9mee9's topic in Activism, Healthcare

    Actually nearly everyone will use medicare at some point. Of the total amount we pay for healthcare, $2.8 trillion, about $572 billion of that is what we pay to medicare to cover us all in our later...
  12. MunoRN

    Obamacare and hospitals

    MunoRN replied to mee9mee9's topic in Activism, Healthcare

    I don't understand why you think it wouldn't be more sustainable to pay less for the same service. Both medicare and private insurers perform the same basic function; they pool revenue and pay...
  13. MunoRN

    How has Obamacare affected you and your employer?

    MunoRN replied to ProgressiveThinking's topic in Activism, Healthcare

    Insurance premiums have actually been rising every year long before the ACA. If she gets no assistance in buying insurance then she makes at least $50k a year with one kid, $70k if she has two which...
  14. MunoRN

    IV catheter changes..

    MunoRN replied to RNnewbie2014's topic in General Nursing

    We no longer limit field starts to 24 hours, the same rotate-based-on-assessment rule applies. The 24 hour rule was based on research from the early 80's, mostly at a single facility, which found a...
  15. MunoRN

    Obamacare and hospitals

    MunoRN replied to mee9mee9's topic in Activism, Healthcare

    I don't really get the conservative's take on "the video" even if they are correct about the context. If it's such a partisan democrat bill, why would democrats need to be 'tricked' into voting for...
  16. MunoRN

    mechanical ventilation q

    MunoRN replied to Fruit Sucker's topic in Nursing Student Assistance

    It's basically the same thing, breath stacking is a physical action that contributes to auto-peep. The two terms are often used
  17. MunoRN

    "I need to eat, I'm a diabetic!"

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

    There are some patients where I agree, they don't need to be eating right now and there is nothing wrong with telling them they need to wait. The problem is that for many diabetics it's not only low...
  18. MunoRN

    "I need to eat, I'm a diabetic!"

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

    There are certainly times when a patient doesn't actually have to eat, but for many diabetics it is actually true that they may need to eat even though their blood glucose is over 200 due to regular...
  19. MunoRN

    How has Obamacare affected you and your employer?

    MunoRN replied to ProgressiveThinking's topic in Activism, Healthcare

    Health insurance premiums have been steadily rising since long before the ACA. Your increase of about 5% per year is actually lower than the baseline of insurance premium inflation prior to the
  20. MunoRN

    IV catheter changes..

    MunoRN replied to RNnewbie2014's topic in General Nursing

    Even though he's giving you bad information, even that it is a valuable learning experience for you; keep up to date on the evidence and recommendations, understand them, and never consider anything...
  21. MunoRN

    cam walker and c diff

    MunoRN replied to Cls62011's topic in General Nursing

    Why not just use bleach
  22. MunoRN

    How has Obamacare affected you and your employer?

    MunoRN replied to ProgressiveThinking's topic in Activism, Healthcare

    Medicaid is already a state run program, and the various systems for getting these folks jobs, job training, etc is already managed at local community
  23. MunoRN

    How has Obamacare affected you and your employer?

    MunoRN replied to ProgressiveThinking's topic in Activism, Healthcare

    These are people who by definition don't have $900 to pay, so what would you suggest we do about these people who simply don't have and won't have the
  24. MunoRN

    How has Obamacare affected you and your employer?

    MunoRN replied to ProgressiveThinking's topic in Activism, Healthcare

    Its actually less than a thousand pages, it's about as long as two harry potter
  25. MunoRN

    How has Obamacare affected you and your employer?

    MunoRN replied to ProgressiveThinking's topic in Activism, Healthcare

    Medicaid does actually have cost sharing, if they fall below that income then they make somewhere less than about $20,000 (assuming they are a family of 4). I can't say I'm all that jealous of a...