MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Would you ever ask another nurse to give your pt a suppository?

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

    I wouldn't have any problem with it and don't find this to be all that unusual. Assuming both nurses are right handed, it's far easier for the nurse on the patient's right to place the suppository,...
  2. MunoRN

    IV catheter changes..

    MunoRN replied to RNnewbie2014's topic in General Nursing

    That used to be the recommendation but not any more. The current recommendation is to change sites based on assessment of the site, not on any time
  3. MunoRN

    PICC line blood draw

    MunoRN replied to greyL's topic in General Nursing

    Why on earth would you waste 20 cc of the patient's
  4. MunoRN

    Obamacare and hospitals

    MunoRN replied to mee9mee9's topic in Activism, Healthcare

    If you were to intentionally compare apples to oranges in the individual market then you can come with all sorts of numbers that are as misleading as you want (speaking of selling something based on...
  5. MunoRN

    4-way Stopcock for Central line blood draws?

    MunoRN replied to sKris's topic in Patient Safety Issues

    The main purpose of putting a 4-way in-line (two consecutive 3-way stopcocks) is for having a way of returning the waste in a blood draw without disconnecting the waste syringe. You use it basically...
  6. MunoRN

    Auditing nursing documentation

    MunoRN replied to GapRN's topic in Home Health

    Sadly I've heard a number of new grads recently tell me that the nursing process is Situation, Background, Assessment, and Recommendation. SBAR has it's place as a format for communicating a single...
  7. MunoRN

    ICU especially hard on back?

    MunoRN replied to Subclavian Steel's topic in Critical Care

    Between the floors, ER, and ICU I've found ICU to be the hardest on my back. And while ceiling lifts are great, they can't always be used, such as when turing a patient to clean them or change the...
  8. MunoRN

    drip volume always constant

    MunoRN replied to combinate's topic in Nursing Student Assistance

    By definition the rate of a gravity infusion controlled by drip rate will always change over the course of the infusion since the drip rate is the balance of upstream pressure vs downstream...
  9. MunoRN

    Transporting patients with Chest Tubes

    MunoRN replied to SJC1995's topic in General Nursing

    I've never been somewhere that required a nurse go with the patient everywhere just because they have a chest tube, to be honest that doesn't really make a lot of
  10. MunoRN

    PICC line flushing question

    MunoRN replied to newgraduategal's topic in General Nursing

    INS standards, and others, are brought into a court of law as evidence of practice recommendations, not as definitions of a legal standard of care. It is confusing since we call practice...
  11. MunoRN

    Obamacare and hospitals

    MunoRN replied to mee9mee9's topic in Activism, Healthcare

    I take it you're referring mainly to this post: Which still leaves the same questions: We already have a system where your own money, either from your ACA or regular bank account, pays for costs up...
  12. MunoRN

    Obamacare and hospitals

    MunoRN replied to mee9mee9's topic in Activism, Healthcare

    Except for preventive care, consumers already pay for services with their own money/HSA funds, up until their yearly costs exceeds a manageable amount, at which point insurance kicks in. The amount...
  13. MunoRN

    Obamacare and hospitals

    MunoRN replied to mee9mee9's topic in Activism, Healthcare

    ​Millions paying less than $100 per month for Obamacare - CBS News (I was wrong, it's $82/month). Actually even if leave out people who are newly enrolled in medicaid the number of uninsured still...
  14. MunoRN

    Obamacare and hospitals

    MunoRN replied to mee9mee9's topic in Activism, Healthcare

    I would think the US is pretty comparable to the US. We already have our own single payer system so you don't have to look that far. All of the current initiatives to entice better quality and value...
  15. MunoRN

    Obamacare and hospitals

    MunoRN replied to mee9mee9's topic in Activism, Healthcare

    We've never gone "around and around" on that before because you've never answered how what you're suggesting differs from how it already works. The purpose of insurance currently is to cover "big...
  16. MunoRN

    Warfarin and Lovenox

    MunoRN replied to PsychNurse42's topic in Patient Medications

    It's not unusual to "bridge" patients onto coumadin using lovenox since it reaches therapeutic levels immediately and doesn't require ongoing monitoring. The coumadin will usually take a few days or...
  17. MunoRN

    Incompatible drips

    MunoRN replied to cablefree's topic in MICU, SICU

    The formation of precipitate is one of a few problems caused by incompatibilities. Precipitate is just one effect of a physical incompatibility, there are also chemical and therapeutic...
  18. MunoRN

    PICC line flushing question

    MunoRN replied to newgraduategal's topic in General Nursing

    It's not actually a legal standard of care. We confuse these definitions by using the term "standard of care" for things we'd like to be a standard of care (practice recommendations, etc), but that...
  19. MunoRN

    Obamacare and hospitals

    MunoRN replied to mee9mee9's topic in Activism, Healthcare

    Actually the promise was that the average family would save $2500/year under Obamacare, and actually the average family saves closer to $7,000/year with an Obamacare plan. There are no death panels....
  20. MunoRN

    Obamacare and hospitals

    MunoRN replied to mee9mee9's topic in Activism, Healthcare

    So instead of people using insurance everyone would pay all their costs out of pocket? How would that work given the highly variable costs of healthcare? I don't know too many people who can afford...
  21. MunoRN

    Patient's rights dilemma

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

    EMTALA starts in the ER (usually) but actually continues throughout their hospitalization and even to a transfer to a SNF or ECF if the patient requires ongoing continuous care to avoid an imminent...
  22. MunoRN

    Ebola Nursing Survey: to Quarantine or Not to Quarantine

    MunoRN replied to tnbutterfly - Mary's topic in Disaster Preparation

    EBOV was detected initially in 2 of the 3 patients it studied, one of the three did not have a positive EBOV PCR at the day 7 test. This even combined with any other data we have available certainly...
  23. MunoRN

    charting MD aware when you were not the one responsible to call MD as per facility policy

    MunoRN replied to Yoyo1313's topic in Long Term Acute Care

    That's why you would include the qualifier (per report of Sally RN) that you don't have first hand knowledge of the conversation, you're only documenting what another RN reported to you. Same idea as...
  24. MunoRN

    Ebola Nursing Survey: to Quarantine or Not to Quarantine

    MunoRN replied to tnbutterfly - Mary's topic in Disaster Preparation

    Circulating cytokines, a common cause of fever, have been found to exist in asymptomatic carriers of ebola, which one study described as finding "high circulatory levels of proinflammatory cytokines"...
  25. MunoRN

    Ebola Nursing Survey: to Quarantine or Not to Quarantine

    MunoRN replied to tnbutterfly - Mary's topic in Disaster Preparation

    During the incubation period the ebola virus exists almost completely within liver and spleen tissue and typically does not enter the bloodstream. Both the liver and spleen are fully capable of...