MunoRN RN

Critical Care

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All Content by MunoRN

  1. As I've pointed out before, her one reading of a fever shouldn't have been sufficient to initiate an involuntary quarantine and in general I don't think a governor or non-health department entity...
  2. A fever early in a viral infection isn't always due to bloodborne viral
  3. Actually I continue to check it to make sure it continues to read what I hope it reads. I don't just take two conflicting readings and take the one that I
  4. Testing negative at that stage doesn't actually confirm someone is ebola
  5. I'm by no means saying that was appropriate, I'm saying there was no proof that she did not have ebola and there was an indicator that further monitoring was required, which is the same thing the CDC...
  6. The CDC actually has published guidelines on the use of different types of thermometers for screening, and backs the use of infrared "forehead scanner" thermometers and refers to them as being...
  7. Actually that puts her into the symptomatic category. It's not unusual for someone with a viral infection, particularly in the early stages to have a labile temperature which is why generally...
  8. For some reason this topic seems to bring about unjustified absolutism at both ends of the spectrum. There isn't evidence to confirm that asymptomatic individuals can or have transmitted ebola, there...
  9. MunoRN

    Trach dislodged

    The rule with all the trach's I've worked with is that they need to have their trach type and size posted at the head of the bed with an obturator and spare inner cannulas ready to go, a trach box...
  10. MunoRN

    heart code CPR

    It's the same CPR as done in the non-computerized class, the only difference is the computer is better at detecting bad
  11. MunoRN

    heart code CPR

    As far as I know, "HeartCode" is an online form of the regular CPR class and the method of CPR used in the class isn't any different from that taught in the in-person
  12. There is absolutely nothing wrong with charting "MD aware per report of Sally RN". It's also incorrect to claim RN's never chart something we didn't personally do, we chart things we didn't...
  13. I guess I'm still not getting the argument, should her initial fever have been ignored? It would be nice if there was some way to rule out ebola in it's early stages, but there isn't. She was found...
  14. The medical screening, which applied to everyone with her recent exposure background, occurred at the end of the customs process, which can be lengthy, and occurred about 4 hours after the wheels of...
  15. Has she actually remained afebrile? I thought that's what triggered this whole thing. What does it matter that she's had two negative
  16. MunoRN

    Support Kaci Hickox

    I support the argument Kaci Hickox failed to make. I keep hearing how she helped educate people about the EBP behind Ebola prevention, although I can't find any examples of where she did, and the...
  17. MunoRN

    Fluid bolus by gravity or pump?

    It's important to remember that the fluid flow physics that come into play are not limited to the catheter itself, since the pressures and resistance that the catheter is out-flowing into also must be...
  18. MunoRN

    PA catheter help/question

    I actually can't ever remember having to change the pressure tubing on a Swan because I rarely if ever see them left in that long. On pressure lines that we do change we usually have a three way at...
  19. MunoRN

    No briefs?! Is this an ICU thing?

    This has been a trend for many years in pretty much every setting. The use of briefs is usually only recommended while ambulating or other situations where an underpad can't be utilized. The general...
  20. It's important to remember when someone is tested for ebola and the result is negative, it doesn't mean they don't have ebola, it just means they haven't tested positive, which is very different from...
  21. Nursing job descriptions typically leave the duties of the job open ended, including language such "and other duties as assigned", so usually yes, they can add whatever other duties they want to, and...
  22. MunoRN

    Support Kaci Hickox

    Tests for detecting ebola antibodies dont' typically turn positive until after the 21 day incubation period since it's not until the incubation period is over that your body begins a counterattack...
  23. MunoRN

    Are handguns allowed at work?

    Unless you're talking about another MS law, the requirement that a sign be posted within 10 feet from entrances is for public buildings (courthouses, schools, etc) not private property. Private...
  24. MunoRN

    Obamacare and hospitals

    Increased competition to reduce costs is a basic premise of conservative reform stances. This is the intended result of that competition; plans weed out providers that charge too much, this is how...
  25. MunoRN

    Incompatible drips

    That's one of the main reasons you have different