MunoRN RN

Critical Care

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All Content by MunoRN

  1. All the unions I've been a member of are ANA unions. The ANA has a number of state affiliate unions. The history of ANA
  2. MunoRN

    didnt get consent signed?

    The responsibility of obtaining consent falls to the person performing the procedure, in this case the surgeon. It often falls to nurses to help the surgeon ensure it is complete, but in the end it's...
  3. MunoRN

    Algorithms in theory vs. in practice

    Actually in that case the algorithm says adenosine. Going directly to synchronized cardioversion is only for when you don't know the rhythm in a symptomatic patient, in which case you assume a...
  4. MunoRN

    Sepsis

    There's ongoing controversy about how risky eating is while on vasopressors, but there's at least a portion of the medical community that agrees patients on vasopressors should not be eating anything...
  5. MunoRN

    Co2 in serum= HC02 and Anion gap

    The purpose of treating DKA doesn't really have a whole lot to do with normalizing blood sugars, since that's sort of irrelevant to treating DKA even though it's the primary cause of it. The purpose...
  6. MunoRN

    Co2 in serum= HC02 and Anion gap

    Most of the CO2 in your body exists in HCO3 (bicarbonate), which is why metabolic panels often use the two interchangeably. To find the amount that exists as a gas within the body as partial pressure...
  7. MunoRN

    Obamacare and hospitals

    I've think it's some sort of automated talking point
  8. MunoRN

    A short PICC line ?

    That would be a midline, not a type of PICC since a PICC by definition has a centrally positioned tip. Midlines vary, as do the definitions, but typically any line longer than 3 inches, but with a...
  9. I spent 9 years working at a ski area, usually having to make the drive before the plows have gone through and I've done it with a front wheel drive car, an all wheel drive car, and SUV's. By far the...
  10. MunoRN

    How has Obamacare affected you and your employer?

    I'm not sure how you think that relates to Obamacare, but each reason for admission and clinical course has a typical length of stay associated with it. For a mild AMI a three day stay is actually a...
  11. MunoRN

    How has Obamacare affected you and your employer?

    There is no form of automatic enrollment into any type of plan on the exchanges, you chose your plan from those offered just like before. If your patient went from a HMO plan to a PPO plan due to the...
  12. MunoRN

    How has Obamacare affected you and your employer?

    The ACA doesn't change HMO insurance to a PPO. HMO's are still HMO's after
  13. Did you mean "milk them"? I haven't seen stripping of chest tubes still done anywhere for quite a
  14. There are a few different manufacturers of tattoo cover sleeves, some specifically for healthcare workers (made to coordinate with scrubs). Tat2x and tat jacket are a
  15. MunoRN

    How has Obamacare affected you and your employer?

    The development of the value based purchasing and other elements of the Hitech act started in 2002. The final rules and bill was passed three weeks into Obama's first term. My hospital has been...
  16. MunoRN

    Obamacare and hospitals

    It really sounds like you're arguing Obamacare isn't socialist enough, rather than it being too socialist. Obamacare makes doctors compete on a larger scale, this competition helps offer cheaper...
  17. MunoRN

    Obamacare and hospitals

    Preferred provider networks, where you have to chose an in-network doctor or facility to get full coverage, have actually been around since long before Obamacare. Are you saying the government should...
  18. MunoRN

    Obamacare and hospitals

    This particular CBO report has been a popular one to completely distort. What the CBO report actually said is not that demand for labor will decrease, but that workers demand for hours will decrease,...
  19. MunoRN

    GMO Research...

    There's actually quite of a bit research on GMO's and it's health effects on animals and humans, which overall shows GMO's to be safe. Here's an article that lists much of the research to date that...
  20. I'm all for recognizing those who advocate for healthcare workers, but I don't think 'masturbating fetus' guy is really who we want to tie our wagon
  21. MunoRN

    How has Obamacare affected you and your employer?

    You're referring to the HITECH act and value based purchasing (VBP), not the ACA. Much of what you're referring to was implemented long before Obama took office. Providers who do a bad job...
  22. MunoRN

    We in hospice have a lot of educating to do

    I don't think you can really compare the clinical course of two people with "brain tumors" since "brain tumor" is very non-specific. There are more than 120 different types of brain tumors, and of...
  23. MunoRN

    How has Obamacare affected you and your employer?

    Most of that $3600 paid for healthcare in the UK is paid in the form of taxes. Most of the $8800 paid in the US for healthcare is paid in the form of premiums. No matter what you call it (taxes vs...
  24. MunoRN

    How has Obamacare affected you and your employer?

    The per person cost of all healthcare in the UK is $3,647. In the US it's $8,895. The UK arguably spends lower than they should, but not their issues could easily be alleviated by increasing their...
  25. MunoRN

    How has Obamacare affected you and your employer?

    It's the sam; co-pays and