MunoRN RN

Critical Care

Member

  • Content

    8,058

  • Visitors

    94,710

  • Followers

    9

  • Likes

    7,525

All Content by MunoRN

  1. MunoRN

    How has Obamacare affected you and your employer?

    MunoRN replied to ProgressiveThinking's topic in Activism, Healthcare

    In general there are simpler ways to do this (insurance), but if we're going to use this system the cadillac tax seems pretty reasonable. The cadillac tax is a tax on high cost plans, for family plans...
  2. MunoRN

    Monitoring nurse rounds??

    MunoRN replied to TeneshaO'Neal's topic in Patient, Colleague Relations

    I've used them and personally I'm all for them. I think one of the biggest problems with how nursing workloads are managed is that management has no idea how our time is used and therefore that...
  3. MunoRN

    Medication legal question

    MunoRN replied to lorster's topic in Patient Medications

    It depends on whether or not your clinic is allowed to stock this particular medication. It is legal for nurses to administer medications, which include giving medications kept in-stock that aren't...
  4. MunoRN

    How has Obamacare affected you and your employer?

    MunoRN replied to ProgressiveThinking's topic in Activism, Healthcare

    http://www.nj.com/news/index.ssf/2013/09/obamacare_impact_more_patients_more_health_care_jobs_experts_say.html Lack of prescription coverage has been a well documented cause of non-compliance. More...
  5. MunoRN

    ER nurses not calling report anymore...

    MunoRN replied to plinytheRN's topic in Patient Safety Issues

    Maybe it's because I work a mix of ER, ICU, and the floors but I can't really imagine not talking to the nurse I'm giving a patient to in any of these settings. It's generally considered compulsory...
  6. MunoRN

    Nurses responsibility

    MunoRN replied to trinay30's topic in General Nursing

    From your description it sounds like the problem was CO2 retention (decreasing LOC and ABG's that prompted BIPAP and then intubation). It sounds like the physician was noting that morphine could...
  7. MunoRN

    Voluntary Euthanasia

    MunoRN replied to GARY_FL_NURSE's topic in Activism, Healthcare

    It's not always different just because they are unable to eat. When a patient, or their decision maker' choses to allow an illness to naturally run it's course, an inability to eat is often a direct...
  8. MunoRN

    Voluntary Euthanasia

    MunoRN replied to GARY_FL_NURSE's topic in Activism, Healthcare

    The title of the thread is "voluntary
  9. MunoRN

    Was this a blood transfusion reaction ?

    MunoRN replied to BSNbeauty's topic in General Nursing

    Diarrhea can actually be a symptom of a couple different transfusion reactions, although it's certainly not worth stopping a transfusion due to diarrhea alone. The most concerning reaction that...
  10. MunoRN

    Ebola in Texas

    MunoRN replied to SmilingBluEyes's topic in Disaster Preparation

    Ebola isn't actually "highly contagious", so I'm not sure there's really been any incorrect descriptions of the situation. I think we sometimes confuse modes of transmission with likelihood of...
  11. MunoRN

    Voluntary Euthanasia

    MunoRN replied to GARY_FL_NURSE's topic in Activism, Healthcare

    Secobarbital is typically
  12. MunoRN

    How long for a rhythm to be considered 'sustained'?

    MunoRN replied to nurs1ng's topic in Medical-Surgical

    It's completely dependent on what the rhythm is and how the patient tolerates it. When physician's orders refer to treating a rhythm only when it is "sustained", what they mean by that varies on...
  13. MunoRN

    Sepsis

    MunoRN replied to Anna Flaxis's topic in Emergency

    I'm curious what sort of monitors people are using that aren't capable of CVP
  14. MunoRN

    IV compatibility question

    MunoRN replied to sistrmoon's topic in Patient Medications

    Dilantin is compatible with both NS and
  15. MunoRN

    grandchildren signing consent

    MunoRN replied to ANEESAHM's topic in Patient Safety Issues

    Why was the patient unable to give
  16. MunoRN

    Should ALL patients have bedside suction set up and in working order?

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

    I don't think there's been any argument that patients with indications for having immediately available suction should have suction at the ready. The question is whether or not every single patient,...
  17. MunoRN

    Should ALL patients have bedside suction set up and in working order?

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

    I know it's sort of nursing sacrilege to say this, but I don't think every patient warrants having suction set-up and ready to go. I've had many a patient vomit and be at risk of aspirating their...
  18. MunoRN

    Should ALL patients have bedside suction set up and in working order?

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

    I'd being willing to bet that patient didn't actually die due to lack of
  19. MunoRN

    PICC removal

    MunoRN replied to agldragonRN's topic in General Nursing

    Tegaderm is a semi-permeable dressing that does not actually allow the free-flow of air through it. It allows for osmotic exchange of vapor and gasses across the
  20. MunoRN

    hated by medical director.

    MunoRN replied to gfauker1's topic in Activism, Healthcare

    First off, don't be so quick to assume you actually did screw up. Unless they've been declared otherwise, patients are free to leave AMA. The doctor is free to come and talk to them if the patient...
  21. MunoRN

    Sepsis

    MunoRN replied to Anna Flaxis's topic in Emergency

    Ideally whether or not to start is pressors is based on CVP and BP, so a central line is required not just for pressors but also just to know if you need pressors. Of course the ideal and reality...
  22. MunoRN

    Will the Texas ED RN become a scapegoat in the Ebola patient discharge?

    MunoRN replied to preddish's topic in Patient Safety Issues

    Supposedly it was a system error. The nurse did recognize the patient had recently travelled to Africa and included that in the triage charting. Apparently the problem is that in this ER the nursing...
  23. MunoRN

    Ebola in Texas

    MunoRN replied to SmilingBluEyes's topic in Disaster Preparation

    The transmission of Ebola and HIV aren't exactly the same, Ebola is arguably more easily spread person to person. One difference is the bodily fluids that can contain each. Ebola can be transmitted...
  24. MunoRN

    Nauseous vs Nauseated (another grammar lesson)

    MunoRN replied to Emergent's topic in General Nursing

    Only of the "s" is silent. If you're referring to a book owned by Mr. Adams, for instance, the correct way to write that is Mr. Adams's book, not Mr. Adams' book. Source vary, but according to the...
  25. MunoRN

    Obamacare and hospitals

    MunoRN replied to mee9mee9's topic in Activism, Healthcare

    The ACA was written by the Senate Finance Committee, half of which was made up by Republicans. Most of it's development came out of 31 bipartisan meetings. The bulk of the bill was available to read...