MunoRN RN

Critical Care

Member
  • Content

    8,058
  • Visitors

    94,710
  • Followers

    9
  • Likes

    7,525

All Content by MunoRN

  1. The AHA recommends the wrist as the first alternative to the upper arm, thigh measurements are only recommended if the bother upper and forearms cannot be used since the thigh is the least accurate of...
  2. MunoRN

    Question on reacting to tachycardic afib

    Did you mean > 0.5
  3. This is the CDC recommendation: In patients not receiving blood, blood products or fat emulsions, replace administration sets that are continuously used, including secondary sets and add-on devices,...
  4. The CDC recommendations for gowning/gloving for contact isolation doesn't include visitors, only for healthcare staff or others who are going from one patient to the next. For other types of...
  5. MunoRN

    Hospital Wide SCD patient education

    I find this can happen when something like SCD's are ordered for patients where it's not actually indicated. Does your facility limit use to patients where SCD's are truly indicated, or does it try...
  6. There aren't state based policies on this. Many places do not change tubing q24 just because it's been disconnected because there is no evidence to support this practice and the related evidence...
  7. MunoRN

    Fluid bolus by gravity or pump?

    I personally find pumps to be quicker overall given the inconsistencies of other methods. If the fluid bolus is all I have to do, then using a pressure bag, pumper tubing, or just hand squeezing the...
  8. MunoRN

    prn med help

    Why 4
  9. MunoRN

    Question on reacting to tachycardic afib

    Sorry to go off topic but this an important distinction. It's not actually "practicing medicine w/o a license" for a nurse to determine that a medication is unsafe to give and to then not give it,...
  10. MunoRN

    Voluntary Euthanasia

    Deaths can't always be avoided, they are actually an unavoidable part of life. The deaths we cause still have intent; we know we're going to kill a lot of people, we just don't know who specifically....
  11. MunoRN

    IV tubing port selection for Y-site

    You need to keep in mind the number of mls between where that infusion connects to the patient, and the rate of the "carrier fluid" vs the rate of the y-sited fluid, and the effect of rate changes in...
  12. MunoRN

    Voluntary Euthanasia

    Sure they do. You're suggesting it's better for someone to kill themselves in a way that may involve more suffering? Do they deserve to
  13. MunoRN

    Voluntary Euthanasia

    How is unintentional killing when the patient doesn't want to die better than intentional killing when that's what the patient wants? At least with intentional killing we aren't killing someone...
  14. MunoRN

    Voluntary Euthanasia

    Medical errors kill hundreds of thousands each year in the US ? RT
  15. MunoRN

    Voluntary Euthanasia

    I have to call BS on the rationale that it's morally wrong for us take actions that cause a patient death since we do that all the time. Depending on the estimate you look at, we kill between 200,000...
  16. MunoRN

    Biox vs. Pulse ox vs. whatever else?!

    I've never heard of Biox either. We do have a habit of substituting brand names for actual names, I worked on a unit once where each room had an automatic BP machine made by "Omron", some of the...
  17. Are you in the
  18. MunoRN

    Obamacare and hospitals

    The average amount someone is paying for an Obamacare plan is $81/month, which is one reason why there are fewer uninsured people now compared to before Obamacare. Even more important to hospitals is...
  19. MunoRN

    What kind of shift report was that?

    Personally I don't really care. Every patient is going to need things done, that's why they are in the hospital with round-the-clock care. At least they already paged the Doc, and none of those...
  20. HIPAA actually specifically allows you to confirm that someone is a patient there when asked, unless the patient has requested "do not announce" (DNA) status or if the patient is made DNA status by...
  21. MunoRN

    Holistic vs Department specific

    This is a good example of why it's so ridiculous to refer to "holistic" nursing as a specialty, it does a huge disservice to nursing in general and displays a poor understanding of what the word...
  22. MunoRN

    Sepsis as Hospice Diagnosis

    The overall mortality rate for sepsis is about 40%, higher than for most types of cancer. If "early sepsis" is excluded the mortality rate is well over half. For those who chose to forgo treatment,...
  23. MunoRN

    A question of ethics

    Usually the safest way to deal with this, other than politely declining, is for the patient to write a letter of reference which can then act as their recommendation. Normally I would just avoid this...
  24. I had been working 12 hour nights for years when I started at a new hospital and took a full time 8-hour night position. It was absolutely nothing like a 12 hour night schedule and I found it...
  25. MunoRN

    Could this be construed as "abuse"?

    Of course you can still do your job without vitals. The whole point of nursing is to take into account the patient's goals and what they want (and don't want) done. They absolutely do not "have to...