MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Please stop! Little things that are just bad practice.

    MunoRN replied to JBudd's topic in Nursing Professionalism

    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

    MunoRN replied to DatMurse's topic in Cardiac

    Did you mean > 0.5
  3. MunoRN

    Please stop! Little things that are just bad practice.

    MunoRN replied to JBudd's topic in Nursing Professionalism

    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. MunoRN

    Please stop! Little things that are just bad practice.

    MunoRN replied to JBudd's topic in Nursing Professionalism

    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

    MunoRN replied to chylerlove's topic in 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. MunoRN

    Please stop! Little things that are just bad practice.

    MunoRN replied to JBudd's topic in Nursing Professionalism

    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?

    MunoRN replied to delphine22's topic in MICU, SICU

    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

    MunoRN replied to EricaRN2015's topic in Patient Medications

    Why 4
  9. MunoRN

    Question on reacting to tachycardic afib

    MunoRN replied to DatMurse's topic in Cardiac

    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

    MunoRN replied to GARY_FL_NURSE's topic in Activism, Healthcare

    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

    MunoRN replied to DatMurse's topic in General Nursing

    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

    MunoRN replied to GARY_FL_NURSE's topic in Activism, Healthcare

    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

    MunoRN replied to GARY_FL_NURSE's topic in Activism, Healthcare

    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

    MunoRN replied to GARY_FL_NURSE's topic in Activism, Healthcare

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

    Voluntary Euthanasia

    MunoRN replied to GARY_FL_NURSE's topic in Activism, Healthcare

    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?!

    MunoRN replied to AJcardiacRN's topic in General Nursing

    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. MunoRN

    How does your department handle crisis patients?

    MunoRN replied to Loo17's topic in Emergency

    Are you in the
  18. MunoRN

    Obamacare and hospitals

    MunoRN replied to mee9mee9's topic in Activism, Healthcare

    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?

    MunoRN replied to proud nurse's topic in General Nursing

    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. MunoRN

    Answering the phone without accidental patient information release?

    MunoRN replied to IndianaISNurse's topic in HIPAA Challenges

    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

    MunoRN replied to Kcharm06's topic in Holistic

    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

    MunoRN replied to lpoore's topic in Hospice, Palliative

    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

    MunoRN replied to Kris0215's topic in Patient, Colleague Relations

    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. MunoRN

    Help me feel better about this - Full time 8 hour nights

    MunoRN replied to amyshell's topic in General Nursing

    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"?

    MunoRN replied to Pat_Pat RN's topic in Patient Safety Issues

    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...