MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    CPAP on the unit

    MunoRN replied to canoehead's topic in General Nursing

    The masks are interchangeable aren't specific to a particular machine. Hospitals can bill when using hospital provided CPAP, they can't bill for equipment the patient owns. A patient using their own...
  2. MunoRN

    Nurses being forced to go back to school

    MunoRN replied to hrtnsoul's topic in Diploma, ADN, BSN

    What research are you referring
  3. MunoRN

    Nurses being forced to go back to school

    MunoRN replied to hrtnsoul's topic in Diploma, ADN, BSN

    You seemed to suggest a
  4. MunoRN

    Difference between apical pulse and pulse monitored on display

    MunoRN replied to redeyelpn's topic in Cardiac

    Keep in mind that "pulse" and "heart rate" are actually two different things. On a cardiac monitor, heart rate refers to the ventricular rate based on the number of conduction impulses per minute...
  5. MunoRN

    Nurses being forced to go back to school

    MunoRN replied to hrtnsoul's topic in Diploma, ADN, BSN

    That study shows current ADN grads are significantly less likely to understand or use
  6. MunoRN

    I. Just. Can't....

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

    There are various consensus statements to refer to, all agree the same basic premise; agreement between the Physican and patient/family should be sought through various means but if those fail then in...
  7. MunoRN

    I. Just. Can't....

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

    The less long-winded explanation: The generally accepted standard for ending CPR is when the possibility for reversing the cause of the arrest no longer exists; when all potential for reversing the...
  8. MunoRN

    MI post heparin drip

    MunoRN replied to RNbubu's topic in Cardiac

    Are you sure it was a STEMI and not an NSTEMI? Could it have been that the cardiologist believed he was having an MI but it was due to demand ischemia secondary to the PE? Had he been bridged to a...
  9. MunoRN

    4 steps of the nursing process?

    MunoRN replied to KStudentNurse70's topic in Nursing Student Assistance

    I have actually heard arguments recently that the nursing process is now only 4 steps, those steps being S-B-A-R. I've pointed out that SBAR isn't the nursing process, which was then argued that if...
  10. MunoRN

    I. Just. Can't....

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

    I think you're thinking of the NY law which is one of the more restrictive state laws governing medical futility declarations, although it doesn't actually go so far as to completely outlaw the...
  11. MunoRN

    I. Just. Can't....

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

    I don't actually see anything in the Medline article that states a Physician is legally barred from declaring medical futility, I think you may be misinterpreting some of the statements. There are...
  12. MunoRN

    Throwing out pillows!? Does anyone else do this!?

    MunoRN replied to paramedic-RN's topic in Patient, Colleague Relations

    You mean you use brand new, just out of the box pillows? How do you tell the brand new, never used ones from the other
  13. MunoRN

    MI post heparin drip

    MunoRN replied to RNbubu's topic in Cardiac

    It's actually not at all unusual for a patient to go the cath lab with heparin running, or integrillin or bivalarudin, so I doubt that is why they chose not to take the patient to the cath lab, I...
  14. MunoRN

    IV Infusion/ question

    MunoRN replied to stervets's topic in Patient Medications

    If you're not using a primary/secondary setup to prime and flush the bag, you're leaving about 10-13 ml in the tubing (not counting what gets lost with priming). Not a huge deal in a 250ml bag, but...
  15. MunoRN

    first nursing job offer but no benefits?

    MunoRN replied to loveteenamarie's topic in First Year After Licensure

    As far as the malpractice insurance goes I've never worked anywhere that included that, it's always been the employee's responsibility, and no employer protects your license for you, that's always the...
  16. MunoRN

    ANA petitions Feds (educ. funding) for 1.1 million more RN's within 8 yrs.

    MunoRN replied to Guttercat's topic in Activism, Healthcare

    7 to 10 applicants for open positions hardly suggests a 'glut'. About once a year I post for waitstaff or cooks and typically get 100+ applications. Fewer than 10 applications for a job as prevalent...
  17. MunoRN

    first nursing job offer but no benefits?

    MunoRN replied to loveteenamarie's topic in First Year After Licensure

    You still basically pay for benefits even when you get them, it's part of your pay. Where I work there's rush to snag jobs such as prn specifically because it has no benefits such as health insurance...
  18. MunoRN

    ANA petitions Feds (educ. funding) for 1.1 million more RN's within 8 yrs.

    MunoRN replied to Guttercat's topic in Activism, Healthcare

    The ANA has numerous state based unions which it refers to as "affiliates" which is a bit misleading since they fall directly under the ANA. At least a few years ago, these combined ANA affiliates...
  19. MunoRN

    I. Just. Can't....

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

    I was referring to occasions where the doctor talking to the families about the medical futility of a code doesn't resolve the situation and medical futility must be declared, which is relatively rare...
  20. MunoRN

    I. Just. Can't....

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

    Patients in every state have the right to chose not have CPR done, even if it an offered treatment. I'm not sure where you got that there was any explanation of state laws in this article. There is...
  21. MunoRN

    I. Just. Can't....

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

    Our ICU typically has about 25 patients, there's probably one patient every few months who we declare medical futility despite family wishes for full code. I've never actually seen a family get upset...
  22. MunoRN

    I. Just. Can't....

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

    I'm not sure what the patient's mental status necessarily has to do with it. We're not talking about taking away someone's decision making rights, we're talking about only having them chose between...
  23. MunoRN

    I. Just. Can't....

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

    That actually seemed pretty straightforward, not all that wishy-washy: Keep in mind we're talking about just a low probability of success in some circumstances, we're talking a probability of zero,...
  24. MunoRN

    I. Just. Can't....

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

    Of course you should attempt to get the patient/family on the same page instead of declaring medical futility. If they agree to the DNR order then that isn't declaring medical futility. Some places...
  25. MunoRN

    I. Just. Can't....

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

    Performing an intervention that has no indication for it's use in that patient is unethical. The reason why we don't just let people chose to have open heart who don't need it is that we don't do...