MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Fake call outs irritate me

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

    I think my main problem with fake call outs is that you're taking advantage of other nurses. It is possible for management to create a situation where people can just come to work when they feel like...
  2. 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

    They aren't talking about increasing the nursing workforce by 1.1 million, they're talking about just replacing the 1.1 million nurses we'll be short compared to now by 2022. Those aren't numbers the...
  3. MunoRN

    I. Just. Can't....

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

    We make them a DNR due to medical futility. Resuscitation is a medical intervention, and just like all other medical interventions the patient cannot simply chose an intervention that the Physician...
  4. MunoRN

    I. Just. Can't....

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

    The legal obligation of the POA is to communicate what they believe the patient's wishes to be, and to ensure that any wishes the patient has already clearly expressed are being honored, they don't...
  5. MunoRN

    What is your policy of telling the family the pt's disease progress

    MunoRN replied to neurontin's topic in CCU, Coronary, Cardiac

    Back to the OP's question, I've never worked anywhere that had a specific policy on this since it's usually covered in states' nurse practice acts, which typically define that it is the nurse's...
  6. MunoRN

    What is your policy of telling the family the pt's disease progress

    MunoRN replied to neurontin's topic in CCU, Coronary, Cardiac

    If the official decision makers, the parents, want to include those three in the decision making process, then why would information be withheld from
  7. MunoRN

    Does 12 hr shifter work less than 8 hr shifter?

    MunoRN replied to sourapril's topic in General Nursing

    If you're referring to three 12's per week vs five 8's per week, then yes, the person working 12 hour shifts works fewer hours per year assuming similar missed break and excess of shift times. (36...
  8. MunoRN

    What is your policy of telling the family the pt's disease progress

    MunoRN replied to neurontin's topic in CCU, Coronary, Cardiac

    It sounds like the patient was transferred based on the wishes of the three family members with medical backgrounds, so it would seem the parents were deferring at least some decision making...
  9. MunoRN

    What is your policy of telling the family the pt's disease progress

    MunoRN replied to neurontin's topic in CCU, Coronary, Cardiac

    Who was the decision
  10. MunoRN

    What is your policy of telling the family the pt's disease progress

    MunoRN replied to neurontin's topic in CCU, Coronary, Cardiac

    Were any of these family members the decision maker for the
  11. MunoRN

    "Taking a verbal" = writing your own orders?!

    MunoRN replied to delphine22's topic in MICU, SICU

    It is actually different in critical care, and no, it's not illegal. Like many here, I was skeptical that it was really legally acceptable to act first when necessary, and discuss with the MD later,...
  12. MunoRN

    What is your policy of telling the family the pt's disease progress

    MunoRN replied to neurontin's topic in CCU, Coronary, Cardiac

    Was the patient able to make their own
  13. MunoRN

    Bed alarms

    MunoRN replied to katie2002's topic in Patient Safety Issues

    There are many studies on the relationship between bed alarm use and falls, and they don't show that bed alarms do anything to reduce falls. Basically all they do is alert you to the fact that your...
  14. MunoRN

    sedation

    MunoRN replied to jacsbein's topic in MICU, SICU

    Precedex is probably better described as an alternative to sedation, as it's purpose is to give something that can keep patients calm that can continue through extubation rather than have to be weaned...
  15. MunoRN

    Pt having a "friend" over for "special nursing care"

    MunoRN replied to delphine22's topic in Patient, Colleague Relations

    Not really, no. It's actually illegal for most hospitals to discharge someone because they refuse to comply with the recommended treatment, unless they have refused every single last assessment or...
  16. MunoRN

    Requiring a BSN degree for an ADN scope of practice

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

    We found a few barriers to making BSN the entry to practice, and surprisingly one of them was BSN programs. As has been pointed out, what would make the most sense would be to just turn ADN programs...
  17. MunoRN

    Pt having a "friend" over for "special nursing care"

    MunoRN replied to delphine22's topic in Patient, Colleague Relations

    This seems to be a control issue for some nurses. I've had patients who are hospitalized for long periods of time and I see nothing inappropriate about them wanting to enjoy some intimacy with their...
  18. MunoRN

    Pt having a "friend" over for "special nursing care"

    MunoRN replied to delphine22's topic in Patient, Colleague Relations

    There's actually surprisingly little artifact, unlike when a patient goes on a solo mission, which looks more like 'toothbrush'
  19. MunoRN

    Pt having a "friend" over for "special nursing care"

    MunoRN replied to delphine22's topic in Patient, Colleague Relations

    I have actually had doctors orders for conjugal visits and it is part of the patient's plan of care for that day. There are times where it's not appropriate, although there are many times where it...
  20. MunoRN

    Pt having a "friend" over for "special nursing care"

    MunoRN replied to delphine22's topic in Patient, Colleague Relations

    That's actually a good measure of what level typically private behavior is 'appropriate' for a particular person in a particular place. If someone set down a commode in the emergency stairwell, or...
  21. MunoRN

    Requiring a BSN degree for an ADN scope of practice

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

    There is certainly value to ongoing education and even just review, and if time wasn't a finite commodity then there wouldn't as much of a reason to use that available time wisely. What I still don't...
  22. MunoRN

    Do you think ADN programs will really be phased out?

    MunoRN replied to Nursetobe25's topic in Diploma, ADN, BSN

    These aren't actually retracted studies, and the peer review process has done a pretty bad job of limiting this. Like all studies, these are still useful so long as one understands what a study...
  23. MunoRN

    Requiring a BSN degree for an ADN scope of practice

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

    It's quite possible that is true, RN-BSN programs are typically designed for those who graduated from an older, more out-of-date ADN or diploma program, those who graduated recently are going to find...
  24. MunoRN

    Taking pictures on nurses without permission

    MunoRN replied to ninjago's topic in HIPAA Challenges

    Videotaping discharge instructions is actually highly recommended and has been shown to cut readmission rates by 15% as well as patient harm and death after discharge. It may make you feel...
  25. MunoRN

    Requiring a BSN degree for an ADN scope of practice

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

    You're making a bit of a strawman argument. I don't think there's a general belief that education is bad on that side of the argument, the question is if that's the best way to do it and the best use...