MunoRN RN

Critical Care

Member

Content

8,058
Visitors

94,710
Followers

9
Likes

7,525

All Content by MunoRN

Do you think ADN programs will really be phased out?

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

This was only a few years ago so I doubt too much as changed in how ADN students view the availability of an ADN route. Ideally we would just 'upgrade' ADN programs to BSN programs, but...
Do you think ADN programs will really be phased out?

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

I hope you don't really believe that. In terms of types of studies, RCT's are considered the gold standard, and there are no RCT's comparing ADN nurses and BSN nurses. Even then, RCT's can be...
Do you think ADN programs will really be phased out?

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

I'm referring to the Aiken and other UPenn and similar studies. There are some good criticisms of these studies but I think it's fair to say that they at least suggest improved outcomes, even though...
Do you think ADN programs will really be phased out?

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

I was part of a workgroup in my state that initially had the intention of moving at least to BSN-in-10 and even BSN as entry to practice. We gathered a significant amount of information on ADN...
Do you think ADN programs will really be phased out?

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

There are many studies that suggest, if not prove, that the ADN/diploma curricula of the 60's, 70's, 80's wasn't up to par, which is why programs responded to these studies by taking on the curriculum...
Do you think ADN programs will really be phased out?

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

As we approach the 50-year anniversary of setting the goal of BSN as entry to practice it should be pointed out that we've never come anywhere close to figuring out how to achieve this. It's one of...
The loss of PCPs from hospital setting

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

As someone who is very fond of my PCP, I get the complaint; I'd prefer to know he's involved in my care if I was hospitalized. As a nurse however I have absolutely no problem with hospitalists taking...
Do you chart lies?

MunoRN replied to RNdynamic's topic in General Nursing

This seems to be a myth, a common myth, but still a myth. Every study I've seen to supposedly support the claim that restraints don't prevent self-extubations doesn't actually support the claim. The...
Taking pictures on nurses without permission

MunoRN replied to ninjago's topic in HIPAA Challenges

What court rulings/precedents are you referring to? Because every one I can find disagrees with what you are
Nurses not prepared for report

MunoRN replied to KatePasa's topic in Medical-Surgical

From the title of your post I assumed you were going to complain about nurses who look patients up first instead of immediately getting report, since that seems to be the most common complaint these...
Taking pictures on nurses without permission

MunoRN replied to ninjago's topic in HIPAA Challenges

Legally speaking you are fair game as a nurse to be photographed, you have no legal expectation of privacy. The patient has an expectation of privacy and the nephew would need his aunts permission to...
Sternal precautions and butt wiping

MunoRN replied to paramedic-RN's topic in CCU, Coronary, Cardiac

We teach to wipe from the front (reach their orifice buy going between their legs, rather than all the way around the back), which goes along with teaching not to pull pants up from the back and not...
RAMP in NJ...Does RAMP violate the ADA if medications are for disabilities?

MunoRN replied to JerseyRN1's topic in New Jersey Nursing

I sympathize with the hassle you've had to go through, but unfortunately as far I know the BON is within it's rights to apply these measures. In general in these types of situations where there is a...
Tikosyn

MunoRN replied to CardiacKittyRN's topic in Cardiac

Yes, that was bad editing on my part, it was supposed to be 'sodium channel blockers and
Do you count tramadol?

MunoRN replied to GLORIAmunchkin72's topic in Patient Medications

Counting at the end of every shift isn't actually required in every state. The DEA requires that every facility/provider have a procedure in place for ensuring the security of controlled substances,...
Do you chart lies?

MunoRN replied to RNdynamic's topic in General Nursing

I'm all for better nurse-patient ratios, but I agree with your theory. The highest rate of delirium occurs in ICU patients, about 70% of patients in an ICU develop delirium, yet we have one or two...
Tikosyn

MunoRN replied to CardiacKittyRN's topic in Cardiac

The intensive monitoring required for tikosyn induction as actually due to earlier generation antiarrhythmics such as sotalol which turned out to be extremely dangerous, which is why today they are...
POA/HIPAA violation

MunoRN replied to Caelynn's topic in HIPAA Challenges

At least in my state being the designated POA doesn't actually get you access to the patient's records. The POA only gets access when your power as POA is activated, which only occurs when the...
POA/HIPAA violation

MunoRN replied to Caelynn's topic in HIPAA Challenges

HIPAA allows for facilities/providers to restrict how you access even your healthcare records to some degree, even though you are legally allowed access to your records. As POA for someone else it's...
Do you chart lies?

MunoRN replied to RNdynamic's topic in General Nursing

There are studies that correlate restraints with worse outcomes, but I'm not aware of any that show restraints cause worse outcomes, those are two very different things. We know that patients with...
Pt's FB pictures of me

MunoRN replied to rse3's topic in HIPAA Challenges

At least in my local paper they aren't paid, you can "upgrade" for a fee. Death notices however are actually public information, regardless of whether or not the family want's that information...
No more 12 hour shifts?

MunoRN replied to UpennRN's topic in General Nursing

There is a contingent of nursing 'leaders' who, for reasons I still don't understand, have been pushing to switch to 8-hour shifts. They've been using really badly done research, much of it so flawed...
Providing Emergency Care to non-patient

MunoRN replied to augustwest's topic in General Nursing

Depending on the specifics their may be requirements, such as if the clinic is on the same property as and affiliated with a CMS participating hospital then EMTALA would apply. The bigger issue for...
Can a patient video tape me?

MunoRN replied to MirwinRN's topic in Activism, Healthcare

For the purposes of videotaping and a right to privacy, it's not about location but situation; two people in the same physical location can have two completely difference expectations of privacy....
Pain meds

MunoRN replied to ajw49886's topic in Patient Medications

IV zofran has an onset of action of just 5 minutes, it peaks in 15 minutes, so no, there's no good reason to wait an hour to give the

People To Follow

Tweety, BSN, RN
Specializes in Med-Surg.
No Stars In My Eyes
Specializes in Med nurse in med-surg., float, HH, and PDN.
nursej22, MSN, RN
Specializes in Public Health, TB.
Ljm
Joe NightingMale, MSN, RN
Specializes in Med surg, cardiac, case management.

Visitors

Followers

Likes

All Content by MunoRN