MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Verbal Read-back

    MunoRN replied to dutchnurse69's topic in Patient Safety Issues

    The Joint Commission actively encourages certain practices, but they aren't regulations or laws just because it's a JC rule since it's not a government agency or a group who otherwise has the ability...
  2. MunoRN

    What to do: ED physician brought dog to work

    MunoRN replied to skinzvictory's topic in Patient Safety Issues

    My facility allows patient's pets to visit, just like any other visitor they are expected to be well behaved. I think people often falsely assume dogs are a health hazard, which there really isn't...
  3. MunoRN

    Transducer Placement?

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

    I'm curious how those who tape or clamp the transducer to the patient deal with turning a patient. Do you just not turn patients? Do you only read the CVP when they are flat on their
  4. MunoRN

    "Floating" IV

    MunoRN replied to Marti17's topic in General Nursing

    I don't really get what the concern is with 'floating in' and IV, it would seem the concern should be with not floating in an IV in hypovolemic patient. Advancing the catheter in a collapsed or near...
  5. MunoRN

    And this is why I hate floating to stepdown...

    MunoRN replied to calivianya's topic in Critical Care

    "stepdown" is a surprisingly inexact term. I've never worked anywhere that allowed A-lines as a stepdown patient. I've worked in a couple places where stepdown only referred to nursing acuity, not...
  6. MunoRN

    Obamacare and Nursing.. what do you think?

    MunoRN replied to OKNurse2be's topic in Activism, Healthcare

    Maybe you could point them out to me because I can't find them in that post. If you're referring to these: The problem with giving people the freedom to NOT have insurance is that those who provide...
  7. MunoRN

    Obamacare and Nursing.. what do you think?

    MunoRN replied to OKNurse2be's topic in Activism, Healthcare

    You believe that the government is "regulating" the prices that private insurers are charging? There are not government run Obamacare plans, they are still offered by private insurers and really none...
  8. MunoRN

    Obamacare and Nursing.. what do you think?

    MunoRN replied to OKNurse2be's topic in Activism, Healthcare

    The GOP has passed fixes to Obamacare in the
  9. MunoRN

    And this is why I hate floating to stepdown...

    MunoRN replied to calivianya's topic in Critical Care

    Sorry to be odd man out, but I don't get the hub-bub. I only expect the tele tech to notify me of something that is new, or that is recurrent but more urgent than just increased V-ectopy while...
  10. MunoRN

    PPM Question

    MunoRN replied to Wheaties1974's topic in Critical Care

    I've never seen an external pacemaker that could be set up to do that, and for good reason. I suppose you could sort of rig up something using two different pacemakers in the case of complete heart...
  11. MunoRN

    Obamacare and Nursing.. what do you think?

    MunoRN replied to OKNurse2be's topic in Activism, Healthcare

    Since Obamacare deals primarily with how we pay for healthcare, not how it's delivered, it shouldn't be too surprising that if that discussion quickly turns into general health insurance debate, most...
  12. MunoRN

    Obamacare and Nursing.. what do you think?

    MunoRN replied to OKNurse2be's topic in Activism, Healthcare

    With a penalty of only $95 this year I don't think there was an expectation that very many young people would sign up this year, it likely won't be until 2016 when the penalty is $695 when there's any...
  13. MunoRN

    Obamacare and Nursing.. what do you think?

    MunoRN replied to OKNurse2be's topic in Activism, Healthcare

    The characteristics of any market are in part dictated by the product. Healthcare is a much different produce than car repair, for one thing it's something we've legally required to be provided to...
  14. MunoRN

    Obamacare and Nursing.. what do you think?

    MunoRN replied to OKNurse2be's topic in Activism, Healthcare

    I agree with his argument, which is basically "My idea was hardly new. Heritage did not invent the individual mandate." Heritage most likely wasn't the first to advocate for a mandate to buy health...
  15. MunoRN

    Do I have a right to a copy of my employee health file?

    MunoRN replied to Clovery's topic in HIPAA Challenges

    The part on exposure records and medical records were two different parts, I included the exposure portion to show there was something else in between the introduction to what you have a right to and...
  16. MunoRN

    Do I have a right to a copy of my employee health file?

    MunoRN replied to Clovery's topic in HIPAA Challenges

    You are legally entitled access to employee records containing your medical information. The relevant law is: OSHA - Access to Employee Exposure and Medical Records [Title 29 of the Code of...
  17. MunoRN

    Obamacare and Nursing.. what do you think?

    MunoRN replied to OKNurse2be's topic in Activism, Healthcare

    I'd agree with you that the ACA is "fatally flawed" being that it relies on our already existing system which attempts (poorly) to reverse engineer a system that's designed to exclude people into a...
  18. MunoRN

    Transducer Placement?

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

    Do you re-tape it every time you turn the
  19. MunoRN

    PICC line or Port a Cath & Running Blood

    MunoRN replied to 0.adamantite's topic in Patient Safety Issues

    No, you don't need to worry about incompatibilities with different lumens. Fluid overload definitely can be an issue, although sometimes they need all the volume they can get, but usually I hold...
  20. MunoRN

    PICC line or Port a Cath & Running Blood

    MunoRN replied to 0.adamantite's topic in Patient Safety Issues

    I wouldn't worry about exceeding the maximum rate the PICC can handle, typically PICC lines can handle 300ml per minute of flow. As for holding other fluids that depends. It depends on the...
  21. MunoRN

    Obamacare and Nursing.. what do you think?

    MunoRN replied to OKNurse2be's topic in Activism, Healthcare

    I thought the ACA was supposedly unconstitutional because it forced people to buy insurance, how can it both force people to buy insurance and also be fatally flawed because it
  22. MunoRN

    Portable Chest XRay protocol

    MunoRN replied to icuRNmaggie's topic in MICU, SICU

    I've worked at one place where the nursing culture was pretty cowardly, but never anyplace where the nurses would stay away or avoid getting involved in a situation where a nurse is getting yelled at,...
  23. MunoRN

    Portable Chest XRay protocol

    MunoRN replied to icuRNmaggie's topic in MICU, SICU

    I don't get the rationale for thinking that's going to produce a better
  24. MunoRN

    Transducer Placement?

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

    I've never seen it taped as a long term method. My first concern would be that it's not very skin friendly. More importantly, it's not very accurate. I think many incorrectly believe that the...
  25. MunoRN

    CPR in Prone Position

    MunoRN replied to Codeblue1982's topic in MICU, SICU

    Cardiac arrest due to a respiratory cause typically doesn't just go from a good rhythm to asystole or VT/VF, it almost always progressively slows and widens prior to true cardiac arrest, epi can turn...