MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

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

    MunoRN replied to calivianya's topic in Critical Care

    I assume you looked back to see what their ectopy trend was the night before? It's not unusual for people to have sharp increase in ventricular ectopy at night, if the patient has been there for...
  2. MunoRN

    Posting Licensed Number in social media

    MunoRN replied to nomad29's topic in HIPAA Challenges

    I don't think it really matters either way, it's just as easy to verify your license with your license number as it is with your name, which I assume would be on your resume. Anyone who knows your...
  3. MunoRN

    CPR in Prone Position

    MunoRN replied to Codeblue1982's topic in MICU, SICU

    We've kept a cafeteria plate cover in the room with proned patients in the event they require CPR. There's no strong recommendations out there, which is due to a lack of reported cases to go off of,...
  4. MunoRN

    HIPAA violation?

    MunoRN replied to haunani's topic in HIPAA Challenges

    HIPAA specifically allows for staff to confirm someone is a patient in the hospital unless they request do-not-announce status. In this case where it was the patient themselves who disclosed they...
  5. MunoRN

    When Does Life Begin? The Scientific Definition of an Abortifacient ...

    MunoRN replied to cncyana's topic in Nursing Student Assistance

    The abortifacient issue is just a strawman, what supporters of hobby lobby are arguing is that the 4 drugs they didn't want to cover were abortifacients because they believe life begins prior to the...
  6. MunoRN

    Is My Thinking Flawed?

    MunoRN replied to blondy2061h's topic in General Nursing

    If you're volumes are different then the rates would be different, although the concentrations we use are 40meq/100 ml Kcl and 4 grams/100ml mag, so giving 40meq and 4 grams would be the same volume...
  7. MunoRN

    Is My Thinking Flawed?

    MunoRN replied to blondy2061h's topic in General Nursing

    Sorry, but that's just wrong. If you have two different infusions, both ordered to run in at 25ml/hr, and you combine them, then run that combination at 25ml/hr, you are now running each infusion at...
  8. MunoRN

    States with no income tax?

    MunoRN replied to JNursee's topic in General Nursing

    As others have said you would still pay federal income taxes. You also still pay state taxes, just in a different form, mainly in sales and excise taxes. States that don't have a state income tax...
  9. MunoRN

    Is My Thinking Flawed?

    MunoRN replied to blondy2061h's topic in General Nursing

    I'm missing what the concern is, and I really can't see the MD caring if they even understand what you're talking
  10. MunoRN

    Surrendering RN Scope!

    MunoRN replied to jegalink's topic in Nursing Professionalism

    It's a billing thing, even dieticians write their orders as being in coordination with the MD to allow for proper reimbursement. This can be within the scope of the RN as well so long as it's defined...
  11. MunoRN

    Is My Thinking Flawed?

    MunoRN replied to blondy2061h's topic in General Nursing

    I've never heard of a 1gm/hour limit on mag. It's been 2gm/hr everywhere I've worked, unless you work OB. My wife was in the hospital with pre-term labor, she would routinely get 4 gm magnesium...
  12. MunoRN

    Is My Thinking Flawed?

    MunoRN replied to blondy2061h's topic in General Nursing

    You're math is correct, so long as the concentrations are the same as what you would run 25ml/hr for each, then the combined rate would be 50ml/hr. Think of it this way, if have Kcl and Mag running...
  13. MunoRN

    Abuse at school

    MunoRN replied to jdoezer's topic in General Students

    I'm still not clear what you're talking about in these examples. It's not a scandal, it's
  14. MunoRN

    hypoglycemic treatment for NPO patients

    MunoRN replied to llaurse1's topic in Patient Medications

    We have standing protocols, although we no longer treat a BG between 60 and 70 since 60-100 is the "new" normal for fasting BG. NPO for surgery actually has different time frames depending on what...
  15. MunoRN

    Abuse at school

    MunoRN replied to jdoezer's topic in General Students

    I think there's healthy skepticism that what you see as abuse might just be how you interpret the challenges of nursing school, without specific examples it's hard to tell the difference. Although if...
  16. MunoRN

    Slamming in IVP meds and Running Incompatible Meds Together: Is it as bad as they say

    MunoRN replied to RNdynamic's topic in Patient Medications

    At everywhere I've worked the policy is to just inject the diazepam even if it mixes with other fluids in the line and precipitates (turns white), since it resuspends completely and immediately when...
  17. MunoRN

    Slamming in IVP meds and Running Incompatible Meds Together: Is it as bad as they say

    MunoRN replied to RNdynamic's topic in Patient Medications

    It's not always an option, but lets say I've got a patient with NS ordered to run at 150ml/hr. I'll separate 50 ml of that out from the 150, and have one line running at 50ml/hr, with another at...
  18. MunoRN

    Diluting medication by pushing through a distal IV port

    MunoRN replied to M_RN's topic in Patient Safety Issues

    I'd say the port that should be used is dictated by the volume of medication you are pushing. Lets say the port closest to the patient has 4ml of volume between the port and the patient (between the...
  19. MunoRN

    Diluting medication by pushing through a distal IV port

    MunoRN replied to M_RN's topic in Patient Safety Issues

  20. MunoRN

    Diluting medication by pushing through a distal IV port

    MunoRN replied to M_RN's topic in Patient Safety Issues

    It's probably less accurate to dilute meds this way, since it takes more diligent calculating, timing of injection, etc. I usually pre-dilute but then put the push dose into a port, moving the...
  21. MunoRN

    Slamming in IVP meds and Running Incompatible Meds Together: Is it as bad as they say

    MunoRN replied to RNdynamic's topic in Patient Medications

    I don't mix meds reported to be incompatible and I haven't found that to be common or even rarely accepted practice. Pushing meds on the other hand does seem to have a discrepancy between actual...
  22. MunoRN

    Social media in the hospital?

    MunoRN replied to -knoxnurse-'s topic in HIPAA Challenges

    It might have been one thing if she had just posted as the aftermath of a generic trauma, but she included specifics; "Man vs 6 train", which narrows it down way too much. It's not a hipaa thing, but...
  23. MunoRN

    Posting Licensed Number in social media

    MunoRN replied to nomad29's topic in HIPAA Challenges

    As opposed to everything else posted on
  24. MunoRN

    Posting Licensed Number in social media

    MunoRN replied to nomad29's topic in HIPAA Challenges

    I guess my confusion is that someone's RN license isn't private, it's about as public as public information
  25. MunoRN

    Nurses with Medical Marijuana Cards.

    MunoRN replied to fltopp1's topic in General Nursing

    I absolutely agree that recreational use of marijuana should not be a basis of employment, if you cant' do the job then you can't do the job, high or sober it makes no difference, that should be the...