MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    My patient does not comply.

    MunoRN replied to aricklefs's topic in Patient Education

    It's a competent patient's right to eat in whatever position they want, and it's our responsibility to ensure that the patient's rights are being honored. In general it's not really possible for a...
  2. MunoRN

    Open up....Spoonfed report

    MunoRN replied to ICURN3020's topic in Patient, Colleague Relations

    What sort of unnecessary information are they asking for? I find it useful sometimes to spend some extra time in report on one day to discuss what information should be, and shouldn't be in report,...
  3. MunoRN

    Obamacare? what are your thoughts

    MunoRN replied to nija315's topic in Activism, Healthcare

    I'm with you on this part; just like before the ACA, insurers are allowed to keep their premium costs low by preferentially doing business with providers that can provide services at a reasonable...
  4. MunoRN

    Do Press Ganey Scores measure Quality Care?

    MunoRN replied to BrnEyedGirl's topic in General Nursing

    I think maybe we confuse different types of "customer satisfaction" survey's. Press-Ganey, along with other vendors, offer generic customer satisfaction surveys which don't really have much to do...
  5. MunoRN

    Do Press Ganey Scores measure Quality Care?

    MunoRN replied to BrnEyedGirl's topic in General Nursing

  6. MunoRN

    VA problems are in most hospitals

    MunoRN replied to rnpatrick's topic in Activism, Healthcare

    Again, I think you're conflating chest pain with a STEMI patient. If he was a STEMI he would have been sent to Methodist anyway since the VA hospital isn't a STEMI center (which would explain why...
  7. MunoRN

    ECMO Ethics

    MunoRN replied to Kettek53's topic in CCU, Coronary, Cardiac

    I'd argue that if you have the ability to suppress your ethical/moral concerns on a regular basis then you shouldn't be taking these patients. The use of ECMO in patients for whom there is little...
  8. MunoRN

    DNR- Do Not Treat?

    MunoRN replied to GinaCat's topic in Patient Safety Issues

    Maybe I read your post wrong, but Washington's natural death act states that measure to provide comfort cannot be withheld, not life prolonging treatment. Medical futility can still be declared on...
  9. MunoRN

    Breast pumping in an ICU

    MunoRN replied to Stacyalexisk's topic in MICU, SICU

    If it turns out she wasn't planning on utilizing any 'covert measures' i could see the concern, but that seems like a pretty wild
  10. MunoRN

    Breast pumping in an ICU

    MunoRN replied to Stacyalexisk's topic in MICU, SICU

    I know people who've breastedfed/pumped at all three (not a Giants game specifically, but at a baseball game), although I'm not sure that your comparisons are accurate. It's acceptable to hang out in...
  11. MunoRN

    Breast pumping in an ICU

    MunoRN replied to Stacyalexisk's topic in MICU, SICU

    I'm by no means a 'lactivist', I'm as uncomfortable with public boob sucking (whether natural or mechanical) as any other middle aged man, but I have absolutely no problem with a patient's daughter...
  12. MunoRN

    Obamacare? what are your thoughts

    MunoRN replied to nija315's topic in Activism, Healthcare

    You're trying to put your parents, in their late 70's, on your non-medicare plan? That's typically not possible, insurers aren't really interested in covering medicare age people with plans priced...
  13. MunoRN

    PRN hours decreased because of the ACA

    MunoRN replied to kdhunley's topic in Activism, Healthcare

    Employers are only required to offer insurance, they aren't penalized if you chose to opt out of their insurance, so long as the insurance they offered met the minimum requirements (covered at least...
  14. MunoRN

    Obamacare? what are your thoughts

    MunoRN replied to nija315's topic in Activism, Healthcare

    How is it you think Obamacare is "taking money from all those who pay taxes"? Are you under the impression the subsidies come out of your income
  15. MunoRN

    Obamacare? what are your thoughts

    MunoRN replied to nija315's topic in Activism, Healthcare

    So you agree that's bad
  16. MunoRN

    ativan gel

    MunoRN replied to lmss's topic in Patient Safety Issues

    You need consent to give any medication, regardless of route. You can give a medication without consent, although there are various rules/regulations that have to be followed depending the situation,...
  17. MunoRN

    Obamacare? what are your thoughts

    MunoRN replied to nija315's topic in Activism, Healthcare

    This seems to be the base of your complaint, how did Obamacare "take over making the American worker have to pay for those who
  18. MunoRN

    Obamacare? what are your thoughts

    MunoRN replied to nija315's topic in Activism, Healthcare

    Insurance premiums have been steadily rising for a long time. If your insurance didn't go up at all until now then it sounds like you were overdue and I'm surprised it only went up that much, but it...
  19. MunoRN

    PRN hours decreased because of the ACA

    MunoRN replied to kdhunley's topic in Activism, Healthcare

    I'm all for doing away with employer sponsored coverage and just putting us all the exchanges, or in single payer, although I don't think we're near convincing conservatives of that. In the meantime,...
  20. MunoRN

    PRN hours decreased because of the ACA

    MunoRN replied to kdhunley's topic in Activism, Healthcare

    If they get paid more because they don't get benefits, wouldn't it make sense that they would get paid less if they do get
  21. MunoRN

    Nurses with Medical Marijuana Cards.

    MunoRN replied to fltopp1's topic in General Nursing

    Sort of, it's an un-enforced federal law in respect to medical marijuana and recreational marijuana in the two states where it's legal for recreational use. So if we define laws by what you'll face...
  22. MunoRN

    Nurses with Medical Marijuana Cards.

    MunoRN replied to fltopp1's topic in General Nursing

    That wouldn't really be any different than how it typically works. Drug tests don't typically differentiate between drug use at work and drug use on days off or on vacations, they just test for any...
  23. MunoRN

    Back priming vs back flushing??

    MunoRN replied to amw79's topic in Patient Medications

    The fluid level in the secondary set and bag will go down to the level of the fluid in the primary bag, so since when properly set up you will usually end up with some air in the secondary set when an...
  24. MunoRN

    PRN hours decreased because of the ACA

    MunoRN replied to kdhunley's topic in Activism, Healthcare

    You concern is that they will offer you health insurance? How to you get insurance
  25. MunoRN

    Back priming vs back flushing??

    MunoRN replied to amw79's topic in Patient Medications

    I can't make any promises, but I really doubt that particular question would appear on the NCLEX. The questions are more aimed at how you apply your knowledge and the thought processes involved. But...