MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Nurses with Medical Marijuana Cards.

    MunoRN replied to fltopp1's topic in General Nursing

    I'm not necessarily promoting their argument, but the argument is that there is actually evidence that people taking certain prescribed medication, mainly opiates and benzos, are measurably impaired...
  2. MunoRN

    Nurses with Medical Marijuana Cards.

    MunoRN replied to fltopp1's topic in General Nursing

    I only know of one State's BON, Arizona, that made simply having a medical marijuana card grounds for taking someone's license. Whether or not it's legal in a particular state, or even at the federal...
  3. MunoRN

    Obamacare? what are your thoughts

    MunoRN replied to nija315's topic in Activism, Healthcare

    How is it less
  4. MunoRN

    Letting very young children see a dying patient

    MunoRN replied to Cuddleswithpuddles's topic in Critical Care

    I've come to believe our hesitancy about young children visiting a dying patient isn't because it's traumatic for the child, it's because it's traumatic for us. Kids actually do pretty well with...
  5. MunoRN

    Addressing patients by their first name...

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

    It's definitely a regional/cultural thing. I usually start off with "Mr/Mrs so-and-so" and then ask what they would like to be called, to be honest I don't think I've ever had anyone say they wanted...
  6. MunoRN

    Obamacare? what are your thoughts

    MunoRN replied to nija315's topic in Activism, Healthcare

    I'd argue the percentage wasn't "small", and I doubt the millions declaring bankruptcy due to medical bills or who were unable to get the care they needed felt like it was just a small problem. But...
  7. MunoRN

    Obamacare? what are your thoughts

    MunoRN replied to nija315's topic in Activism, Healthcare

    What would you have
  8. MunoRN

    Obamacare? what are your thoughts

    MunoRN replied to nija315's topic in Activism, Healthcare

    Some had insurance that can only very loosely be called insurance. To meet the basic requirements of what insurance is supposed to do, provide coverage in the event of large medical costs, a basic...
  9. MunoRN

    Legend / Non-legend Drugs

    MunoRN replied to NurseGuyBri's topic in LTC: Directors, Assistant

    Since payers (insurance, medicaid, etc) typically reimburse for both legend and non-legend drugs at similar rates, I'm not sure why it would help to reduce non-legend drugs. It sounds like they mean...
  10. MunoRN

    Obamacare? what are your thoughts

    MunoRN replied to nija315's topic in Activism, Healthcare

    I have to assume you didn't actually have insurance before which is why you're not familiar with the typical cost. The average cost for comparable (legit) insurance prior to Obamacare was about...
  11. MunoRN

    Biphasic p wave

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

    No, I wouldn't call the doctor. It's something an EP doc might find mildly interesting, but no other Doc would typically care since it's typically chronic and not a sign of an acute change. It could...
  12. MunoRN

    Biphasic p wave

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

    Biphasic p waves can be a normal finding, particularly in V1 and III, or they can also be due to left atrial enlargement, so it's largely a non-specific finding. Whether or not a wave is upright or...
  13. MunoRN

    On-Call Pay Survey

    MunoRN replied to danimal99's topic in General Nursing

    $3 for on call pay, if you get called in you get your regular pay rate with shift differential depending on the time of day when you are there, you continue to get the $3/hr once you're called in....
  14. MunoRN

    Hydration stations?

    MunoRN replied to Muser69's topic in General Nursing

    This is the OSHA rule: "Prohibition of eating, drinking, applying cosmetics or lip balm, and/or handling contact lenses in work areas where there is a likelihood of occupational exposure to blood or...
  15. MunoRN

    Vanco: give or wait for vanco trough?

    MunoRN replied to rn.5245's topic in Patient Medications

    I'm still trying to wrap my head on how lab could have been 8 hours behind in their lab draws, if that's the case then that's the biggest problem here. Lab draws are an inconsistent workflow, so I...
  16. MunoRN

    Hydration stations?

    MunoRN replied to Muser69's topic in General Nursing

    The JC, and typical health dept rule, is that you can't have food or drink "in patient care areas", what that means seems to be widely interpreted. Not all surveyors interpret this the same way, but...
  17. MunoRN

    Piggy Back IV order with no fluid order?

    MunoRN replied to Fruit Sucker's topic in Patient Medications

    I would assume nobody needs a specific Physician order to use IV tubing, so I'm not sure why you would need an order for the fluid required to prime and flush the tubing since they are both...
  18. MunoRN

    Piggy Back IV order with no fluid order?

    MunoRN replied to Fruit Sucker's topic in Patient Medications

    It's usually more than just a "handfull of CCs". The tubing itself holds close to 20 mls. With the current ports on IV tubing it's not unusual for another 20 mls to get wasted during priming....
  19. MunoRN

    Walked in on a pt rolling a joint

    MunoRN replied to Anonymous666's topic in Patient, Colleague Relations

    I know what you mean. Welcome to AN, by the
  20. MunoRN

    Water based lubricants moisturizers ?

    MunoRN replied to shermrn's topic in General Nursing

    For anyone who's curious, it's easier to see the issue (or lack thereof) with vaseline with some simple experiments. Take some vaseline and put it in a non-flammable surface (so you can see if it's...
  21. MunoRN

    Therapeutic Lying, Ethical? Or not?

    MunoRN replied to vregino36's topic in Patient, Colleague Relations

    I think "avoiding unnecessary psychological torture and abuse" is probably a better way of describing it than
  22. MunoRN

    Walked in on a pt rolling a joint

    MunoRN replied to Anonymous666's topic in Patient, Colleague Relations

    You can get a new job, you can't get a new
  23. MunoRN

    Walked in on a pt rolling a joint

    MunoRN replied to Anonymous666's topic in Patient, Colleague Relations

    OP, I think you've unintentionally hit a nerve which has gotten a stronger response than you intended, which unfortunately for you has made you a punching bag for what is a pet peeve of many nurses....
  24. MunoRN

    Walked in on a pt rolling a joint

    MunoRN replied to Anonymous666's topic in Patient, Colleague Relations

    Maybe I'm misunderstanding you, but seem to be suggesting that there might be some risk, such as to your license, by not reporting to police that a patient has admitted to you they use an illegal...
  25. MunoRN

    Walked in on a pt rolling a joint

    MunoRN replied to Anonymous666's topic in Patient, Colleague Relations

    I get that you feel your OP was misunderstood, which is where a mea culpa and 2nd attempt to explain your position and clear the air comes in. I'm not clear on what it is you're suggesting you would...