MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    cost of ICU per day

    MunoRN replied to jonakuntz's topic in Patient Education

    There's not really a set price, it can actually vary widely depending on the billing agreements between the facility and various payers. My ICU is about $6,000 per day as the basic charge. On top of...
  2. MunoRN

    Water based lubricants moisturizers ?

    MunoRN replied to shermrn's topic in General Nursing

    The petroleum jelly/oxygen fear is actually a myth, probably best described in the article "Dispelling the Petroleum Jelly Myth" which appeared in the American Journal of Nursing in '98 Dispelling the...
  3. MunoRN

    Obamacare? what are your thoughts

    MunoRN replied to nija315's topic in Activism, Healthcare

    A thorough and well reasoned
  4. MunoRN

    Walked in on a pt rolling a joint

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

    If you're looking for the exact part where your post seemed judgmental, other than the whole thing, the part about him enjoying his meds "a little too much" would be the most specific part, which by...
  5. MunoRN

    Walked in on a pt rolling a joint

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

    Other than enforcing the 'no-smoking' rule I don't see why you care. You make it sound like you walked in on him torturing kittens or something. And dronabinol isn't marijuana in a pill form, it's...
  6. MunoRN

    Obamacare? what are your thoughts

    MunoRN replied to nija315's topic in Activism, Healthcare

    Our overall health provider system isn't single payer or socialized medicine, it's a mix of various insurance providers which is what gives us different provider networks in the first place. If you...
  7. MunoRN

    Residents smoking marijuana in ALF

    MunoRN replied to ameliacorwin's topic in Patient Medications

    As a general rule from state to state, BON's expect that nurses report a) all things where reporting is required, and b) all things that pose an eminent threat of harm to patients. In other words,...
  8. MunoRN

    Water based lubricants moisturizers ?

    MunoRN replied to shermrn's topic in General Nursing

    Oxygen tubing systems are petroleum
  9. MunoRN

    VA problems are in most hospitals

    MunoRN replied to rnpatrick's topic in Activism, Healthcare

    I would think it would be hard to cover up that since most STEMI's won't survive through a full shift, if that's a regular thing then it would be hard to get that under the radar of a coroner....
  10. MunoRN

    How much free water to put in G-tube?

    MunoRN replied to JerseyCCRN's topic in General Nursing

    My bad. Yes, that's
  11. MunoRN

    How much free water to put in G-tube?

    MunoRN replied to JerseyCCRN's topic in General Nursing

    The 'standard' recommendation ranges typically between 25 and 35 ml/kg/day of water. Standard tube feeding formulas, such as promote, are 80-85% water. So your patient is getting about 780 ml/day of...
  12. MunoRN

    U.S. Senators Reach Deal on Veterans' Healthcare

    MunoRN replied to NRSKarenRN's topic in Activism, Healthcare

    Seems long overdue, but it will be interesting to see how it does in the
  13. MunoRN

    Obamacare? what are your thoughts

    MunoRN replied to nija315's topic in Activism, Healthcare

    I think you maybe missed that the CBO report I was referring to was the same CBO report your article from science magazine was based on. And the section of that report I quoted was actually referring...
  14. MunoRN

    Obamacare? what are your thoughts

    MunoRN replied to nija315's topic in Activism, Healthcare

    If you read back through the thread you'll find responses to most of your issues, but to review: "We have whatever the h*ll HHS wants the law to be this week." - Like every law before it, the...
  15. MunoRN

    Obamacare? what are your thoughts

    MunoRN replied to nija315's topic in Activism, Healthcare

    Their evidence that greater access to health insurance increases unemployment, the CBO report, doesn't actually say what they are inferring. From the report: "The estimated reduction stems almost...
  16. MunoRN

    When's the doctor coming in??

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

    I always ask is if there is any particular reason they need to speak with the MD, it's almost always something the nurse is there to help them with (what's the plan,
  17. MunoRN

    VA problems are in most hospitals

    MunoRN replied to rnpatrick's topic in Activism, Healthcare

    If these were STEMI's then you should notify the Joint Commission, who tracks the Memphis VA's STEMI treatment, although according to the Joint Commission the memphis VA sees less than 3 STEMI...
  18. MunoRN

    VA problems are in most hospitals

    MunoRN replied to rnpatrick's topic in Activism, Healthcare

    These were
  19. MunoRN

    VA problems are in most hospitals

    MunoRN replied to rnpatrick's topic in Activism, Healthcare

    I think you're confusing "an active MI" with a STEMI. A STEMI is a type of active MI, but not all who present with active MI's are STEMIs. The door to balloon standard is for STEMIs. I've worked...
  20. MunoRN

    The Nursing Shortage

    MunoRN replied to CrunchRN's topic in General Nursing

    There actually is a nursing shortage, we think there's not because we're using the wrong terminology. A nursing shortage would be defined by whether or not we employ a sufficient number of nurses to...
  21. MunoRN

    Survey Estimates Net Gain of 9.3 Million American Adults with Health Insurance

    MunoRN replied to NRSKarenRN's topic in Activism, Healthcare

    Believe it or not, preferred provider limitations under private insurance are nothing new. Insurance plans have excluded providers that charge more than other providers for a very long time. With...
  22. MunoRN

    Survey Estimates Net Gain of 9.3 Million American Adults with Health Insurance

    MunoRN replied to NRSKarenRN's topic in Activism, Healthcare

    You seem to be under the impression that my statements on Republican reform principles both pre- and post-Obamacare, are based on a lack of seeing Republican proposals. What I'm referring to is the...
  23. MunoRN

    Survey Estimates Net Gain of 9.3 Million American Adults with Health Insurance

    MunoRN replied to NRSKarenRN's topic in Activism, Healthcare

    I'm not sure how "righty's" can be angry at the government, the basic premise of Obamcare is what they had been (and actually still are) advocating as how we should reform health insurance: utilize...
  24. MunoRN

    Survey Estimates Net Gain of 9.3 Million American Adults with Health Insurance

    MunoRN replied to NRSKarenRN's topic in Activism, Healthcare

    For all this talk of all the people now paying more for less insurance, you'd think at least one verifiable example could be found, just one. The average cost of comparable insurance prior to...
  25. MunoRN

    Maximum number of IV meds & lines

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

    The increased infection risk is due the nutrients in TPN, specifically amino acids, dextrose actually isn't the problem. The problem is that with most IV fluids, even those that contain dextrose, if...