MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    1 or 2 person insertion

    MunoRN replied to thomas76's topic in Infusion, Intravenous

    I understand math and time. In order for two person insertion to be more efficient and single person, it would have to cut the time it takes to complete the procedure by more than half. This would...
  2. MunoRN

    VA problems are in most hospitals

    MunoRN replied to rnpatrick's topic in Activism, Healthcare

    I don't argue that the VA could use some serious house cleaning, or better yet just start over, but I'm hesitant to believe that the above description couldn't just as easily apply to privately run...
  3. MunoRN

    Documenting allergies in computer programs

    MunoRN replied to THERESAHALL's topic in Patient Safety Issues

    This can easily become a contentious issue, although it doesn't really need to be. There are those nurses who will adamantly declare that charting a reaction as an allergy is diagnosing a medical...
  4. MunoRN

    VA problems are in most hospitals

    MunoRN replied to rnpatrick's topic in Activism, Healthcare

    A good review of the VA: Rand Corporation 2013 Health Care Spending and Efficiency in the U.S. Department of Veterans
  5. MunoRN

    VA problems are in most hospitals

    MunoRN replied to rnpatrick's topic in Activism, Healthcare

    Most veterans (>75%) already have or use coverage options other than the VA, so I'm not sure what you mean by arguing they need to have the option not to use VA
  6. MunoRN

    ratio's with induced hypothermia patients

    MunoRN replied to **LaurelRN's topic in CCU, Coronary, Cardiac

    Ideally all patients get more nursing attention than they currently do. But relative to other patients I don't consider TH patient to be any more nursing intensive once they've reached goal temp than...
  7. MunoRN

    ratio's with induced hypothermia patients

    MunoRN replied to **LaurelRN's topic in CCU, Coronary, Cardiac

    There's probably a good reason we don't staff by that rationale. I think most people would want their family member to be the nurse's only patient, whether it's a kidney stone or
  8. MunoRN

    Glucostabilizer Carbohydrate Coverage

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

    I haven't seen the GlucoStabilizer program in a while, but it used to use an 80-110 goal range which is problematic. The Cardiac surgery AM glucose SCIP measure is supposedly being removed as a SCIP...
  9. MunoRN

    No More ED Report?

    MunoRN replied to FarmerFNP's topic in Medical-Surgical

    Sending a written report does nothing to confirm "receipt and understanding" of the report. I have seen a hospital argue that a written report was sufficient with the BON and
  10. MunoRN

    No More ED Report?

    MunoRN replied to FarmerFNP's topic in Medical-Surgical

    That's considered patient abandonment in my state and others where the handing off nurse is required to ensure "receipt and understanding" of the report as a requirement of their
  11. MunoRN

    Room w/ viral pneumonia

    MunoRN replied to ladyk84's topic in Infectious Disease

    Typically facilities are expected to follow the CDC isolation recommendations, except for a few specific viruses, viral pneumonia only requires standard precautions, not
  12. MunoRN

    1 or 2 person insertion

    MunoRN replied to thomas76's topic in Infusion, Intravenous

    I agree it's potentially safer, although whether or not that increased safety produces a clinically significant difference is not as clear. It's certainly not more efficient to have a 2 nurse team....
  13. MunoRN

    Sick of hearing "We don't want mom (or dad) to know"

    MunoRN replied to TXRN44's topic in Patient, Colleague Relations

    I agree with the first paragraph, but I'm perplexed by the second. Keeping the patient informed as the to progress of their plan of care, including test results, is a core part of nursing. I can see...
  14. MunoRN

    Chest tube flush

    MunoRN replied to sallyranisme's topic in Critical Care

    The definitions used aren't totally consistent, but typically it's stripping chest tubes that should not be done, milking is acceptable. What shouldn't be done is to run your hand down the length of...
  15. MunoRN

    Sick of hearing "We don't want mom (or dad) to know"

    MunoRN replied to TXRN44's topic in Patient, Colleague Relations

    I don't get why the situation even comes up. Your description seems reversed from how it's supposed to work; why are the patients not the first to be told their medical condition and the getting the...
  16. MunoRN

    Let's talk about the VA

    MunoRN replied to Episteme's topic in Activism, Healthcare

    Since at least part of the current problem is a lack of funding, it seems extremely unlikely that we're going to buy private plans for veterans any time soon. We currently spend about $5,000/year for...
  17. MunoRN

    Dumbest question ever...

    MunoRN replied to medsurgrn95's topic in Patient, Colleague Relations

    It's confusing because we present it as though it's an acronym, as "NOC", even though it's an abbreviation and not an acronym, it would make more sense if we represented it as
  18. MunoRN

    Worked 24 hours/3 consecutive 8hr shifts

    MunoRN replied to marcjuico's topic in General Nursing

    Laws regarding shift length and rest are state specific, in my state the limit is 16 hours. It's the facility, not the employee, that is subject to punishment if a nurse works longer than 16...
  19. MunoRN

    Obamacare? what are your thoughts

    MunoRN replied to nija315's topic in Activism, Healthcare

    I sometimes think it's unfortunate nurses don't have a more prominent voice when discussing healthcare issues, it's really unfortunate that when a nurse does get to share their views in such a...
  20. MunoRN

    Discussing medication side effects

    MunoRN replied to joslina's topic in Cardiac

    The main thing required is time, which is becoming increasingly difficult to come by. Having someway of easily alerting staff to a med that is new for the patient, and triggering education about that...
  21. MunoRN

    Blood clots & IV/central line tubing...When does this become a hazard!?

    MunoRN replied to RN A's topic in Patient Safety Issues

    The Pruitt v Abbott case didn't actually involve vaccum blood collection tubes. The premise of the case however was that the Nurse failed to follow the manufacturers instructions for use. Use of...
  22. MunoRN

    Dealing with calls from work

    MunoRN replied to Katniss88's topic in General Nursing

    It's certainly not an unheard of money saving technique to just have staff work extra to fill out an inadequately staffed unit, unless you really want the extra money, you're only enabling bad...
  23. MunoRN

    Fired for holding valium

    MunoRN replied to ekwatson55's topic in LPN, LVN Corner

    That wasn't my
  24. MunoRN

    Low HR

    MunoRN replied to joe007's topic in Patient Safety Issues

    What was their
  25. MunoRN

    Fired for holding valium

    MunoRN replied to ekwatson55's topic in LPN, LVN Corner

    Of course you should notify the MD, I don't think I said you