MunoRN RN

Critical Care

Member

  • Content

    8,058

  • Visitors

    94,710

  • Followers

    9

  • Likes

    7,525

All Content by MunoRN

  1. MunoRN

    Hospice in an ALF and HIPAA

    MunoRN replied to Race Mom's topic in HIPAA Challenges

    As has been pointed out a couple of times in this thread, the answer to your question depends on the roles of various caregivers, their role then determines what information is acceptable to be...
  2. MunoRN

    Puzzled over a recent patient's visit to an Emergency Department.

    MunoRN replied to DeannaMiller's topic in Emergency

    15 years ago that might have been a likely admit, times change. If the potential cardiac symptoms had
  3. MunoRN

    Piggyback/Incompatibility-driving me nuts!

    MunoRN replied to Curious1alwys's topic in Infusion, Intravenous

    Yes we use the same secondary tubing for all antibiotics. Keep in mind that even you change out the secondary tubing between antibiotics you're still using the same primary
  4. MunoRN

    Cannabinoid hyperemesis syndrome

    MunoRN replied to Emergent's topic in Emergency

    There's no shortage of pot smokers in my area and we see this every now and then. It takes pretty impressive amounts of chronic use to produce this effect. We have them drape a hot, moist towel over...
  5. MunoRN

    Eval and treat with pharmacy

    MunoRN replied to srvjamz's topic in Patient Medications

    I'm not getting the rationale of why the physician would need to play middleman. Pharmacists don't have to be pharmD's to adjust dosages per protocols, even RNs regularly adjust dosages of medication...
  6. MunoRN

    an RN is a practicing Jehovah's witness

    MunoRN replied to strawberryrnc1611's topic in Spirituality, Religion

    I think there's a general misunderstanding that employers are required abide by the religious needs of employees, when really they are only required to offer accommodations that don't present an undue...
  7. MunoRN

    Contact allergy question... again...

    MunoRN replied to ama3t's topic in General Nursing

    The skin on my hands does the same thing a few times a year, i've never thought it to be an allergic reaction, but either way I've never considered not being able to work because of
  8. MunoRN

    Hospice in an ALF and HIPAA

    MunoRN replied to Race Mom's topic in HIPAA Challenges

    I'm having a hard time understanding this post. You state it's not hospice vs SNF but then share a seemingly unrelated rant against SNF staff. (FWIW the easiest way to tell what someone's...
  9. MunoRN

    Hospice in an ALF and HIPAA

    MunoRN replied to Race Mom's topic in HIPAA Challenges

    I think you're confusing terminology with what nursing care involves, regardless of the marketing lingo a facility decides to use. All nurses in a primary role of caring for the patient are expected...
  10. MunoRN

    Hospice in an ALF and HIPAA

    MunoRN replied to Race Mom's topic in HIPAA Challenges

    ALL nurses are expected to provide the basic standard of nursing care, which includes caring for the patient as a part of a larger social structure and incorporating the assessment of that structure...
  11. MunoRN

    Is the RN--->BSN push a clever way to get older nurses out of the way

    MunoRN replied to Nola009's topic in Diploma, ADN, BSN

    Only a small few of the ASN programs are near the BSN programs, the majority are a long drive away. When I went to school there were 6 traditional BSN programs in the state, 4 of which including...
  12. MunoRN

    Hospice in an ALF and HIPAA

    MunoRN replied to Race Mom's topic in HIPAA Challenges

    So you're saying that as far as you know, the SNF nurses also provide family centered
  13. MunoRN

    Hospice in an ALF and HIPAA

    MunoRN replied to Race Mom's topic in HIPAA Challenges

    The original question was if it was inappropriate for SNF staff to have access to the same information that the hospice nurse does. The basis for this being inappropriate would be if it in no way...
  14. MunoRN

    Hospice in an ALF and HIPAA

    MunoRN replied to Race Mom's topic in HIPAA Challenges

    There may very well be more explanation that differentiates the roles of the two, although the previous differentiation was: which is a false understanding of the role of SNF nurses or nurses in...
  15. MunoRN

    Hospice in an ALF and HIPAA

    MunoRN replied to Race Mom's topic in HIPAA Challenges

    HIPAA requires that those caring for the patient only access information necessary to provide care to the patient, given the holistic nature of nursing, this can often be pretty broad. In answering...
  16. MunoRN

    Question about METOPROLOL!

    MunoRN replied to xiongmao's topic in Patient Medications

    The first problem with the order is that actual dose (12.5mg) appears nowhere in the actual order, the dose in an order should be the dose, not a equation to get the correct dose, but anyway. It is...
  17. MunoRN

    Hospice in an ALF and HIPAA

    MunoRN replied to Race Mom's topic in HIPAA Challenges

    Maybe you could clarify; do hospice nurses have access to the same records you're concerned that the SNF nurses have access
  18. MunoRN

    sepsis protocol

    MunoRN replied to heather in ohio's topic in General Nursing

    Surviving Sepsis Campaign |
  19. MunoRN

    Is the RN--->BSN push a clever way to get older nurses out of the way

    MunoRN replied to Nola009's topic in Diploma, ADN, BSN

    Freeing up clinical sites that are hours away from BSN programs doesn't really help
  20. MunoRN

    Hospice in an ALF and HIPAA

    MunoRN replied to Race Mom's topic in HIPAA Challenges

    I was pointing out that you seem to be under the mistaken impression that only hospice cares for the patient as part of a family/social/support system and that the SNF nurses don't, a view you seem to...
  21. MunoRN

    Is the RN--->BSN push a clever way to get older nurses out of the way

    MunoRN replied to Nola009's topic in Diploma, ADN, BSN

    I don't think anyone is suggesting that BSN as entry to practice should be the rule for only a couple of years and then we'd go back to ADN/BSN entry to practice. While the "surplus" of new grad RN...
  22. MunoRN

    Is the RN--->BSN push a clever way to get older nurses out of the way

    MunoRN replied to Nola009's topic in Diploma, ADN, BSN

    How does that solve the
  23. MunoRN

    Is the RN--->BSN push a clever way to get older nurses out of the way

    MunoRN replied to Nola009's topic in Diploma, ADN, BSN

    The reason for the moratorium is that clinical spots are maxed out and in many cases beyond maxed out. Getting rid of the moratorium would result in a less beneficial clinical experience, which would...
  24. MunoRN

    Is the RN--->BSN push a clever way to get older nurses out of the way

    MunoRN replied to Nola009's topic in Diploma, ADN, BSN

    You're correct it wouldn't be an instant change, it would take a few years, I'm not sure how that makes it any less concerning. In general BSN programs can't expand due to geographic concentration and...
  25. MunoRN

    Do you ever hold Lantus?

    MunoRN replied to SleeepyRN's topic in Diabetes, Endocrine Nursing

    You should always notify the MD if you're going to hold a med, but nurse's aren't actually required to give any and all ordered meds, a basic role of an RN is to determine the appropriateness of...