MunoRN RN

Critical Care

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All Content by MunoRN

  1. 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 don't think cutting the nursing workforce by as much as one half would affect
  2. MunoRN

    Eval and treat with pharmacy

    MunoRN replied to srvjamz's topic in Patient Medications

    I'm not exactly new to nursing but I've never known anything different. Managing vanco dosing off of labs, renal dosing, warfarin dosing, that's why we've had pharmacists for as long as I can...
  3. MunoRN

    University of Hawaii at Manoa Spring 2015

    MunoRN replied to kgrag's topic in General Nursing

    Typically you would apply to the school first, then they would evaluate your transfer credits, that would tell you where you are at in the nursing program curriculum which may still involve being in...
  4. MunoRN

    Insulin Administration: Standing and Sliding Scales

    MunoRN replied to blackdiamond407's topic in Patient Medications

    Why would you call the MD for a BG of
  5. MunoRN

    Unsafe ED

    MunoRN replied to HeartRN13's topic in Patient Safety Issues

    At least know what? When I've overheard ED co-workers get snippy in these situations the floor nurse doesn't actually end up with any more info than they had prior to calling. So the problem seems...
  6. MunoRN

    University of Hawaii at Manoa Spring 2015

    MunoRN replied to kgrag's topic in General Nursing

    If you've been doing nursing program pre-reqs at WSU then they should be transferable for the most part as the pre-reqs for the UH nursing program. They won't actually evaluate your transfer credits...
  7. MunoRN

    Unsafe ED

    MunoRN replied to HeartRN13's topic in Patient Safety Issues

    While I don't mind getting calls asking for an update on when to expect a patient, and while you might take these calls politely, I've seen plenty of ED nurses whose responses to these calls are best...
  8. MunoRN

    University of Hawaii at Manoa Spring 2015

    MunoRN replied to kgrag's topic in General Nursing

    I know at one point they weren't accredited so you might want to look into that. There admissions information is here. You should also keep in mind that while UH tuition is a pretty good deal for...
  9. MunoRN

    Flushing IV sites with pressor drips

    MunoRN replied to ONE-TWO--'s topic in CCU, Coronary, Cardiac

    If you're referring to assessing the IV while the vasopressor is still running, rather than how to flush it after it's done, we typically assess for signs of infiltration/extravasation and let the...
  10. MunoRN

    Hospice in an ALF and HIPAA

    MunoRN replied to Race Mom's topic in HIPAA Challenges

    Nurses in SNF's don't care for the patient as part of a larger social group? I doubt this is what you meant, but you seem to be implying that the nurses at the SNF are only there to do tasks, not...
  11. MunoRN

    Do you speak up when one nurse is "dressing down" another?

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

    I worked at a facility once where a "code strong" was called and all the nurses would stand behind the person being yelled at. At the facility I'm at now there are very few nurses who won't just step...
  12. MunoRN

    Flushing IV sites with pressor drips

    MunoRN replied to ONE-TWO--'s topic in CCU, Coronary, Cardiac

    I prefer to always run vasoactives along with a carrier fluid. One advantage is that you get a quicker response from titrations, but also once you stop it the remained is carried through by the...
  13. MunoRN

    Flushing IV sites with pressor drips

    MunoRN replied to ONE-TWO--'s topic in CCU, Coronary, Cardiac

    Ideally those go through a CVC, in reality they come up with these running through a PIV from the ER and from surgery in particular, anesthesia runs these through PIV's pretty
  14. MunoRN

    Hospice in an ALF and HIPAA

    MunoRN replied to Race Mom's topic in HIPAA Challenges

    EMR's are required to have a security filter for mental health/behavioral health notes, so it should be possible to block access to this documentation to certain caregivers. Most EMR's go well above...
  15. MunoRN

    Unsafe ED

    MunoRN replied to HeartRN13's topic in Patient Safety Issues

    I here ya, but the reason why they don't accept admits at shift change is to avoid a delay in treatment, you could argue that refusing the patient during that time might cause the same effect and I...
  16. MunoRN

    Unsafe ED

    MunoRN replied to HeartRN13's topic in Patient Safety Issues

    I think you've over shot that a bit. Patients only become the receiving nurse's responsibility when they've accepted transfer of the patient. The OP's reference was to a transfer during shift change...
  17. MunoRN

    UPS Drivers make HOW much????

    MunoRN replied to Purple_Scrubs's topic in General Nursing

    Please run your views past your wife first, then get back to
  18. MunoRN

    do you mask/bag during DNI

    MunoRN replied to SarahT1974's topic in CCU, Coronary, Cardiac

    In general the requirement of a POA is to ensure that the patient's wishes are being followed, a POA who is intentionally directing care that goes against the patient's wishes but rather following...
  19. MunoRN

    do you mask/bag during DNI

    MunoRN replied to SarahT1974's topic in CCU, Coronary, Cardiac

    I've worked places where all services are offered despite medical futility, although where I work now it's not all that unusual for a physician to make a patient DNR based on medical futility despite...
  20. MunoRN

    Unsafe ED

    MunoRN replied to HeartRN13's topic in Patient Safety Issues

    First of all nurses should be required to work both ER and inpatient, the us vs them thing doesn't work in anyone's favor. Inpatient nurses often don't understand how things work in the ER, and too...
  21. MunoRN

    do you mask/bag during DNI

    MunoRN replied to SarahT1974's topic in CCU, Coronary, Cardiac

    A little of topic, but are saying you would direct staff to intubate your husband against his
  22. MunoRN

    Something bothered me today in the Emergency Dept.

    MunoRN replied to Wrangler156's topic in Emergency

    How is it that you're in fourth semester and you're still only taking one patient? There are groups that volunteer spending time those who want some company, I would suggest that route since it's very...
  23. MunoRN

    Patient with zofran pump and no orders

    MunoRN replied to BSNbeauty's topic in Patient Medications

    They probably aren't actually getting the same effect with IV pushes that they are with the pump. The plasma concentrations when giving IV have a distinct peak and trough, while continuous SQ dosing...
  24. MunoRN

    Inappropriate discharge

    MunoRN replied to Redmaile's topic in Patient Safety Issues

    I'm guessing you were given something called versed?
  25. MunoRN

    2 yrs nurse VS. 4yrs college nurse

    MunoRN replied to SeekingNewCareer's topic in Pre-Nursing Students

    There is data available on this and it's not anywhere near "most", even if you limit it to just