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 actually presented a very good description of degree/credential inflation in nursing which is why I don't consider your arguments/views on the subject to be half-baked. Meriwhen, PFMB, and...
  2. MunoRN

    Patients who are allergic to the contrast dye in an angiogram question

    MunoRN replied to Mrsjonesgilbert's topic in Cardiac

    The osmolarity of older dyes is often blamed, there are also numerous preservatives, stabilizers, dilutents, etc, all of which are possible culprits. Out of all of them, the iodine is by far the...
  3. 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

    What you're describing is the opposite of degree inflation; when an employer or market decides they are going to require a higher degree not because of a glut of higher degreed applicants then higher...
  4. 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

    Degree inflation doesn't involve increased pay. The largest employer of new bachelors degree grads is the service industry, as a result it's now become a requirement to have a bacehlors degree to...
  5. 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 preference for BSN's is primarily what's called "degree inflation" which typically isn't considered to be a good thing for a job market or our general economy. There are some arguments to be made...
  6. MunoRN

    Piggyback/Incompatibility-driving me nuts!

    MunoRN replied to Curious1alwys's topic in Infusion, Intravenous

    The rationale behind what we do is based on various levels of evidence. There are ranking systems for research, expert opinion, etc. Unfortunately, "that's how I've always done it" often ranks...
  7. MunoRN

    Obamacare? what are your thoughts

    MunoRN replied to nija315's topic in Activism, Healthcare

    I don't disagree that was clearly not possible based on the how the ACA works, for both insurance plans and doctors, though I find it interesting that conservatives are trying to claim they're upset...
  8. MunoRN

    Obamacare? what are your thoughts

    MunoRN replied to nija315's topic in Activism, Healthcare

    There was such a story going around recently, a woman undergoing cancer treatment supposedly wasn't going to be able to see her preferred doctor anymore, her meds weren't covered, and her costs were...
  9. MunoRN

    Obamacare? what are your thoughts

    MunoRN replied to nija315's topic in Activism, Healthcare

    Can you give an
  10. MunoRN

    Piggyback/Incompatibility-driving me nuts!

    MunoRN replied to Curious1alwys's topic in Infusion, Intravenous

    This has been figured out, although there are no RCTs on the subject, just like there are no RCTs are the safety of jumping out of an airplane with or without a parachute (although there is a review...
  11. MunoRN

    PRN Pain medication

    MunoRN replied to HW932j4's topic in Patient Medications

    There is no single correct rule since it all depends on what the prescribers intentions were. This can often be defined by policy, since then the prescriber is aware of how the order will be...
  12. MunoRN

    PRN hours decreased because of the ACA

    MunoRN replied to kdhunley's topic in Activism, Healthcare

    In the end, it's still legal for employers to be irresponsible
  13. MunoRN

    Piggyback/Incompatibility-driving me nuts!

    MunoRN replied to Curious1alwys's topic in Infusion, Intravenous

    You don't really get rid of all of the previous drug (down the last molecule), but then again you don't need to. And if the rationale that absolutely no remnants of the previous drug could be left in...
  14. MunoRN

    PRN hours decreased because of the ACA

    MunoRN replied to kdhunley's topic in Activism, Healthcare

    If you work 48-60 a week, or anything more than 30, then they are now required to give you health benefits, it doesn't matter if they prefer to still call you per diem or
  15. MunoRN

    Marfan Syndrome Pt on Heparin Drip

    MunoRN replied to payupalice's topic in Patient Medications

    It's likely due to another specific condition or history since anticoagulation (mainly chronic anticoagulation) should be avoided in patients with marfans syndrome due to their increased risk of...
  16. MunoRN

    Need expert advice on how to pass 39 patients' medication in a 2-hour time frame.

    MunoRN replied to OneMurse's topic in Geriatric, LTC

    You've clearly done the math, so ask management what their math is. How long have they determined it should take to perform the 5,6 or however many rights there are these days (I think we're actually...
  17. MunoRN

    tPA

    MunoRN replied to Gabby-RN's topic in Emergency

    Sign of CVA=head CT, if no signs of bleed then an an initial NIH is done by the RN, tPA bolus is given followed by one hour infusion. NIH is done again 2 hours post tPA and again at 24 hours and then...
  18. MunoRN

    Obamacare? what are your thoughts

    MunoRN replied to nija315's topic in Activism, Healthcare

    Personally I have no problem with the term Obamacare, even Obama has embraced it. If the best that those opposed to reform can come up with is a catchy, but rather meaningless nickname, to express...
  19. MunoRN

    HCAHP score petition.......

    MunoRN replied to JasmineLRN's topic in General Nursing

    You might consider presenting a more coherent argument if you're hoping to get any momentum. I think there are plenty of valid criticims of HCAHPs, such as it doesn't take into account...
  20. MunoRN

    Are swan-ganz (PAC) still around in your area?

    MunoRN replied to ninis's topic in Critical Care

    I see them much less, even from the same physicians that used to use them often. Not even all our open hearts come back with one anymore. They just haven't had that much of a role in clinical...
  21. MunoRN

    To give or not give insulin

    MunoRN replied to Twisted Nurse's topic in Medical-Surgical

    No BON in any state requires nurses to give a medication against their judgement, actually quite the opposite. As a requirement of your license, all nurses in every state are required to hold a...
  22. MunoRN

    The Death Knell Of Hospices Everywhere

    MunoRN replied to chordringer's topic in Hospice, Palliative

    Don't hospices come up with their own formularies? There is no master list of medications on formulary that's produced by anyone other than the hospice facility/company? The issues seems to be that...
  23. MunoRN

    Manager "threatening" us with primary nursing!!!

    MunoRN replied to lelafin's topic in General Nursing

    If you're going from 1:5 with 2 techs per 30 patients (up to 8 staff total) to 1:3 with no techs (up to 10 staff total) then it would seem you're better off. The problem with "primary nursing" is...
  24. MunoRN

    The Death Knell Of Hospices Everywhere

    MunoRN replied to chordringer's topic in Hospice, Palliative

    So there is a hospice formulary equivalent for
  25. MunoRN

    Prioritizing infusions

    MunoRN replied to sistrmoon's topic in Patient Medications

    Vanco has a long half-life so it's timing is fairly flexible, although I would confirm any timing changes with pharmacy. You mentioned that the platelet values haven't changed despite transfusions,...