MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Prioritizing infusions

    MunoRN replied to sistrmoon's topic in Patient Medications

    If the patient is habitually "chewing up" their platelets above a certain count then transfusing platelets is of no benefit and just wastes valuable platelets. There are various potential causes for...
  2. MunoRN

    The Death Knell Of Hospices Everywhere

    MunoRN replied to chordringer's topic in Hospice, Palliative

    I agree that patients should be expected to use hospice formulary alternatives, but there needs to be alternatives which doesn't appear to be the case in the previous posts: ("the alternative needs to...
  3. MunoRN

    Local hospital now says "BSN or MSN preferred" for all bedside positions?!

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

    The short answer is no (the long answer here), it sounds like a great idea and even just plain obvious but only if you don't think about it too much. The main problem is that we can't expand our...
  4. MunoRN

    The Death Knell Of Hospices Everywhere

    MunoRN replied to chordringer's topic in Hospice, Palliative

    What you seem to be saying is that the need for antidepressents is often related to a terminal diagnosis, which means it must be included in hospice's part A reimbursement. Continuing other meds...
  5. MunoRN

    Triple Lumen Cath anatomy

    MunoRN replied to NurseCollins799's topic in CCU, Coronary, Cardiac

    Preferably a lumen is left for draws that doesn't have something infusing through it that would alter the result. Even with flushing it can be difficult to get a sample for a ptt out of a lumen that...
  6. MunoRN

    Local hospital now says "BSN or MSN preferred" for all bedside positions?!

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

    There are three different 'forces' that have drastically changed ADN curriculum over the last 10 years or so. Accreditation bodies (namely the NLN for ADN programs), have increased credit and pre-req...
  7. MunoRN

    Student Uniforms

    MunoRN replied to lepew's topic in Nursing Educators, Faculty

    All white shoes are somewhat limited for women, nearly impossible to find for men, particularly if you want a shoe that fits well. Generic white shoes for men are reasonably available, but given the...
  8. MunoRN

    The Death Knell Of Hospices Everywhere

    MunoRN replied to chordringer's topic in Hospice, Palliative

    Why do you think it wouldn't be covered under part
  9. MunoRN

    Soap vs Wipes

    MunoRN replied to busymamaof3's topic in Patient, Colleague Relations

    I've been on the receiving end of both soap/basin and wipe bed baths, and I'd argue that if you have any compassion for your fellow man then you'll refuse to give soap/basin bed baths. I had a broken...
  10. MunoRN

    Local hospital now says "BSN or MSN preferred" for all bedside positions?!

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

    I was trying to be generous to the BSN by allowing for the general electives, which supposedly is one of the main reasons why BSN should be mandatory, to be a year's worth of "enlightening", but...
  11. MunoRN

    Local hospital now says "BSN or MSN preferred" for all bedside positions?!

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

    I think the confusion is that you compared BSN to ADN as being 125 vs 60 credits, even though the 125 credits includes pre-requisites and the 60 does not. Both have similar pre-requisites (BSN...
  12. MunoRN

    Local hospital now says "BSN or MSN preferred" for all bedside positions?!

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

    I think you're maybe comparing apples and oranges. 60 semester credits (2 years) is a typical core program length for nursing programs, ADN or BSN. An ADN is typically about a year of pre-requisites...
  13. MunoRN

    Local hospital now says "BSN or MSN preferred" for all bedside positions?!

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

    You seem to be describing a difference in total credits for the ADN and BSN programs you are referring to as being a year or more. That seems highly unlikely. I've dealt the managing curriculum of...
  14. MunoRN

    The Death Knell Of Hospices Everywhere

    MunoRN replied to chordringer's topic in Hospice, Palliative

    If the medications are to treat symptoms related to the hospice diagnosis then of course hospice should be paying for them, that's been part of the deal for a long time
  15. MunoRN

    question related to cardic aresst

    MunoRN replied to dellyneil's topic in Cardiac

    My first guess would be that they went into cardiac arrest because they are in a facility without electricity to power IV pumps and without contact with the outside world since they apparently missed...
  16. MunoRN

    Local hospital now says "BSN or MSN preferred" for all bedside positions?!

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

    In order to be accredited both ADN and BSN Nursing curriculum must involve both pathophysiology and pharmacology to essentially the same level. I think people get confused when different programs...
  17. MunoRN

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

    MunoRN replied to Mrsjonesgilbert's topic in Cardiac

    An important part of understanding contrast allergies is that it's not actually possible to be allergic to iodine. It's often referred to as an "allergy" (with intentional quotation marks). The...
  18. MunoRN

    The Death Knell Of Hospices Everywhere

    MunoRN replied to chordringer's topic in Hospice, Palliative

    I'm still not sure where this is coming from. Cymbalta, AKA duloxetine, is still part of the part D formulary as a generic (it's the same drug just without the fancy
  19. MunoRN

    The Death Knell Of Hospices Everywhere

    MunoRN replied to chordringer's topic in Hospice, Palliative

    They expect part A to cover all medications related to the terminal diagnosis and palliation of symptoms. As far as I can tell, CMS is not saying that hospice patients can no longer have part D...
  20. MunoRN

    The Death Knell Of Hospices Everywhere

    MunoRN replied to chordringer's topic in Hospice, Palliative

    Ambien (zolpidem) and Cymbalta (duloxetine) are both still included in the part D formulary, just not the brand name versions, only generic zolpidem and duloxetine are covered. Part D does cover a...
  21. MunoRN

    "Saunameters"

    MunoRN replied to Pachinko's topic in General Nursing

    The claim that the brits say sontimeters as a general rule appears to be a myth as far as I can tell. While the UK is near France, I'm not aware that French accents are are typically found in native...
  22. MunoRN

    "Saunameters"

    MunoRN replied to Pachinko's topic in General Nursing

    Touche
  23. MunoRN

    "Saunameters"

    MunoRN replied to Pachinko's topic in General Nursing

    The French came up with the metric system, which is supposedly why some use the french pronunciation of part of the word and call it a "SAWN-timiter", although I'm not sure why the French accent is...
  24. MunoRN

    consents for picc insertion

    MunoRN replied to thomas76's topic in Infusion, Intravenous

    You always need consent to insert a PICC line (or start an IV, give a med, etc), regardless of whether or not you need written consent. If the patient is incapacitated and there is no one available...
  25. MunoRN

    Should pts w/ + sputum cultures be on droplet precautions?

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

    Sputum cultures are expected to be positive for upper respiratory tract flora, which mostly gram positive bacteria. So if you're going to put everyone on isolation for having just "positive" sputum...