MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Am I the only one who hates 12 hour shifts?

    MunoRN replied to jdubs99's topic in General Nursing

    Ideally we'd all work the shift length that works best for us. There's certainly an argument for the availability of both 8 and 12 hour shifts, but there's also a limit; you can't have all the night...
  2. MunoRN

    G Tube Placement or Not...

    MunoRN replied to Doll Head's topic in Medical-Surgical

    I don't really get the rationale for instilling air to check for placement with a G tube. If the the tip has somehow come out of the stomach but has not come completely out then the tip would be in...
  3. MunoRN

    blood transfusion and first 15 minutes

    MunoRN replied to valsalvamanuever2's topic in MICU, SICU

    The reason I ask is that the risk of an immediately detectable and life threatening reaction could be argued to be higher with antibiotics than with blood transfusions, so if it's the level of risk...
  4. MunoRN

    IV piggyback question

    MunoRN replied to dorkomatic's topic in General Nursing

    We backflush the secondary and don't change either tubing. I'm not sure why it's felt that primary tubing and the IV itself can be used for incompatible medications so long as it is flushed in...
  5. MunoRN

    Nurse giving discontinue medications to other patients

    MunoRN replied to Nurse Amy Jolie's topic in Patient Medications

    I think the main issue is that any time someone thinks a Nurse didn't do something the "right way" that would imply they know of a better way, yet I'm not convinced the OP knows of the better way...
  6. MunoRN

    Nurse giving discontinue medications to other patients

    MunoRN replied to Nurse Amy Jolie's topic in Patient Medications

    It's certainly not unheard of for ALFs, ECFs, and hospitals to pre-allocate medications for specific patients (they are bottled, bagged, etc) by pharmacies either in-house or off-site which makes both...
  7. MunoRN

    Tracheaostomy venting

    MunoRN replied to Anggelica's topic in General Nursing

    Are you humidifying the patient's intake
  8. MunoRN

    Nurse giving discontinue medications to other patients

    MunoRN replied to Nurse Amy Jolie's topic in Patient Medications

    That's true in a self-administration situation, the patient "owns" their own stock of medication, taking their medication is no different than taking their DVD's and giving them to another patient,...
  9. MunoRN

    Nurse giving discontinue medications to other patients

    MunoRN replied to Nurse Amy Jolie's topic in Patient Medications

    If not properly documented, then yes, you could be stealing from a patient, so long as the any loss of reimbursement to the discharged patient is covered by documentation, then there is no stealing....
  10. MunoRN

    Nurse giving discontinue medications to other patients

    MunoRN replied to Nurse Amy Jolie's topic in Patient Medications

    CMS certainly discourages borrowing meds as a routine way of dealing with larger medication availability issues, and does state it should only be done when not receiving a medication could have a...
  11. MunoRN

    Nurse giving discontinue medications to other patients

    MunoRN replied to Nurse Amy Jolie's topic in Patient Medications

    I'm not totally clear what the private pay vs medicare matters. Whether or not you have e-kits isn't really the issue, an e-kit is just one of many ways of having a plan for how to deal with these...
  12. MunoRN

    Nurse giving discontinue medications to other patients

    MunoRN replied to Nurse Amy Jolie's topic in Patient Medications

    It would be more complex if there was "dispensing" involved, but from the description there is no dispensing of medication involved, only administration or assisting with self administration. When a...
  13. MunoRN

    Conscious sedation in the ER

    MunoRN replied to merilynRN's topic in Emergency

    I think I went from one thread to another without realizing it, in the other thread succ was mentioned a few times then I went to this thread that was in another tab, my
  14. MunoRN

    Nurse giving discontinue medications to other patients

    MunoRN replied to Nurse Amy Jolie's topic in Patient Medications

    I guess I'm not really sure what your rationale is for finding that so concerning. If the patient's intended bottle wasn't misplaced, wouldn't their dose also have come out of an unsealed bottle? I'd...
  15. MunoRN

    Conscious sedation in the ER

    MunoRN replied to merilynRN's topic in Emergency

    I assume people are referring to the use of paralytics in relation to intubation and not actually to conscious sedation,
  16. MunoRN

    Nurse giving discontinue medications to other patients

    MunoRN replied to Nurse Amy Jolie's topic in Patient Medications

    What any BON expects, and what I hope you would expect as well, is that Nurses do what is necessary to provide patients with safe and effective care. If anything, a Nurse would have more to worry...
  17. MunoRN

    blood transfusion and first 15 minutes

    MunoRN replied to valsalvamanuever2's topic in MICU, SICU

    I've actually never heard of having to stay in the room as an established rule. I would assume that these Nurses also stay in the room during the first portion of an antibiotic
  18. MunoRN

    DNR status and therapeutic hypothermia

    MunoRN posted a topic in General Nursing

    I'm wondering what people's thoughts are on using DNR status as a contraindication to therapeutic hypothermia (TH). There's broad disagreement at my facility which produces inconsistent care, and...
  19. MunoRN

    DNR status and therapeutic hypothermia

    MunoRN replied to MunoRN's topic in General Nursing

    TH isn't life support or resuscitative, stopping it doesn't mean you'll pass on your own. It's less of an issue when someone is one true life support (requiring mechanical ventilation, pressors,...
  20. MunoRN

    Can a Nurse lie to Me?

    MunoRN replied to MangoCoco's topic in Patient Safety Issues

    HIPAA laws prevent us from sharing information, including what medications a patient is receiving, without permission or a need to know, such as if you are the POA and the patient is incapacitated. It...
  21. MunoRN

    DNR status and therapeutic hypothermia

    MunoRN replied to MunoRN's topic in General Nursing

    It's usually that a patient had a documented out of hospital DNR that responders weren't aware of, they had expressed DNR wishes to a POA, or family POA make a patient DNR prior to initiation or prior...
  22. MunoRN

    Bipap and oral medications

    MunoRN replied to Superman_RN's topic in Emergency

    PO intake that can leave residue in the upper airway is the main concern; once the Bipap is put back on the residue is more likely to be aspirated due to the Bipap airway pressure. Many Docs are...
  23. MunoRN

    When attending a traditional BSN program, are students told they're better than ADNs?

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

    Back to the original question, it's certainly not unheard of for BSN and RN-BSN programs to make the claim that BSN nurses are better nurses than ADN nurses in their promotional/information material,...
  24. MunoRN

    DNR status and therapeutic hypothermia

    MunoRN replied to MunoRN's topic in General Nursing

    The challenge is that DNR is listed as a contraindication in almost every source on TH available, although it's good to see it's not just me that
  25. MunoRN

    Putting "your license on the line" at a job... Please explain!

    MunoRN replied to Nola009's topic in Patient Safety Issues

    litany noun Definition: 1. repeated series; 2. a long list of unpleasant things, particularly things that are repeated Synonyms: recital, list, repetition. Sounds like an LTC med pass to