MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    END-OF-LIFE Ethical Dilemmas

    MunoRN replied to AnnMarie52471's topic in Patient, Colleague Relations

    This is actually exactly what I was referring to. The article you posted actually states specifically that increasing opioids can in fact hasten death and often does. As the article points out,...
  2. MunoRN

    Role of huc/unit secretary

    MunoRN replied to D.R.A.'s topic in Activism, Healthcare

    If, lets say, the method for assigning patients is that Nurse #1 takes the first 5 rooms, Nurse #2 takes the next 5, etc, I'm not sure what difference it makes if the UC is the one making that...
  3. MunoRN

    Role of huc/unit secretary

    MunoRN replied to D.R.A.'s topic in Activism, Healthcare

    I get the impression that you're looking for some sort of regulatory requirement justification for having only Nurses make the assignments but I don't think that exists. Other than California's...
  4. MunoRN

    END-OF-LIFE Ethical Dilemmas

    MunoRN replied to AnnMarie52471's topic in Patient, Colleague Relations

    There is a difference between treating pain/discomfort and hastening death at the request of family. I have, on many occasions, had families ask me to give more morphine solely because the patient...
  5. MunoRN

    tpa in a small syringe

    MunoRN replied to sistrmoon's topic in Patient Medications

    If there are entire facilities whose policy allows for syringes less than 10cc under appropriate situations then it's simply not the standard of care, particularly when supported by 'established'...
  6. MunoRN

    tpa in a small syringe

    MunoRN replied to sistrmoon's topic in Patient Medications

    Legally we're held to the standard of care and using a 10cc syringe isn't the standard of care. A standard of care is one that has essentially universal acceptance among experts and practitioners, an...
  7. MunoRN

    Use of chux cloths to replace facewashers

    MunoRN replied to seriouslylost's topic in General Nursing

    What are
  8. MunoRN

    tpa in a small syringe

    MunoRN replied to sistrmoon's topic in Patient Medications

    Accurate dosing is also a safety issue, so it comes down to balancing two different safety concerns. A patent IV is actually very unlikely to produce excessive pressures no matter how much force is...
  9. MunoRN

    tpa in a small syringe

    MunoRN replied to sistrmoon's topic in Patient Medications

    It's important to remember that no syringe barrel size is actually protective. All the syringe barrel size does is change the ratio of force applied to the plunger to force created. You can easily...
  10. MunoRN

    Role of huc/unit secretary

    MunoRN replied to D.R.A.'s topic in Activism, Healthcare

    Have you actually found something from the BON that says this? I've worked in two different places where the patient assignments were done by staffing clerks, so it wouldn't appear that as a general...
  11. MunoRN

    SOB interventions on dialysis patients in ED

    MunoRN replied to 1fastRN's topic in General Nursing

    This isn't unusual and basically you want to create a way to use the peripheral vasculature as temporary fluid storage which will help ease the burden on the lungs until dialysis can actually remove...
  12. MunoRN

    ED tranfer.. No verbal report required

    MunoRN replied to HeartRN13's topic in Patient Safety Issues

    The recommendations for a verbal/interactive handoff aren't regional and limited to my area, they also come for organizations at the National level; AHRQ, CMS, WHO,
  13. MunoRN

    ED tranfer.. No verbal report required

    MunoRN replied to HeartRN13's topic in Patient Safety Issues

    I really don't think that "most" EDs are doing it this way, it's more likely that most EDs follow the various patient safety recommendations that handoffs be verbal and interactive. And actually in...
  14. MunoRN

    Vaccine Conspiracy Theorists More Likely To See Conspiracy Everywhere

    MunoRN replied to wtbcrna's topic in Disaster Preparation

    What I find most confusing about the usual opposition to both vaccines and GMO's is that people are will to contradict themselves to such an extent just to be oppositional. I know many people who are...
  15. MunoRN

    Is the California Board of Nursing Manipulating their Nursing Shortage?

    MunoRN replied to RoubRN's topic in California Nursing

    Excelsior College | State Board
  16. MunoRN

    Is the California Board of Nursing Manipulating their Nursing Shortage?

    MunoRN replied to RoubRN's topic in California Nursing

    It's not limited to California's BON, 15 states don't consider a Nursing degree from excelsior to be sufficient in addition to the NCLEX for state licensing. I doubt they are are conspiring to create...
  17. MunoRN

    Vaccine Conspiracy Theorists More Likely To See Conspiracy Everywhere

    MunoRN replied to wtbcrna's topic in Disaster Preparation

    Both the ant-vaccine and anti-GMO movement are far more visceral than logical and are basically reflexive opposition to the same things: Distrust of big business, distrust of technology, and a...
  18. MunoRN

    Vaccine Conspiracy Theorists More Likely To See Conspiracy Everywhere

    MunoRN replied to wtbcrna's topic in Disaster Preparation

    It's pretty easy to find multiple examples of Monsanto saying GMO's are safe, what are you referring
  19. MunoRN

    Would you hold Metformin fot a BS level of 149

    MunoRN replied to Nola009's topic in Patient Safety Issues

    Can an RN legally refuse to carry out a doctor's medication order for an opiate? | Nurse.com News To be honest I'm a little disappointed in N.S. education if this is really something that needs a...
  20. MunoRN

    Would you hold Metformin fot a BS level of 149

    MunoRN replied to Nola009's topic in Patient Safety Issues

    As I pointed out, yes you need to inform the provider: Documenting the provider notification, your refusal and rationale are all universal components of what a Nurse contemplating holding a med...
  21. MunoRN

    Verifying nasogastric tube placement

    MunoRN replied to tkyeung's topic in General Nursing

    Best practice has generally transitioned to radiographic confirmation of feeding tube placement (X-ray, flouro, CT etc). Aspirate pH, auscultation and CO2 detection are still used but usually just to...
  22. MunoRN

    Would you hold Metformin fot a BS level of 149

    MunoRN replied to Nola009's topic in Patient Safety Issues

    A nurse does not need a Doctor's order in any state to hold a medication. The Doctor should always be notified of your decision, but the final decision on whether or not to give a med is up to the...
  23. MunoRN

    Would you hold Metformin fot a BS level of 149

    MunoRN replied to Nola009's topic in Patient Safety Issues

    Typically you wouldn't hold metformin for a BG of 149, particularly if they have already been on it, in which case that BG of 149 is what the BG is with the metformin already working, continuing the...
  24. MunoRN

    Pt's FB pictures of me

    MunoRN replied to rse3's topic in HIPAA Challenges

    I got the moral turpitude part from this
  25. MunoRN

    Is there a legal way to do this...

    MunoRN replied to BrnEyedGirl's topic in HIPAA Challenges

    Abiding by Federal and State privacy laws is not harboring. They could face sanctions for violating HIPAA and state privacy laws, but not for abiding by all pertinent laws. I get the desire to call...