MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Pt's FB pictures of me

    MunoRN replied to rse3's topic in HIPAA Challenges

    Now I'm confused, who took the
  2. MunoRN

    If you like your health insurance, you can keep it your insurance. Period

    MunoRN replied to tulip5's topic in Activism, Healthcare

    Our healthcare system in general is likely unsustainable in it's current form, although between medicare and private insurance I don't think there is much arguing that medicare has far more potential...
  3. MunoRN

    If you like your health insurance, you can keep it your insurance. Period

    MunoRN replied to tulip5's topic in Activism, Healthcare

    I tried to make it clear that was a generic observation, which is why I said "are people" under the impression, instead of "are you", although even then I'm trying to encourage you to clarify that as...
  4. MunoRN

    If you like your health insurance, you can keep it your insurance. Period

    MunoRN replied to tulip5's topic in Activism, Healthcare

    Scrap it and start over to build what? Like most young adults, my needs and finances dictated that I didn't want to spend money on something I could get for free (by having others carry my financial...
  5. MunoRN

    If you like your health insurance, you can keep it your insurance. Period

    MunoRN replied to tulip5's topic in Activism, Healthcare

    The only thing worse than Obamacare is what we had before. It seems the only difference between liberals and conservatives is that what liberals would make significant changes given the option. Prior...
  6. MunoRN

    Pt's FB pictures of me

    MunoRN replied to rse3's topic in HIPAA Challenges

    A hospital can have a policy that requests someone delete photos, however this is essentially voluntary as Hospital staff cannot confiscate the device the the person refuses, they can only removed...
  7. MunoRN

    Pt's FB pictures of me

    MunoRN replied to rse3's topic in HIPAA Challenges

    A photo is 'owned' by the creator (the person who took the picture), although that changes when someone posts that picture to facebook. Part of facebook's terms is that they share ownership of...
  8. MunoRN

    Advice regarding fluroscopy exposure to patients and staff

    MunoRN replied to steph2446's topic in Patient Safety Issues

    The general positioning should be able to be done with shooting fluoro, and it's really up to the MD to decide if they like the positioning under fluoro so the first shot should be done by the MD, but...
  9. MunoRN

    If you like your health insurance, you can keep it your insurance. Period

    MunoRN replied to tulip5's topic in Activism, Healthcare

    There is certainly more work to be done, so what changes would you
  10. MunoRN

    If you like your health insurance, you can keep it your insurance. Period

    MunoRN replied to tulip5's topic in Activism, Healthcare

    Whether or not a law is Constitutional is defined by the Supreme Court. The ACA was available for review more than 2 months before the Senate voted on it and about 4 months before the House voted on...
  11. MunoRN

    If you like your health insurance, you can keep it your insurance. Period

    MunoRN replied to tulip5's topic in Activism, Healthcare

    All of which establish some form of healthcare as a
  12. MunoRN

    Giving report

    MunoRN replied to Caleb_RN225's topic in Patient, Colleague Relations

    Just starting giving report, if they aren't listening then that's their problem (which could then become the patient's problem which is why they shouldn't have a choice but to listen). I find I...
  13. MunoRN

    PRN hours decreased because of the ACA

    MunoRN replied to kdhunley's topic in Activism, Healthcare

    Back on topic, I completely agree that health insurance shouldn't be tied to your job, it's what we should do instead where there doesn't seem to be much consensus. My hospital had been transitioning...
  14. MunoRN

    PRN hours decreased because of the ACA

    MunoRN replied to kdhunley's topic in Activism, Healthcare

    It's for a platinum plan: New Jersey Health Insurance Exchange |
  15. MunoRN

    PRN hours decreased because of the ACA

    MunoRN replied to kdhunley's topic in Activism, Healthcare

    I'm not a big of the ACA either but let's have a little respect for math. There were about 47 million uninsured in 2012. The simplest per person cost for healthcare (total cost divided by number of...
  16. MunoRN

    Ventilator pt chokes on food

    MunoRN replied to bcassella2007's topic in Patient Safety Issues

    The common wisdom these day is that the cuff should be deflated or a cuffless trach should be used if the patient is takes food by mouth (a normal swallow utilizes positive pressure in the trachea...
  17. MunoRN

    Acetaminophen: Why?

    MunoRN replied to seks's topic in Patient Medications

    My impression is that the study showed no significant difference between scheduled and prn acetaminophen administration, and that neither was all that effective in treating discomfort in the dementia...
  18. MunoRN

    morphine drip for "comfort"

    MunoRN replied to melisgood's topic in Patient Medications

    I'm not opposed to it, although I know I've most likely hastened death in the past with morphine. Prescription opiates kill 16,000 people per year (that doesn't even count those who die in the...
  19. MunoRN

    Frequency of changing peripheral IV catheter

    MunoRN replied to Neohippy's topic in Infusion, Intravenous

    My understanding is that the current INS recommendation is to change sites only based on assessment. Their recommendations aren't publicly available, so someone who has access to them might be able...
  20. MunoRN

    Are Alcohol Rubs done any more? Are they considered safe?

    MunoRN replied to visionary123's topic in Patient Safety Issues

    It's what is usually referred to as a "folk treatment." Not all folk treatments are bad, some have made their way into modern medicine. Applying rubbing alcohol however pretty well characterizes...
  21. MunoRN

    Atheism in nursing

    MunoRN replied to pugmom79's topic in Spirituality, Religion

    I would try not to take it personally. There are all types of intolerant people, and surprisingly those who claim to be followers of the teachings of Christ can be just as intolerant (if not more) as...
  22. MunoRN

    Can you take a patient's medication without their consent?

    MunoRN replied to balmybalmblam's topic in Patient Safety Issues

    As a general rule, unless you have reason to be sure you can take them, then you can't them (those reasons are usually confined to court orders). Otherwise, you're stealing someone's drugs, and not...
  23. MunoRN

    Obamacare and Nursing.. what do you think?

    MunoRN replied to OKNurse2be's topic in Activism, Healthcare

    I would think the most obvious reason health insurance costs more than auto and home insurance is that insurance cost is directly related to the costs it is covering. We spend not twice as much, not...
  24. MunoRN

    PRN meds

    MunoRN replied to mom-wife-nurse's topic in Patient Medications

    It's your responsibility to assess for the need for prn meds, it's not the patient's responsibility to ask at the time it's due. Typically, the frequency of a prn med is based on the length of time...
  25. MunoRN

    Clots related to fast afib

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

    The general recommendation is to start anti-coagulation after 48-72 hours in A-fib, since the type of clot we're worried about won't "mature" until beyond that point. This is also why it's still safe...