MunoRN RN

Critical Care

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All Content by MunoRN

  1. EMTALA. The Social Security Act. The 8th amendment. Are you under the impression that the Constitution forbids defining healthcare as a right? Or that no laws other than the Constitution
  2. MunoRN

    O2 bad if pt already 100% RA?

    Until recently, really the only generally accepted reason to put O2 on someone with a normal Sat was the chest pain/ACS algorithm, although even that has been removed. Supplemental O2 is only...
  3. MunoRN

    morphine drip for "comfort"

    There is a difference between titrating up a morphine drip because the patient is still in pain or uncomfortable, and titrating up the drip because the patient is still alive. While morphine is...
  4. MunoRN

    Patient abandonment?

    It might depend on state by state definitions, but in my state that is clearly abandonment. My BON defines abandonment as failing to confirm the receiving Nurse has both received and understood...
  5. I'm aware of both, what's your question? I think you're confusing the Nursing program portion of a degree, whether it be a bachelor's or associates, and the non-program portion. A bachelor's degree...
  6. My wife is a teacher, my mother was a teacher, and my decision on which college to go to out of high school was based on pursuing an Ed degree, so no I have nothing against teachers I vote yes on...
  7. It wasn't just one hospital it was system-wide; 7 hospitals in 4 states. Our Education departments were in "flux", although that was probably more of a cover for the fact that we just wanted to save...
  8. MunoRN

    JP Drains and blood exposure

    Point it away from you and use a 4x4 over the plug when you open
  9. How is that possible? Would a BSN still be the same with half the clinical
  10. That's an excellent example of our misconceptions that we don't seem to think is possible. Teachers, in part believing they could gain respect and pay by adding a masters or masters equivalent...
  11. Maybe we've lost track at this point, but the statement I still don't understand is this one: "Surely in all of your college experience you have heard this reference made by all of those irresponsible...
  12. Really. The 160 quarter credits was your figure not mine, you seem to be arguing with you're own proposed numbers. You'll notice however that the actual Nursing Program at UCLA is about 95 credits,...
  13. I'm still not clear on the reference you're referring to. BSN programs are not 160 quarter credits. A BSN consists of general electives, pre-requisites, and the program itself, with the program...
  14. MunoRN

    Are my pts "brain dead"?

    Basically brain dead is dead, there is no potential for recovery, truly zero% chance of recovery. A vegetative state has a progressively worsening chance of recovery which may never reach true zero,...
  15. Don't forget myself, I also insulted myself, twice as much actually since I have two bachelor's degrees, not to mention my wife and parents. I had a feeling someone would really stretch to feel...
  16. I'm a second career Nurse, as a part of one of my previous careers I frequently hired young workers, typically college students or graduates. While there was no truly consistent rule to be found, if...
  17. Prior to Nursing, I obtained a bachelors in a different field. When I went back to Nursing school I had to retake some classes since it was required that they were taken in the last 5 years. During...
  18. MunoRN

    Are my pts "brain dead"?

    A "persistent vegetative state" and "brain death" are two different things medically speaking, although I'd argue neither counts as being "alive" in a practical sense. "Brain death" involves no...
  19. Did you take the same classes at a University or did you take higher level English/Communications classes at a University than what you did at a Community
  20. MunoRN

    conscious pt terminal wean

    That's an important insight on the decision making process that usually occurs in the ICU in these situations; family makes decisions for the patients with the assumption that they are making the...
  21. MunoRN

    conscious pt terminal wean

    Death is inevitable, and if a return to some reasonable quality of life is no longer possible, the only thing we can control the amount of misery involved. Nurses, rightfully so, take some pride in a...
  22. The right to healthcare isn't just a "perception", it a right that is defined by law, do you disagree that those laws and program exist or that they don't actually define healthcare as a
  23. That was actually a district court but they didn't actually find police don't have a duty to protect you it was that they don't have a duty to protect your property (the problem in that case was that...
  24. MunoRN

    what type of watch do you prefer?

    I have to agree with the "bare below the elbow" policy that many facilities (and entire countries) have adopted. I stopped wearing a watch at work after the very first time poop became lodged in...
  25. You used "differential" in the context of wages which would certainly imply a "wage differential", differentiating between an increased value that is directly attributed to level of degree and...