MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

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

    MunoRN replied to tulip5's topic in Activism, Healthcare

    If we didn't already know why our system costs more then it could be suggested that the differences aren't ones that can be fixed by how we manage our health insurance and delivery, but we know what...
  2. MunoRN

    Holding Antihypertiensives

    MunoRN replied to jamiejohnson2007's topic in Patient Medications

    Any decision making needs to be based on good awareness of the patient-specific plan, which will always mean call the MD if the plan hasn't been communicated. For some patients a BP of 83/46 would be...
  3. MunoRN

    Holding Antihypertiensives

    MunoRN replied to jamiejohnson2007's topic in Patient Medications

    It's not only legal, but expected for Nurses to hold a med based on their judgement. You do need to inform the MD when you hold a med, but if the MD says "give it anyway" you are still expected to...
  4. MunoRN

    ER nurses not calling report anymore...

    MunoRN replied to plinytheRN's topic in Patient Safety Issues

    I assume I'm reading that wrong and you don't really think that Nurses shouldn't be expected to do anything other than "just following orders", but ER Nurses should have a basic idea of what type...
  5. MunoRN

    ER nurses not calling report anymore...

    MunoRN replied to plinytheRN's topic in Patient Safety Issues

    Maybe it's because I don't just work in the ER, but I really fail to see how it can be argued that report on a patient sick enough to get admitted doesn't deserve at least a verbal addendum to the...
  6. MunoRN

    ER nurses not calling report anymore...

    MunoRN replied to plinytheRN's topic in Patient Safety Issues

    At least everywhere I've worked, MD consults are only communicated to Nursing staff by the Doc saying to the Nurse "I'm getting a nephrology consult", that's the sort of thing that would get...
  7. MunoRN

    ER nurses not calling report anymore...

    MunoRN replied to plinytheRN's topic in Patient Safety Issues

    I also get annoyed by the "where is there IV?" question, (it's the brightly colored thing taped to their arm), but I wouldn't consider that anywhere near enough reason to avoid a verbal report at all....
  8. MunoRN

    If we make BSN the entry level degree, we should be paid more

    MunoRN replied to runningcrazy's topic in Activism, Healthcare

    You quoted a "differential" of 6-8%. The term "differential" has a specific meaning in terms of wages. In general it implies a single basis on which someone is paid more than someone else, in other...
  9. MunoRN

    If we make BSN the entry level degree, we should be paid more

    MunoRN replied to runningcrazy's topic in Activism, Healthcare

    I think you might be misstating the evidence there. Surveys do show a (uncorrected) difference of about 8% in ADN and BSN salaries, although they don't actually show that BSN nurses make more because...
  10. MunoRN

    I can't work at the VA hospital when I graduate!

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

    Even accredited programs (ie Excelsior) aren't recognized by some state BON's, the best thing to do is to check with the BON's in any states you might work
  11. MunoRN

    Is having an ADN really a terrible choice?

    MunoRN replied to Guest757854's topic in Diploma, ADN, BSN

    I think we too often confuse 'degree inflation' with an actual practical need for a certain degree in an occupation. Degree or Academic inflation is when an employer prefers or even requires a certain...
  12. MunoRN

    If we make BSN the entry level degree, we should be paid more

    MunoRN replied to runningcrazy's topic in Activism, Healthcare

    The shift to BSN curriculum is already well underway, 14 states have laws that require BSN articulation agreements for all ADN programs (which in turn require an adoption of BSN curriculum), and the...
  13. MunoRN

    If we make BSN the entry level degree, we should be paid more

    MunoRN replied to runningcrazy's topic in Activism, Healthcare

    Many ADN programs have already transitioned to BSN curriculum, with no change in tuition due to the the change in curriculum. So if the value of a BSN is in the curriculum, not the letters "B-S-N",...
  14. MunoRN

    If we make BSN the entry level degree, we should be paid more

    MunoRN replied to runningcrazy's topic in Activism, Healthcare

    I guess what I'm asking is: Does the curriculum make the difference or do the letters on the degree make the difference? If an ADN program has already transitioned to a BSN Nursing program...
  15. MunoRN

    If a person codes at Walmart..

    MunoRN replied to Vtachy1's topic in Patient, Colleague Relations

    I've seen patients with a DNR tattoo, usually annoyed at waking up in an ICU since I don't know of any state that recognizes a DNR tattoo as an accepted way for EMS to withhold CPR. As far as I know,...
  16. MunoRN

    If we make BSN the entry level degree, we should be paid more

    MunoRN replied to runningcrazy's topic in Activism, Healthcare

    One of the only realistic solutions for making BSN entry to practice is to take ADN grads and simply rename them as 'BSN' (with the addition of up to 1 year of general electives). If we take a...
  17. MunoRN

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

    MunoRN replied to tulip5's topic in Activism, Healthcare

    You're still not answering my question, you're just pasting random things. What would you do instead? For example, here is the Republican alternative, do you prefer this, and if so, what specific...
  18. MunoRN

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

    MunoRN replied to tulip5's topic in Activism, Healthcare

    Every other developed country in the world pays between about 5 and 12% of GDP on healthcare, we spend about 18%. Using major measurements of healthcare quality, we have one of the worst healthcare...
  19. MunoRN

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

    MunoRN replied to tulip5's topic in Activism, Healthcare

    I have no idea what this has to do with my
  20. MunoRN

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

    MunoRN replied to tulip5's topic in Activism, Healthcare

    So you prefer Obamacare over single
  21. MunoRN

    Lidocaine Spray

    MunoRN replied to Ruba's topic in Patient Medications

    2% Lidocaine gel, marketed as "Bikini Zone" topical analgesic is available
  22. MunoRN

    Prolonged use of paralytics

    MunoRN replied to ICUNurseStat's topic in MICU, SICU

    It's always been my impression that neuromuscular blockade is of little benefit beyond the first 48 to 72 hours. Greater than 10 days is unlikely to have much additional benefit, and the risks are...
  23. MunoRN

    Nurses prescribed marinol?

    MunoRN replied to francoml's topic in General Nursing

    I'm not trying to speak for aaronallgrin, but to answer your question:...
  24. MunoRN

    Nurses prescribed marinol?

    MunoRN replied to francoml's topic in General Nursing

    Marinol is synthetic THC, which is very different than medical marijuana mainly because the therapeutic component in marijuana is primarily cannabidiol, not THC. There is some, but very limited...
  25. MunoRN

    Is having an ADN really a terrible choice?

    MunoRN replied to Guest757854's topic in Diploma, ADN, BSN

    It's important to look at the actual differences in job placement in your area based on degree, the hype often thrown around in these threads is that you're at a huge disadvantage with an ADN,...