MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Is this a legal part of the job?

    MunoRN replied to BuckyBadgerRN's topic in Activism, Healthcare

    I really don't get the problem, if a Hospital wants to pay me a Nurse's wage to shovel snow I'll happily do that for the whole
  2. MunoRN

    Questions for Jehovah's Witness

    MunoRN replied to hodgieRN's topic in General Nursing

    Not all Jehovah's Witnesses refuse blood products and not everyone who doesn't want blood products is a Jehovah's Witness, so it's better to ask the question more directly (describe the medication...
  3. MunoRN

    Any night shift nurses experiencing low blood sugars?

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

    Have you actually checked your blood sugar when feeling this way? You're going against your body's circadian rhythm which itself can be much of your
  4. MunoRN

    Apothecary measurements

    MunoRN replied to ml52789's topic in Patient Medications

    None of those are apothecary
  5. MunoRN

    Apothecary measurements

    MunoRN replied to ml52789's topic in Patient Medications

    We don't use the apothecary pounds, ounces, cups, and quarts anymore. It's a bit confusing since the modern metric system and the old apothecary system share some of the same terms for weights and...
  6. MunoRN

    Apothecary measurements

    MunoRN replied to ml52789's topic in Patient Medications

    It's sort of an unfortunate hazing process for Nursing, you'll find that 'grin and bear it' will apply to much of your Nursing school experience. You are correct that you should refuse any order...
  7. MunoRN

    Question???? Please reply

    MunoRN replied to Bubblegum12's topic in CCU, Coronary, Cardiac

    Practice guidelines typically recommend analgesia first, sedation/anxiolysis second, you don't want to just sedate someone who might be having pain. Post-vent delirium is more strongly linked to...
  8. MunoRN

    Are RNs allowed to arterial stick at your hospital?

    MunoRN replied to Deetail's topic in General Nursing

    Practice Acts vary by state, I've worked in a state where RT's, but not RN's, could place art lines and draw ABG's, and I've worked in a state where both RT's and RN's could do both (radial only)....
  9. MunoRN

    Medication deviation... Patient right to know?

    MunoRN replied to Kimberlyace's topic in Patient Safety Issues

    Preferably you just don't leave the opportunity for that error in the first place, which is why combinations containing 325mg is now preferred. Taking 2 of these combination medications every 4 hours...
  10. MunoRN

    PICC line blood draw

    MunoRN replied to greyL's topic in General Nursing

    I get the premise, the problem is that this doesn't limit the PSI a the plunger, it only changes the ratio of pounds of force at the handle to PCI at the plunger, it's still very possible for one...
  11. MunoRN

    Is this common with teaching hospitals?

    MunoRN replied to liketheairport's topic in General Nursing

    I would agree that we, as Nurses, could do a better job of letting patients know what to expect, which is basically that you are a potential object of learning 24/7. The cognitive characteristics...
  12. MunoRN

    Is this common with teaching hospitals?

    MunoRN replied to liketheairport's topic in General Nursing

    It's usually poor form to give someone the impression that they have a choice about something when they actually don't. I have a feeling you'd be even more upset if they asked for your permission,...
  13. MunoRN

    Is this common with teaching hospitals?

    MunoRN replied to liketheairport's topic in General Nursing

    Every Doctor knows what they know thanks to the many patients before you who went through the same thing, it's only fair for you to pay that forward. If you want someone who is sensitive to how this...
  14. MunoRN

    PICC line blood draw

    MunoRN replied to greyL's topic in General Nursing

    Are we under the impression that a 10ml syringe limits the amount of pressure in the
  15. MunoRN

    inotrope via syringe driver or pump?

    MunoRN replied to sister s's topic in MICU, SICU

    The problem with syringe pumps is something called "stiction". The friction that must be overcome to cause the plunger to move causes the pump to deliver medication as series of boluses rather than...
  16. MunoRN

    PICC line blood draw

    MunoRN replied to greyL's topic in General Nursing

    Assessing patency with a 10ml syringe is still the standard, once patency is confirmed, bore size makes little difference. If vacutainers are contraindicated on PICC's that's news to me. Our POWER...
  17. MunoRN

    Practicing Out of Scope

    MunoRN replied to DorselFin's topic in Patient Safety Issues

    I can't confirm this is the 'correct' way to go about it, but my response to things like this has always been to just e-mail the DOH/BON. It is also possible however that the DOH/BON doesn't actually...
  18. MunoRN

    Practicing Out of Scope

    MunoRN replied to DorselFin's topic in Patient Safety Issues

    It seems very silly, but the OP appears to be correct:...
  19. MunoRN

    PICC line blood draw

    MunoRN replied to greyL's topic in General Nursing

    So long as the line is patent it makes no difference, and actually doesn't make that much difference even if the line isn't
  20. MunoRN

    IM Ketamine policy

    MunoRN replied to Guest219794's topic in Emergency

    We use a separate dissociative sedation policy, since the effects of ketamine are much different than CNS depressants. Ketamine isn't generally considered to be a cause of respiratory depression or...
  21. MunoRN

    Help with amiodarone drip

    MunoRN replied to healthcare4life's topic in Cardiac

    Maybe it's because I'm utilizing the "paint thinner" definition, but I've never agreed with the belief that anti-coagulants are not "thinners". "Paint thinner" isn't necessarily used to change the...
  22. MunoRN

    Help with amiodarone drip

    MunoRN replied to healthcare4life's topic in Cardiac

    Amio isn't just used to convert patients out A-fib, it's also to maintain SR. If the MD wasn't aware that the patient was in and out of A-fib, as opposed to persistent A-fib, it might be worth...
  23. MunoRN

    Verbal Orders

    MunoRN replied to ktliz's topic in Critical Care

    It's important to remember that non-teaching hospitals are a very different situation. It's very unlikely that the MD is going to be hanging out at the bedside just because you're giving levo boluses...
  24. MunoRN

    Iv mag or k+ which do I hang first?

    MunoRN replied to JenniferG rN's topic in Emergency

    Net uptake refers to the amount that remains in the cell, when you scoop up water with a colander the amount that comes back out immediately isn't counted as net uptake since it comes back out as fast...
  25. MunoRN

    Hypothermia Protocol

    MunoRN replied to jrodhuskers's topic in General Nursing

    I guess the question is why would you have to continue them prior to completion of re-warming. I've used a couple different protocols, and both used paralytics only in the cooling stage to override...