MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    HIPAA and Advocate for competent patient

    MunoRN replied to akn1563's topic in HIPAA Challenges

    You're facility is actually making up it's own rules, which is pretty common, although not to this degree. In the case of a POA when the POA becomes the active decision maker, you're actually...
  2. MunoRN

    HIPAA and Advocate for competent patient

    MunoRN replied to akn1563's topic in HIPAA Challenges

    So if a patient's POA can't be there in person then they aren't the
  3. MunoRN

    HIPAA and Advocate for competent patient

    MunoRN replied to akn1563's topic in HIPAA Challenges

    I'm confused how that works, lets say you have a patient where the POA is the decision maker, you refer them to medical records when they
  4. MunoRN

    Could Obamacare cause a shortage in nursing again

    MunoRN replied to RescueNinja123's topic in Activism, Healthcare

    That's dictating your minimum required insurance coverage, not dictating your healthcare. The government isn't going to dictate how you treat your hypertension or whether or not you should have your...
  5. MunoRN

    Students, RNs and medication admin - Is this crossing boundaries?

    MunoRN replied to Apples&Oranges's topic in Patient Medications

    I've never worked in any place where the majority of med administration by a student wasn't done with the staff Nurse as the one supervising the student. Although first semester/quarter Nursing...
  6. MunoRN

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

    MunoRN replied to tulip5's topic in Activism, Healthcare

    They aren't being given subsidies, they're being given the same pay they were getting before. Republicans, apparently to make a point, made Congressional employees the only group where their employer...
  7. MunoRN

    Vasopressor and Inotrope Titration Orders

    MunoRN replied to RN Nick's topic in MICU, SICU

    The JC doesn't actually require titration orders to be that specific, but that doesn't mean surveyors won't have completely inaccurate views of the requirements which is one reason why the JC is...
  8. MunoRN

    Petition to make BPD reimbursable with health insurance companies

    MunoRN replied to Virginia_RN's topic in Activism, Healthcare

    Insurance plans have always been able to limit what they cover, whether it be mental health coverage or maternity care. But now with the ACA mental health is covered, a submitted claim using the...
  9. MunoRN

    Obamacare vs. The Affordable Care Act

    MunoRN replied to Elizabeth Renee's topic in Activism, Healthcare

    With the closing of loopholes that allowed insurers to avoid paying claims and to drop customers when they get sick the costs of those plans that weren't likely to actually cover someone are going up....
  10. MunoRN

    Sedation Policies

    MunoRN replied to kp616's topic in Critical Care

    That was when we thought patients received less cumulative benzos when sedation vacations were done, and less benzos=less delirium=less ptsd. That was based on a single small study from 2000. More...
  11. MunoRN

    Abandoned Patients?

    MunoRN replied to Cardiolyte's topic in MICU, SICU

    We have another RN watch them. This does leave that RN with now an extra patient, and we do the same thing when we go on break. It's certainly not optimal, but given the trend in hospitals these...
  12. MunoRN

    BSN and Obamacare

    MunoRN replied to Steve123's topic in Diploma, ADN, BSN

    Not that long ago, every facility I know of paid at least some portion of an RN to BSN, now I don't know of a single one that does. Although this has nothing to do with Obamacare, and Hospitals don't...
  13. MunoRN

    Swan-Ganz catheters in PCU

    MunoRN replied to Lev's topic in Cardiac

    Where I have seen them used in a PCU it's been for milrinone titration (by the MD) or other medication adjustments, which I really don't think requires ICU care in an otherwise stable
  14. MunoRN

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

    MunoRN replied to tulip5's topic in Activism, Healthcare

    The short version; Everyone who currently has health insurance that meets the minimum requirements is "exempt" from Obamacare; they don't have to buy a plan through the exchange. As a sort of dare,...
  15. MunoRN

    What would you have done?

    MunoRN replied to MsSocalRN's topic in General Nursing

    While the Physicians behavior is unacceptable, in my experience these reactions are less likely when the Nursing staff is able to more clearly communicate their concerns. Informing the MD that...
  16. MunoRN

    HIPAA and Advocate for competent patient

    MunoRN replied to akn1563's topic in HIPAA Challenges

    It's up to facilities to determine how they verify the identity of someone who's allowed to receive information, the spirit of the rule requires a reasonable attempt to confirm identity without...
  17. MunoRN

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

    MunoRN replied to tulip5's topic in Activism, Healthcare

    The "49%" number includes everyone receiving medicare and social security, which is a benefit they've contributed to. Unions are not exempt from Obamacare. Many self-insured businesses, pooled...
  18. MunoRN

    HIPAA and Advocate for competent patient

    MunoRN replied to akn1563's topic in HIPAA Challenges

    If the patient is competent why don't you just ask the patient if you can share information with
  19. MunoRN

    Sedation Policies

    MunoRN replied to kp616's topic in Critical Care

    We've actually stopped doing them. There was a single study of 69 patients that suggested patients could have less vent days with sedation vacations, larger meta-analyses involving 700 patients found...
  20. MunoRN

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

    MunoRN replied to tulip5's topic in Activism, Healthcare

    These were "Commonwealth Choice" plans which are not subsidized, the subsidized plans are under MassHealth. Access to your state's exchange site is limited to residents, but you can also get a...
  21. MunoRN

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

    MunoRN replied to tulip5's topic in Activism, Healthcare

    Commonwealth Choice Affordable Health Insurance Plans for Individuals The "Silver Plus" plan has no deductible. The "Silver Saver" has a $1000/$2000 ind/fam deductible but with lower premiums. They...
  22. MunoRN

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

    MunoRN replied to tulip5's topic in Activism, Healthcare

    That's kind of the point of any example based on "average" or "typical"
  23. MunoRN

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

    MunoRN replied to tulip5's topic in Activism, Healthcare

    How do you figure that the requirement for employers to provide insurance will mean that 51% will not have any
  24. MunoRN

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

    MunoRN replied to tulip5's topic in Activism, Healthcare

    Everybody can have big expenses. The question is should a family making $40,000 be subsidizing the health care of a family making $90,000/year? Previously, a family making $40,000 might have...
  25. MunoRN

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

    MunoRN replied to tulip5's topic in Activism, Healthcare

    The funding for the subsidies is coming from money saved by stopping waste and fraud in medicare, as well as a medical device tax. So unless you're a medical device manufacturer, you won't wee a tax....