MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    I can't believe the MD did that

    MunoRN replied to cardiacfreak's topic in General Nursing

    I'd call your ethics board as well as the cops. The range of views on what is required for sedation in elective cardioversion ranges from moderate sedation to general anesthesia. Even then, there are...
  2. MunoRN

    Physicians Who Don't Do Assessments

    MunoRN replied to 1RN4Christ's topic in Patient Safety Issues

    I'm certainly not arguing that any of the practices I'm familiar with are borderline fraud
  3. MunoRN

    Physicians Who Don't Do Assessments

    MunoRN replied to 1RN4Christ's topic in Patient Safety Issues

    99231 CPT® Code Description, Progress Notes, RVU, Distribution. Also, pages 31,32 and 52:...
  4. MunoRN

    Physicians Who Don't Do Assessments

    MunoRN replied to 1RN4Christ's topic in Patient Safety Issues

    CPT code 99231 for Hospital follow up rounding requires only a "problem focused physical exam" which can include only one organ system, and three vital signs is considered one organ system. "doorway...
  5. MunoRN

    LTC but want to switch to a hospital immediately

    MunoRN replied to joemomma35's topic in General Nursing

    I'd be careful about expecting to have a hospital experience that is all that much
  6. MunoRN

    How much harder is it to find a job with an ADN?

    MunoRN posted a topic in Diploma, ADN, BSN

    If you read these threads it's hard not to get the impression that ADN new graduate Nurses are significantly less likely to find employment after graduation, this claim gets thrown around with a...
  7. MunoRN

    How much harder is it to find a job with an ADN?

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

    I'm a little skeptical of the "it depends where you live" argument. If the overall National numbers are fairly equal, that would mean that for every job market where BSN grads have a large advantage...
  8. MunoRN

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

    MunoRN replied to runningcrazy's topic in Activism, Healthcare

    Air traffic controllers do have a high level of responsibility, although I'm missing your point if that means Nurses shouldn't expect to make more than air traffic controllers, they make $120,000 a...
  9. MunoRN

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

    MunoRN replied to runningcrazy's topic in Activism, Healthcare

    So you're arguing Nurses are
  10. MunoRN

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

    MunoRN replied to runningcrazy's topic in Activism, Healthcare

    I agree that BSN's should get paid more, although that's very unlikely. We've not only willingly given employers BSN Nurses for free, we've enthusiastically given them something for free. Even...
  11. MunoRN

    Need help understanding difference between RN and BSN

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

    RN is a license. To apply for this license from a State entity that grants this license, you must graduate from a Nursing program that State entity recognizes and pass a standardized exam (NCLEX),...
  12. MunoRN

    Unjustly fired for requesting proper staffing?

    MunoRN replied to zyft01's topic in Patient Safety Issues

    Safe Harbor protects your license, not your job. You're free to refuse an assignment you feel is unsafe, but your employer is free to fire you for insubordination. What's safe is arguable, but what's...
  13. MunoRN

    Contact with Mrsa, now I'm so afraid?

    MunoRN replied to mzsuccess's topic in General Nursing

    I think people confuse MRSA with necrotizing fascitis, or falsely assume it is a more aggressive form of bacteria, sort of like comparing 'killer' africanized bees to european bees. MRSA is just...
  14. MunoRN

    Anyone else having their per visit pay cut due to Medicare cuts?

    MunoRN replied to Lauren21b's topic in Home Health

    The profit margin in home health runs about 21%, which is obscenely high. For comparison, typical 'successful' companies like HP, Dell, and Nike run about 6% profit margins. With offsets, the cuts...
  15. MunoRN

    Obamacare and Nursing.. what do you think?

    MunoRN replied to OKNurse2be's topic in Activism, Healthcare

    How would that be possible? We spend $120,000,000 on auto claims, and $2,700,000,000,000 on health claims, so of course the premiums will be higher, much higher since we spend about 20 thousand times...
  16. MunoRN

    Kicked out of class for a "HIPAA" violation?

    MunoRN replied to Trip_McNeelyRN2b's topic in HIPAA Challenges

    This is not a HIPAA violation, HIPAA specifically allows for access to patient information for learning purposes and leaves it up to facilities to decide how they protect patient information in...
  17. MunoRN

    Interesting or Different Anatomy:What have you encountered?

    MunoRN replied to nursefrances's topic in General Nursing

    Situs Inversus, although it actually wasn't all that interesting except for listening to the imaging tech get in trouble for marking the "R" marker on the wrong side (they had it on the correct
  18. MunoRN

    RN->BSN: Is it worth the investment at 57?

    MunoRN replied to healing touch's topic in Diploma, ADN, BSN

    I think it's only reasonable to figure out what you cost-benefit is. Ongoing education is a great thing, but you don't have to pay $20,000 to further your Nursing knowledge, there are arguably better...
  19. MunoRN

    RN->BSN: Is it worth the investment at 57?

    MunoRN replied to healing touch's topic in Diploma, ADN, BSN

    You could work till you're 70 to break even with getting a BSN, or break even at 65. Personally I don't see anything good about having the opportunity to work till you're 70 so you can pay off your...
  20. MunoRN

    Canceled up to 3-4 times a WEEK. What do?!

    MunoRN replied to murseBSN's topic in General Nursing

    We're the opposite, Nurse fight tooth and nail to be the one that gets LC/on-call. I have worked places where low census was common, but even then there were extra shifts available to be picked up in...
  21. MunoRN

    Does Anyone Else NEVER get downstaffed?

    MunoRN replied to blondy2061h's topic in General Nursing

    Low census is very rare at my facility in all units, when there is an opportunity for someone to get called off the Nurses fight over it (they fight to get called
  22. MunoRN

    Do Mean Girls make Mean Nurses

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

    We seem to be responding to an overly generalized unsupported statement with other overly generalized unsupported statements. Nursing is not "full of bullies and unprofessional behavior", it exists...
  23. MunoRN

    Need advice: Frequent falls of non compliant homebound pt with dementia

    MunoRN replied to autumnlea's topic in Patient Safety Issues

    Benzos should generally be avoided in patients with dementia as it typically causes increased agitation as the initial effects wear off in these patients. Antipsychotics are only considered...
  24. MunoRN

    medical abuse?

    MunoRN replied to sfaithj's topic in Patient Safety Issues

    Minors are different, that's were a general "consent to treat" is obtained, no such thing exists in adults who are not cognitively impaired, such as yourself when you went to the ER which is what I...
  25. MunoRN

    medical abuse?

    MunoRN replied to sfaithj's topic in Patient Safety Issues

    I think we're confusing situations where signed consent is needed vs where only verbal consent is needed. Consent is actually required for straight cathing even though signed consent is usually not...