MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Nurses dressing up for Halloween

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

    It may be tolerable in some settings, but in a hospital setting it's totally inappropriate. You have to remember that 1 in 4 hospitalized patients suffer some form of delirium, and 1 in 5 experience...
  2. MunoRN

    Pre-Employment Drug Screens and Perscription Meds

    MunoRN replied to EmmaLynnSmithRN's topic in Nurses Recovery

    They would have been fine only because they were taking them short term, not because they had a valid prescription. Again, employers can prohibit the use of medications even with a valid prescription,...
  3. MunoRN

    How much is too much morphine?

    MunoRN replied to Neomikeyboy's topic in Hospice, Palliative

    As for the PCA, it's not an absolute rule that Nurses cannot assist a patient with their PCA button, ISMP actually has a position on this: "PCA by proxy (someone other than the patient pushing the...
  4. MunoRN

    How much is too much morphine?

    MunoRN replied to Neomikeyboy's topic in Hospice, Palliative

    Although poorly enforced by Hospitals, it's not legal in any state for family or other POA's to change a DNR order that was made when the patient was able to make decisions. The legal obligation of...
  5. MunoRN

    Pre-Employment Drug Screens and Perscription Meds

    MunoRN replied to EmmaLynnSmithRN's topic in Nurses Recovery

    I'm not advocating an employer placing limitations on valid Rx medication use, just reminding people what the laws actually are. I've known two Nurses who were under the mistaken impression that...
  6. MunoRN

    Pre-Employment Drug Screens and Perscription Meds

    MunoRN replied to EmmaLynnSmithRN's topic in Nurses Recovery

    I think it's easier to start with why it would be illegal. The ADA prohibits employers from inquiring about or discriminating against those with disabilities as a hiring practice with a job-related...
  7. MunoRN

    Pre-Employment Drug Screens and Perscription Meds

    MunoRN replied to EmmaLynnSmithRN's topic in Nurses Recovery

    Please don't believe this, I know Nurses who thought this was the case and lost jobs because of it. Employers are NOT required to limit their prohibited substances to illegal drugs, these can include...
  8. MunoRN

    Incompatible medications and IV tubing, IV's.

    MunoRN posted a topic in Patient Medications

    So I'll admit I stole this topic from another site, but here's the question: Do your policies allow for medications to be administered separately (not simultaneously) through an IV line so long as the...
  9. MunoRN

    Physicians Who Don't Do Assessments

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

    "Doorway rounds" are allowed per CMS rules and whether or not Docs can use other's assessments in their prog notes is up to facility policy, but often Docs can enter assessments into their prog notes...
  10. MunoRN

    What happened here

    MunoRN replied to MendedHeart's topic in Cardiac

    "Firing all over the place" usually indicates undersensing, which means the sensing threshold needs to be turned down to increase the sensitivity. AAI is an odd pacer setting for epicardial wires in...
  11. MunoRN

    Incompatible medications and IV tubing, IV's.

    MunoRN replied to MunoRN's topic in Patient Medications

    I'm not sure that actually thinking about it counts as overthinking. It's a pretty simple question, does the INS recommendation say that the same secondary line cannot be used even if it is flushed...
  12. MunoRN

    Incompatible medications and IV tubing, IV's.

    MunoRN replied to MunoRN's topic in Patient Medications

    And that's where the inconsistency comes in; does that refer to compatibility of the primary and secondary fluid, or different secondary fluids? The common rule is that incompatible fluids cannot run...
  13. MunoRN

    Jehovah's Witness nurses in the critical care unit?

    MunoRN replied to asdf88's topic in Critical Care

    Watchtower 11/15/1964 pages 682-683 Employment and Your Conscience Christians in the medical profession are individually responsible for employment decisions. They must bear the consequences of...
  14. MunoRN

    Incompatible medications and IV tubing, IV's.

    MunoRN replied to MunoRN's topic in Patient Medications

    I completely agree, although as best as I can tell, the INS disagrees, which makes it very difficult to make backpriming a
  15. MunoRN

    Jehovah's Witness nurses in the critical care unit?

    MunoRN replied to asdf88's topic in Critical Care

    This isn't a situation where religious freedom and non-discrimination applies, administering blood is not only not forbidden by the JW church, the JW church has clarified specifically that it's...
  16. MunoRN

    Jehovah's Witness nurses in the critical care unit?

    MunoRN replied to asdf88's topic in Critical Care

    The difference is that administering blood products isn't against JW dogma, it's an arbitrary personal belief, not an arbitrary religious
  17. MunoRN

    Jehovah's Witness nurses in the critical care unit?

    MunoRN replied to asdf88's topic in Critical Care

    You won't find a consistent answer on what is allowed and what isn't because administering blood isn't actually against JW doctrine, the official JW position is that it is allowed, a refusal to...
  18. MunoRN

    Incompatible medications and IV tubing, IV's.

    MunoRN replied to MunoRN's topic in Patient Medications

    There's absolutely no reason to believe the physics of flushing is any different depending on the 'direction' of the flush' other than the backflow valve in primary tubing, tubing is not directional....
  19. MunoRN

    Nursing Documentation: Court says charting only abnormal findings unacceptable

    MunoRN replied to NRSKarenRN's topic in Legal

    There is no definition of "charting by exception" that allows for vitals to go undocumented, that is not charting by
  20. MunoRN

    Plavix vs Lovenox before surgery

    MunoRN replied to mrsamruso's topic in Cardiac

    It generally takes some time for a clot to form in A-fib off of anticoagulation, so as a general rule it's considered safe for patient who are on coumadin for A-fib to come off of all anticoagulation...
  21. MunoRN

    Incompatible medications and IV tubing, IV's.

    MunoRN replied to MunoRN's topic in Patient Medications

    This is what I'm trying to understand (and I don't fault your intentions by any means), but the secondary attaches to the primary and the medication flows through the primary just as it does through...
  22. MunoRN

    Long term effects of working night shifts

    MunoRN replied to yadirosa's topic in Health, Stress Management

    Sleep deprivation doesn't help in general but it's not the cause of an increased risk of cancer, MI, diabetes, and stroke in night shift workers. That difference is due primarily to lower melatonin...
  23. MunoRN

    If we had a conservative nurses forum

    MunoRN replied to FLmomof5's topic in Activism, Healthcare

    How is you BSN program teaching
  24. MunoRN

    Incompatible medications and IV tubing, IV's.

    MunoRN replied to MunoRN's topic in Patient Medications

    I'm not talking about mixing incompatible medications, I'm talking about giving incompatible medications separately, and different times, and flushing the line in between, they don't mix. Most...
  25. MunoRN

    Could Obamacare cause a shortage in nursing again

    MunoRN replied to RescueNinja123's topic in Activism, Healthcare

    That's sort of a ridiculous argument that hospitals like to use. It's like saying I charge $1,000 an hour for my Nursing services, but only get paid $35 an hour, so I'm losing 97% of what I should be...