MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    How Long Does This Order Last?

    MunoRN replied to skittlebear's topic in General Nursing

    The nit-picky answer is that it may not be a valid order to begin with depending on your policies. "QD" is commonly listed as a 'do not use' abbreviation, and the order contains cursive. Beyond that,...
  2. MunoRN

    Care of Pressure area to heels

    MunoRN replied to litbitblack's topic in General Nursing

    Friction and shear is almost never the cause of heal ulcers, and is never the cause of deep tissue injuries, it's always pressure, so dressings, skin protectants, etc won't be of much use. Heel lift...
  3. MunoRN

    ICU visiting hours

    MunoRN replied to CareBayer's topic in MICU, SICU

    These days, if they're in the ICU there's a pretty decent chance they are going to die. I had a patient once, relatively young, still very sick but comparatively better than before. I talked the mom...
  4. MunoRN

    Cath Lab Staffing

    MunoRN replied to FerRN's topic in Cardiac

    I've never known anything different than 2 techs and 1 RN. We will occasionally use 2 RN's in complex cases (patients requiring balloon pump placement or repeated resuscitative interventions). Yes, I...
  5. MunoRN

    Seizure activity during re-warming phase of hypothermia

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

    Myoclonus can have multiple causes, with anoxic brain injury being one them and can be a poor prognostic indicator. But it can also be due to the severe electrolyte shift that occur, particularly...
  6. MunoRN

    ER nurses not calling report anymore...

    MunoRN replied to plinytheRN's topic in Patient Safety Issues

    Yes there will always be someone to take their place, they keep coming in through the door, I get it, I get the same feeling when I'm in the ER, but it doesn't make it OK to just push them through...
  7. MunoRN

    Obamacare vs. The Affordable Care Act

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

    (To save a few
  8. MunoRN

    Asked to break the law

    MunoRN replied to maxxilla's topic in General Nursing

    No, in some states it is a state legal requirement for practice, not just a billing issue.
  9. MunoRN

    Asked to break the law

    MunoRN replied to maxxilla's topic in General Nursing

    CRNA's are still legally required to work under a Physicians supervision in the majority of States: States Where CRNAs Can Practice Independently Without Physician
  10. MunoRN

    Asked to break the law

    MunoRN replied to maxxilla's topic in General Nursing

    "Prior to 2/1/04, LVNs were permitted to perform “first assistant” duties for a physician or surgeon under the delegation of the physician. The NPA became applicable to LVNs with the combining of...
  11. MunoRN

    ER nurses not calling report anymore...

    MunoRN replied to plinytheRN's topic in Patient Safety Issues

    There was a time when a post-arrest meant automatic ICU level admission, I remember those days fondly. Acuity in all areas has been rising continuously, and it's not unheard for a post-arrest who is...
  12. MunoRN

    Shadowing opportunity on open heart step down unit

    MunoRN replied to Lev's topic in Nursing Career

    Make sure you take this as an opportunity to evaluate the unit, staff, and patient population as well, rather then them just evaluating you. Open hearts are one of the most interesting and...
  13. MunoRN

    Patient responsive but in cardiac arrest

    MunoRN replied to Blandini7's topic in MICU, SICU

    It's quite possible for good quality CPR to perfuse the brain enough to support some level of consciousness, I've seen it many times and have had a few of these patients end up surviving. I have had...
  14. MunoRN

    QUESTION TO ANSWER

    MunoRN replied to nurse nesreen's topic in Nursing Student Assistance

    We give test results all the time, that's actually part of every State's Nurse Practice Act. All RN's are responsible for making sure patients are informed about their care, including test results,...
  15. MunoRN

    QUESTION TO ANSWER

    MunoRN replied to nurse nesreen's topic in Nursing Student Assistance

    We don't have any firm rules on this, which is why it's one of the many gray areas of medical ethics. We have a lot of people of Pacific Islanders and Southeast asian cultures in my area, and we often...
  16. MunoRN

    Refusing food offered by patients

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

    I accept it and happily eat
  17. MunoRN

    Implementing BSN as entry to practice

    MunoRN posted a topic in Diploma, ADN, BSN

    We seem to go around and around in this discussion about the premise of BSN as the level for entry to practice, yet the bigger question of whether or not that is even possible seems to get ignored....
  18. MunoRN

    re-testing stool after c-diff tx

    MunoRN replied to pigletrn2009's topic in General Nursing

    Are you sure it was truly resistant to Vanco? As far as I'm aware, that would be the first every case of Vancomycin resistant C diff. "There have been no described incidences of vancomycin-resistant...
  19. MunoRN

    Implementing BSN as entry to practice

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

    More stringent pre-reqs and requirements do represent improvements to their program, but they haven't actually lengthened the Nursing program to 3 years, they just took the standard 2 year Nursing...
  20. MunoRN

    Respiratory Therapists Inserting PICC Lines

    MunoRN replied to Asystole RN's topic in Infusion, Intravenous

    Whether the order is written as 'place PICC' or 'PICC consult really makes no difference, it will get carried out the same way. Just like everything else we do (and everything RT does) the...
  21. MunoRN

    Implementing BSN as entry to practice

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

    We'd be cutting our supply of Nurses in half, yet even during the biggest surplus of new grad Nurses the vacancy rate was only down to about 5%, a "shortage" occurs when vacancy rates are about 9-10%,...
  22. MunoRN

    Implementing BSN as entry to practice

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

    Hunter Bellevue didn't revamp their program, they just took a year of pre-reqs and called it the "lower division" of the program, students still don't start taking Nursing classes until Junior year....
  23. MunoRN

    Respiratory Therapists Inserting PICC Lines

    MunoRN replied to Asystole RN's topic in Infusion, Intravenous

    I don't know of any facility where PICC Nurses are soley responsible for maintenance. Maintenance needs to happen at all hours of the day and week and usually can't wait to be first on the list...
  24. MunoRN

    Respiratory Therapists Inserting PICC Lines

    MunoRN replied to Asystole RN's topic in Infusion, Intravenous

    I would be difficult to replace PICC Nurses with RT's if they actually did all that, but in general this is all done by 'non-specialized' Nurses (if there is such a thing). In every place I've worked...
  25. MunoRN

    Respiratory Therapists Inserting PICC Lines

    MunoRN replied to Asystole RN's topic in Infusion, Intravenous

    I'm still not sure what this refers to. Are you saying that instead of flushing to check patency they have to aspirate then use to aspirate to flush? It's legal for them to flush with saline in...