MunoRN RN

Critical Care

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All Content by MunoRN

  1. Your current employment is public record through both state and federal payroll taxes, you're prospective employer should know how to check to see if payroll taxes are currently being paid on your...
  2. MunoRN

    Followed wrong orders

    I know little if nothing of Peds, neonatal, OB etc nursing, but I have a kid who was born at 30 (ish) weeks. Most of her vaccinations were timed based on her gestational age, not her birth age. This...
  3. I'm sorry this has happened to you and your mom, and unfortunately I can't really dispute your understanding of your mom's prognosis as being too pessimistic. Early on when the thinking was...
  4. MunoRN

    Vaccinated and Hospitalized?

    None of the vaccines provide immunity to 100% of the people who get vaccinated, 90 or even 80% effectiveness is enough to wipe out Covid so long as enough people get vaccinated. We admitted a...
  5. MunoRN

    Fully running IV Piggyback meds?

    In my experience a partially infused secondary bag occurs because the hook used to hang the primary bag was folded in half (to be about 6-8 inches long). The basic premise of a...
  6. MunoRN

    Yes, Employer Can Require Covid Vaccine

    What defines a protected religious belief isn't really a gray area, and 'personally held religious beliefs' are not protected, which isn't a state-by-state issue if you're referring to the Civil...
  7. MunoRN

    Restraint use in ICU

    I feel like it was the 'restraint-free-ICU' fad that was last century, but I do agree that there are some patients where restraints aren't needed when intubated, but it's fairly rare, examples would...
  8. MunoRN

    NGT medications

    A patient ingesting two pills at the same time is absolutely not "compounding" medications, that's possibly the stupidest thing I've heard any supposed 'professional' suggest on this site, so...
  9. MunoRN

    Metoprolol IVP vs IVPB

    I wouldn't call IV push and IV piggyback two different routes, the ordered route is IV, both are methods of IV administration. In the case, either can be used to administer the medication over...
  10. MunoRN

    Metoprolol IVP vs IVPB

    There's pretty clearly room for improvement in terms of how your facilitate manages ACS rule-outs. I take it your facility is not PCI-capable, in which case they shouldn't be moving patient's out of...
  11. MunoRN

    Yes, Employer Can Require Covid Vaccine

    VAERS is not a system for reporting confirmed vaccination adverse events. It's a system for reporting all medical conditions that occur during the weeks or months following a vaccination so that they...
  12. Unintended removal of medical devices is a legitimate reason to restrain someone so long as they lack the ability to make medical decisions based on established criteria. If they do have the...
  13. MunoRN

    CNA’s restarting IV pump

    And I agree if we're talking about situations where a nursing assessment isn't occurring that would otherwise be occurring if it's a nurse and not a tech or CNA hitting the button. In a truly...
  14. MunoRN

    CNA’s restarting IV pump

    We allow our CNA's and techs to be delegated the ability to address pump alarms for which they have been trained (this has survived many years of various accreditation, regulatory, and internal...
  15. I agree that it's pretty jarring going from healthcare pretty much anywhere else in the US to the Southeast. The cultural views on aggressive, non-beneficial care combined with an already underfunded...
  16. MunoRN

    RN Working Condition in Mayo Clinic Jacksonville, Florida

    I would keep in mind that the Mayo Clinic in Rochester MN is a well known hospital and with a very good reputation. The Mayo Clinics in Arizona and Florida are basically revenue generators for the...
  17. MunoRN

    COVID-19 Vaccine Incentives

    I would agree, it could be frustrating if for some reason you were under the impression that all mitigation measures would end after only about 1% of US population was vaccinated, which is where we...
  18. MunoRN

    COVID-19 Vaccine Incentives

    If you've looked at the data and evidence and concluded that the vaccine poses a greater risk to you than Covid then that's not an 'opinion'. Whether the little dots in the night sky are stars...
  19. MunoRN

    COVID-19 Vaccine Incentives

    There's an important difference between considering the facts and applying your own personal values, priorities, etc and misrepresenting the facts about Covid and the vaccines. Whether a Covid...
  20. MunoRN

    Possible Accidental HIPAA Violation

    As a HIPAA question this is kind of interesting but I don't think there's any basis to claim it's a HIPAA violation. The only information you revealed was not specific to any specific medical...
  21. MunoRN

    Yes, Employer Can Require Covid Vaccine

    One of my most recent patients to pass away under my care was only a year older than me, and had a daughter the same age as mine and coincidentally the same age as one of my (nine years old). I...
  22. MunoRN

    Yes, Employer Can Require Covid Vaccine

    Of the six years this appears to include, at most one was under Trump. The basis of the argument that Biden is responsible for a surge in desire to immigrate to the US is that he's not Trump, and...
  23. You might point out to your coworker that they'll have to pay back the value of any benefits provided during FMLA if they fail to return. For instance, if they are continuing health insurance...
  24. MunoRN

    Nurse Called Police/CPS on Parents over Jaundice

    I would also agree that at now 10 years old, the newborn's jaundice has likely resolved. But it's always interesting to see how healthcare stories in particular get twisted in the general media....
  25. If dilaudid can't be exposed to temps of >86f then it should never be given to a living human, or at least one with a reasonably normal core body