MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Have you ever requested a patient be removed from your workload?

    MunoRN replied to SilverBells's topic in General Nursing

    If your concern is that there is something different or lacking about the care you're providing to this patient, compared to other unit, then it would make more sense to figure out what that is...
  2. MunoRN

    Coworkers Respecting Each Others' Advance Directives and Code Statuses

    MunoRN replied to SilverBells's topic in General Nursing

    I would assume "lanyard" refers to a necklace? If so that's a common way to communicate that you are DNR, either a necklace or a bracelet, if there are 50 different cards with various things on them...
  3. MunoRN

    Are Nurses at the VA required to get the shot?

    MunoRN replied to Floor_Nurse's topic in Disaster Preparation

    I'm not aware of any place that is mandating vaccination but it can be mandated as a condition of employment, entry into private property or places of public accommodation,
  4. MunoRN

    Nurses Refusing to Administer COVID-19 Vaccinations!? | Nurses Week Contest

    MunoRN replied to SafetyNurse1968's topic in General Nursing

    Nurses can always refuse any actions they want, the question is whether their job or license is protected due to their refusal. Nurses are not only allowed, but required to refuse to carry out...
  5. MunoRN

    Coworkers Respecting Each Others' Advance Directives and Code Statuses

    MunoRN replied to SilverBells's topic in General Nursing

    The tricky thing about coding a patient is that it's relatively easy to flog a heart back into beating a short time after cardiac arrest, but long after any meaningful neurologic function is...
  6. MunoRN

    A&O - orientated or oriented?

    MunoRN replied to mom2cka's topic in General Nursing

    The 'oriented vs orientated' debate would make an interesting case-study subject for American cocksure ethnocentrism. Etymologically speaking, "orientated" is most definitely a word, and actually...
  7. MunoRN

    Nurses Refusing to Administer COVID-19 Vaccinations!? | Nurses Week Contest

    MunoRN replied to SafetyNurse1968's topic in General Nursing

    Outside of that article, the prevailing view is that employers can indeed mandate Covid vaccination, even while it's under an EUA. Here's an article in response to the one you posted, Employers...
  8. MunoRN

    Predatory New Grad Contracts

    MunoRN replied to CreamCheeseRangoons's topic in General Nursing

    I really did try wait until after 11:59 to "turn in some crap", but I can't stay up that late. I wasn't minimizing a complaint of sexual harassment/ abuse / assault, quite the opposite....
  9. MunoRN

    Predatory New Grad Contracts

    MunoRN replied to CreamCheeseRangoons's topic in General Nursing

    I've heard of a place that has "safe" patient ratios, but it's kind of like in Waterworld when they talk about having heard of a place with dry land. Pretty much everywhere that nurses work have what...
  10. MunoRN

    What pumps have you used?

    MunoRN replied to murses's topic in General Nursing

    I started with these bad boys: Since those are no longer available or even supported the places I've worked use the Sigma
  11. MunoRN

    Yes, Employer Can Require Covid Vaccine

    MunoRN replied to TheMoonisMyLantern's topic in Disaster Preparation

    I suppose it's nice to hear airline staff are exempt from your promise to "not go down without a fight", but what then are you referring to? Reporting to VAERS is not based on confirmed or...
  12. MunoRN

    Predatory New Grad Contracts

    MunoRN replied to CreamCheeseRangoons's topic in General Nursing

    This topic came up at work once and a nurse shared that they left their first job early and had to pay back a 'bonus' because of all the reasons mentioned by the OP. They got a job at a different...
  13. MunoRN

    Vasovagal hypotension

    MunoRN replied to CommunityRNBSN's topic in General Nursing

    Needle phobia that results in vasovagal syncope or near-syncope is not all that rare, it's estimated to occur in about 3% of the population. So for every 33 people you administer a vaccine to, 1 will...
  14. MunoRN

    Yes, Employer Can Require Covid Vaccine

    MunoRN replied to TheMoonisMyLantern's topic in Disaster Preparation

    Your statement seemed pretty clear, maybe you could clarify. You could certainly argue those would fall under fundamental rights, but the problem is that those rights don't solely belong to...
  15. MunoRN

    Yes, Employer Can Require Covid Vaccine

    MunoRN replied to TheMoonisMyLantern's topic in Disaster Preparation

    You have a perverse view of what Liberty means, particularly in the context of the "inalienable" natural rights the founding fathers intended to establish and protect. "Liberty" doesn't refer to...
  16. MunoRN

    PACU recovering patients in the ICU?

    MunoRN replied to QCG33k's topic in General Nursing

    Generally speaking the 1:2 ratio of an ICU should be sufficient for a 'stable' phase I PACU patient. In my experience these sorts of rules (requiring a PACU nurse to initially recover or help...
  17. MunoRN

    Yes, Employer Can Require Covid Vaccine

    MunoRN replied to TheMoonisMyLantern's topic in Disaster Preparation

    By combining the principles behind the right to refuse a medication and the right to refuse vaccination without any consequences you're conflating two completely different principles that our freedoms...
  18. MunoRN

    Fever vs. Warm Blanket

    MunoRN replied to nursebrandie28's topic in Emergency

    Fever is a very important part of a healthy immune response, both viruses and bacteria have a hard time tolerating temps above normal body temp, I'm not sure where the belief nobody should have a...
  19. MunoRN

    Brazil: Daily deaths near 4,000, accounts for one-quarter of the entire world’s daily COVID-19 deaths

    MunoRN replied to NRSKarenRN's topic in Disaster Preparation

    The article actually credits the Trump administration, specifically the NIH and FDA, not Trump himself for the rapid development of vaccines. Trump's personal role in all of this was that he tried to...
  20. MunoRN

    Chaining Stopcocks instead of Y-Siting Multiple Lines?

    MunoRN replied to BiscuitStripes's topic in Critical Care

    Manifolds seem to be typically only stocked in ORs and some procedural areas (cath lab for instance). But even with access to manifolds I can't think that I've ever seen a critical care area that...
  21. MunoRN

    Chaining Stopcocks instead of Y-Siting Multiple Lines?

    MunoRN replied to BiscuitStripes's topic in Critical Care

    As an example of what's problematic about the 'daisy-chain' Y-site set up, there's about 3mls between the most distal Y-site and the end of the tubing in common infusion sets. Let's say you...
  22. MunoRN

    Does the shot mess with your DNA?

    MunoRN replied to Floor_Nurse's topic in Disaster Preparation

    I don't think anyone is trying to marginalize anyone's decisions regarding vaccines, it seems what is poorly tolerated is spreading misinformation and mischaracterizing both the vaccines and what...
  23. MunoRN

    Does the shot mess with your DNA?

    MunoRN replied to Floor_Nurse's topic in Disaster Preparation

    A 1.8% case-fatality-rate in a transmissible disease that spreads relatively easily is not small. If allowed to freely spread through the US population, that translates to about 6.5 million deaths,...
  24. MunoRN

    Chaining Stopcocks instead of Y-Siting Multiple Lines?

    MunoRN replied to BiscuitStripes's topic in Critical Care

    The serial Y-siting set-up is a really bad way to set-up multiple infusions. That leaves large volumes of various medications in the flow paths of other medications, which means that when you start...
  25. MunoRN

    Does the shot mess with your DNA?

    MunoRN replied to Floor_Nurse's topic in Disaster Preparation

    I'll be optimistic and assume you misspoke, but maybe you could clarify if you meant something different. What you said was "the numbers have been inflated", followed by "noone wants to say...