MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Should I call the doctor for a BP of 175/72?

    MunoRN replied to moonshawdow's topic in General Nursing

    There isn't any 'rescue' indicated in the scenario, but if pushing the idea that over-treatment is better than under-treatment was the trend 12 years ago, the trend has now swung the other way....
  2. MunoRN

    President Biden thread

    MunoRN replied to Beerman's topic in U.S. Politics's Talk Politics

    I would agree, Godwin's law comes into play frequently around here. And I would also agree since Trumpism and Nazism are two different forms of fascism, they aren't interchangeable terms. But I...
  3. MunoRN

    Should I call the doctor for a BP of 175/72?

    MunoRN replied to moonshawdow's topic in General Nursing

    Treating an asymptomatic BP of 175/72 goes against evidence based practice, it's more likely to harm the patient than to be beneficial. It's ultimately up to the MD to prescribe medications, but...
  4. MunoRN

    Unit secretaries assigning patients to nurses??

    MunoRN replied to gratefultobeanurse16's topic in General Nursing

    I've worked places where the NTL makes the assignments by room number, rooms 1-5 go to nurse A, 6-10 go to nurse B, etc, and where UC's make assignments that are well made, so I'm not sure I'd say...
  5. MunoRN

    Yale Nurse Replaces Fentanyl Vials with Saline

    MunoRN replied to J.Adderton's topic in Nursing News

    I don't understand how over a period of at least 5 months, no staff using the fentanyl vials noticed that the caps were no longer
  6. MunoRN

    Should I call the doctor for a BP of 175/72?

    MunoRN replied to moonshawdow's topic in General Nursing

    You were correct not to call since with the exception of a specific, small group of hospitalized patients this BP should not be treated. We overtreat hypertension in hospitalized patients and...
  7. MunoRN

    Weaning Drips

    MunoRN replied to gonzo1's topic in Critical Care

    I would typically be running the fentanyl at 100mcg/hr minimum, although I don't really have a scientific reason for that specific dose. This is one of those debates that's hard to put a...
  8. MunoRN

    Weaning Drips

    MunoRN replied to gonzo1's topic in Critical Care

    You wouldn't touch the analgesia/sedation until the paralytic has been turned off and has worn off, deep sedation should be maintained until the patient is no longer under any paralytic effect....
  9. MunoRN

    Backpriming still a thing?

    MunoRN replied to Kayla.01123's topic in General Nursing

    What do you do
  10. MunoRN

    Buying a House on a Nurse's Income: How Do Nurses Afford $450,000+ Houses?

    MunoRN replied to SilverBells's topic in General Nursing

    I don't think that's the accurate way to look at it. When you're renting, you are spending "years worth of income" since you'll never get any of that money back. When you buy a home you aren't...
  11. MunoRN

    Buying a House on a Nurse's Income: How Do Nurses Afford $450,000+ Houses?

    MunoRN replied to SilverBells's topic in General Nursing

    I think what I don't get about your logic, is that while you may not be able to afford the type of house that signifies the level of success you want to display, how does owning no house at all...
  12. MunoRN

    covid vax avalability made a bit easier

    MunoRN replied to amoLucia's topic in Disaster Preparation

    I've been advocating for using existing services that go homes for a while, my suggestion was to train Amazon delivery drivers, Fed Ex, etc to give vaccinations, then make Amazon Prime day a monthly...
  13. MunoRN

    Patients Viewing Nursing Notes In Real Time

    MunoRN replied to Tnurse24's topic in General Nursing

    I'm still not clear what the concern is about the patient reading a nursing note related to their reported pain level. I could see how it would become an issue if a nurse charted "Patient reports...
  14. MunoRN

    Patients Viewing Nursing Notes In Real Time

    MunoRN replied to Tnurse24's topic in General Nursing

    The ability to access their medical records after a hospitalization isn't new, but I'm not clear why you feel it would be better if patient's weren't made aware of their behaviors while under the...
  15. MunoRN

    Patients Viewing Nursing Notes In Real Time

    MunoRN replied to Tnurse24's topic in General Nursing

    Actually they can get your name just by asking you, since outside of defined mental health scenarios that is legally required of you as condition of your license. You hold a license issued by the...
  16. MunoRN

    What would you do if a patient comes in with chest pain?

    MunoRN replied to Tedstar's topic in General Nursing

    If by "urgent care" you mean a stand-alone urgent care clinic then you should send them to an appropriate hospital ER. Vitals and a 12 lead should be obtained and interpreted if the urgent care...
  17. MunoRN

    Patients Viewing Nursing Notes In Real Time

    MunoRN replied to Tnurse24's topic in General Nursing

    Would you rather have to deal with that accusation at the time it occurs or many months down the road? I've never noted that the patient's behavior is inappropriate where I didn't point that out to...
  18. MunoRN

    Patients Viewing Nursing Notes In Real Time

    MunoRN replied to Tnurse24's topic in General Nursing

    I agree the patient's primary physician, PCP, etc should have the ability to add their take on a radiologist's imaging interpretation, so long as they aren't replacing their interpretation with that...
  19. MunoRN

    Backpriming still a thing?

    MunoRN replied to Kayla.01123's topic in General Nursing

    Where did you find that
  20. MunoRN

    Getting Flack For Not Getting Covid Vaccine

    MunoRN replied to EDnurseAmen's topic in Disaster Preparation

    The PCRs amplify viral RNA to make it detectable to the sensitivity of the test, Ct (the number of amplifications) varies from lab to lab in order to standardize it to a common level of sensitivity...
  21. MunoRN

    Backpriming still a thing?

    MunoRN replied to Kayla.01123's topic in General Nursing

    I think the author of the article mistakenly assumed that because the obvious step of backpriming wasn't specifically stated, that the INS now "does not recommend backpriming. This was a response...
  22. MunoRN

    President Biden thread

    MunoRN replied to Beerman's topic in U.S. Politics's Talk Politics

    The "President who should have been aware this would happen and have acted on it" I was referring to was Trump. If it was obvious this was going to happen just because Biden was elected...
  23. MunoRN

    Private vs. Community College

    MunoRN replied to AdiiChavez's topic in School, College Programs

    For some reason CNI's RN to BSN is accredited, but it's not clear their ADN program is. Their website says the program is accredited by ABHES, which isn't one of the two 'legitimate' accreditation...
  24. MunoRN

    President Biden thread

    MunoRN replied to Beerman's topic in U.S. Politics's Talk Politics

    So the reason Biden is at fault for the increased traffic at the border is that he is President? And that the President should have been aware that this would happen and have acted on it? The...
  25. MunoRN

    Patients Viewing Nursing Notes In Real Time

    MunoRN replied to Tnurse24's topic in General Nursing

    There's not really any change to nursing practice involved, it's the same information patients have always had access to, which includes nursing documentation and notes, the only change is that...