MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    COVID: I'm ready to leave the hospital until the end of the pandemic guilt

    MunoRN replied to CardiTeleRN's topic in Disaster Preparation

    The "early intubation" rule was common at the beginning, then when the first analyzed data came out of New York it became pretty obvious that was doing more harm than good. ie intubating Covid...
  2. MunoRN

    What is going on with the Texas board of nursing

    MunoRN replied to Sharon2's topic in General Nursing

    I'm not in Texas, but even in non-Covid times a simple RN renewal takes more than a month, are you expecting an application for a new APRN license (as opposed to a renewal) to take less than a month...
  3. MunoRN

    Giving 2000ml/hr Fluids

    MunoRN replied to Nikki Smith's topic in Patient Safety Issues

    A liter over 30 minutes is not an unusual rate for a non-emergent bolus, it's actually slower than the time it would take a liter of fluid to enter your circulatory system if you drank
  4. MunoRN

    What to do about DNP and flu shot?

    MunoRN replied to Travelingon's topic in General Nursing

    There's no shortage of ignorant claims made about vaccines around here, but that's one of the more ignorant. First, even if it were true that the effect of the vaccine is to reduce symptoms, it's...
  5. MunoRN

    New job. Got injured. Fired for unexcused absences during new hire probation period... what did I do wrong?

    MunoRN replied to BeatsPerMinute's topic in General Nursing

    First, I would look at the bright side which is that you found sooner than later that this is an employer you may not want to work for. I think you did the best you could with an unfortunate...
  6. MunoRN

    Monulparivir

    MunoRN replied to toomuchbaloney's topic in Disaster Preparation

    Finally some good news for ferrets on the Covid
  7. MunoRN

    Who's infusing your Bamlanivimab?

    MunoRN replied to NursePelican's topic in Disaster Preparation

    We only have one clinic that gives it and they do their infusions in individual exam rooms. They don't do any chemo at that
  8. MunoRN

    Who's infusing your Bamlanivimab?

    MunoRN replied to NursePelican's topic in Disaster Preparation

    Viral antibodies don't carry the same cytotoxic characteristics as 'true' cytotoxic agents, so I'm not sure why they would need to be Chemo certified nurses. I'm not sure what you mean by saying...
  9. MunoRN

    Covid Vaccine

    MunoRN replied to Nurseybl06's topic in Disaster Preparation

    Your article points out that it is neither a study or a product of Johns Hopkins University. The article was removed a student newsletter not overseen by JHU because it was based on a poor...
  10. MunoRN

    Now that the Covid 19 vaccine is just around the corner... Will it be mandatory?

    MunoRN replied to NewRN'16's topic in Disaster Preparation

    While there is some protection provided by PPE in terms of preventing transmission of Covid, it's relatively small compared to that provided by vaccination. You're of course free to choose not...
  11. MunoRN

    Covid Vaccine

    MunoRN replied to Nurseybl06's topic in Disaster Preparation

    Ever since Florence Nightingale pointed out to surgeons that they were risking harm to their patients by not washing their hands before performing surgery, calling out these reckless practices is how...
  12. MunoRN

    OK to piggyback IV potassium?

    MunoRN replied to MeganC012's topic in Patient Medications

    4 X 10meq is 40 meq, so yes, the ordered dose is 40 meq. In the set-up described, the bags are infusing one at a time, although regardless of the number of bags feeding the pump, the rate of...
  13. MunoRN

    Covid Vaccine

    MunoRN replied to Nurseybl06's topic in Disaster Preparation

    Peer-reviewed publication of the studies along with independent confirmation of results is part of the process, the trials are also overseen by independent oversight groups. Mandating vaccination...
  14. MunoRN

    Now that the Covid 19 vaccine is just around the corner... Will it be mandatory?

    MunoRN replied to NewRN'16's topic in Disaster Preparation

    I'm curious what you find so ridiculous about this. As the coverage of these cases point out, we can't say definitively that these were directly caused by Covid, but it is the most likely...
  15. MunoRN

    Now that the Covid 19 vaccine is just around the corner... Will it be mandatory?

    MunoRN replied to NewRN'16's topic in Disaster Preparation

    You're comparing vaccines to secretly infecting people with syphilis to observe how it kills people? There is a fairly reasonable expectation that nurses take basic steps to avoid causing harm to...
  16. MunoRN

    Now that the Covid 19 vaccine is just around the corner... Will it be mandatory?

    MunoRN replied to NewRN'16's topic in Disaster Preparation

    Hospital reimbursement isn't based on what percentage of their staff is vaccinated, it's only based on whether they submit that data along with other healthcare quality indicators to the database....
  17. MunoRN

    80% BSN by 2020: Where Are We Now?

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

    I think you're conflating employer expectations with professional expectations, in a profession those are two different things and you made need to go against your employer to abide by your...
  18. MunoRN

    COVID: I'm ready to leave the hospital until the end of the pandemic guilt

    MunoRN replied to CardiTeleRN's topic in Disaster Preparation

    Yes, it's a question asked not to ask a question but to make a point, so again, what was your
  19. MunoRN

    Oxygen requirements & level of care

    MunoRN replied to Ele_123's topic in Disaster Preparation

    There isn't much purpose to a Covid unit that doesn't do high-flow supplemental oxygen, that's mainly what these patients require since these patients are primarily hypoxic respiratory failure...
  20. MunoRN

    Med Surg nurse being given Tele Patients

    MunoRN replied to Morning Glory's topic in General Nursing

    What you are describing sounds more like medical telemetry than progressive care telemetry. Don't get too caught up on them being on telemetry, that's not necessarily what defines their nursing...
  21. MunoRN

    80% BSN by 2020: Where Are We Now?

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

    It's not only allowed, but required as a function of our professional license that we have autonomy to refuse to follow a Physicians instructions when we deem it appropriate. I don't get even...
  22. MunoRN

    BLM rioters cheer as Trump supporter murdered

    MunoRN replied to guest416560's topic in U.S. Politics's Talk Politics

    ? https://www.cnn.com/2020/09/01/us/portland-shooting-victim-aaron-j-danielson/index.html https://www.cnn.com/2020/08/31/us/governor-brown-portland-plan-curb-protests/index.html...
  23. MunoRN

    COVID: I'm ready to leave the hospital until the end of the pandemic guilt

    MunoRN replied to CardiTeleRN's topic in Disaster Preparation

    "Rhetorical" would mean it was a statement intended to support an argument, but you're saying it wasn't intended to support the argument you were making? Maybe you meant a different
  24. MunoRN

    COVID: I'm ready to leave the hospital until the end of the pandemic guilt

    MunoRN replied to CardiTeleRN's topic in Disaster Preparation

    The government doesn't promote proactive intubation, the NIH treatment guidelines include that intubation should only be considered a salvage therapy since in mild to moderate cases intubation results...
  25. MunoRN

    COVID: I'm ready to leave the hospital until the end of the pandemic guilt

    MunoRN replied to CardiTeleRN's topic in Disaster Preparation

    Hospitals lose money caring for COVID medicare patients, the more aggressive care these patients need the more they lose, the weighted reimbursement adjustment only slightly reduces the amount of...