MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    80% BSN by 2020: Where Are We Now?

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

    I participated in a group initiated by the state a couple of decades ago that had the goal of transitioning to BSN-as-entry-to-practice. We first thought this would be fairly straightforward, which...
  2. MunoRN

    Diluting Ativan?

    MunoRN replied to Guest838984's topic in Emergency

    Your new boyfriend is incorrect. Every couple of years, the Institute for Safe Medication Practices (ISMP) puts out a reminder that it's a common myth that IV push medications must be diluted and...
  3. MunoRN

    Will a vaccine actually solve the problem?

    MunoRN replied to SansNom's topic in Disaster Preparation

    The known strains of coronavirus, including four that are responsible for commons colds, cause short term B-cell immunity in those infected, Covid appears to confer the same short term immunity in...
  4. MunoRN

    Bilateral Mastectomy and Blood Pressure

    MunoRN replied to gpmedsec's topic in General Nursing

    My organization doesn't consider mastectomy to be a contraindication to using the upper arm for BP measurements. Keep in mind that this belief came about with no supporting evidence, or even...
  5. MunoRN

    State Mandates Restricting Travel to Other States - What Do You Think?

    MunoRN replied to RNNPICU's topic in Disaster Preparation

    That's not really accurate. Epidemiological studies haven't supported the claim that patients who were admitted to hospitals after contracting COVID in nursing homes and then discharged back to those...
  6. MunoRN

    How will you optimize your personal mental health if "the other guy" wins the election?

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

    While watching Steve Kornacki geek-out on election numbers is still the highlight of an election night, by far the best election coverage that I saw was Fox News, Bill Hemmer in particular. He gave a...
  7. MunoRN

    opioids

    MunoRN replied to suturethis's topic in Patient Safety Issues

    We've moved to significantly less opioids after open heart, or even just no opioids at all. I had visions of patient's in out-of-control pain and resulting nightmare situations, but actually if...
  8. MunoRN

    Is tape considered a restraint in this situation?

    MunoRN replied to TheCatsMeow's topic in Dialysis, Renal, Urology

    This isn't considered a restraint per CMS guidelines for a couple of reasons; first it's to facilitate a procedure, and second it's only one upper limb with an non-paralyzed contralateral
  9. MunoRN

    Trump’s assault on Postal Service and voting is a plot against American democracy

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

    Trump's biggest success is grifting his supporters into believing it's the other guy who trying to be a communist dictator and weakening the strength of our democracy. The most common form of...
  10. MunoRN

    POLST

    MunoRN replied to dondk's topic in General Nursing

    A POLST includes active physicians orders including when a patient becomes hospitalized. How those orders get implemented, particularly when there are conflicting orders, is up to individual...
  11. MunoRN

    Temperature Checking on the Wrist

    MunoRN replied to Rachelle Anne Aggabao Balisi's topic in General Nursing

    You can actually, the FDA labelling defines how the manufacturer can market a product, not how it can be legally used. With a product like this, typically a manufacturer will stick to obtaining...
  12. MunoRN

    If it’s not COVID then you can still work?

    MunoRN replied to Len's topic in Disaster Preparation

    The rule where I've worked is that respiratory symptoms without fever isn't an accepted reason to call off, since that's most likely the common cold or allergies, you're expected to work but with a...
  13. MunoRN

    Temperature Checking on the Wrist

    MunoRN replied to Rachelle Anne Aggabao Balisi's topic in General Nursing

    Studies on the accuracy of infrared thermometers generally show no clinically significant difference between using the forehead vs the wrist, although one found that the wrist was more accurate. So...
  14. MunoRN

    Great Article on "Shortage" of Nurses

    MunoRN replied to ielizabeth's topic in Disaster Preparation

    The "Nursing shortage" refers to whether or not there are enough practicing nurses to provide appropriate care to patients. It actually has nothing to do with whether or not employers chose to staff...
  15. MunoRN

    Walmart Pulls Guns, Ammo Displays in U.S. Stores, Citing Civil Unrest

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

    The rumblings in my part of the country from far-right militant groups is that this is a strategic move by (conservative-friendly) Wal-Mart to give the upper-hand to the far-fight in the event of...
  16. MunoRN

    NICU babes dress-up for Halloween

    MunoRN replied to NRSKarenRN's topic in General Nursing

    And I get that, I'm just not keen on using little babies as dress-up dolls, but as I said earlier I realize that's a view particular to me (and maybe a few
  17. MunoRN

    Preceptor is a bully....

    MunoRN replied to Hardhands's topic in General Nursing

    This won't be the first nurse with a toxic personality you'll have to work with, so I'd look at this as a valuable learning experience. The ED is a challenging environment, it's certainly...
  18. MunoRN

    NICU babes dress-up for Halloween

    MunoRN replied to NRSKarenRN's topic in General Nursing

    I think my heart must be too crusty to melt because this seems just a bit F'd-up, and I realize I'm the only who's going to agree with myself, I'm OK with
  19. MunoRN

    New Medical Syndrome (can I have it named after me...)

    MunoRN replied to Jedrnurse's topic in General Nursing

    I've always made a point of getting the Friday Fish-n-Chips at my hospital's cafeteria, Fishy-Mask-Syndrome has been making me re-think
  20. MunoRN

    Question About Earthquake Facility Response

    MunoRN replied to beccasto01's topic in Nursing Student Assistance

    In my experience the overall incident commander is actually the County emergency response commander, particularly in a situation like this where the hospital's response has to be part of a larger...
  21. MunoRN

    Friend diagnosed with cancer but can't get surgery?

    MunoRN replied to Juniper83's topic in General Nursing

    As a general observation, it's not uncommon for patients to hear the word "cancer" or "tumor" and assume the best thing is for immediate surgery. When they don't get immediate surgery, they often seem...
  22. MunoRN

    Nursing and Direct Action

    MunoRN replied to guest1054874's topic in Activism, Healthcare

    I would keep in mind that while your intent may be to only be arrested for a misdemeanor, your intent has nothing to do with what you will be charged with. In many cases, the same act that will...
  23. MunoRN

    President Trump was likely largest driver of COVID-19 misinformation “infodemic” per Cornell University study

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

    It's over?
  24. MunoRN

    Defunding the Police: Win /Win Situation Or Recipe for Disaster?

    MunoRN replied to simba and mufasa's topic in U.S. Politics's Talk Politics

    The article is based on a couple of false premises; First that "Within inner cities, street violence is reaching historic proportions". Inner city violent crime is actually decreasing slightly...
  25. MunoRN

    Trump’s assault on Postal Service and voting is a plot against American democracy

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

    Going by your numbers there have been 220,000 deaths resulting from infections in about 1/50th of the population. If we say we should no longer take measures to limit the spread, allowing as much as...