MunoRN RN

Critical Care

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All Content by MunoRN

  1. China initially proposed the Belt and Road initiative in 2013 but it didn't go anywhere and no other countries had joined until Trump backed out of the TPP, leaving a vacuum that the Belt and Road...
  2. China's Belt and Road initiative only got traction because Trump backed out of the Trans Pacific Partnership. We went from a US-centered trade arrangement to one where we get screwed thanks to his...
  3. You don't find a 94% survival rate (ie a 6% mortality rate) concerning? And that's in the surprisingly small portion of the population that has no risk factors. According to Trump, the number of...
  4. MunoRN

    CLABSI - Multiple lumens vs Y sites

    Multiple ports to a single lumen does make that single lumen more than one lumen, at least based on how the term is commonly used. A "lumen" is where a single or combined flow of infusions exits into...
  5. That seems to be a drawn out way of saying you don't like it's conclusions so therefore it's not a good study, without giving any specifics on why you think it's incorrect. Different topics lend...
  6. MunoRN

    IV spa/infusion center

    If you felt people were judging you then I think you may have misunderstood, I don't think anybody was judging you personally. We've been critical of the business of IV lounges, which put people...
  7. MunoRN

    Incompability med question

    From the OPs description they didn't actually mix, the biggest potential effect of the interaction of Bicarb and zofran is that the zofran won't' be effective in an insoluble precipitate, in which...
  8. MunoRN

    IV spa/infusion center

    Private medical offices these days almost always have an AED, but the bigger issue is that a patient coding as the result of an appropriate medical intervention presents much different legal and...
  9. MunoRN

    Standard COVID Precautions

    I neglected to answer the part about what evidence the idea of AGP risk is based on. First, there are no RCTs on the subject, they simply looked retrospectively at the procedures that HCWs who...
  10. MunoRN

    Incompability med question

    I'm not sure what you're referring to by a multi-lumen peripheral IV, some PIVs have two ports, both attached to the same lumen, if you mean a PICC then that would often have multiple truly separate...
  11. MunoRN

    Standard COVID Precautions

    I think people mistakenly assume that there is some level of evidence to support the premise of "aerosol generating procedures" given how commonly the phrase is used in the setting of COVID-19....
  12. MunoRN

    Post offer physical

    I agree that you don't have anything to worry about, your diabetes and back problems aren't such that they would prevent you from being able to perform the job duties. A common mistake people...
  13. MunoRN

    IV spa/infusion center

    I think you're referring to an infusion clinic which is completely different from an "IV Spa", aka "IV Lounge", "Medical Spa", "Rent-a-drip", etc. An Infusion clinic provides medically...
  14. MunoRN

    Standard COVID Precautions

    We stopped using the designation of "Aerosol Generating Procedures" some time ago because the premise that some procedures and interactions present a higher risk of COVID transmission due to the...
  15. MunoRN

    Who is responsible for lab results?

    A patient with stage 4 stomach cancer and a lactate of 9 is actively dying, rechecking a blood sugar or double checking that the MD saw the labs won't cure stage 4 stomach cancer and won't even just...
  16. If you had said that four years ago I'd agree with
  17. I don't think the Secret Service would claim it's not their job to protect the President when he's engaging in necessary travel, they would agree that's 'what they signed up for'. But to use your...
  18. I would be wary of assuming the grass is greener somewhere else. Some people go into nursing management because of their clinical leadership skills, and some go into it because they enjoy having...
  19. You did everything that could have been reasonably expected of any nurse, there's no reason to feel as though you failed. The only thing I might have done differently is that ideally each isolation...
  20. That's a fair point, by plans that "have come out of congress" I was referring to the PP's statement that it should be Congress that comes up with healthcare reform proposals, and replied with...
  21. A Physician's skill at giving an update on a patient's status varies widely, some are amazing, some regularly require the nurse to go in afterwards and mop-up their mess. Yet I can't say I've ever...
  22. MunoRN

    What's it like in the VIP wing of a hospital?

    According to UPenn's description of "The Pavillion" it does actually provide a different level of care than is provided to other patients, it's not just that the rooms look nicer or that the food is...
  23. Staff keeping Trump occupied by having him sign blank pieces of paper:...
  24. MunoRN

    What's it like in the VIP wing of a hospital?

    I would have guessed the upcharge would be way more than $525, since the base room charge in hospitals typically ranges from just under $2000 to more than $5000 for an ICU patient per day. Even...