MunoRN RN

Critical Care

Member

  • Content

    8,058

  • Visitors

    94,619

  • Followers

    9

  • Likes

    7,525

All Content by MunoRN

  1. MunoRN

    Using Med Surg nurses in the ICU covid unit

    MunoRN replied to KellyRN86's topic in Disaster Preparation

    I haven't had any reason to complain about this arrangement. As you point out, you would be going from 12 to 18 nurses, and while these nurses can't do all of the 'ICU-level' stuff, most of what...
  2. MunoRN

    A COVID-19 Dilemma: Where are all the PPEs?

    MunoRN replied to tnbutterfly - Mary's topic in Disaster Preparation

    To clarify , the CDC has never lowered their recommendations to anything other than respiratory level respiratory protection; N95 or higher which includes PAPR and other HEPA level filtration is still...
  3. MunoRN

    Acute COVID, What We're Seeing

    MunoRN replied to MunoRN's topic in Disaster Preparation

    We're utilizing RN and other staff of all backgrounds, some of it's more of 'busy-work', but there's plenty of things that need done. Our outpatient clinic and procedural staff are given the choice...
  4. MunoRN

    COVID-19 and extinction of human species

    MunoRN replied to DannyBoy8's topic in Disaster Preparation

    China only included symptomatic cases in their CFR calculations because that's what a CFR is, asymptomatic presumed cases are included in the IFR not the CFR. Like all CDR data, we consider it in the...
  5. MunoRN

    Can I Refuse to Work If My Facility Does Not Have Proper Personal Protective Equipment?

    MunoRN replied to Lorie Brown RN, MN, JD's topic in Disaster Preparation

    The OSBN's answer to the question you pose in the beginning is quite clear from their statements, they do not expect nurses to work without the PPE recommended by the OHA. I don't know who these...
  6. MunoRN

    Quarantined Nurse’s Scorching Anti-CDC Rant Goes Viral

    MunoRN posted a topic in Disaster Preparation

    Read article in its entirety: Quarantined Nurse's Scorching Anti-CDC Rant Goes Viral: 'I'm Appalled at the Level of Bureaucracy' on Coronavirus
  7. MunoRN

    Does Having More Ventilators Even Help?

    MunoRN replied to Randomkindness's topic in Disaster Preparation

    There is certainly a subset of patients who may benefit from being on a vent, but no, not all patients who require a vent will benefit from one and we have enough data at this point to know who those...
  8. MunoRN

    Does Having More Ventilators Even Help?

    MunoRN replied to Randomkindness's topic in Disaster Preparation

    I think more importantly there is the question how many patients can be saved with a ventilator. The number of patients who need a ventilator and the number who would benefit from a ventilator are...
  9. MunoRN

    COVID-19 and extinction of human species

    MunoRN replied to DannyBoy8's topic in Disaster Preparation

    I'm not sure where you're getting your 10-20% mortality rate from, but even if that were true, it's not mathematically possible for this to result in extinction given the concentration of high...
  10. MunoRN

    Refusing Care of a COVID-19 Patient Due to Inappropriate PPE

    MunoRN replied to BiscuitStripes's topic in Disaster Preparation

    That's non-sensical criteria for exceptions, I agree, but I'm not sure what's clearly unacceptable about a breastfeeding mom caring for Covid patients, or pumping in a separate, designated
  11. MunoRN

    Risk of Catching Covid as an HCW Might Be Lower Than You Think

    MunoRN replied to MunoRN's topic in Disaster Preparation

    The single-patient case report mentioned in the article involving 41 HCWs with under-protected high risk exposures:...
  12. MunoRN

    Venti vs nonrebreather

    MunoRN replied to freckles23's topic in General Nursing

    I would first consider that neither is likely to relieve the patient's respiratory distress, so additional steps will need to be taken anyway to address the dyspnea, but if they're hypoxic then it's...
  13. MunoRN

    How to Operate Hospital Bed

    MunoRN replied to wsilvernell's topic in General Nursing

    The air pumps in the Hill Rom Progressa are actually "on" all the time with the exception of a few settings, max inflate as you noticed for instance, and yes they make a sound like a turbine spinning...
  14. MunoRN

    Refusing Care of a COVID-19 Patient Due to Inappropriate PPE

    MunoRN replied to BiscuitStripes's topic in Disaster Preparation

    He said it can be transmitted by aerosolized droplets, not airborne transmission which refers to a particle that remains in the air for an extended period of time. Aerosolized droplets can remain in...
  15. MunoRN

    Refusing Care of a COVID-19 Patient Due to Inappropriate PPE

    MunoRN replied to BiscuitStripes's topic in Disaster Preparation

    We could start with the article you linked to that accurately describes the mode of transmission as being droplet, and yes I agree that a coughing patient or really any COVID patient can aerosolize...
  16. MunoRN

    Refusing Care of a COVID-19 Patient Due to Inappropriate PPE

    MunoRN replied to BiscuitStripes's topic in Disaster Preparation

    "Airborne" transmission refers to a pathogen than remains suspended in the air for extended periods of time, which you correct that Covid doesn't do. It does commonly transmit from one person to...
  17. MunoRN

    Refusing Care of a COVID-19 Patient Due to Inappropriate PPE

    MunoRN replied to BiscuitStripes's topic in Disaster Preparation

    I don't know that this has been closely studied with this particular strain of coronavirus, but a common characteristic of viral infections is that unlike bacteria where there is a dose-dependent...
  18. MunoRN

    Acute COVID, What We're Seeing

    MunoRN replied to MunoRN's topic in Disaster Preparation

    A COVID unit is basically one big isolation
  19. MunoRN

    Acute COVID, What We're Seeing

    MunoRN replied to MunoRN's topic in Disaster Preparation

    That's been sort of back and forth, there's been an ongoing debate based on supply, evidence, limit it to a clinical trial? etc. I wouldn't say the effect has seemed as apparent as with Remdesivir,...
  20. MunoRN

    Doctors not assessing COVID patients?

    MunoRN replied to orchidflower's topic in Disaster Preparation

    There are certainly reasons for the physician to go into the room, but they also shouldn't be going in just for the heck of it. With COVID there isn't actually much purpose to a direct Physician...
  21. MunoRN

    Refusing Care of a COVID-19 Patient Due to Inappropriate PPE

    MunoRN replied to BiscuitStripes's topic in Disaster Preparation

    The debate we should be having is whether an N95 is sufficient, it's a failure of Nursing leadership in the US that we're debating whether procedure / surgical masks are sufficient. As an example,...
  22. MunoRN

    Acute COVID, What We're Seeing

    MunoRN replied to MunoRN's topic in Disaster Preparation

    We've weaned a few from vents, the shortest time on the vent I think has been just under 3 weeks. I should warn this isn't necessarily a scientific observation, but the ones that seem to have...
  23. MunoRN

    Acute COVID, What We're Seeing

    MunoRN replied to MunoRN's topic in Disaster Preparation

    This is closely related to ARDS, but really the COVID symptoms are distinct from typical ARDS. The most effective vent settings have been spontaneous modes which wouldn't work with paralytics. But...
  24. MunoRN

    The ANA is killing nurses

    MunoRN replied to DannyBoy8's topic in Disaster Preparation

    All the unions in not just my state, but region are affiliated, essentially subsidiaries of the ANA, so I'm not sure how supporting unionization helps oppose the
  25. MunoRN

    Refusing Care of a COVID-19 Patient Due to Inappropriate PPE

    MunoRN replied to BiscuitStripes's topic in Disaster Preparation

    The board is concurring with rules even more relaxed than the CDC. The CDC recommends N95 or better for HCWs caring for coronavirus patients. They only support the use of surgical or procedure masks...