MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

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

    MunoRN replied to BiscuitStripes's topic in Disaster Preparation

    ZThe "scientific and evidence based criteria" they're referring to is neither of those things. The state's criteria is that procedure masks is sufficient
  2. MunoRN

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

    MunoRN replied to BiscuitStripes's topic in Disaster Preparation

    CDC guidelines are for N95 or 100 level protection, some states and hospitals have opted to instead go with surgical mask protection. The level of protection these provide is not really known since...
  3. MunoRN

    Quarantined Nurse’s Scorching Anti-CDC Rant Goes Viral

    MunoRN replied to MunoRN's topic in Disaster Preparation

    Not when at the time hospitals were having trouble getting their patients tested, which is an important part of limiting the spread through hospital patient and staff populations. It certainly would...
  4. MunoRN

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

    MunoRN replied to BiscuitStripes's topic in Disaster Preparation

    Admin, ouch. I'm actually a bedside nurse, I've been caring for Covid patients since the end of February. I'm not really clear what you took offense with, the post you quoted was in response to a...
  5. MunoRN

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

    MunoRN replied to BiscuitStripes's topic in Disaster Preparation

    That's messed up. What the Oregon BON seems to be saying is that because the OHA Public Health Division PPE recommendations are "scientific and evidence based", this is what nurses are going to be...
  6. MunoRN

    Acute COVID, What We're Seeing

    MunoRN replied to MunoRN's topic in Disaster Preparation

    We will code a non-intubated patient who would potentially benefit from going on a vent, but once their on a vent and on hemodynamic support they are made a medically futile
  7. MunoRN

    Acute COVID, What We're Seeing

    MunoRN replied to MunoRN's topic in Disaster Preparation

    The obvious problem, which isn't addressed in the limitations section of the study, is patient-ventilator dyssynchrony. While the experiment worked fine on 4 lung simulators, which are comparable to...
  8. MunoRN

    Boyfriend wants me to stay away

    MunoRN replied to LauRN3367's topic in Disaster Preparation

    I don't think you're boyfriend is being unreasonable, you shouldn't have to be asked not to go to anyone's house right
  9. MunoRN

    PPE at COVID-19 drive thru clinic question

    MunoRN replied to boneknuckleskin's topic in Disaster Preparation

    I know this is something that gives us the heebie-jeebies, but not for any particularly good reason. Using hand hygiene on the same set of gloves between patients, particularly in a screening setting,...
  10. MunoRN

    PACU nurses being floated to ICU?

    MunoRN replied to Florence NightinFAIL's topic in Critical Care

    PACU is typically considered a critical care level of nursing, and given that where we're freeing up staff, beds, and equipment is by cancelling elective surgeries PACU nurses are an obvious choice to...
  11. MunoRN

    Forced Quarantine

    MunoRN replied to Chris11's topic in Disaster Preparation

    The states where this has been issue so far have similar laws that require healthcare facilities to ensure anyone they are mandating to work has childcare, elder care, etc covered otherwise they...
  12. MunoRN

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

    MunoRN replied to BiscuitStripes's topic in Disaster Preparation

    The CDC could have better explained their recommendations, but the basis for taking additional precautions during this procedures is that they may produce aerosols, more than just regular breathing...
  13. MunoRN

    Are those fish bowl helmet things I keep seeing European bipap masks?

    MunoRN replied to Anonymous666's topic in Disaster Preparation

    I'm still not clear what we're talking about, are there specific pictures to point
  14. MunoRN

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

    MunoRN replied to BiscuitStripes's topic in Disaster Preparation

    We've had multiple HCWs turn positive, all were caring for non-intubated and not-yet-positive patients. There's no basis for identifying an intubated, confirmed case as being a higher level of...
  15. MunoRN

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

    MunoRN replied to BiscuitStripes's topic in Disaster Preparation

    Healthcare workers are physiologically comparable to non-healthcare workers when it comes to how our bodies are affected by a virus. It's not as though our mortality risk is not comparable because of...
  16. MunoRN

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

    MunoRN replied to BiscuitStripes's topic in Disaster Preparation

    https://www.cdc.gov/mmwr/volumes/69/wr/mm6912e2.htm
  17. MunoRN

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

    MunoRN replied to BiscuitStripes's topic in Disaster Preparation

    To clarify, the CDC has not said that procedure / surgical masks are just as safe as an N95 or other respirator, they specifically state this is not true. They have also not said that there are...
  18. MunoRN

    Crisis travel assignments for Covid-19?

    MunoRN replied to JDougRN's topic in Disaster Preparation

    In my area the offers are around $5000 per week for a 3 week
  19. MunoRN

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

    MunoRN replied to BiscuitStripes's topic in Disaster Preparation

    My state has addressed the issue of whether nurses can refuse to care for these patients, the response was that you're free to permanently surrender your license, but that's the only option. I would...
  20. MunoRN

    Acute COVID, What We're Seeing

    MunoRN replied to MunoRN's topic in Disaster Preparation

    We typically take people off their ACE inhibitors anyway given the likelihood of sudden onset hypotension as well as renal impairment in COVID patients, we typically use shorter acting pushes...
  21. MunoRN

    Acute COVID, What We're Seeing

    MunoRN replied to MunoRN's topic in Disaster Preparation

    That's actually a bit bigger than typical influenza droplet particles have been reported to be, although the virus itself probably doesn't really determine the droplet nuclei size. PAPR and N95 / M95...
  22. MunoRN

    Acute COVID, What We're Seeing

    MunoRN replied to MunoRN's topic in Disaster Preparation

    There's been plenty to delegate to non-critical care staff, who take to even the ICU-specific care pretty quickly. One thing about all nurses is that they can often just figure things out even...
  23. MunoRN

    Advice please - PPE's for a patient who is a contact of Covid 19

    MunoRN replied to haveyourbowelsmoved's topic in Disaster Preparation

    I should clarify that I'm not suggesting you downgrade your protection if you have the option not to, but if having a higher level of respiratory protection available to care for intubated patients...
  24. MunoRN

    Advice please - PPE's for a patient who is a contact of Covid 19

    MunoRN replied to haveyourbowelsmoved's topic in Disaster Preparation

    A coughing COVID positive patient causes far more aerosol exposure to staff than any of the procedures designated as aerosol generating. An aerosol generating procedure refers to a procedure that is...
  25. MunoRN

    Acute COVID, What We're Seeing

    MunoRN replied to MunoRN's topic in Disaster Preparation

    About 12% of those with COVID require hospitalization but not critical care, most commonly it's because of the need for supplemental oxygen and I would say we're already maximizing that as a way of...