MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

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

    MunoRN replied to haveyourbowelsmoved's topic in Disaster Preparation

    You're wearing N95s for patients who are already intubated, but not for non-intubated patients with a
  2. MunoRN

    Acute COVID, What We're Seeing

    MunoRN replied to MunoRN's topic in Disaster Preparation

    A couple things we've found that might be helpful: Leave the bathroom door in the patient's room open. With the exception of negative airflow rooms, which make up only a small fraction of the rooms...
  3. MunoRN

    Covid-19 is Quite Unpleasant: A Personal Testimony

    MunoRN replied to Guest1142305's topic in Disaster Preparation

    Mild to moderate cases are certainly similar to the various respiratory viruses that circulate this time every year, one thing that differentiates COVID is the duration of the symptoms, which is...
  4. MunoRN

    Coronavirus and Intubation Question

    MunoRN replied to adventure_rn's topic in Disaster Preparation

    We've wrestled with the same questions, and no, it doesn't make any sense. At the direction of our ID medical director we ignore the CDC's recommendation at least as written, the director's...
  5. MunoRN

    Covid-19 is Quite Unpleasant: A Personal Testimony

    MunoRN replied to Guest1142305's topic in Disaster Preparation

    Since what you're describing is an upper respiratory tract infection it's unlikely it was Covid, but those URIs can hit people pretty hard and are no fun
  6. MunoRN

    Alarming conditions of a job offer letter

    MunoRN replied to guest1107684's topic in General Nursing

    I don't know how much time you have still to decide, but I would try and figure out if the other potential jobs you mentioned wouldn't have similar conditions. Otherwise you might look back later and...
  7. MunoRN

    COVID-19: Droplet precautions not airborne

    MunoRN replied to RNgirl25's topic in Disaster Preparation

    The mode of transmission is droplet, and if it makes you feel better the WHO recommendation is for droplet precautions. The issue is that what we typically use for droplet precautions doesn't...
  8. MunoRN

    Coronavirus-Are we ready to talk about rationing care?

    MunoRN replied to dinah77's topic in Disaster Preparation

    I'd take those "ALL IS WELL" reassurances with a grain of salt. Trump had a conference call today with all the governors, and they all reported told him they're screwed when it comes to vents and...
  9. MunoRN

    Alarming conditions of a job offer letter

    MunoRN replied to guest1107684's topic in General Nursing

    I think it's reasonable to get them to at least agree to a pay rate, although they still may reserve the right to change that rate, in which case you have the option to resign, as with any other...
  10. MunoRN

    Alarming conditions of a job offer letter

    MunoRN replied to guest1107684's topic in General Nursing

    I'd be careful about searching for the greener grass, your offer is pretty standard for a new grad. I've never seen a job description for any nursing job that specifically limited the duties and...
  11. MunoRN

    Quarantined Nurse’s Scorching Anti-CDC Rant Goes Viral

    MunoRN replied to MunoRN's topic in Disaster Preparation

    Trump did actually shut down the CDC's Pandemic Response department, you're thinking of the CDC's global health initiative for preventing pandemics. The Pandemic Response unit is what is responsible...
  12. MunoRN

    Quarantined Nurse’s Scorching Anti-CDC Rant Goes Viral

    MunoRN replied to MunoRN's topic in Disaster Preparation

    I agree, I don't think the explanation she got was accusing her of it being her fault if she had contracted COVD-19, it was saying, appropriately, that testing at the time was severely limited, and...
  13. MunoRN

    Coronavirus (COVID-19): We Want to Hear from You

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

    On a related note, we've been trying to figure out increased respiratory protection is recommended as a priority when doing Aerosol Generating Procedures, supposedly because it may cause the patient...
  14. MunoRN

    Coronavirus (COVID-19): We Want to Hear from You

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

    Airborne transmission refers to particles that are able to remain suspended in air for long periods of time, and remain viable. This study utilized a Goldberg drum which is a contraption that keeps...
  15. MunoRN

    Coronavirus (COVID-19): We Want to Hear from You

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

    I agree that the CDC's rationale behind identifying an increased risk of transmission specific to Aerosol Generating Procedures (AGPs) but not spontaneous coughing makes no sense. The rationale for...
  16. MunoRN

    Coronavirus (COVID-19): We Want to Hear from You

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

    To clarify, that study doesn't show COVID-19 to be an airborne pathogen, droplet transmission occurs in the air and the droplet particles are airborne, but that is different from airborne...
  17. MunoRN

    Quarantined Nurse’s Scorching Anti-CDC Rant Goes Viral

    MunoRN replied to MunoRN's topic in Disaster Preparation

    I don't think it changes the trajectory of the epidemic much, if at all, but the one common factor in all of Trump's mishandling of this is he's more concerned about how this impacts him than others,...
  18. MunoRN

    Quarantined Nurse’s Scorching Anti-CDC Rant Goes Viral

    MunoRN replied to MunoRN's topic in Disaster Preparation

    I agree with both of your criticisms of over-the-top anti-Trumpism, as much as I disagree with his policies and general demeaner, I think it's counter productive to jump to unjustified interpretations...
  19. MunoRN

    COVID-19 Are the droplets somewhat airborne? Conflicting reports

    MunoRN replied to Pete W.'s topic in Disaster Preparation

    There's been no reason to believe that COVID-19 spreads through airborne transmission rather than droplet, and while this variant is new, the coronavirus itself is not and it's transmission...
  20. MunoRN

    Quarantined Nurse’s Scorching Anti-CDC Rant Goes Viral

    MunoRN replied to MunoRN's topic in Disaster Preparation

    Not a stupid remark at all, for the most part it doesn't actually matter, except it cases where it might be the evidence a patient needs to self-quarantine. The only situation where it currently...
  21. MunoRN

    Coronavirus-Are we ready to talk about rationing care?

    MunoRN replied to dinah77's topic in Disaster Preparation

    I think I've mentioned it before you're not the first 'soulless monster'. Unless it's trajectory drastically changes, there's not going to be options other than drastic care rationing. Vents,...
  22. MunoRN

    Quarantined Nurse’s Scorching Anti-CDC Rant Goes Viral

    MunoRN replied to MunoRN's topic in Disaster Preparation

    I agree with the nurse's complaint about our lack of testing abilities, which is unacceptably poor this far into it, but I don't agree she is a priority to be tested. Hospitalized patients are a...
  23. MunoRN

    Questionable

    MunoRN replied to 7179's topic in Nursing Professionalism

    It seems unlikely that at an outpatient surgery center there are no established practices regarding perioperative antibiotics. What sort of conversations about patients, that includes patient names...
  24. MunoRN

    Critical care Q

    MunoRN replied to hellohobbit's topic in General Nursing

    There was no imaging
  25. MunoRN

    Critical care Q

    MunoRN replied to hellohobbit's topic in General Nursing

    Normal hgb in Canada is about 120-170, and normal creatinine levels are about 60-120 (different units of measurement than we use in the