MunoRN RN

Critical Care

Member

  • Content

    8,058

  • Visitors

    94,624

  • Followers

    9

  • Likes

    7,525

All Content by MunoRN

  1. MunoRN

    Critical care Q

    MunoRN replied to hellohobbit's topic in General Nursing

    To clarify for the rest of us Americans, a blood glucose of 3.5 is low end normal in Canada, they're tougher than we are (and they measure in mmol/L, normal is about 3 to
  2. MunoRN

    Critical care Q

    MunoRN replied to hellohobbit's topic in General Nursing

    What are your thoughts so far? By "came in with MVC from ER", do you mean the patient has now been admitted to an inpatient floor and is out of the
  3. MunoRN

    Pulse oximetry accuracy

    MunoRN replied to LilyRN99's topic in Pulmonary

    That's certainly true of some equipment, but oximeters are only calibrated as part of the manufacturing processes, they can't be calibrated after that point. They also don't differ depending on...
  4. MunoRN

    They locked up all the masks in security ?

    MunoRN replied to RegisteredNurseReneeRN's topic in Disaster Preparation

    There's no good evidence that COVID-19, or any coronavirus for that matter, spreads through true airborne transmission, it appears to spread primarily through droplet transmission, about 6 feet from...
  5. MunoRN

    Myers cocktail, IV vitamin infusion

    MunoRN replied to RNca26's topic in Patient Safety Issues

    In my state we can only add a single medication to a dilutent bag, for instance we can add a concentrated preparation of phenylephrine to a bag of NS to make a phenylephrine gtt bag in the cath lab...
  6. MunoRN

    Adenosine used as diagnostic on Med/Surg floor?

    MunoRN replied to michiemikala's topic in General Nursing

    I'm not sure what you're describing your monitoring capabilities to be, "med/surg" typically refers to a floor without continuous cardiac monitoring, but you also mentioned the patient is on tele....
  7. MunoRN

    Question about proventil and Duoneb breathing treatment for nebulizer?

    MunoRN replied to mzsuccess's topic in General Nursing

    The order could be worded better, but it's not unusual for patients requiring prn albuterol to also be prescribed ipratropium, partly for it's direct benefits in treating symptoms, but also partly...
  8. MunoRN

    Calling in sick

    MunoRN replied to 2bnursdee's topic in General Nursing

    The rules where I work are the opposite, no fever - no call out allowed. If they required that everyone with the sniffles or that "lingering cough" that often follows a viral illness stay at home...
  9. MunoRN

    Use of Bedside Supply Carts

    MunoRN replied to NCline9's topic in General Nursing

    There's been debate about whether nurse servers can be used in MDRO isolation rooms since there's actually little evidence their contents end up any more contaminated with an MDRO than supplies kept...
  10. MunoRN

    Radiographic coronavirus rule out?

    MunoRN posted a topic in Disaster Preparation

    Is anybody else using only a chest CT to rule out coronavirus? Supposedly, there are only about 200 test kits for about 10 million people in my region so they are picky about who gets tested. We've...
  11. MunoRN

    Does one have an advantage coming from a “top” hospital?

    MunoRN replied to wolfgangRN's topic in General Nursing

    Generally those hiring nurses are going to be more interested in your experience and type of units you've worked in. If anything, they can be leery of nurses who have only worked in teaching...
  12. MunoRN

    Cutting Clothes: ED SI/HI pt

    MunoRN replied to bigldiesel's topic in General Nursing

    I assume you're referring to "All SI/HI and OD patients" that have already been evaluated and placed under a legal hold by someone legally prescribed to do so, since what you describe isn't broadly...
  13. MunoRN

    Travel Bans?

    MunoRN replied to Emergent's topic in Disaster Preparation

    I don't know that it makes much difference at this point. The 1918 flu pandemic spread all around the world without much difficulty despite a lack of commercial air travel as we know it today. Other...
  14. MunoRN

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

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

    Spread of Coronavirus vs SARS, MERS, and Ebola. Seems fine at first,
  15. MunoRN

    What to do about DNP and flu shot?

    MunoRN replied to Travelingon's topic in General Nursing

    You clearly aren't separating your personal life from your professional life since in your professional life you are interacting with patients without having been vaccinated, which is due to a...
  16. MunoRN

    IV Insulin and Cardizem

    MunoRN replied to NurseBettyICU's topic in Patient Medications

    There's no reason to place another IV because the patient has both Cardizem and insulin infusions. IV's are not without risks, so all you're doing is risking harm to the patient for absolutely no...
  17. MunoRN

    Parent Pick-Up of Sick Kiddo

    MunoRN replied to SchoolNurseK's topic in School

    I can't really agree that having a job is really the same as putting the role of parent on pause, I'd argue that having a job and income is actually part of the responsibility of being a parent. It's...
  18. MunoRN

    What’s with “researching” patients before clocking in?! Is this a standard?

    MunoRN replied to NurseOrBust13's topic in General Nursing

    As an example; https://www.nurse.com/blog/2015/02/23/is-it-a-HIPAA-violation-to-chart-while-youre-technically-off-the-clock/ Of course HHS is the most reliable source, and they used to have this same...
  19. MunoRN

    What’s with “researching” patients before clocking in?! Is this a standard?

    MunoRN replied to NurseOrBust13's topic in General Nursing

    It's certainly not an unusual myth and typically an easier explanation to give than the more complicated insurance and labor law reasons, so it's a story many nurses have heard. As an example, the CT...
  20. MunoRN

    New grad nurse, can’t stop thinking about work

    MunoRN replied to Corpsman2OncRN's topic in General Nursing

    When I first started nursing I would work a 12 hour night shift, then come and keep nursing during my sleep. I'd wake up feeling like I had cared for the patient all day through impressively detailed...
  21. MunoRN

    What’s with “researching” patients before clocking in?! Is this a standard?

    MunoRN replied to NurseOrBust13's topic in General Nursing

    It's not a HIPAA violation since it is clearly related to providing care to the patients, even if your assignment gets changed. I'm not sure what you mean by "researching patients off the clock when...
  22. MunoRN

    Need real world guidance - Refusing treatment and discharge (ethics paper)

    MunoRN replied to bitter_betsy's topic in Nursing Student Assistance

    The idea that insurance generally won't cover something because you leave AMA is a common, but untrue myth. A patient is free to refuse any recommended or prescribed treatments and not be punished...
  23. MunoRN

    Terrible experience with nursing staff

    MunoRN replied to guest1074638's topic in General Nursing

    I'm not sure what recent change that would be, although it's not a bad idea. Currently, the only coverage cap for Medicare is that part A caps coverage for hospitalizations for a single illness at 90...
  24. MunoRN

    Parent Pick-Up of Sick Kiddo

    MunoRN replied to SchoolNurseK's topic in School

    I'm naïve to the world of school nursing, so forgive me, but is it actually a general expectation that parents always be able to pick up their kids in a relatively short amount of time? That seems...
  25. MunoRN

    Nursing School Accreditation

    MunoRN replied to Finalynn's topic in General Nursing

    I think what the OP is saying is that the school was accredited, but the nursing program itself was not, which is possible since these are two different things. An accredited school means your...