MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    EKG interpretation help

    MunoRN replied to helloxjello's topic in Nursing Student Assistance

    This is definitely is not strip with a clear-cut rhythm, you could probably show it to a number of electrophysiologists and get interpretations that vary at least a little, so expecting a "correct"...
  2. MunoRN

    Terrible experience with nursing staff

    MunoRN replied to guest1074638's topic in General Nursing

    I think we sometimes conflate how we choose pay for healthcare with how much we choose to pay. You can spend way too much on healthcare services with a single-payer system, and you can pay way too...
  3. MunoRN

    Threw out back, what’s next?

    MunoRN replied to Lightning Rose's topic in General Nursing

    Disc compression on the x-ray is actually a normal part of the aging process, the sciatic nerve issues your having are actually more often caused by a muscular issue with an associated shift, this is...
  4. MunoRN

    EKG interpretation help

    MunoRN replied to helloxjello's topic in Nursing Student Assistance

    I would agree with Kaylee, although it's not clearly sinus, but there are bigeminal idioventricular beats, inverted T-waves are not unusual with ventricular beats. The nearly imperceptible QRS's in...
  5. MunoRN

    Pulse oximetry accuracy

    MunoRN replied to LilyRN99's topic in Pulmonary

    You really need to evaluate the waveform in order to know if the reading is correct. There are pulse-oximeters that don't give a waveform which aren't all that useful although sometimes better than...
  6. MunoRN

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

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

    I'm not having any trouble finding coverage on this from various tv and print outlets, including the more prominent
  7. MunoRN

    Threw out back, what’s next?

    MunoRN replied to Lightning Rose's topic in General Nursing

    To "throw out your back" is a generalized term that can refer to any number of things, most of which don't require you to significantly limit your activity level with the proper treatment. I have a...
  8. MunoRN

    Did we/she violate HIPAA?

    MunoRN replied to hippahippo's topic in HIPAA Challenges

    I've worked in places where the charge nurses must also do shifts in direct patient care, but they are still expected to support the charge while doing so. This typically involves just what you...
  9. MunoRN

    Terrible experience with nursing staff

    MunoRN replied to guest1074638's topic in General Nursing

    I wouldn't describe that as a 'nothing-to-lose' situation since just the initial filing will cost a hefty amount, if she loses, which she will, it could end up costing many thousands of
  10. MunoRN

    Low blood sugar, juice or D50?

    MunoRN replied to mappers's topic in Diabetes, Endocrine Nursing

    There are multiple practice organizations with recommendations related to treating acute hypoglycemia, all recommend that D50 only be used when other options aren't appropriate. As an example:...
  11. MunoRN

    Rapid response

    MunoRN replied to Calm and collected's topic in General Nursing

    Actually treating the patient's dyspnea would be a much better alternative to trying to trick the family into thinking it's been treated., particularly since the patient is still your primary...
  12. MunoRN

    What to do about DNP and flu shot?

    MunoRN replied to Travelingon's topic in General Nursing

    The lowest effectiveness in recent history was the 2014-2015 season with 19% effectiveness, other than that overall in the last decade effectiveness has ranged from about 30 to 60% effectiveness. I'm...
  13. MunoRN

    How do your patient care techs (CNAs) check pulse rate with vitals?

    MunoRN replied to Carrie2244's topic in CCU, Coronary, Cardiac

    Pulse and heart rate (EKG rate) are two different things, so I'm not sure what you mean by saying "the documentation of the patient's heart rates were wrong due to the use of the pulse oximeter for...
  14. MunoRN

    Rapid response

    MunoRN replied to Calm and collected's topic in General Nursing

    Trying to convince someone that dyspnea doesn't result from hypoxia can certainly result in far more arguing that is worthwhile at the end of life, and the placebo effect can be worthwhile if someone...
  15. MunoRN

    Rapid response

    MunoRN replied to Calm and collected's topic in General Nursing

    The effects of hypoxia are initially a euphoria / intoxication followed by drowsiness and then
  16. MunoRN

    Rapid response

    MunoRN replied to Calm and collected's topic in General Nursing

    Although it's a common misconception, supplemental oxygen doesn't relieve air hunger since hypoxia isn't the cause of air hunger. It does however take away some of the more pleasant aspects that...
  17. MunoRN

    My Visit to China: Could This Be A Reason Why Coronavirus Started There?

    MunoRN replied to Gadsale's topic in Disaster Preparation

    The idea that this originated in a wet market or that snakes were the intermediate hosts both appear to be false, although these initial claims were clearly not based on race but rather on bad...
  18. MunoRN

    Rapid response

    MunoRN replied to Calm and collected's topic in General Nursing

    "DNR" only applies once a patient has already gone into cardiac / respiratory arrest, so those treatments would still be appropriate. But you also stated the patient was 'Comfort Measures Only',...
  19. MunoRN

    My Visit to China: Could This Be A Reason Why Coronavirus Started There?

    MunoRN replied to Gadsale's topic in Disaster Preparation

    The OP's epidemiological fallacies have been well explained and supported, but those claiming racism/bigotry/xenophobia etc. and lack of cultural awareness have yet to offer any evidence, maybe you...
  20. MunoRN

    CVOR: How many nurses to an OR?

    MunoRN replied to SweetSouthernLove's topic in Operating Room

    Mike, are you under the impression that otherwise your gown would remain on during a surgery like
  21. MunoRN

    My Visit to China: Could This Be A Reason Why Coronavirus Started There?

    MunoRN replied to Gadsale's topic in Disaster Preparation

    There was no claim or even subtle suggestion that the virus occurred because the people in these markets are Chinese, that would be what racism is. Claiming that circumstances which promote bacteria...
  22. MunoRN

    My Visit to China: Could This Be A Reason Why Coronavirus Started There?

    MunoRN replied to Gadsale's topic in Disaster Preparation

    There have been some flawed conclusions jumped to that could be explained by some degree of unreasoned thinking and justifiable but exaggerated beliefs, but I don't think it's racism or bigotry....
  23. MunoRN

    "We don't hire male RNs" and other things you should never say to me

    MunoRN replied to labordude's topic in Ob/Gyn

    From the court case you reference below which started by reviewing existing case law, and upheld the established precedent that gender can be a preference in hiring nurses for labor and delivery:...
  24. MunoRN

    "We don't hire male RNs" and other things you should never say to me

    MunoRN replied to labordude's topic in Ob/Gyn

    This was your comment on the role of patient preference, maybe I misunderstood you. Many of the same patients that may not feel comfortable with a male nurse might be comfortable with a male OB...
  25. MunoRN

    "We don't hire male RNs" and other things you should never say to me

    MunoRN replied to labordude's topic in Ob/Gyn

    I'm not clear what you're asking, are you saying you have no reason to believe that some number of laboring moms, beyond just a trivially small amount, would feel uncomfortable with a male nurse while...