MunoRN RN

Critical Care

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All Content by MunoRN

  1. 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

    That's not correct. The Civil Rights Act of 1964 as well as overlapping state laws define illegal discrimination as refusing to hire someone due to their religion, sex, age, national origin, or color...
  2. 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 think if they played comparable roles in the process, then that comparison would be
  3. MunoRN

    Really Nervous about Everything. Should I reconsider nursing?

    MunoRN replied to Kiroppi's topic in General Students

    There's not a reasonable expectation of risk of blood exposure with an insulin injection. I think you're confusing a very remote possibility with a potential blood exposure. It's extremely unlikely...
  4. MunoRN

    Really Nervous about Everything. Should I reconsider nursing?

    MunoRN replied to Kiroppi's topic in General Students

    No it's not a potential exposure to blood, if you feel that it is then you should revisit your technique since with proper technique there is no meaningful likelihood of getting blood on your
  5. MunoRN

    Really Nervous about Everything. Should I reconsider nursing?

    MunoRN replied to Kiroppi's topic in General Students

    Yes, it recommends gloves for "blood glucose monitoring", not for insulin
  6. 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

    To clarify, it's not illegal to hire based on gender, it's illegal to discriminate based on gender which means to hire based on gender when there is no business related reason to do so. If it can be...
  7. MunoRN

    Really Nervous about Everything. Should I reconsider nursing?

    MunoRN replied to Kiroppi's topic in General Students

    It's not that it's just a recommendation, it's not a recommendation at
  8. MunoRN

    Really Nervous about Everything. Should I reconsider nursing?

    MunoRN replied to Kiroppi's topic in General Students

    The CDC recommends gloves for fingersticks (blood glucose monitoring) but not for insulin administrations. Exposure to blood is likely during a fingerstick, but unlikely during insulin...
  9. MunoRN

    Really Nervous about Everything. Should I reconsider nursing?

    MunoRN replied to Kiroppi's topic in General Students

    The type of "needlestick" you need to be concerned about is when the needle has already been used on the patient since that's the only way to potentially transfer a bloodborne pathogen from the...
  10. MunoRN

    Dilute Lasix before giving IV?

    MunoRN replied to guest1139088's topic in General Nursing

    First, the TJC has no purview over nursing practice. The TJC is a company that can be contracted for CMS accreditation, which means they can interpret and indirectly enforce federal regulations and...
  11. MunoRN

    Low blood sugar, juice or D50?

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

    D50 is extremely caustic and poses a risk of harm which should be justified by having no safer alternative available. We had a patient in my ICU that expired immediately after receiving D50, they...
  12. MunoRN

    Blood Transfusion With Leaking AAA

    MunoRN replied to atimeforeveryseasonednurse's topic in Emergency

    I wouldn't say the two spikes necessarily have to have one dedicated for use only as a flush when multiple products are to be transfused, particularly transfused at least semi-emergently. In my...
  13. MunoRN

    Running the pump dry

    MunoRN replied to usethehaldol's topic in Patient Medications

    Using a primary / secondary set-up would be a better way of making sure the patient is getting the full dose, if that is your concern. In my experience, running the tubing dry to the pump if the there...
  14. MunoRN

    Death and Denial. Need Advice

    MunoRN replied to TwoLayi's topic in General Nursing

    The issue with the Full Code status should be easy enough since it's clearly not ethical to offer a patient a futile treatment, but I get that for whatever reason this isn't the practice everywhere....
  15. MunoRN

    Patient’s family threatening to report me to BNE

    MunoRN replied to GilligansPlace's topic in General Nursing

    As a RR nurse I feel it should be pointed out that calling a RR is not actually always "the most expeditious method of obtaining prompt assessment and emergent treatment", often calling the MD rather...
  16. MunoRN

    Forearm First!

    MunoRN replied to LibraNurse27's topic in General Nursing

    The need for frequent labwork and unreliable ability to obtain these labs is a commonly recognized indication for a PICC or central line since the delay in these labs can cause patient harm. If...
  17. MunoRN

    What to do about DNP and flu shot?

    MunoRN replied to Travelingon's topic in General Nursing

    Every organization I've worked for requires all providers to be vaccinated, masks are not an alternative option even with organizations where it's an option for non-provider staff. It's no different...
  18. MunoRN

    Keto diet & pills on ca probation

    MunoRN replied to Jaronson81's topic in Nurses Recovery

    Considering ketones are well established to cause cognitive impairment, I would strongly recommend against a nurse taking something for the sole purpose of causing cognitive impairment. Ketones are a...
  19. MunoRN

    Midlines and Nephrology Sign off

    MunoRN replied to cslagle1989's topic in Medical-Surgical

    I've never encountered the practice of requiring a nephrology sign of or just not placing midlines in patients who are not already established to likely have HD in their future. Even then, we only...
  20. MunoRN

    Forearm First!

    MunoRN replied to LibraNurse27's topic in General Nursing

    As you've discovered, there are widely varying views on this. The Infusion Nurses Society (INS) recommends against using the hand, wrist, AC, and the 4 to 5 inches proximal to the wrist, which only...
  21. MunoRN

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

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

    Neither MERS nor SARS were found to have airborne transmission and this would be extremely unusual for a coronavirus or any
  22. MunoRN

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

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

    I think some have been confused by the CDC's "abundance of caution" recommendation to add airborne precautions even though we already know that coronavirus transmits through droplet and contact...
  23. MunoRN

    Strange HTN case

    MunoRN replied to Anonymous666's topic in General Nursing

    A CT is used to assess for a dissection, since that is more concerning reason for a large L vs R difference in BP readings. Typically such a large difference should be evaluated by CT first to rule...
  24. MunoRN

    Strange HTN case

    MunoRN replied to Anonymous666's topic in General Nursing

    Diagnosing subclavian stenosis requires some way of evaluating flow and velocities, an ultrasound is the standard method. While subclavian stenosis is the more common explanation for a significant...
  25. MunoRN

    Strange HTN case

    MunoRN replied to Anonymous666's topic in General Nursing

    Sorry we're so stupid. But since your comprehension is so superior to the rest of us I'm sure you're already aware that the most likely cause of L vs. R arm blood pressure differences is due to...