MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Anyone Ever Actually Used Their Malpractice Insurance?

    MunoRN replied to PMHNP2023's topic in General Nursing

    It's extremely rare that a nurse would actually need to utilize malpractice insurance, which is why it's so cheap. As a younger nurse I was notified I was going to be deposed, so I notified NSO in...
  2. MunoRN

    Discussion at nurse's station

    MunoRN replied to AnonymouseRN's topic in HIPAA Challenges

    I agree, based on information we don't have this could go either way, and we're skipping the bigger issue of whether the family even had the right to be involved in the patient's decision making given...
  3. MunoRN

    Discussion at nurse's station

    MunoRN replied to AnonymouseRN's topic in HIPAA Challenges

    I'm with LouDogg, there is no obvious HIPAA violation here. It was certainly inappropriate and likely violated any number of organizational policies and expectations, but not a clear HIPAA violation....
  4. MunoRN

    Subcutabeous IV for End-of-Life

    MunoRN replied to Pluckerofstars's topic in General Nursing

    What do you mean by "end of life .. nutrition"? Aside from artificial nutrition being inappropriate in an actively dying patient, you certainly couldn't give it through a subcutaneous
  5. MunoRN

    Hallway Medicine

    MunoRN replied to NurseK93's topic in General Nursing

    Hallway beds aren't particularly unusual this time of year in the US either, although these are typically limited to the ER. I have worked at facilities though where even all the spare space in...
  6. MunoRN

    Question: Tooth or Foot First?

    MunoRN replied to Kooky Korky's topic in General Nursing

    I would guess the ortho surgery has the potential for the need to install hardware (screws, etc) which is contraindicated in the case of a potentially active tooth infection, which would be why a root...
  7. MunoRN

    Can’t a nurse be fired?

    MunoRN replied to Barbara Fouch Lentz's topic in General Nursing

    I didn't take it to be derogatory towards nursing home nurses, I think maybe there's some crossed signals. I work ICU and as a result believe there's a special place in heaven for floor nurses, and an...
  8. MunoRN

    Can’t a nurse be fired?

    MunoRN replied to Barbara Fouch Lentz's topic in General Nursing

    To clarify, this was the statement in question, that it would seem likely that in a nursing home, not seeing each patient more frequently than every two hours would be sufficiently negligent and...
  9. MunoRN

    Can’t a nurse be fired?

    MunoRN replied to Barbara Fouch Lentz's topic in General Nursing

    You work in a nursing
  10. MunoRN

    Can’t a nurse be fired?

    MunoRN replied to Barbara Fouch Lentz's topic in General Nursing

    It's been management's expectation at every hospital I've worked at, and consistently achievable at zero of them. The claim this was in response to was that if a nursing home patient had not been...
  11. MunoRN

    Can’t a nurse be fired?

    MunoRN replied to Barbara Fouch Lentz's topic in General Nursing

    Yes, it's a stretch. Nursing home ratios are typically 1 nurse and 1 aid for 30-40 or more patients. They may be able to round that often if that is absolutely all they are doing, but that's not the...
  12. MunoRN

    License question

    MunoRN replied to buggynurse's topic in General Nursing

    Whether you need to be licensed in the state you are in or the state the patient is in varies by state. The requirement that you must be licensed in the state your patient is in appears more common....
  13. MunoRN

    Can’t a nurse be fired?

    MunoRN replied to Barbara Fouch Lentz's topic in General Nursing

    That's a bit absurd. The stage of rigor mortis described by the OP, neck stiffness, is the initial stage of rigor mortis and is present as soon as 2 hours after death. There is no reasonable...
  14. MunoRN

    New dialysis nurse - blood collection question

    MunoRN replied to mariok's topic in General Nursing

    These days it's not unusual for dialysis patients to have strict 'no peripheral stick' orders, with the existing line being the preferred source, although generally when already accessed for a...
  15. MunoRN

    Can’t a nurse be fired?

    MunoRN replied to Barbara Fouch Lentz's topic in General Nursing

    Rigor Mortis is unrelated to patient positioning, it's due to an extended period of myocyte anoxia which results in the inability to produce ATP which results in the inability to break the...
  16. MunoRN

    Can’t a nurse be fired?

    MunoRN replied to Barbara Fouch Lentz's topic in General Nursing

    If by "stiff" you mean rigor mortis was present, then no, CPR is not indicated per ACLS protocol. If anything, termination should be considered if a nurse does CPR on a corpse with rigor-mortis since...
  17. MunoRN

    Just Say “YES” to Nurse Staffing Laws

    MunoRN replied to SafetyNurse1968's topic in General Nursing

    I don't disagree with that either, at least in that people should be free to choose whatever option they want, including bad options. But people should be making bad choices because they have the...
  18. MunoRN

    Just Say “YES” to Nurse Staffing Laws

    MunoRN replied to SafetyNurse1968's topic in General Nursing

    Given the massive costs associated with poor quality care, I don't agree that allowing the quality of care to drop significantly below the already fairly low bar will result in less cost. The Joint...
  19. MunoRN

    Just Say “YES” to Nurse Staffing Laws

    MunoRN replied to SafetyNurse1968's topic in General Nursing

    Yes, a functioning EpiPen that actually contains epinephrine costs more than an old ball-point pen filled with sugar water, are you arguing that we would be better off if the EpiPen market included...
  20. MunoRN

    Just Say “YES” to Nurse Staffing Laws

    MunoRN replied to SafetyNurse1968's topic in General Nursing

    That's basically true, if it weren't for regulations you could buy something labelled "EpiPen" from a supplier that's filling old ball-point pens with sugar water and make a killing selling them, in...
  21. MunoRN

    CST drew up and administered medication....and it was wrong amount

    MunoRN replied to Alyk3309's topic in General Nursing

    I completely agree that a CST shouldn't be the one administering Tylenol to a neonate, but to clarify, it's not outside the scope of a CST to administer medications. The regulatory requirements...
  22. MunoRN

    Why is BSN required for CRNA?

    MunoRN replied to MM1989's topic in General Nursing

    I don't understand how you've come under the impression that ADN programs don't involve care plans, clinicals, or exams. The OP was questioning an RN-to-BSN program (ADN-to-BSN) program was seen as...
  23. MunoRN

    Why is BSN required for CRNA?

    MunoRN replied to MM1989's topic in General Nursing

    I also got by initial RN via a BSN degree, and I should point out that my views of ADN program education was in some ways similar to yours, but as I've learned since then, my understanding of ADN...
  24. MunoRN

    Hoyer/ Ceiling Lift Safety?

    MunoRN replied to nursechilespice's topic in Patient Safety Issues

    What would be the purpose of the second person in the event of a 'malfunction'? I'm not sure how additional staff would prevent a patient from being dropped, is the second person supposed to catch...
  25. MunoRN

    Hoyer/ Ceiling Lift Safety?

    MunoRN replied to nursechilespice's topic in Patient Safety Issues

    I've never worked anywhere that use of a lift required two people, one place even expressly discouraged it because with two people in the room there was the temptation to not use the lift at all....