MunoRN RN

Critical Care

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All Content by MunoRN

  1. Since the hospital is liable for the care you provide, it's not in their best interests to do anything other than protect you in order to protect the best interest of the hospital. The only rational...
  2. First I should point out that I don't think there was anything wrong with the care you provided, my post came across as more accusatory than intended. There are reasons to avoid or at least be...
  3. It's hard to evaluate what occurred without knowing more about what happened,was it a primary respiratory arrest or cardiac? Your description is of a cardiac cause, so what was their rhythm? What...
  4. MunoRN

    Called by Law Office regarding patient fall

    NSO doesn't provide coverage for personal legal representation for this type of meeting, if you are at some point called for a deposition then NSO does provide deposition representation, but in my...
  5. MunoRN

    Just Wondering

    Yes, respiratory failure can cause
  6. MunoRN

    Just Wondering

    If they are requiring a venti-mask at 50% and then go room air, their oxygen saturation would certainly drop, but despite the commonly held belief, lack of oxygen does not typically cause a patient to...
  7. MunoRN

    Why bedside nursing didn't work for me....

    Your title and article are a bit confusing because you seem to be saying you no longer work at the bedside because you still do direct patient care in another department, which is still "bedside...
  8. Break coverage is not an exception to the mandated ratios, it is illegal in California for a nurse to be required to be responsible for more than the maximum ratio even when covering for another nurse...
  9. MunoRN

    Medication order correct or no

    I'm not sure that medicalschoolhq.net is an established source of prescribing standards, or really anything, but even that post points out that the only part of the order that really matters is the...
  10. MunoRN

    Medication order correct or no

    That's not a requirement or an appropriate prescribing practice. The point in the process where the determination of the number of tablets to take and communication of that to the patient occurs in...
  11. MunoRN

    Medication order correct or no

    You're describing a dispensing label, which is different from a medication order or prescription. The prescriber writes the order or prescription, then someone licensed to administer (nurse) or...
  12. MunoRN

    It's Driving Me Crazy

    It's a popular myth, but it's not actually a HIPAA violation to look up your patients prior the start of your shift, so long as the information your accessing are for the purpose of preparing to...
  13. MunoRN

    Medication order correct or no

    As a basic rule, an appropriate medication order should have the correct dose stated in the order, if the dose is 1000mg then it needs to say 1000mg, not "2 x 500mg" or "318.3099 x pi mg", etc....
  14. MunoRN

    Tired and burnt out from the abuse

    They are under no obligation to sign a behavior contract. The only reason to tolerate an abusive patient is that there are legal obligations to continuing to care for the patient (EMTALA), in which...
  15. MunoRN

    Tired and burnt out from the abuse

    There's certainly nothing acceptable or appropriate about the patient's behavior, but how personally you choose to take their comments is also largely up to your control. People who, at their best,...
  16. MunoRN

    It's Driving Me Crazy

    If getting report on / looking up patients is part of your shift, why are you doing it before your shift
  17. MunoRN

    Setting the Precedent: Nurses Fired for Being Sick

    FMLA laws being what they are, I can't really fault the employer in this scenario. I also can't really fault employers for not being familiar with the various potential expenses of being an...
  18. There's an important distinction between whether filming a nurse at work is illegal or if it's against the hospital's policy. A nurse's consent is not required for a person to film them doing their...
  19. MunoRN

    Do male nurses face gender bias in nursing education?

    I do think there is often a different situation with regard to medical students, it doesn't seem unusual that a facility where patients are first asked if they would agree to having a nursing student,...
  20. MunoRN

    Do male nurses face gender bias in nursing education?

    I certainly wouldn't go so far to say they are "traumatized" by being asked, but I have found that patients take the fact that the question is being asked to mean they should feel uncomfortable with...
  21. While there is a common misconception that an SBP over 180 is "dangerous" as a general rule in acutely ill/hospitalized patients, it's actually not and it's unnecessarily treating hypertension in...
  22. I would agree nurses often unfairly judge some sufferers of psychogenic nonepileptic seizures (PNES) due to a lack of knowledge, but they aren't different from "pseudoseizures". Pseudoseizure is just...
  23. MunoRN

    TB testing 2020, good riddance?

    Hospital, mainly critical care and ED during that
  24. Accessing the vial has the potential introduce bacteria which can then proliferate, so once it's accessed the clock starts in the amount of time it's 'good' for until it has a few thousand bacteria...
  25. MunoRN

    TB testing 2020, good riddance?

    I haven't been screened in close to ten