MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Immunocompromised Loved One

    MunoRN replied to lillianbenders's topic in General Nursing

    I think you're incorrectly seeing isolation patients as the main threat to your partner with CF. Those with CF are susceptible to a wide range of pathogens, including those that you have the...
  2. MunoRN

    PTO not in the budget for remainder of year

    MunoRN replied to galaxygirl17's topic in General Nursing

    PTO is part of your agreed upon compensation, so unless it's explicitly stated that the employer can rescind your banked PTO, the employer is failing to provide agree upon compensation, which isn't...
  3. MunoRN

    How Do You Fit In 30mins Of Exercise In Your Work Day?

    MunoRN replied to RegenerativeNurse's topic in General Nursing

    I agree that everyone is different; some are more out of shape than others. An average HR of 130 with intermittent walking is not a sign that someone gets enough exercise and is in good shape, it's a...
  4. MunoRN

    what are our rights re: being filmed/recorded at work?

    MunoRN replied to ceccia's topic in General Nursing

    It's not illegal for someone to film a nurse going about their job, unless they are in the bathroom, changing room, etc. A facility can have policies against the use of cameras, in which case the...
  5. MunoRN

    Which way is the right way?

    MunoRN replied to Nurseynurse11's topic in General Nursing

    Organizations often prefer that the nurse who removes the medication from an ADC is the same person to chart it in the EMR, this isn't a regulatory or legal requirement, it just makes it easer to...
  6. MunoRN

    How Do You Fit In 30mins Of Exercise In Your Work Day?

    MunoRN replied to RegenerativeNurse's topic in General Nursing

    While we put in a lot of "steps' at work that doesn't really count as exercise, that's more of a baseline activity level. Better than sitting all day, but still not the recommended amount of...
  7. MunoRN

    Finger picking and biting

    MunoRN replied to fna977's topic in General Nursing

    I don't know if this helps or just adds to your concerns, but the same patients that are the vectors of pathogens in the hospital also frequent the grocery store, restaurants, etc that you also go to,...
  8. MunoRN

    RN providing total care for 4-5 patients

    MunoRN replied to _littlemissBSN's topic in General Nursing

    Sorry, but 8 patients for 2 staff vs 4 patients for 1 staff is the exact same workload, maybe this is a 'new math' vs 'old math'
  9. MunoRN

    Medical Clearance for Psychiatric Unit

    MunoRN replied to smcRN2592's topic in Patient Safety Issues

    This is a persistent source of frustration for hospital staff, and for good reason. To use your SBP of 160 cutoff for admission, there are established practice guidelines for treating hypertension in...
  10. MunoRN

    Director wants to change all 12 hr shift nurses to 10 hr!!!!

    MunoRN replied to truejewel82's topic in General Nursing

    I take it then that each assignment would have 6 hours of overlap coverage per day? The one additional shift required per 2 week schedule to keep a full time FTE basically unchanged would sort of...
  11. MunoRN

    RN providing total care for 4-5 patients

    MunoRN replied to _littlemissBSN's topic in General Nursing

    I would agree that 8 patients is an excessive workload if they all require total care (they can't do anything independently), but I'm not really seeing how a workload of 4 patients for one person is...
  12. MunoRN

    RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    MunoRN replied to tnbutterfly - Mary's topic in Nursing News

    I get that you're concerned about patient safety, but I don't think misrepresenting current patient safety best practices is helpful. I think you're viewing broader responsibility of everyone that...
  13. MunoRN

    Hipaa and scheduled Dr.'s appointments

    MunoRN replied to makes needs known's topic in HIPAA Challenges

    It is your personal business and the employee if free to keep it their personal business by not scheduling these appointments on their personal time. If the employee wants the employer to excuse the...
  14. MunoRN

    Ethical Dilemma: Is it ever ok to mislead a patient?

    MunoRN replied to RNjuice's topic in General Nursing

    I get that it's easier for Physicians to just give in to families on these issues, but the POA doesn't actually have agree to allow medications to be removed from the patient's regimen, it's up to the...
  15. MunoRN

    RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    MunoRN replied to tnbutterfly - Mary's topic in Nursing News

    Once these errors cause a death then no, it's unlikely to be easily hidden or for it to go unreported as a potential for harm. The problem is that waiting for existing threats to patient safety to...
  16. MunoRN

    RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    MunoRN replied to tnbutterfly - Mary's topic in Nursing News

    I agree that the personal views of RV by other nurses was superfluous, although I don't think it negates their other concerns which are based on well established patient safety processes. What has...
  17. MunoRN

    RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    MunoRN replied to tnbutterfly - Mary's topic in Nursing News

    If the reporting I found are of the same incidents you're referring to, then they would seem consistent with the premise that one needs to be consciously aware of the threat of harm you're imposing to...
  18. MunoRN

    RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    MunoRN replied to tnbutterfly - Mary's topic in Nursing News

    I think you're arguing whether it's better practice to do more assessment than less, or to err on the side of caution rather than not, I don't disagree with your general point. For her lack of...
  19. MunoRN

    My facility is restraining a resident and I feel that I can't help.

    MunoRN replied to Nursingstudent___'s topic in General Nursing

    As an inpatient, are you saying you're only taking their vitals because they are on a BB? Wouldn't you be taking them whether they're on a BB or
  20. MunoRN

    RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    MunoRN replied to tnbutterfly - Mary's topic in Nursing News

    In a number of ICU's in a number of settings no, I have never known it to be a commonly held rule that a patient requires continuous monitoring after "anything IV". There are plenty of ICU nurses, if...
  21. MunoRN

    RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    MunoRN replied to tnbutterfly - Mary's topic in Nursing News

    Is there anything specific about ISMP's view that you find biased or inaccurate? In your example, both RV and AB made errors that carried the potential of harm or even death, since they are identical...
  22. MunoRN

    RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    MunoRN replied to tnbutterfly - Mary's topic in Nursing News

    You're correct, I misspoke when I said "negligent" but meant "reckless". As Tennessee law and your Medscape article point out, the crime RV is being charged which is defined as a death that results...
  23. MunoRN

    My facility is restraining a resident and I feel that I can't help.

    MunoRN replied to Nursingstudent___'s topic in General Nursing

    Assessing the effect of the beta blocker for the extent to which it slows HR and blood pressure prior to the dose doesn't make any sense. If that's what you're assessing, it should be assessed at the...
  24. MunoRN

    RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    MunoRN replied to tnbutterfly - Mary's topic in Nursing News

    "Consciously aware" would be she was aware she was giving a paralytic, I'm not sure what you're basing the claim that she knew she was giving a paralytic on. It's certainly not unusual for a nurse to...
  25. MunoRN

    My facility is restraining a resident and I feel that I can't help.

    MunoRN replied to Nursingstudent___'s topic in General Nursing

    Generally, people on beta blockers don't check their pulse or BP prior to BP, and it terms of nursing practice it's not a standard of care. There are certainly times where evaluating a patient's...