MunoRN RN

Critical Care

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All Content by MunoRN

  1. 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 she was consciously aware that she had a paralytic and not midazolam in her hand as a result of scanning the med, and gave it anyway, then yes, that would fit the definition of a criminal act....
  2. MunoRN

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

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

    Criminal negligence in Tennessee is defined a conscious awareness that your actions will likely harm someone, the DA's case is based on the premise that nurse's are consciously aware that using the...
  3. MunoRN

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

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

    Being resigned to the fact that errors will still happen does feel like it's defamatory to the nursing profession, but in my experience it's a necessary and probably the most challenging part of...
  4. 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, it's hard not see these errors differently when they combine to result in a tragic death, which is why we shouldn't view them as minor when they don't. The individual errors RV made are...
  5. MunoRN

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

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

    The descriptions of the basis of the charges comes directly from the Prosecutors, it would seem unlikely they wouldn't know why they are bringing charges. It's not the institutions that have...
  6. MunoRN

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

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

    A criminal act relating to violating the Standard of Care would include knowingly giving a paralytic to keep the patient still to get a good scan, you wouldn't be able to find a competent or prudent...
  7. MunoRN

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

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

    The legal Standard of Care isn't defined by what some nurses might deem appropriate, it's what no competent nurse would do. 1mg of IV versed, which is equivalent t0 0.5 mg lorazepam, or 0.25 of...
  8. MunoRN

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

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

    The prosecutor's office explanation of the basis of the charge seems pretty straightforward, it's also the understanding of ISMP which is following the case closely. From ISMP: Criminal charges are...
  9. 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 can't remember if it was the CMS report or the TBI report, but one specifically focused on the order itself and described it as being for 1mg Versed IV x1 with "Versed" in quotes, which would...
  10. MunoRN

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

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

    Per the prosecutor's office spokesman, the basis of the criminal charge is "The decision to criminally prosecute a former nurse at Vanderbilt University Medical Center who allegedly killed an elderly...
  11. 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 don't think there's any arguing that this didn't occur solely due to the availability of an override function in the ADC, but that's the basis of the criminal charges against her; that any use of...
  12. MunoRN

    Do you scrub the hub of a PICC between each medication?

    MunoRN replied to Kara Hoffman's topic in General Nursing

    There are number of criteria to be a reliable evidence based source that they fail to meet. I've worked at a couple of different organizations where the medical librarians refuse to have the INS...
  13. MunoRN

    Assaulted by psych patient, police officers walking by did nothing?

    MunoRN replied to PMHNP2023's topic in Emergency

    I wouldn't call that "assault", it was clearly unwanted and inappropriate physical contact due to an inappropriate sense of humor and failure to understand normal limits of personal space, not unusual...
  14. MunoRN

    Legalized Recreational Marijuana - What Will You See in the ED?

    MunoRN replied to traumaRUs's topic in Emergency

    Legalization of 'medical marijuana' typically hasn't included strict requirements for laboratory analysis testing. I don't know about the more recent states, but at least with the first two states to...
  15. MunoRN

    Fired for saying i might file safe harbor

    MunoRN replied to Wish4goodstaffing's topic in General Nursing

    I'm certainly not opposed to your interpretation, which would define nurse-to-patient ratios and nursing workloads in general as being determined solely by direct care nurses and fellow nurses (the...
  16. MunoRN

    Question About Sterility Related To Giving Injections

    MunoRN replied to Kooky Korky's topic in General Nursing

    The bigger issue is that this would likely fall into the category of "dispensing" a medication. The regulatory rule surrounding drawing up and labelling a medication by an RN are about as clear as...
  17. MunoRN

    Fired for saying i might file safe harbor

    MunoRN replied to Wish4goodstaffing's topic in General Nursing

    The Peer Review process is to determine if the nurse qualified for Safe Harbor under the definitions of the
  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

    And I would argue the override function is safe when used with other safety measures, the legal precedent that's well on it's way to being established is that using the override function is itself...
  19. MunoRN

    Fired for saying i might file safe harbor

    MunoRN replied to Wish4goodstaffing's topic in General Nursing

    It certainly would be nice if your interpretation was correct since that would essentially implement nurse to patient ratios since the staff nurses could be protected for only accepting a certain...
  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

    That's not the basis of the criminal charges against her, the basis is that any use of the "override" function constitutes criminal reckless endangerment, regardless of whether any errors or harm...
  21. MunoRN

    Fired for saying i might file safe harbor

    MunoRN replied to Wish4goodstaffing's topic in General Nursing

    From the section of that specific to Safe Harbor: "Safe Harbor is a nursing peer review process that a nurse may initiate when asked to engage in an assignment or conduct that the nurse believes in...
  22. MunoRN

    Fired for saying i might file safe harbor

    MunoRN replied to Wish4goodstaffing's topic in General Nursing

    It's pretty clear, I think you're missing that the requirements to qualify for safe harbor prior to accepting an assignment are not the same as when the assignment has already been accepted. Prior to...
  23. MunoRN

    Fired for saying i might file safe harbor

    MunoRN replied to Wish4goodstaffing's topic in General Nursing

    It covers changes made to an assignment you've already accepted that the nurse believes might be unsafe, this is because once you've accepted the assignment you can't then refuse it without possibly...
  24. MunoRN

    Fired for saying i might file safe harbor

    MunoRN replied to Wish4goodstaffing's topic in General Nursing

    Your link is consistent with my previous statements, that you're only protected if you were asked to something illegal, defined by your link from Texas as being "a violation of the NPA or Board...
  25. MunoRN

    Legalized Recreational Marijuana - What Will You See in the ED?

    MunoRN replied to traumaRUs's topic in Emergency

    There are a number of processes that can cause varying degrees of reduced peristalsis, eating cheese or bread for instance, your assumption that because marijuana can cause a relatively mild reduction...