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

    Her string of failures were certainly disturbing, and I get that given the outcome there's a desire to see her punished, but I don't agree that the precedent that has to be set to make that happen is...
  2. MunoRN

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

    MunoRN replied to traumaRUs's topic in Emergency

    There's no evidence it "kills" the gut through any mechanism or
  3. MunoRN

    Caring for a neighbor?

    MunoRN replied to antesignani's topic in General Nursing

    If you're receiving any sort of compensation for 'helping out' then that opens a whole world of liability that it would be wise to avoid. Typically, home health / visiting nurse services offer...
  4. MunoRN

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

    MunoRN replied to traumaRUs's topic in Emergency

    You'll probably have better luck convincing them that their nausea is due to their excessive marijuana consumption if you present a more informed explanation. Marijuana includes two different...
  5. MunoRN

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

    MunoRN replied to Kara Hoffman's topic in General Nursing

    It should be pointed out that the INS is of questionable reliability when it comes to practice recommendations, and this particular recommendation is not backed by any evidence or even rationale. If...
  6. MunoRN

    Fired for saying i might file safe harbor

    MunoRN replied to Wish4goodstaffing's topic in General Nursing

    The problem with that is refusal to perform assigned duties is insubordination, which is a legally valid basis for termination, the only exception would be if you were refusing the assigned duties...
  7. MunoRN

    Fired for saying i might file safe harbor

    MunoRN replied to Wish4goodstaffing's topic in General Nursing

    There "whistleblower" laws that protect employees from being terminated for reporting violations of the law by their employer, but since in most states an overloaded patient assignment isn't illegal,...
  8. MunoRN

    Fired for saying i might file safe harbor

    MunoRN replied to Wish4goodstaffing's topic in General Nursing

    You can sue for anything you want, the question is whether you're likely to win. There's nothing that explicitly prohibits an employer from terminating an employee for filing for "safe harbor"...
  9. MunoRN

    RN's skipping vital signs

    MunoRN replied to rn_patrick's topic in Patient Safety Issues

    Maybe you could clarify what you'd like a source a on, a nurse's responsibility to prioritize appropriately? Their legal ability to decline a prescriber's order based on their independent judgment?...
  10. MunoRN

    RN's skipping vital signs

    MunoRN replied to rn_patrick's topic in Patient Safety Issues

    Facilities get cited for nurses acting outside of orders where that action is outside of their scope and requires an order, for instance if a medication is ordered as 5-10mg but the nurse gives 20mg....
  11. MunoRN

    Change of Shift Admissions

    MunoRN replied to kgrivera79's topic in Patient Safety Issues

    Taped report isn't a legally acceptable way of doing report in my state for acute care patients, so that's not really an option. But in terms of OT, I don't see how it really makes a difference in...
  12. MunoRN

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

    MunoRN replied to Kara Hoffman's topic in General Nursing

    The most common reason for using alteplase for lumen maintenance is for lack of blood return, which is most commonly due to an extraluminal clot or "tail", and the only way for the alteplase to get to...
  13. MunoRN

    Central Line Maintenance

    MunoRN replied to Kelly King's topic in General Nursing

    Aside from manufacturers recommendations for use, which a facility isn't required to follow but are often based on at least some amount of research, evidence based consensus statements are a good...
  14. MunoRN

    Central Line Maintenance

    MunoRN replied to Kelly King's topic in General Nursing

    What are the inconsistencies you're
  15. MunoRN

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

    MunoRN replied to Kara Hoffman's topic in General Nursing

    Our policy is to only scrub prior to the first access of the hub so long as control of the hub is continuously maintained, this is because we've found there is far better adherence to proper technique...
  16. MunoRN

    Hands on Training in school?

    MunoRN replied to Oldmahubbard's topic in General Nursing

    There are programs where it's not the instructor directly teaching you during clinicals, each student is paired with a nurse and the instructor 'oversees' typically 8 students. The nurse the student...
  17. MunoRN

    Patient Dies At WellSpan York Hospital ER - Left Unattended For Over An Hour

    MunoRN replied to DoGoodThenGo's topic in Nursing News

    I'm not really seeing any clear cut negligence here, its unfortunate, but not
  18. MunoRN

    RN's skipping vital signs

    MunoRN replied to rn_patrick's topic in Patient Safety Issues

    There's nothing inappropriate about nurses prioritizing appropriately, that's actually a requirement of the license. First we should clarify that the term "order" is a misnomer, a prescriber's order...
  19. MunoRN

    Interesting way to manage patients

    MunoRN replied to Dontstressdoyourbest's topic in Nursing News

    While there's evidence that diphenhydramine (benadryl) should not be regularly used as a sleep aid, her claim that using it for that purpose can be described as to "knowingly misuse" the medication,...
  20. MunoRN

    Effect of 12 Hour Shifts on Patient Care and the Nurse: A Need for Change.

    MunoRN replied to LindaGracie's topic in General Nursing

    The article leaves out the bulk of relevant research on shift length, and misrepresents the research it includes. There is clear evidence that there is a sharp increase in adverse risks to both...
  21. MunoRN

    Is my (50K) BSN worthless?

    MunoRN replied to boxofrain's topic in General Nursing

    It's not the number of clinical hours that varies, that's fairly standardized, it's the rate of progression that occurs. Some programs expect their students be taking a full load with a preceptor only...
  22. MunoRN

    Is my (50K) BSN worthless?

    MunoRN replied to boxofrain's topic in General Nursing

    That's actually not bad for BSN programs these days, we've been getting BSN new grads who were taking a half-load at best by graduation, when we've brought this up with their programs we've been told...
  23. MunoRN

    Is my (50K) BSN worthless?

    MunoRN replied to boxofrain's topic in General Nursing

    One downside to BSN programs these days, particularly accelerated BSN programs, is that you finish the program with a long way yet to go in terms of being able to handle a full patient assignment....
  24. MunoRN

    Appropriate use of AED?

    MunoRN replied to SoCal student's topic in General Nursing

    You nailed it, no reason to feel bad, nice save. It could be that the medic was just being an ***, but it's also possible that they were asking what rhythm the patient initially in since they are...
  25. MunoRN

    pH in NGTs

    MunoRN replied to arabas's topic in General Nursing

    Auscultation and pH have been shown to be of limited value in confirming placement of enteral tubes, Xray is the common