MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    IV infiltration

    MunoRN replied to AllyRN's topic in General Nursing

    The "if in doubt take it out" way of thinking is still out there, even though it's no longer good practice. And isolated findings of soreness or discomfort at the site, which is not an abnormal...
  2. MunoRN

    IV infiltration

    MunoRN replied to AllyRN's topic in General Nursing

    I'm curious of source for "the average PIV has a dwell time of 44 hours before it becomes symptomatic." In the largest study of IV rotation practices, the median dwell time of catheters rotated when...
  3. MunoRN

    IV infiltration

    MunoRN replied to AllyRN's topic in General Nursing

    Discomfort or soreness, particularly when the site is being palpated, is not by itself an indication that the catheter should be removed, and considering there is a retained impaled object in the arm,...
  4. MunoRN

    Will I lose my nursing license for a traffic violation?

    MunoRN replied to karmax1's topic in General Nursing

    Illegally passing a stopped school bus is typically a misdemeanor offense, but in many jurisdictions can be charged as a criminal offense, although this is usually reserved for repeat offenders or...
  5. MunoRN

    NSI

    MunoRN replied to mero's topic in Patient Safety Issues

    Fix the problems that incident reports
  6. MunoRN

    Wasting meds AFTER admin?

    MunoRN replied to haunani's topic in Patient Medications

    I waste at the Pyxis when pulling the med whenever possible, you never know when over-zealous auditors might put a bullseye on your
  7. MunoRN

    What is your "thing" and how do you deal with it?

    MunoRN replied to Robin Verde's topic in General Nursing

    Fournier's gangrene....
  8. MunoRN

    Anoxic Brain Injury - Nurse Accused of Not Treating Asthma

    MunoRN replied to Katillac's topic in School

    Here is the court filing: https://static.fox9.com/www.fox9.com/content/uploads/2019/09/Bowen-Complaint-file-stamped.pdf Part of the basis of negligence is that the student's HR was 124 after a...
  9. MunoRN

    Wasting meds AFTER admin?

    MunoRN replied to haunani's topic in Patient Medications

    One reason why some facilities encourage or even require wasting after administration is the error risk posed by drawing up the medication at the pyxis. It's less of an issue with prefilled syringes,...
  10. MunoRN

    "We don't hire male RNs" and other things you should never say to me

    MunoRN replied to labordude's topic in Ob/Gyn

    Part of it is that while we've made progress in breaking down the Physician / Nurse gender roles, we still haven't really left the belief behind us that doctors are men and nurses are women. There...
  11. MunoRN

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    MunoRN replied to Nurse Beth's topic in General Nursing

    Vecuronium and other paralytics are not administered solely by anesthesiologists or CRNA's, they are also administered by RNs, although not commonly outside of critical care areas. Midazolam...
  12. MunoRN

    When Police and Nurses Disagree Over Blood Draw Consent - Know What to Do

    MunoRN replied to Lorie Brown RN, MN, JD's topic in Nursing News

    RN's don't draw labs for law enforcement in any state I've worked in, all of the state BON's I've worked under only allow RNs to perform invasive procedures for therapeutic purposes. To clarify the...
  13. MunoRN

    "We don't hire male RNs" and other things you should never say to me

    MunoRN replied to labordude's topic in Ob/Gyn

    There is certainly a job-related reason to not consider male RNs in OB, if a large portion of OB patients would decline a male nurse then that is a legitimate job-related reason. It's certainly less...
  14. MunoRN

    Service Dog

    MunoRN replied to HCA172002's topic in Nurse Disabilities

    You're describing a therapy dog not a service dog. While there are some protections for therapy dogs, mainly in terms of housing accommodations, they don't have the same workplace protections as...
  15. MunoRN

    What is the latest you’ve been called in while being on call?

    MunoRN replied to nburg003's topic in General Nursing

    I've been called in to take a patient within 15 minutes of shift change. The nice thing is that they have to pay me for at least 4 hours when called in, I was there for less than an
  16. MunoRN

    Patient safety in nursing

    MunoRN replied to rvzohfeld's topic in General Nursing

    It sounds as though 'nurse A' freaked out unnecessarily, to the point where she couldn't even effectively communicate what is was she felt she needed in terms of help. I'm not really clear on what...
  17. MunoRN

    How do you feel on displaying your certification credentials on your badge?

    MunoRN replied to choksantos's topic in General Nursing

    You asked for views on the use irrelevant letter combinations on a person's badge, you may not agree with all of those views. The purpose of your "badge" is to communicate others what your role is. A...
  18. MunoRN

    How do you feel on displaying your certification credentials on your badge?

    MunoRN replied to choksantos's topic in General Nursing

    I have CCRN, CEN, and PCCN certifications, along with ACLS, PALS, TNCC, etc., all of which are various terms for a relatively small portion of the things we all do become and maintain our abilities as...
  19. MunoRN

    "We don't hire male RNs" and other things you should never say to me

    MunoRN replied to labordude's topic in Ob/Gyn

    I applaud your efforts to promote gender equality in nursing but to clarify, it's not actually illegal to not consider men for certain jobs, including some nursing jobs. Illegal gender...
  20. MunoRN

    Who is watching the monitor?

    MunoRN replied to ICURN92's topic in Critical Care

    I've never worked in an ICU that used monitor techs. I've worked at one that trialed ICU monitor techs but is was short lived because the nurses hated it. I would agree that it's not really a good...
  21. MunoRN

    How do you feel on displaying your certification credentials on your badge?

    MunoRN replied to choksantos's topic in General Nursing

    The purpose of the title on the badge is to communicate to patients, families, etc who you are. To me, the desire to include an alphabet soup after your role title of RN only conveys to patients and...
  22. MunoRN

    Patient abandonment?

    MunoRN replied to nurseontheway's topic in General Nursing

    It varies by state, but typically Dialysis techs don't have establish a legal responsibility for a patient in the same way a nurse does, so 'patient abandonment' doesn't really apply. The general...
  23. MunoRN

    No report Transfers?

    MunoRN replied to ptrol64's topic in Patient Safety Issues

    Interpretations vary somewhat by state, but in my state that's considered patient abandonment. The nurse handing off the patient is required to ensure the receiving nurse has both received and...
  24. MunoRN

    So my car window got smashed and my purse stolen . I was at work

    MunoRN replied to MSO4foru's topic in General Nursing

    Usually having something visible that could be covering something of value is just as inviting to a thief as being able to see the purse directly. I've worked in a very high crime area in the past, it...
  25. MunoRN

    Standing orders

    MunoRN replied to PSYCHGIRL's topic in Patient Medications

    "Standing Orders" often aren't allowed by regulatory agencies, "protocol orders" are but are sometimes incorrectly called standing orders. Having a standing order for a nurse to prescribe whatever...