MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Hipaa and scheduled Dr.'s appointments

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

    The employer can require that the employee provide proof of a medical reason to miss work. The employee can then give permission to their Doctor's office to confirm that the appointment occurred when...
  2. MunoRN

    Legal obligation for disaster relief

    MunoRN replied to kardz30's topic in Disaster Preparation

    It depends on the state, in some states you're correct, you're only risking your job, in others it's your license at risk as well, not to mention possible legal repercussions. From an article in...
  3. MunoRN

    Is leaving before hurricane abandonment?

    MunoRN replied to CNAbutLPN2be2017's topic in General Nursing

    Who do you feel should stay to take care of these
  4. MunoRN

    Nurses Charged in Deaths of 12 Nursing Home Residents

    MunoRN replied to J.Adderton's topic in Nursing News

    It's the State's Emergency management that initiates an evacuation, the facility's responsibility is to keep the Disaster response system aware of their conditions so that a determination regarding...
  5. MunoRN

    Legal obligation for disaster relief

    MunoRN replied to kardz30's topic in Disaster Preparation

    I'd rather not be that committed to working during an emergency as well, but it's the state that grants us our licenses, and states place additional responsibilities on nurses in exchange for that...
  6. MunoRN

    tele nurses help

    MunoRN replied to joohwangee's topic in Cardiac

    PAT is a type of SVT, whether that deserves a call depends on what your Physicians expect to be called for, but I've yet to come across a doctor who wanted to know about non-sustained SVT as it's not...
  7. MunoRN

    Legal obligation for disaster relief

    MunoRN replied to kardz30's topic in Disaster Preparation

    According my state's BON guidance, you may need LEO assistance to get to the hospital, but in order to refuse to go you need to rescind your license at that point. It's not slave labor as your...
  8. MunoRN

    60 hr work week cap?

    MunoRN replied to Emergent's topic in General Nursing

    Hospitals prefer 8 hour shifts because they are supposedly cheaper, although I have yet to see the math work out that way. In theory, by getting an extra 4 hours per week out of 8 hour nurses, you...
  9. MunoRN

    Legal obligation for disaster relief

    MunoRN replied to kardz30's topic in Disaster Preparation

    Generally, states have laws related to mandatory work obligations for certain healthcare workers, as a condition of a nursing license you typically are obligated to work if considered...
  10. MunoRN

    Nurses Charged in Deaths of 12 Nursing Home Residents

    MunoRN replied to J.Adderton's topic in Nursing News

    In a State of Emergency following a natural disaster, 911 isn't who you call to report a need to evacuate, they'll redirect you to the relevant incident command center. The nursing home reportedly...
  11. MunoRN

    Should secondary tubing for incompatible meds be back flushed or change the tubing?

    MunoRN replied to kawatts22's topic in General Nursing

    If flushing the primary tubing is sufficient to clear the primary tubing between incompatible meds, which it is, why would it not be sufficient for the secondary tubing as
  12. MunoRN

    No more lifting

    MunoRN replied to Mon2be's topic in Nurse Disabilities

    One of the things that defines a successful pelvic prolapse surgery is that you are able to return to a normal activity level, so if your doctor isn't sure enough of their abilities then you might...
  13. MunoRN

    Back to life

    MunoRN replied to TheNewNurse94's topic in General Nursing

    I think people assume the line between 'life' and 'death' is a lot crisper and cleaner than it actually is. I can't say that I've seen the slow idioventricular rhythm phase of the dying process last...
  14. MunoRN

    Forgot to unclamp the secondary

    MunoRN replied to DH1234's topic in General Nursing

    There's something to learn from every mistake. Something to consider is that there's no reason to clamp the secondary, ever. If you don't clamp it then you don't have to worry about remembering to...
  15. MunoRN

    New Onset Afib

    MunoRN replied to donotenter's topic in General Nursing

    Rate controlled A-fib is not actually an indication for continuous cardiac monitoring, and anticoagulation isn't indicated in the first 24 hours of new-onset A-fib, so there's not really anything that...
  16. MunoRN

    HIPAA and court orders and custody oh my!

    MunoRN replied to T-Bird78's topic in HIPAA Challenges

    I think you're misunderstanding the HIPAA form. The purpose is to indicate persons who can receive information who aren't already legally defined as having access to information. If the father has...
  17. MunoRN

    ICU Nurse Fired For Refusing 3rd Patient

    MunoRN replied to Nurse Beth's topic in General Nursing

    I have worked at a place where we were asked not to enter or time change of status orders until after midnight. I sent my manager an e-mail asking if the phone number I had for reporting medicare...
  18. MunoRN

    ICU Nurse Fired For Refusing 3rd Patient

    MunoRN replied to Nurse Beth's topic in General Nursing

    I'm not sure if that refers to me, but I do think it's important that we as nurses differentiate between well substantiated complaints and those that aren't, otherwise we delegitimize truly valid...
  19. MunoRN

    ICU Nurse Fired For Refusing 3rd Patient

    MunoRN replied to Nurse Beth's topic in General Nursing

    The billing and standard of care applies to the ordered level of care for the patient, not the physical
  20. MunoRN

    ICU Nurse Fired For Refusing 3rd Patient

    MunoRN replied to Nurse Beth's topic in General Nursing

    Neither 1 nor 2 are the definition of "continuous monitoring". It means that patients are continuously monitoring for defined parameters and if they fall out of those parameters there is an audible...
  21. MunoRN

    ICU Nurse Fired For Refusing 3rd Patient

    MunoRN replied to Nurse Beth's topic in General Nursing

    By her description, she wasn't being asked to take 3 ICU-level patients, if that was the case I would think she would have made that her argument. My impression is that she had an ongoing feud with...
  22. MunoRN

    ICU Nurse Fired For Refusing 3rd Patient

    MunoRN replied to Nurse Beth's topic in General Nursing

    I agree it's reasonable to be skeptical that this was her understanding, but by her own description it's why she refused to take the third
  23. MunoRN

    Admission weight vs Daily weight for FICK?

    MunoRN replied to Suivezmoi89's topic in CCU, Coronary, Cardiac

    Once the initial weight is entered, whether it's admission weight or euvolemic weight, it should not be changed. It may be useful if the patient's admission weight is severely hypervolemic and then...
  24. MunoRN

    ICU Nurse Fired For Refusing 3rd Patient

    MunoRN replied to Nurse Beth's topic in General Nursing

    I certainly don't blame her for taking on both her manager and HCA, both of whom are real pieces-of-work, so to speak, but she's taken a personal conflict and tried to frame it as a clear cut...
  25. MunoRN

    Ohio Hospital Fires 23 After Fentanyl Overdose Deaths

    MunoRN replied to J.Adderton's topic in Nursing News

    It's certainly not the typical dosage required in a terminal wean, but I have given this amount and more (more commonly in morphine of opiate dose equivalents) during a terminal wean, this is based...