MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Cleaning patients after bowel movements.

    MunoRN replied to Kidsrablast's topic in General Nursing

    Cleaning is the same basic idea, you may need to use something on the softer side if the skin is irritated or broken down, or something on the rougher side if the poop is sticky. For ongoing...
  2. MunoRN

    Cleaning patients after bowel movements.

    MunoRN replied to Kidsrablast's topic in General Nursing

    We use the commonly available products intended for the purpose of wiping poop; various versions of pre-moistened wipes, sometimes called baby wipes. Toilet paper also
  3. MunoRN

    Ohio Hospital Fires 23 After Fentanyl Overdose Deaths

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

    the hospital statement was that he violated their policy which is to only give the amount of medication indicated for comfort, and that they determined the doses were excessive based solely on the...
  4. MunoRN

    Ohio Hospital Fires 23 After Fentanyl Overdose Deaths

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

    I think you're referring to reporting that some of the family members later discovered that what they were told about their family members prognosis may not be accurate, and had they known that may...
  5. MunoRN

    Ohio Hospital Fires 23 After Fentanyl Overdose Deaths

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

    I'm not sure at what point I apparently 'kicked your dog', but to your points; The hospital's investigation has not been made public, so I'm not sure how you've come to the conclusion that they...
  6. MunoRN

    Ohio Hospital Fires 23 After Fentanyl Overdose Deaths

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

    You're correct that not all palliative patients require large doses of medications for symptom management, conversely not all patients only require relatively small doses. There is no such thing as a...
  7. MunoRN

    Ohio Hospital Fires 23 After Fentanyl Overdose Deaths

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

    It's absolutely within the scope of an RN to refuse to carry out an order they believe is inappropriate, it's not only allowed it's required by our license to refuse to carry out such an order. This...
  8. MunoRN

    Ohio Hospital Fires 23 After Fentanyl Overdose Deaths

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

    The nurses involved are still listed as having "active" licenses by the Ohio Nursing Board. The Physician displayed a lack of prudent practice in assessing and describing the condition of these...
  9. MunoRN

    Ohio Hospital Fires 23 After Fentanyl Overdose Deaths

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

    According to the reporting he had discussed and the families agreed to transition to comfort care, I would agree his descriptions of the patients' conditions to family lacked accuracy, but their...
  10. MunoRN

    Ohio Hospital Fires 23 After Fentanyl Overdose Deaths

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

    To clarify, it's been reported that all of these patients had become comfort-measures-only and were transitioning from aggressive critical care and were terminal, these were not otherwise...
  11. MunoRN

    Ohio Hospital Fires 23 After Fentanyl Overdose Deaths

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

    I think the story and many of these comments fails to recognize the status of the debate surrounding appropriate palliation of symptoms in patients transitioning from aggressive care to...
  12. MunoRN

    Giving Tylenol to patient with elevated alt/ast

    MunoRN replied to Imanurse123's topic in General Nursing

    It's a common misconception that patients with elevated AST and / or ALT levels can't have Tylenol, there's actually no basis for that. There are certain types of liver dysfunction and liver failure...
  13. MunoRN

    Confused about blood cultures?

    MunoRN replied to Maria1308's topic in General Nursing

    By "second blood culture" are you referring to one of two sets drawn at the same time, or blood cultures drawn well after the start of treatment? Good practice is usually to draw two sets from...
  14. MunoRN

    Curos caps for foleys?

    MunoRN replied to dawdlingsquid's topic in General Nursing

    That doesn't make a lot of sense. Foley's should only be placed for appropriate indications, but an existing UTI is not a contraindication to Foley placement. If an indication for placement exists...
  15. MunoRN

    Familial accountability

    MunoRN replied to KalipsoRed21's topic in General Nursing

    Typically declaring that someone lacks capacity to make their own medical and/or financial decisions is a legal finding, often by a judge. A physician can determine someone lacks capacity but only in...
  16. MunoRN

    Familial accountability

    MunoRN replied to KalipsoRed21's topic in General Nursing

    What are the "mental capacity
  17. MunoRN

    Question about Code Beds

    MunoRN replied to flipflopsNsweetTea's topic in Critical Care

    That's actually a pretty big EMTALA violation, unless by ER you're referring to licensed inpatient beds in the vicinity of the
  18. MunoRN

    Question about Code Beds

    MunoRN replied to flipflopsNsweetTea's topic in Critical Care

    Up until recently, a code bed was standard in every ICU I've worked in, which includes not just the bed but a nurse who can take them. Of course a crashing admit was also typically a 1:1 initially,...
  19. MunoRN

    Ethics

    MunoRN replied to chingay's topic in General Nursing

    I had a vague recollection that the Organ Procurement Organization in my region had a rule on this, I had the chance to ask them yesterday and they confirmed they do not work with any facilities that...
  20. MunoRN

    CNAs starting IVs

    MunoRN replied to BSMSCCRN's topic in Patient Safety Issues

    Unlicensed staff have been allowed to start IV's (with an IV certificate) in every state I've worked in, I have no problem with it. First, it's a task involving a skill, it does not in any way...
  21. MunoRN

    12 Hour Shifts Issue

    MunoRN replied to Jordan1927's topic in General Nursing

    In my experience these are some of the highest demand shifts, there was a 3p to 3a shift in the ED that opened up recently, we're union so it goes by length of time at the facility, everyone applying...
  22. MunoRN

    Curos caps for foleys?

    MunoRN replied to dawdlingsquid's topic in General Nursing

    I agree with most of your post, but there's no contraindication to placing a foley in a patient with a UTI. A UTI itself isn't an indication to placing a foley, but there are symptoms of a UTI that...
  23. MunoRN

    Nurses are self governed

    MunoRN replied to BkirbyRN's topic in General Nursing

    And we do so by advocating for better funding for patient care from those who decide how our money is spent, but we don't directly control that funding, which isn't necessarily a bad thing. We then...
  24. MunoRN

    Nurses are self governed

    MunoRN replied to BkirbyRN's topic in General Nursing

    Self governing only refers to how we practice, standards of practice, etc, just like physicians we don't get to dictate the way that the economics of healthcare dictate our workloads, that's separate...
  25. MunoRN

    Need help with direction for dx

    MunoRN replied to JackieHouse's topic in General Nursing

    The only medical advice we can give is to see a doctor for medical advice. From a nursing perspective, I would point out that when medical tx isn't working to a patient's satisfaction, more and more...