MunoRN RN

Critical Care

Member

  • Content

    8,058

  • Visitors

    94,653

  • Followers

    9

  • Likes

    7,525

All Content by MunoRN

  1. MunoRN

    Direct suction to ET tube on extubation

    MunoRN replied to ORRNJJ3's topic in Patient Safety Issues

    The purpose was to clear the patient's airway of mucous, not the ETT. Airway suctioning isn't pleasant, but it's far more pleasant that choking on a mucous plug. As far as tracheal suctioning goes,...
  2. MunoRN

    12 Hour Shifts Issue

    MunoRN replied to Jordan1927's topic in General Nursing

    I'm not sure it's really a 12-hour shift issue since if you worked 8-hour days then you'd have to get up that early 5 days a week instead of 3. I'd be thankful you're just coming to work at 0645,...
  3. MunoRN

    Direct suction to ET tube on extubation

    MunoRN replied to ORRNJJ3's topic in Patient Safety Issues

    There are various ways to deal with the mucous that can build up around the ETT when extubating, that mucous can potentially completely occlude the airway so making sure it comes out along with tube...
  4. MunoRN

    RNs giving patient lab results.

    MunoRN replied to Dperez201's topic in General Nursing

    Not to keep sticking my head in the Lion's mouth here as I'm really not trying to be snarky, but clearly our understandings of the relationship between thyroid levels and TSH diverges at some point,...
  5. MunoRN

    RNs giving patient lab results.

    MunoRN replied to Dperez201's topic in General Nursing

    That's actually an excellent example of why it's so important for nurses to advocate for their patients by keeping them informed and educated, sometimes their midwife is having a bad day and gets...
  6. MunoRN

    Manager Retaliatiin

    MunoRN replied to Djadia's topic in General Nursing

    You could potentially argue to HR that your manager is creating a hostile workplace by writing you up for an invalid reason, although you may have less of a case for that if you also wrote her up for...
  7. MunoRN

    RNs giving patient lab results.

    MunoRN replied to Dperez201's topic in General Nursing

    I'd explain to them that TSH levels are typically adjusted by the body based on your thyroid hormone levels, if your body senses low thyroid levels then it triggers increased TSH production to then...
  8. MunoRN

    RNs giving patient lab results.

    MunoRN replied to Dperez201's topic in General Nursing

    There is an old school preference some Docs have to be the gatekeeper of information, although that also directly contradicts my requirement to ensure the patient is kept up to date with their medical...
  9. MunoRN

    Trump's 'religious conscience'

    MunoRN replied to PediatricMA's topic in General Nursing

    Our founding fathers and those that came here ahead of them were seeking freedom from religion as much freedom of religion. To suggest that those who came here seeking religious freedom believed that...
  10. MunoRN

    Trump's 'religious conscience'

    MunoRN replied to PediatricMA's topic in General Nursing

    The new interpretive rules don't require the nurse to notify anyone ahead of time of their potential refusals to provide care, that's one of the main concerns with the new administrative rules. They...
  11. MunoRN

    #AMAGetOutTheWay: Nurses, Doctors, and Students United

    MunoRN replied to Melissa Mills's topic in Nursing News

    Our excessive healthcare cost inflation hasn't actually been contributed equally by medicare and private insurance. The rate of cost inflation under private insurance is about twice that of Medicare....
  12. MunoRN

    $3.85 dollars an hour. I may cry

    MunoRN replied to Nickc58's topic in General Nursing

    The thing about paying an employee "under the table" is that you have to make sure you're making it worthwhile for the employee to not report you for committing a federal felony by basically paying...
  13. MunoRN

    Ethics

    MunoRN replied to chingay's topic in General Nursing

    The legal guardian has the authority to make the medical decisions which to the best of their knowledge are the decisions the patient would make if they were competent to make medical decisions. If...
  14. MunoRN

    Ethics

    MunoRN replied to chingay's topic in General Nursing

    Has the patient been declared incompetent to make their own medical decisions? Regardless of how the guardian was appointed, the patient still retains the right to be aware of the treatments they are...
  15. MunoRN

    #AMAGetOutTheWay: Nurses, Doctors, and Students United

    MunoRN replied to Melissa Mills's topic in Nursing News

    If your saying the way the US handles dialysis coverage is an example of how things should work, it should be pointed out that dialysis dependent kidney disease is the only subgroup of the US...
  16. MunoRN

    #AMAGetOutTheWay: Nurses, Doctors, and Students United

    MunoRN replied to Melissa Mills's topic in Nursing News

    I'm all for reducing the overall costs of our healthcare system by not having to pay for those who are here illegally, but other than improving our rate of deportation I'm not sure what you propose...
  17. MunoRN

    #AMAGetOutTheWay: Nurses, Doctors, and Students United

    MunoRN replied to Melissa Mills's topic in Nursing News

    We've been trying the alternatives extensively enough now to definitively say that impairing access to preventative and primary care through financial deterrents does not improve access to...
  18. MunoRN

    Trump's 'religious conscience'

    MunoRN replied to PediatricMA's topic in General Nursing

    I would agree with you, however there are large portions of America's "Christian" population who firmly hold that homosexuality or any irregularity from "normal" binary gender identity is a sin...
  19. MunoRN

    Trump's 'religious conscience'

    MunoRN replied to PediatricMA's topic in General Nursing

    They did because otherwise they would lose their jobs and/or their license, the concern with the new HHS administrative rules is that they intend to do away with
  20. MunoRN

    Trump's 'religious conscience'

    MunoRN replied to PediatricMA's topic in General Nursing

    I've worked in parts of the country where a concerning number of the nurses I worked with weren't shy about sharing that when they were caring for a patient they felt might be LGTBQ they were...
  21. MunoRN

    Trump's 'religious conscience'

    MunoRN replied to PediatricMA's topic in General Nursing

    Previously the administrative interpretations of HHS did not include interfering with a state's autonomy to take action against an HCW's license for acting on anti-LGBTQ or other intolerant religious...
  22. MunoRN

    Should Nurses Advocate for the Use of Dark Field Microscopy?

    MunoRN replied to Divine-LPN,BSN's topic in General Nursing

    I'm not sure that "obscure" really fully describes using 'live blood analysis' to sell nutritional supplements, it's probably better described as a scam that's well established to be
  23. MunoRN

    New Nurse Precepting a New Grad Nurse

    MunoRN replied to AllyAnnie2115's topic in General Nursing

    There are plenty of veteran nurses who would be a much worse preceptor than a nurse with 6 months of experience, so I wouldn't discount the idea. There also advantages to having a preceptor that's...
  24. MunoRN

    What do they teach these days in school?!

    MunoRN replied to FeliciaRNCPN's topic in HIPAA Challenges

    HIPAA does actually allow you access PHI out of "curiosity", but it depends on the specific reason for the curiosity. If you're curious if the information gathered after your care of the patient...
  25. MunoRN

    Should Nurses Advocate for the Use of Dark Field Microscopy?

    MunoRN replied to Divine-LPN,BSN's topic in General Nursing

    I'll answer your original question with another answer, should someone who is legally required to advocate for their patients take part in the victimization of their