MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Does your employer charge you for PTO?

    MunoRN replied to Lovethenurse2b25's topic in General Nursing

    It sounds as though you have the option to still get a paycheck when you take time off by banking that money with the employer. This probably isn't particularly useful to most people, unless you're...
  2. MunoRN

    hospital observation stay

    MunoRN replied to glm777's topic in MDS Coordinator Information

    At least for my facility that's considered an admission from the community since the patient was never admitted to the hospital. There is no "duration of stay" in a non-admitted
  3. MunoRN

    Narc Mistake.. Freaking out

    MunoRN replied to newpedsrn's topic in General Nursing

    On the bright side of things, Adderall is definitely not a narcotic, it is however a controlled substance which is what you probably meant. At every place I've worked you're free to go in and resolve...
  4. MunoRN

    Clinical resource nurse

    MunoRN replied to jml436's topic in General Nursing

    What you're describing is what used to be called a Clinical Nurse Specialist (CNS) which is a masters prepared nurse. It sounds like the posting is for a CNS but without the proper degree
  5. MunoRN

    Alzheimers mention

    MunoRN replied to Hoosier_RN's topic in General Nursing

    The reasons for disparities in Alzheimer's incidence based on socioeconomic factors isn't completely understood, but the differences are pretty clear. It appears at least partly due to differences in...
  6. MunoRN

    Alzheimers mention

    MunoRN replied to Hoosier_RN's topic in General Nursing

    I haven't seen that any scientists or researchers disagree on a scientific basis, researchers in the research department of Pfizer have lobbied for research funding on the basis of securing more...
  7. MunoRN

    Got Written Up, Cant Stop Thinking About It

    MunoRN replied to ThatNurseThough's topic in General Nursing

    As for the process of report, definitions of patient abandonment vary slightly from state to state, but in my state if the nurse who is transferring care to another nurse doesn't confirm that the...
  8. MunoRN

    Got Written Up, Cant Stop Thinking About It

    MunoRN replied to ThatNurseThough's topic in General Nursing

    I'm not clear why you were written up, particularly if you're the one who recognized the faulty order and triggered the correction of the
  9. MunoRN

    Alzheimers mention

    MunoRN replied to Hoosier_RN's topic in General Nursing

    I'm always happy to join the anti-Big-Pharma bandwagon, but this isn't a story of a legitimate complaint against Big-Pharma. There's no reliable evidence whatsoever that Enbrel prevents Alzheimer's....
  10. MunoRN

    PICU to adult ICU as a traveler

    MunoRN replied to colin3wilson's topic in MICU, SICU

    I would check with your travel nursing agency to see what they require, typically they require a year or more in same unit you'll be picking up a contract for. Keep in mind all you'll get when...
  11. MunoRN

    Nurses secretive about getting another job

    MunoRN replied to Emergent's topic in General Nursing

    I'm not sure what's wrong with the site's censorship function, but "***" should be 4 asterisks, not 3. Also, "***" is not technically a curse word to begin
  12. MunoRN

    Nurses secretive about getting another job

    MunoRN replied to Emergent's topic in General Nursing

    In my experience it's not at all unusual for managers and even coworkers to treat a nurse differently when they also work somewhere else, ranging from simply tense relationships to being downright...
  13. MunoRN

    Notified of call before being on call

    MunoRN replied to rlgiv's topic in General Nursing

    At every place I've worked being on-call starting at 0700 means the earliest you can be called is 0700, if the required response time is 30 minutes then the earliest you could be expected to be at...
  14. MunoRN

    Nurse Practitioner Called a Drug-Dealer at Sentencing

    MunoRN replied to Melissa Mills's topic in Nursing News

    I don't know what your suggestion that Akwuba was more harshly punished than Sanchez is based on. Sanchez was sentenced to 12 years and Awkuba 10, and neither of these sentences are excessive, I'm...
  15. MunoRN

    Notified of call before being on call

    MunoRN replied to rlgiv's topic in General Nursing

    I'm not sure what the purpose of designated the time frame when you're on call (7a-7p) if you can actually be called in any time. Does that mean you can be called in the evening before your on-call...
  16. MunoRN

    Women's Right to Choose

    MunoRN replied to River&MountainRN's topic in General Nursing

    You've yet to offer any evidence that the federal government funds abortions. You've correctly shown that the federal government pays for a portion of the non-abortion services PP provides (much of...
  17. MunoRN

    Women's Right to Choose

    MunoRN replied to River&MountainRN's topic in General Nursing

    At the other end of the spectrum of life, someone who is brain dead appears no different structurally than someone who is not, are you saying you don't recognize that brain death involves a different...
  18. MunoRN

    Patient discharged with elevated troponin levels?

    MunoRN replied to CPLibra's topic in Patient Safety Issues

    Keep in mind that the finding of a positive troponin level, and the diagnosis of NSTEMI that is often incorrectly documented as a result of a positive troponin, has little meaning clinically. For...
  19. MunoRN

    Patient discharged with elevated troponin levels?

    MunoRN replied to CPLibra's topic in Patient Safety Issues

    Tourniquets don't effect cardiac-myocyte-specific troponin levels, I think you might be thinking of lactate levels, which are often suggested to be drawn without a tourniquet even though there is no...
  20. MunoRN

    Post code drips

    MunoRN replied to Matthew89's topic in Patient Medications

    The action of Norepi is primarily vasoconstriction, epinephrine is an inotrope, chronotrope, and a vasoconstrictor. Sometimes you only want the vasoconstrictive effects which is where Norepi is...
  21. MunoRN

    Women's Right to Choose

    MunoRN replied to River&MountainRN's topic in General Nursing

    Public funds only pay for a portion of the non-abortion services PP provides, so how do you figure that the amount of public funds PP receives exceeds the cost of the non-abortion services PP provides...
  22. MunoRN

    Women's Right to Choose

    MunoRN replied to River&MountainRN's topic in General Nursing

    That's actually exactly my point, we define what life is sacred by it's sentience. In religious terms, the presence of a 'soul' is typically measured by the extent of sentience. A sentient being...
  23. MunoRN

    Women's Right to Choose

    MunoRN replied to River&MountainRN's topic in General Nursing

    So do you believe bacteria should be protected? Are you opposed to the use of antibiotics? Hand washing? Laundering clothing? And no tax money goes to fund
  24. MunoRN

    Patient discharged with elevated troponin levels?

    MunoRN replied to CPLibra's topic in Patient Safety Issues

    There are number of causes of troponin increases other than an acute coronary process, particularly relatively mild increases and peaks. An increase in serum troponin levels can take days or weeks to...
  25. MunoRN

    Replacing Huber needle

    MunoRN replied to TERN2016's topic in General Nursing

    I personally wouldn't change the needle at all since that only has the potential to do more harm than good, the old-school 7 day change rule is one of many embarrassing moment in the history nursing...