MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Replacing Huber needle

    MunoRN replied to TERN2016's topic in General Nursing

    Weekly dressing changes for accessed ports is pretty standard, but why are you de-accessing and then re-accessing
  2. MunoRN

    Unsafe Environment for Graduate Nurse?

    MunoRN replied to KMcRN19's topic in General Nursing

    While there certainly are cushier staffed small ERs, but 2 RNs for a 14 bed ER is not exactly unheard of. And in this case it was 2 nurses plus a new grad, so 3 nurses for 14 beds. Experience levels...
  3. MunoRN

    What do they teach these days in school?!

    MunoRN replied to FeliciaRNCPN's topic in HIPAA Challenges

    It's not a HIPAA violation to access patient information for the purpose of evaluating your care. Facilities and organizations are required to ensure that the information is being accessed to...
  4. MunoRN

    IS THIS HIPAA ??? Being harassed for reporting ...

    MunoRN replied to Anon143's topic in HIPAA Challenges

    The photo reveals no specific medical information, so it's not a HIPAA violation, but it's well within the range of privacy violation that will get someone fired and/or have license certificate or...
  5. MunoRN

    Joint Commission Citing & Employee Files

    MunoRN replied to brockclan3's topic in General Nursing

    Best practice is actually to use the first drop from a clean finger, the extra squeezing require to milk that second drop is more likely to skew the result than using the first drop:...
  6. MunoRN

    Premature discharges from hospitals

    MunoRN replied to Misstika's topic in Patient Safety Issues

    Preferably the hospital would have sent the patient back to you with a foley in place and an outpatient urologist referral, but no that doesn't really justify hospital admission. What you're seeing...
  7. MunoRN

    Should I divorce my husband

    MunoRN replied to gonzo1's topic in General Nursing

    I've only ever worked at one hospital that contributed anything at all to nurses week, all nurses week activities (typically food like a breakfast buffet or something) have been provided by nurses....
  8. MunoRN

    Pyxis questions

    MunoRN replied to rx3500's topic in Patient Medications

    We just upgraded, we now have to track down another nurse to witness our waste of nothing. If the patient has 50mcg fentanyl q 1minute ordered, and we give two 50mcg doses out of the same 100mcg...
  9. MunoRN

    Notes in 3rd person style

    MunoRN replied to MunoRN's topic in General Nursing

    The basic rule of charting is clarity and accuracy. One thing lawyers will attempt to do is establish that the nurse isn't a completely reliable source based on deficiencies in their ability to...
  10. MunoRN

    Notes in 3rd person style

    MunoRN posted a topic in General Nursing

    We've been asked by our legal team why some of our nurses chart their notes in 3rd person ("This nurse notified the MD..."). Does anyone know of what the purpose of 3rd person narrative in nursing...
  11. MunoRN

    Notes in 3rd person style

    MunoRN replied to MunoRN's topic in General Nursing

    You've substituted more than just "I" with "writer", but you've brought up a good example: Let's say you're note states "the radiologist's report noted a pneumothorax, this writer then notified the...
  12. MunoRN

    Notes in 3rd person style

    MunoRN replied to MunoRN's topic in General Nursing

    Again, "this writer" is not third person, it's first person perspective. "That writer", "the writer", etc would be third
  13. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    How do you propose ensuring that those who choose not to pay into the system despite being able to never end up incurring costs. If someone who has opted out of paying shows up at a hospital having...
  14. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    I'm not sure how you're under the impression that Medicare doesn't already exist, maybe you could clarify
  15. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    The research already exists: https://www.healthaffairs.org/do/10.1377/hblog20110920.013390/full/...
  16. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    I don't understand what you feel is unconstitutional about Medicare. The constitution clearly allows for the federal government to collect revenue to fund various efforts to ensure the "general...
  17. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    Because if those people who opt-out end up needing basic food and shelter down the road we don't have the resolve to just hold them to their choice and let them starve or freeze to death. Maybe...
  18. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    Medicare has been 'tested' for the last 50 years and with 50 million plus current enrollees I'm not sure what more you're looking for. We know that compared to private insurers Medicare is more...
  19. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    You're correct that we can't have a system that we put less and less money into despite the system costing more and more, which is why there's really no other option other than to change our current...
  20. MunoRN

    What are the top 10 debatable nursing issues? And GO!

    MunoRN replied to RN Instructor1397's topic in General Nursing

    "Looping" IV
  21. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    I'm not sure where your getting that there aren't states with comparable populations to European countries, or why population makes us non-comparable, most European countries are comparable to the US...
  22. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    I'm not sure how you're figuring something can continue to exist without anyone paying for it, particularly something very expensive. Maybe we should have two systems, one for those that want to be in...
  23. MunoRN

    Is it necessary to call report before transferring care of a patient?

    MunoRN replied to C.diff Aint Sexy's topic in General Nursing

    I work in the ICU and I personally don't mind having a patient just show up from somewhere, typically there better off in the ICU with a surprised ICU nurse than staying longer where they were. It...
  24. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    The biggest threat to the government provided coverage you're referring to is rate at which insurance costs are increasing. In 1998 40 states offered employees full coverage at no cost, by 2013 those...
  25. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    Sanders has publically supported Medicare-for-all proposals, but is own proposal which he calls "Healthcare-for-all" replaces Medicare rather than expanding it to those under 65. There are a number of...