MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Elizabeth Warren says doctors, nurses don't treat black women same way as other women

    MunoRN replied to Kallie3006's topic in Nursing News

    There's fairly extensive evidence that shows poorer outcomes in black patients results from different treatment, mainly in the primary care setting, this is separate from other know causes of outcome...
  2. MunoRN

    How many Secretaries/Monitor Techs are staffed on your unit?

    MunoRN replied to X620's topic in General Nursing

    Our progressive care and medical-telemetry have techs that watch 45 patients each, in addition to some UC duties. Our ICUs have no tele
  3. MunoRN

    So I called the police on a patient

    MunoRN replied to JBMmom's topic in General Nursing

    You're correct that violent restraints are a thing, but the restraint use in this case falls under medical restraints as they were placed to protect medical devices: The legal basis for this is that...
  4. MunoRN

    So I called the police on a patient

    MunoRN replied to JBMmom's topic in General Nursing

    If you've deemed the patient sufficiently unable to be responsible for their own decisions to use restraints to prevent the patient from refusing an IV then it would be contradictory to claim they are...
  5. MunoRN

    So I called the police on a patient

    MunoRN replied to JBMmom's topic in General Nursing

    The pathophysiology of ETOH withdrawls can leave short term memory relatively intact, and delusional thought processes can appear fully linear, I'm not sure if that's how you're defining lucid. The...
  6. MunoRN

    So I called the police on a patient

    MunoRN replied to JBMmom's topic in General Nursing

    "The shakes" is not "far different" from the DTs, tremors are the "T" part of Delirium Tremens. And as much as we might prefer it, we don't routinely tube ETOH W/D patients. The "shakes" and the...
  7. MunoRN

    So I called the police on a patient

    MunoRN replied to JBMmom's topic in General Nursing

    They can be charged even when impaired because they made a decision to be impaired. You're saying because they choose to seek medical help for the symptoms of withdrawl that they are then criminally...
  8. MunoRN

    So I called the police on a patient

    MunoRN replied to JBMmom's topic in General Nursing

    The nurse had already determined that the patient did not have decisional capacity and that they were hallucinating and delusional, this is an objective assessment that doesn't vary from one observer...
  9. MunoRN

    So I called the police on a patient

    MunoRN replied to JBMmom's topic in General Nursing

    I feel like we're all talking about two different things, are we talking about a patient with at least minimal cognizance, or a delirious, hallucinating patient in DTs? I've never heard a nurse...
  10. MunoRN

    So I called the police on a patient

    MunoRN replied to JBMmom's topic in General Nursing

    It's completely appropriate to press charges against a patient who is or should be aware of what they're doing, it's not appropriate to press charges against a patient who is hallucinating in
  11. MunoRN

    Playing Cards

    MunoRN replied to Nurse Beth's topic in General Nursing

    The idea of using only 8 hour shifts has been pushed by hospitals and hospital associations for a while now, using the theory that it requires fewer nurses. This is mainly based on the idea that a...
  12. MunoRN

    What state should I move to now the Washington State legislature is trying to force me to work seven days a week? (HB 1155)

    MunoRN replied to Capp's topic in General Nursing

    So the problem is that middle class families need "to learn to
  13. MunoRN

    Flushing tubing after IV ATB administration

    MunoRN replied to dexilna's topic in General Nursing

    That has the potential to leave a significant portion of the dose un-infused, which besides being less effective also contributes to antibiotic resistance. We studied the volume of waste due to both...
  14. MunoRN

    What state should I move to now the Washington State legislature is trying to force me to work seven days a week? (HB 1155)

    MunoRN replied to Capp's topic in General Nursing

    My understanding is that it passed the house and then the amendments were added in Senate, which means it goes back to the house for an up or down vote with the amendments
  15. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    We're already paying (a lot) for healthcare, the $32 trillion wouldn't be new healthcare spending, it would replace $34 trillion in spending. Saying we can't afford to pay $2 trillion less than we...
  16. MunoRN

    What state should I move to now the Washington State legislature is trying to force me to work seven days a week? (HB 1155)

    MunoRN replied to Capp's topic in General Nursing

    It may not be what the OP meant, but the bill does actually 'require' that full time nurses in hospitals work a 7-day stretch. With the typical every-other-weekend requirement for 8 hour shifts, which...
  17. MunoRN

    Foley catheter: Is a small amount of leaking when sitting normal?

    MunoRN replied to Raccoon-Eyed-Nurse's topic in General Nursing

    There are a number of reasons why a foley may leak, it's certainly not unheard of for there to be some leakage. Keep in mind the main purpose of the balloon is to keep the foley tip in the bladder,...
  18. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    A "redistribution of wealth from the healthy to the sick" is the basic definition of health insurance, how else should it work? If we leave it only to the sick to pay for system then the system...
  19. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    The ACA was the largest expansion of mental health coverage and treatment in recent history, the ACA wasn't my cup of tea either, but one thing it did do was give more people access to mental health...
  20. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    It still seems like you're referring to Medicaid and not Medicare. It can be hard for any patient, Medicare or not, to find care in rural areas these days, these are what are called 'medical...
  21. MunoRN

    Tennessee Nurse RaDonda Vaught - Legal Perspectives of Fatal Medication Error

    MunoRN replied to Lorie Brown RN, MN, JD's topic in General Nursing

    She didn't actually look at it, which is unfortunately not uncommon, it was when she scanned the med that the problem was
  22. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    Medicaid and Medicare are quite different in terms of reimbursement and acceptance by providers. About 60% of providers don't take or cap Medicaid patients, only about 4% of providers don't take or...
  23. MunoRN

    Tennessee Nurse RaDonda Vaught - Legal Perspectives of Fatal Medication Error

    MunoRN replied to Lorie Brown RN, MN, JD's topic in General Nursing

    Predictive text can be adjusted so that no suggestions come up after just the first letter, the requirement for predictive text where I work now is 4 letters before any suggestions come up. It's been...
  24. MunoRN

    Tennessee Nurse RaDonda Vaught - Legal Perspectives of Fatal Medication Error

    MunoRN replied to Lorie Brown RN, MN, JD's topic in General Nursing

    Obviously I'm reading these statements differently than everyone
  25. MunoRN

    Nurse Practitioner (Mother) leaves 21 month old in car for 8 hours

    MunoRN replied to Nurse Beth's topic in General Nursing

    I'm not sure why it has to be one or the other, I would think most reasonable people would have sympathy for the fate of both the mother and the