MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    The quote from tonight's townhall you're referring to: "We are not talking about government run healthcare, the Veteran's Administration, and most Veterans think that's a pretty good healthcare...
  2. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    Private insurance and private healthcare are two different things. Bernie has not proposed a government takeover healthcare
  3. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    Many doctors refuse medicaid patients because of it's low reimbursement rate. Medicare is different than medicaid. One advantage to Medicare for all is that it would replace
  4. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    People under 65 who enroll in Medicare would contribute they same way we pay into insurance now except less. We'd still be sharing the cost of care for those who can't pay, although with less of a...
  5. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    None of the Democrat candidates' proposals include getting rid of private care, only private insurance, and that is only partial in many of the proposals. Health are delivery (hospitals, doctors,...
  6. MunoRN

    IV Lasix.

    MunoRN replied to Nursing Au's topic in Infusion, Intravenous

    The general rule is that you shouldn't combine a blood product infusion with other infusions and to have both the transfusion and the medication in the line simultaneously, although even that is...
  7. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    No matter how we move forward, combatting fraud needs to continue to be a priority. Rates of fraud of private insurance is lumped into their administrative costs, so while we can't pull those numbers...
  8. MunoRN

    IV Lasix.

    MunoRN replied to Nursing Au's topic in Infusion, Intravenous

    As Daisy pointed out there are more factors to consider than what you've offered, and I get the feeling we've been doing a lot of your homework lately, my apologies if we've got that wrong. And as...
  9. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    I think you're maybe confusing private healthcare coverage and private healthcare providers and facilities, although even private healthcare coverage wouldn't go away with medicare for all. Just...
  10. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    Prior to the ACA there were much cheaper individual-market insurance plans, although they were also of little actuarial value. Unlike the requirements of the group (employer provided) insurance...
  11. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    Medicare already exists and covers 60 million people, so I'm not really buying that we have no idea how it would actually work. As for whether a publically run agency can do a good job at providing...
  12. MunoRN

    Platelet Administration

    MunoRN replied to rn39648's topic in Patient Safety Issues

    Studies on the effects of rapid infusion / pressurized infusion on platelet function and aggregation have found no adverse effects resulting from these methods. Physiologically speaking there's not...
  13. MunoRN

    How would Medicare for all affect nursing?

    MunoRN replied to Emergent's topic in General Nursing

    There seems to be a misperception that Medicare care for all would add $32 trillion in healthcare spending, when the $32 trillion would replace about $34 trillion in spending, so I don't really get...
  14. MunoRN

    Tennessee Nurse RaDonda Vaught - Legal Perspectives of Fatal Medication Error

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

    The available investigation reports quote the order has being for "Versed". I've repeatedly stated RV's practice was at fault and that there were systemic failures that could have prevented her errors...
  15. MunoRN

    Tennessee Nurse RaDonda Vaught - Legal Perspectives of Fatal Medication Error

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

    I get that withholding the full extent of systemic safety measures is more likely result in outcomes that will teach nurses lacking appropriate diligence a harsh lesson, but I disagree that's an...
  16. MunoRN

    Tennessee Nurse RaDonda Vaught - Legal Perspectives of Fatal Medication Error

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

    So we should have systemic safety measures, but just a
  17. MunoRN

    Tennessee Nurse RaDonda Vaught - Legal Perspectives of Fatal Medication Error

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

    There's been a list of systemic and process safety deficiencies given by myself, as well as ISMP and a Medscape article by a well respected patient safety expert. As an example, the recommendation...
  18. MunoRN

    Tennessee Nurse RaDonda Vaught - Legal Perspectives of Fatal Medication Error

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

    The nurse was the problem and the system can play a role in mitigating that problem and preventing that problem from causing a patient's death. You keep saying you're not advocating against safety...
  19. MunoRN

    Tennessee Nurse RaDonda Vaught - Legal Perspectives of Fatal Medication Error

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

    Legally speaking, there is a well defined difference between human error and negligence, various sources have been provided describing what legal 'negligence' is, and that this case doesn't fit that...
  20. MunoRN

    Tennessee Nurse RaDonda Vaught - Legal Perspectives of Fatal Medication Error

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

    A number of established safety measures that could have avoided the incident have been listed, I have yet to see a rebuttal as to why these didn't have the potential to avoid this incident. I hope...
  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

    So we shouldn't mark the surgical site to help avoid wrong-site
  22. MunoRN

    Blood transfusion and IV cannula.

    MunoRN replied to Nursing Au's topic in Infusion, Intravenous

    Here are the Instructions for Use for a commonly available peripheral IV catheter, in the upper left are the flow rate capacities. The maximum flow rates for a 20g catheter range between 4 and 5.5ml...
  23. MunoRN

    Blood transfusion and IV cannula.

    MunoRN replied to Nursing Au's topic in Infusion, Intravenous

    Recommended max flow rates vary by manufacturer and catheter, but for a 20G catheter it's usually around 5ml per second, or 300ml per minute. 500ml per hour would be well within the recommended flow...
  24. MunoRN

    Latest on RaDonda Vaught case

    MunoRN replied to Emergent's topic in General Nursing

    The article actually was pointing out the difference between going 10 and 50 mph over the speed limit, and how it applies to negligence charges. There's no concrete definitions, but typically going...
  25. MunoRN

    Tennessee Nurse RaDonda Vaught - Legal Perspectives of Fatal Medication Error

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

    It's actually both; less warnings and other mechanisms that are well known to be ineffective, and fix the lack of mechanisms that would have prevented this. It seems there's a reluctance to...