MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Tennessee Nurse RaDonda Vaught - Legal Perspectives of Fatal Medication Error

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

    One of the problems with Pop-up-warning-whack-a-mole is that the person becomes conditioned to unconsciously seeing this as distractions when used excessively (which most ADCs do) so by definition...
  2. 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'm not sure why we're so insistent on defining conditioned subconscious behaviors as instead being a conscious choice. Had she been consciously aware she was pulling vecuronium instead of midazolam...
  3. MunoRN

    Latest on RaDonda Vaught case

    MunoRN replied to Emergent's topic in General Nursing

    There were a number of faults in the system and processes where had those faults not occurred the error would have been avoided, likewise there were a number of errors in the nurses practice which had...
  4. MunoRN

    Nurse Charged With Homicide

    MunoRN replied to Nurse Beth's topic in General Nursing

    As ISMP and other patient safety advocacy sources have pointed out, this will only make it more difficult to prevent harm to patients in the future. What defines reckless homicide when it comes to...
  5. MunoRN

    Latest on RaDonda Vaught case

    MunoRN replied to Emergent's topic in General Nursing

    One of my biggest challenges is convincing administrators, managers, etc that a set of circumstances that kills or harms someone shouldn't be allowed hinge on just the actions of a single person....
  6. MunoRN

    Latest on RaDonda Vaught case

    MunoRN replied to Emergent's topic in General Nursing

    I'm not sure where your getting that anybody is arguing personal accountability doesn't play a role, the issue is whether personal accountability should be the only role that prevents harm to...
  7. MunoRN

    Latest on RaDonda Vaught case

    MunoRN replied to Emergent's topic in General Nursing

    I get that, is the issue with acknowledging that this could have also been avoided on a system and process level that you see it as absolving the nurse of her string of
  8. MunoRN

    Nurse Charged With Homicide

    MunoRN replied to Nurse Beth's topic in General Nursing

    Not to single you out because many have made the same claim, but your reasoning is that because you (and others) disagree with the TN BON's decision, that the BON should be punished by having RV spend...
  9. MunoRN

    Latest on RaDonda Vaught case

    MunoRN replied to Emergent's topic in General Nursing

    While it's certainly true that she could have prevented this from happening all by herself, and that she committed an impressive string of errors, what I don't get about your point of view on this is...
  10. MunoRN

    Latest on RaDonda Vaught case

    MunoRN replied to Emergent's topic in General Nursing

    Epic is an EMR platform so how it works varies by facility / organization. In the default configuration of EPIC you can only "link" an override pull to an order, outside of things like the Code...
  11. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    Hitting the first thing on the list after typing a couple letter is well recognized habit that occurs with the use of ADCs, which isn't a conscious choice, that's what a habit is. Your brain gets...
  12. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    To clarify, are you under the impression that she recognized the first medication that came up in the search results was not the drug she was looking for, but removed it anyway; ie that she knew all...
  13. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    What page of the CMS report are you referring to? Even if that were the case, I'm not sure how you feel that would have changed the course of
  14. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    1mg of midazolam doesn't have a significant likelihood of resulting in
  15. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    There's been a lot of discussion among legal experts about the basis of the charges brought, and I actually haven't seen any who agree with the charges, maybe you could direct me to what you're...
  16. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    It would appear unlikely that she utilized the override function while thinking "this will likely kill someone, but I'm going to do it anyway" which is what the statute requires, it's more likely that...
  17. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    I'm not clear where I said anything similar to the above, maybe you could point me in the right direction. Again, I believe it's important to see medication errors as a serious issue to be resolved,...
  18. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    I can't find any record of an APS investigation. The DA's office stated that their decision to investigate and press charges came after reading the CMS
  19. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    A basic principle of risk mitigation is that there is no such thing as a minor medication error, all medication errors should be seen serious. Viewing this as more major, which then makes other...
  20. MunoRN

    Sepsis in your facility/ED

    MunoRN replied to Lev's topic in Emergency

    Prior to 2015 the commonly used Sepsis Screening came from the 1992 Bone et al. recommendations which did not include "does the patient have a suspected new infection" portion, this is what I was...
  21. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    The outcome was certainly far worse than the typical 'wrong med' medication error, but that's still what it was. Is the error itself different if she had wrongly grabbed famotidine or protonix...
  22. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    I think we'd all agree, including the TN BON, that no medication error or other patient safety failure is benign, but at the same time it's not typical to revoke a license for giving the wrong...
  23. MunoRN

    Should I say NO to refilling meds for med nurses?

    MunoRN replied to Earthgrlrn's topic in Patient Medications

    I would guess that for a nurse passing meds on 25 different patients, there's not going to reliably be sufficient 'spare' time to manage the facility's medication supplies as well as passing meds. A...
  24. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    The BON finding was in October, which appears to be long before the criminal charges. According to the BON's letter, they found it "does not merit further action", which would seem different than...
  25. MunoRN

    Quality of life

    MunoRN replied to sandy144's topic in General Nursing

    There's no common definition of what "quality of life" refers to, so nobody can really give you a simple answer to your question. What some people look for as desirable characteristics of a place to...