MunoRN RN

Critical Care

Member

  • Content

    8,058

  • Visitors

    94,665

  • Followers

    9

  • Likes

    7,525

All Content by MunoRN

  1. MunoRN

    Patients that interfere with another patient's medical treatment

    MunoRN replied to Mandy2016's topic in Emergency

    I guess I'm not really why clear why the ETOH patient is being allowed to just hang out and be drunk without any apparent indication for being in the ER, my suggestion would be to get his MSE done and...
  2. MunoRN

    Should I have accessed her port?

    MunoRN replied to guest947568's topic in General Nursing

    Sickle cell disease causes progressive kidney damage, it's not uncommon for SCD patients to eventually require dialysis, which is often complicated by the patient's long history of frequent venous...
  3. MunoRN

    My First Write Up

    MunoRN replied to berrynurse's topic in General Nursing

    It sounds as though another nurse submitted a complaint about you, but you didn't get 'written-up', since that usually refers to punitive action taken by one of your superiors. I would agree that the...
  4. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    That may well be part of it, but I don's really think requiring education at this point has much to offer, there are probably few nurses more aware of the importance of medication safety than RV is...
  5. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    That's the right way to look at it and hopefully that never changes in your practice, but in reality giving the wrong medication is far more common an occurrence than it should be. This could be...
  6. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    The source that the override of the medication was the basis of the charges comes from the DA's office, specifically their spokesman Steve Hayslip. If a DA takes that to mean she took a crowbar to...
  7. MunoRN

    2-day caths?

    MunoRN replied to smf0903's topic in Cardiac

    No, that's not normal, it's hard not to guess that it might have something to do with the ability to bill for a diagnostic and interventional cath separately. In my experience, the only time where...
  8. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    Tennessee legal statutes defines 'reckless' as a gross deviation from (common) practice. This would mean that every instance where a nurse uses the override function could result in a criminal charge...
  9. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    I'm not sure where you're getting the "slam it" description for the RV incident, but no, it's not the legal standard of practice. I think we often confuse the vernacular use of 'standard of...
  10. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    99.3% to be exact, although there are certain first-two-letter combinations that are more common which brings it down, but it's still "most" (greater than 50%). You are correct that it's by no means...
  11. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    There really wasn't any snark intended, I was trying to offer that there was an understandable reason why you didn't respond to the question instead of just saying you were intentionally ignoring
  12. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    It's not actually the Standard of Practice to provide 1:1 monitoring after every IV push medication, that's what differentiates moderate sedation from other medication administrations. I don't recall...
  13. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    I think cleback might have been referring to this, which posted a few pages ago but I think you missed it during the Thumps up/Thumps down
  14. MunoRN

    Drawing labs from CVCs

    MunoRN replied to Kastiara's topic in General Nursing

    There's a lot of flow going by the lumen openings of a central line which moves the fluids coming out of them downstream fairly quickly. Even so, particularly with openings that are close to each...
  15. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    I'm not sure where you're getting that she knowingly removed the wrong. The default setting for Pyxis machines is to use predictive text based on the first two letters entered. This produces the bad...
  16. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    The initial statement from the DA's office was that she was being charged due to a number of errors, when it was pointed out that it doesn't appear any of this errors meet the legal definition of...
  17. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    RV failed to check the medication against the order when pulling the med, the physician in this incident failed to check that their signature/initials over the actual site against the imaging/dx that...
  18. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    It's a fairly standard safety rule that the practitioner who is performing a procedure check the pre-op imaging/diagnostics to confirm the correct site, I wouldn't say it's any less of a rule than...
  19. MunoRN

    Do I have to disclose mental illness

    MunoRN replied to NurseChaiPls's topic in General Nursing

    It's certainly not guaranteed that an employers or a nursing board will never become aware of a mental health history due to a variety of circumstances, one of which being that employers can legally...
  20. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    I think this case and the RV case have more in common than you're acknowledging. Like RV, this incident could have been avoided had the individual followed some basic safety rules, in this case...
  21. MunoRN

    Do I have to disclose mental illness

    MunoRN replied to NurseChaiPls's topic in General Nursing

    Discrimination only occurs when an opportunity is denied due to something that isn't in any way job related, and the current established legal precedent is that nurses can be asked about mental health...
  22. MunoRN

    Another Tragedy at Vanderbilt

    MunoRN replied to Nurse Beth's topic in General Nursing

    There was also a new lawsuit a few weeks ago against Vanderbilt for wrongful death due to a stroke resulting from placing a central line in the carotid artery instead of the jugular, this was an...
  23. MunoRN

    Nurses Are So Bossy...

    MunoRN replied to gehrig592's topic in General Nursing

    I don't think it's unreasonable for a nurse to appropriately limit unnecessary distractions in order to ensure a patient's safety. You're free to decline appropriate safety measures by declining...
  24. MunoRN

    DNR? details please

    MunoRN replied to SDANG's topic in General Nursing

    DNR commonly refers to resuscitation in the setting of cardiopulmonary arrest, but the term "resuscitation" broadly refers to reversing medical conditions which threaten imminent death (shock,...
  25. MunoRN

    Do I have to disclose mental illness

    MunoRN replied to NurseChaiPls's topic in General Nursing

    Both nursing boards and hospitals can legally ask about pertinent mental health histories, you can quibble over the exact wording of how it asked and how you have to answer, but generally for those in...