MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Written Up

    MunoRN replied to medteleER's topic in General Nursing

    Of course two meds that both impact BP are given at the same time or in the same duration of action, the number of different orders that are being utilized aren't what determines if a med isn't going...
  2. MunoRN

    Written Up

    MunoRN replied to medteleER's topic in General Nursing

    It doesn't seem particularly confusing, leaving aside the issue of whether this is an appropriate way to prescribe and use benzos (it's not), the only thing that matters is how the prescriber intended...
  3. MunoRN

    Will marijuana ever be okay in nursing?

    MunoRN replied to Bakingismylife's topic in General Nursing

    Epidiolex contains only CBD, it does not contain even trace amounts of THC, you're thinking of
  4. MunoRN

    Can nurses use medical marijuana?

    MunoRN replied to melisgood's topic in Activism, Healthcare

    Tests for active THC levels are widely available and utilized. As oppossed to the THC metabolite tests that are commonly used for pre-employment screening. States that have legalized recreational...
  5. MunoRN

    Understanding the Risk of Firearms: Suicide vs. Homicide

    MunoRN replied to Melissa Mills's topic in General Nursing

    There's only two possible interpretations of "well regulated militia", one is the military term of 'regulated' which would then mean the amendment doesn't apply to individual ownership unrelated to an...
  6. MunoRN

    Understanding the Risk of Firearms: Suicide vs. Homicide

    MunoRN replied to Melissa Mills's topic in General Nursing

    I think you're wildly misrepresenting the view of the majority of gun owners. I am a gun owner and part of the vast majority of gun owners who support "stricter gun laws", the main law that's been...
  7. MunoRN

    Understanding the Risk of Firearms: Suicide vs. Homicide

    MunoRN replied to Melissa Mills's topic in General Nursing

    As you pointed out earlier, criminals don't voluntarily follow the law, which is why there has to be some mechanism to apply the law to firearm transfers, which is why universal background checks...
  8. MunoRN

    Understanding the Risk of Firearms: Suicide vs. Homicide

    MunoRN replied to Melissa Mills's topic in General Nursing

    To clarify, that's not the second amendment, or at least not all of it, the second amendment is "A well regulated Militia, being necessary to the security of a free State, the right of the people to...
  9. MunoRN

    Should I be asked to get consent without the doctor?

    MunoRN replied to guest940422's topic in General Nursing

    Like many states, RNs in Florida are expected to ensure not only that the person actually signed the consent (you don't have to see the signature happen, you can just ask them if that's their...
  10. MunoRN

    Safe Nursing a thing of the past?

    MunoRN replied to butterball1980's topic in General Nursing

    Triage by definition does not include a full assessment, same goes for the role of ER which is only to rule out an immediately life threatening condition. As to your examples such as " if a pulse ox...
  11. MunoRN

    Safe Nursing a thing of the past?

    MunoRN replied to butterball1980's topic in General Nursing

    I realize when it comes to a family member it's easy to think every possible resource should be immediately directed towards them, but what you describe was handled appropriately and after ruling out...
  12. MunoRN

    Safe Nursing a thing of the past?

    MunoRN replied to butterball1980's topic in General Nursing

    I would agree there are legitimate criticisms of ER treatment, but that doesn't mean everyone who thought their family member wasn't appropriately treated was in fact not appropriately treated, this...
  13. MunoRN

    Understanding the Risk of Firearms: Suicide vs. Homicide

    MunoRN replied to Melissa Mills's topic in General Nursing

    I'm a gun owner and supporter of the second amendment, and it's people like you who are the biggest threat to the preservation of rights for gun owners. As a sort of separate issue, your contention...
  14. MunoRN

    Mandatory Vaccination

    MunoRN replied to degfnp's topic in General Nursing

    There is no Christian or Jewish prohibition of vaccinations, the bible does not prohibit vaccinations (which don't actually contain 'toxins' as you've claimed), it does however strongly promote...
  15. MunoRN

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    MunoRN replied to Nurse Beth's topic in General Nursing

    I've done adverse event review at a couple of different organizations, and one of the biggest challenges in implementing changes to prevent repeat events is the belief or desire to believe that the...
  16. MunoRN

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    MunoRN replied to Nurse Beth's topic in General Nursing

    A bit off topic, but some have questioned why midazolam (Versed) was ordered and not lorazepam (Ativan), suggesting lorazepam would have been safer. Between the two, midazolam is generally considered...
  17. MunoRN

    Mandatory Vaccination

    MunoRN replied to degfnp's topic in General Nursing

    The employer likely denied the nurse's religious exemption request because there are no religious organizations that exist in the US which oppose
  18. MunoRN

    Mg Sulfate Ryder on PCU Patient

    MunoRN replied to raindrop's topic in General Specialties

    I would agree that it was silly for the nurse to be opposed to 1 gram of mag for a level of 1.7 with ectopy present. When large doses are given rapidly there is some risk of affecting blood pressure...
  19. MunoRN

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    MunoRN replied to Nurse Beth's topic in General Nursing

    Job descriptions don't establish the required competencies, usually the job description will be for the job of "Registered Nurse", and will state that the nurse will 'maintain competencies as...
  20. MunoRN

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    MunoRN replied to Nurse Beth's topic in General Nursing

    While there was clearly a major failure of practice by the nurse who pulled and gave the vecuronium, there were also clear systemic failures that otherwise should have prevented serious harm from that...
  21. MunoRN

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    MunoRN replied to Nurse Beth's topic in General Nursing

    From the description, it sounds as though half the vial was given, (what the nurse thought was 1mg of midazolam), which would have 5mg of a typical 10mg vial, which is a normal dose to induce...
  22. MunoRN

    IV piggyback

    MunoRN replied to Newrnnow's topic in Infusion, Intravenous

    If you're using the primary bag just to prime and flush the line then you don't actually need to set the pump for a separate secondary infusion, you can just set the pump to run at the prescribed rate...
  23. MunoRN

    Mandatory Vaccination

    MunoRN replied to degfnp's topic in General Nursing

    I think you may be reaching for causation that isn't really there. An influenza vaccine should trigger an immune response in order for it to work, aches and fatigue are part of that response. While I...
  24. MunoRN

    Was I wrong?

    MunoRN replied to snickers17's topic in Medical-Surgical

    Patients don't need to ask for prn pain medications, if the source and nature of the patient's pain makes it likely or even just possible that the patient's pain may require ongoing management then...
  25. MunoRN

    Medically necessary care

    MunoRN replied to Matt8700's topic in Correctional

    While open sores can result from the use of dandruff shampoo they aren't a normal progression of dry scalp with dandruff. If open sores are present then dandruff shampoo should not be used and the...