MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Troponin not flagged as critical?

    MunoRN replied to snickers17's topic in Medical-Surgical

    Only the first positive troponin triggers a critical lab result reporting at every place that I've worked, there isn't really any reason to keep calling for subsequent 'positive' troponins since you...
  2. MunoRN

    Lost 15 yrs of Senority by changing departments

    MunoRN replied to Daytoe's topic in General Nursing

    If it truly is policy then it's written down somewhere and there shouldn't be any need to get your managers opinion on the subject, it is whatever the written policy says it is. That being said, in...
  3. MunoRN

    RN, ADN being obsolete

    MunoRN replied to lovewaves's topic in General Students

    https://allnurses.com/nursing-activism-healthcare/pa-state-cites-1179593.html#post9994503
  4. MunoRN

    IV pump basics

    MunoRN replied to random666's topic in General Nursing

    For a true secondary infusion you do need to hang the secondary bag higher, what you're doing is essentially creating a single fluid column made up of the secondary and primary bags and the tubing....
  5. MunoRN

    BP machine Cuff

    MunoRN replied to random666's topic in General Nursing

    Automated BP machines measure the total pressure in the cuff to determine the pressure it exerting on the artery, there's no need to ensure the cuff is completely empty of air before it takes a...
  6. MunoRN

    Holding voluntary patients - illegally?

    MunoRN replied to SoCal student's topic in Psychiatric

    Bad Request Despite saying "bad request" the link seems to work, if not here's the main page: NRS: CHAPTER 433A - ADMISSION TO MENTAL HEALTH FACILITIES OR PROGRAMS OF COMMUNITY-BASED OR OUTPATIENT...
  7. MunoRN

    Holding voluntary patients - illegally?

    MunoRN replied to SoCal student's topic in Psychiatric

    As far as I can find, this is the State of Nevada statute regarding a voluntary mental health admit that wants to leave, as with many of these statutes it's as clear as mud: There are at least three...
  8. MunoRN

    Holding voluntary patients - illegally?

    MunoRN replied to SoCal student's topic in Psychiatric

    It should be noted that physician "orders" are more accurately described as "advice", and the discharge order/advice is part of the medical advice that the patient is going against when they leave...
  9. MunoRN

    Mandatory Vaccination

    MunoRN replied to degfnp's topic in General Nursing

    Belshe RB, Mendelman PM, Treanor, et al. The efficacy of live attenuated, cold-adapted, trivalent, intranasal influenza virus vaccine in children. N Engl J Med. 1998; 338(20):1405-12. Benowitz I,...
  10. MunoRN

    Holding voluntary patients - illegally?

    MunoRN replied to SoCal student's topic in Psychiatric

    Of course you would let them go, unless you can establish that the patient isn't capable of making medical decisions, holding them against their will constitutes at least a misdemeanor and in some...
  11. MunoRN

    Holding voluntary patients - illegally?

    MunoRN replied to SoCal student's topic in Psychiatric

    The laws are apparently quite different in my state compared to elkpark's. In my state a physician may request evaluation for a 72 hour hold for an voluntary admit wanting to leave, at which point...
  12. MunoRN

    Mandatory Vaccination

    MunoRN replied to degfnp's topic in General Nursing

    Are there any specific stats you're looking for? Influenza vaccinations reduce hospitalizations and deaths due to the flu, the rates vary by year, but typically for every 4,000 people vaccinated, one...
  13. MunoRN

    Futile ressusitation

    MunoRN replied to amzyRN's topic in Emergency

    Therapeutic hypothermia (goal temp 32-34) was replaced by Targeted Temperature Management, they are two different things, not the same thing with a different name. TTM has a cooling goal of 36...
  14. MunoRN

    Pain meds

    MunoRN replied to lkhrn's topic in Patient Medications

    Pain scores aren't intended to translate to a specific pain medication or dose, trying to do that is "neither appropriate nor safe" according to the Society of Pain Management Nursing (and common...
  15. MunoRN

    Change of Shift Admissions

    MunoRN replied to kgrivera79's topic in Patient Safety Issues

    I've never been opposed to getting a new patient at change of shift, that's actually when I get all of my new patients, that's what happens during change of
  16. MunoRN

    Futile ressusitation

    MunoRN replied to amzyRN's topic in Emergency

    'Hypothermia' as a post-arrest treatment doesn't really exist anymore, there is no evidence and actually never was any evidence that induced hypothermia produces better neurological outcomes than...
  17. MunoRN

    Changing Employers

    MunoRN replied to froggy93's topic in General Nursing

    Keep in mind that "teaching hospital" refers to a hospital for teaching Physicians, not nurses, all hospitals are basically teaching hospitals for nurse. In my experience there's often more learning...
  18. MunoRN

    Are all PCUs Critical Care?

    MunoRN replied to Dianna11's topic in CCU, Coronary, Cardiac

    Progressive care is by definition a different level of care from critical care. Progressive care credentialing is overseen by ACCN, but as a separate credential than critical care nursing, which...
  19. MunoRN

    If the government legalizes marijuana in the US...

    MunoRN replied to GlenwoodUSN's topic in General Nursing

    That's not really correct. Given an equal amount of loose-leaf marijuana smoked, marijuana produces more 'tar' than cigarettes, although typical cigarette use involves far more leaf in terms of...
  20. MunoRN

    If the government legalizes marijuana in the US...

    MunoRN replied to GlenwoodUSN's topic in General Nursing

    I don't think there's any reason to believe that BONs would take positions different than what they already taking, which is that so long as you aren't impaired while at work then they don't really...
  21. MunoRN

    Blood products

    MunoRN replied to pepitojp's topic in Critical Care

    The benefits of running products separately don't always outweigh the risks, but if you're giving each product over a couple of minutes then it's not really any different than giving multiple products...
  22. MunoRN

    Sedation Titration

    MunoRN replied to arblackburn90's topic in Critical Care

    It depends on what version of appropriate analgesia/sedation exists where you work. There's the 'old-school' version where you just continuously sedate to a RASS of around -3 except for daily...
  23. MunoRN

    about drug instruction interpretation

    MunoRN replied to whiteboy55's topic in General Nursing

    Leaving whether it's appropriate to write orders in terms of portions of a "tablet" as a separate issue (it's not), how a range order is to be interpreted is based on the what the expectations of the...
  24. MunoRN

    Memphis RN wears violently racist t-shirt to polling place when voting on Tuesday

    MunoRN replied to klone's topic in Nursing News

    Hospital investigating employee who wore offensive shirt to Mississippi poll |
  25. MunoRN

    Memphis RN wears violently racist t-shirt to polling place when voting on Tuesday

    MunoRN replied to klone's topic in Nursing News

    I just found that, yes it appears I was wrong, he is only licensed as an EMT in Tennessee, which is where he works, but he holds a Mississippi multi-state RN