MunoRN RN

Critical Care

Member

  • Content

    8,058

  • Visitors

    94,672

  • Followers

    9

  • Likes

    7,525

All Content by MunoRN

  1. MunoRN

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

    MunoRN replied to klone's topic in Nursing News

    While not nearly as concerning as his shirt, it's disappointing that Buzzfeed didn't know that an EMT and an RN are two different things. They guy wearing the shirt, Clayton Hickey, is licensed as an...
  2. MunoRN

    Case Study: Can You Prevent This Medical Error?

    MunoRN replied to SafetyNurse1968's topic in Critical Care

    It's these sorts of errors where we often seem to miss the forest for the trees. The problem isn't the safest way to store, draw up, and administer a heparin flush in a transduced arterial line, the...
  3. MunoRN

    Forgot to restart my patients fluids

    MunoRN replied to daniela095's topic in General Nursing

    The commonly used definition of a med error comes from the NIH which is "A medication error is 'a failure in the treatment process that leads to, or has the potential to lead to, harm to the patient"....
  4. MunoRN

    Epi Spritzers

    MunoRN replied to Julius Seizure's topic in General Nursing

    To add to that, the old "1:10,000" , "1:100" etc concentration has been forbidden since 2016 when ISMP recommended and regulatory bodies followed suit that epinephrine use the standardized dosage...
  5. MunoRN

    Best car for home visiting nurse in New England?

    MunoRN replied to PHNinNE's topic in General Nursing

    In my area you can get steel winter wheels (not fancy but do the job) for $20 each, which is about the cost of per tire for mounting. So if you're willing to switch out your wheel/tire yourself then...
  6. MunoRN

    Epi Spritzers

    MunoRN replied to Julius Seizure's topic in General Nursing

    It's not that often that non-code doses of epi are needed, but when they are I haven't encountered too much resistance. Typically if we need something to immediately reverse acute hypotension while...
  7. MunoRN

    Best car for home visiting nurse in New England?

    MunoRN replied to PHNinNE's topic in General Nursing

    It's way more about tires than the car, particularly in New England where the issue is more with ice and compacted snow than with deep, light snow. People often assume that SUVs are better on ice and...
  8. MunoRN

    "My doctor told me..."

    MunoRN replied to angeloublue22's topic in General Nursing

    Of our Docs that still prescribe 'Dakins', all but one prescribes it as undiluted bleach, since commercially available bleach has anywhere between 1% and 5% sodium hypochlorite (amazingly there is no...
  9. MunoRN

    Discharging patients on the board

    MunoRN replied to Silverinkpot's topic in Emergency

    As someone who deals directly with CMS, TJC, state board and etc I can tell you that they don't care if you don't follow them after the regulatory requirements of a MSE have been met, since that's all...
  10. MunoRN

    "My doctor told me..."

    MunoRN replied to angeloublue22's topic in General Nursing

    That's actually not a particularly unusual MD instruction, when used for wounds it's more commonly called "Dakin's solution", but it's still just diluted sodium hypochlorite, or what is commonly...
  11. MunoRN

    Suspected drug use in home

    MunoRN replied to NurseKitKat's topic in Private Duty

    "Suspected drug use" is a rather broad description. Do mean people are drinking coffee in the home? Cooking meth? The potential scenarios "drug use" could include range from benign to highly...
  12. MunoRN

    How to chart missed meds

    MunoRN replied to Ng33's topic in Patient Medications

    Ideally you're able to give every single medication and on time, reality isn't always the ideal, in which case I chart "not given due to triaged
  13. MunoRN

    Pressure sensitive IVpumps

    MunoRN replied to bd2rn's topic in Infusion, Intravenous

    The problem with that claim is that the newer pumps aren't allowing HUGE infiltrations that the older pumps did not
  14. MunoRN

    Pressure sensitive IVpumps

    MunoRN replied to bd2rn's topic in Infusion, Intravenous

    I think your premise may be faulty; when an IV infiltrates the pressure the pump is working against does not necessarily increase, and often it decreases. The pressure will eventually increase once...
  15. MunoRN

    Discharging patients on the board

    MunoRN replied to Silverinkpot's topic in Emergency

    If something happens before they physically leave then it would be no different than if they had just showed up with that problem. Once the MSE (medical screening exam as required by EMTALA) has been...
  16. MunoRN

    Is this legal?

    MunoRN replied to BeenThere2012's topic in General Nursing

    Health care facilities are not arms of federal law enforcement, so there really isn't any legal justification for taking someone's property as part of a law enforcement act, it's still just
  17. MunoRN

    Health insurance that restricts employees from receiving care outside of employer owned ho

    MunoRN replied to floatRN's topic in General Nursing

    To clarify, your employer isn't restricting you from receiving care outside of their preferred providers, they just aren't going to cover that care to the same degree as what they cover for using...
  18. MunoRN

    Pressure sensitive IVpumps

    MunoRN replied to bd2rn's topic in Infusion, Intravenous

    There are no IV pumps in existence "that trigger an alarm to indicate the infusion is infiltrating". IV pumps have sensors to measure the amount of resistance the pump is working against, but...
  19. MunoRN

    Central Line Placement and Masks

    MunoRN replied to applesxoranges's topic in Emergency

    The rule is that everyone who gets within 3 feet has to mask, this is taken pretty seriously at every place I've worked including the ER and everyone does actually wear a mask for going into the room...
  20. MunoRN

    Is this a fair holiday schedule

    MunoRN replied to sweet sunshine's topic in General Nursing

    To answer your question, yes, that's a fair holiday schedule. How would you prefer that it works to make it more fair in your
  21. MunoRN

    The life or death squatty potty

    MunoRN replied to remotefuse's topic in General Nursing

    Patient on the ground, doing compressions on my knees is actually my preferred position for chest compressions, it's by far the most comfortable for by back. That doesn't mean I'm going to dump a...
  22. MunoRN

    As a RN, which would you choose?

    MunoRN replied to GenieToBe's topic in General Nursing

    The potential benefits of CPR and resuscitation vary widely from person to person, so it's not really possible to say it's unlikely to work as a broad statement. There are patients where we don't...
  23. MunoRN

    As a RN, which would you choose?

    MunoRN replied to GenieToBe's topic in General Nursing

    I've never heard of requiring a terminal illness to be present to allow someone to decline resuscitation or any other medical intervention. So long as someone is competent, they are free to decline...
  24. MunoRN

    Swan-Ganz catheter & PCWP

    MunoRN replied to SamanthaRT2020's topic in Cardiac

    I had thought wedge pressure readings had pretty well gone the way of the Dodo bird. The last couple places I've worked prohibited wedge pressures outright, the places before that highly discouraged...
  25. MunoRN

    Question about Recurrent MRSA infections

    MunoRN replied to SaraFisher921's topic in General Nursing

    The reason for your recurrent infections is something to determine with your MD, but generally MRSA are not more likely to cause an infection than MSSA, the bacteria are basically the same just...