MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Credentials question

    MunoRN replied to pmabraham's topic in General Nursing

    Typically you would list your highest degree, not the highest followed by second highest followed by third highest, etc unless you have other degrees in a different field. You wouldn't put "Jane Doe...
  2. MunoRN

    HIPAA violation?

    MunoRN replied to sunnyskies9's topic in HIPAA Challenges

    I would ask the patient and if they approve then it's not a HIPAA violation to share information with the family. In your particular role, which appears to be cardiac rehab, family is often involved...
  3. MunoRN

    Do I have to join the Union?

    MunoRN replied to friendlylark's topic in Collective Bargaining, Union

    Up until the Jorifice decision, you could choose to not join a union but still have to pay the costs associated with negotiating the contract that covers you, you weren't required to pay for union...
  4. MunoRN

    Iv antibiotic running as primary?

    MunoRN replied to SquatsNScrubs's topic in General Nursing

    It defense of my fellow ED nurses it should be pointed out that not every ED nurse thinks it makes more sense to give a patient a partial dose of antibiotic, and since it's the first dose of...
  5. MunoRN

    Iv antibiotic running as primary?

    MunoRN replied to SquatsNScrubs's topic in General Nursing

    The way you described it in your previous post is exactly how I would normally do it when there is no continuous fluid ordered, just with the clarification that I would set it that way while using a...
  6. MunoRN

    Iv antibiotic running as primary?

    MunoRN replied to SquatsNScrubs's topic in General Nursing

    If you've got a 50ml bag and 15ml of tubing, then you've got 35mls in the bag after priming the tubing, assuming you are priming it without letting a single drop come out the end of the tubing while...
  7. MunoRN

    Iv antibiotic running as primary?

    MunoRN replied to SquatsNScrubs's topic in General Nursing

    The pump isn't going to sense air and then keep pumping the air in order to empty the tubing. The pump will stop once it gets air, and there's typically 15ml or so left in the tubing below the pump....
  8. MunoRN

    Research Results are in: To Suction or Not To Suction, End of Life & Hospice Patients

    MunoRN replied to NickICU-RN's topic in General Nursing

    In an actively dying comfort-measures-only patient, anything that brings more discomfort than comfort is contraindicated, which would include pharyngeal suctioning, a good rule of thumb is don't go...
  9. MunoRN

    Discharging patients on the board

    MunoRN replied to Silverinkpot's topic in Emergency

    I've never worked in an ED where we kept patients on the census board after they had been discharged, it doesn't matter if they are still hanging out while waiting for a ride, they're still discharged...
  10. MunoRN

    Iv antibiotic running as primary?

    MunoRN replied to SquatsNScrubs's topic in General Nursing

    It's been the expected practice at every place I've worked to hang antibiotics as a secondary even if there are no primary fluids ordered. This is facilitate giving the full dose of antibiotic by...
  11. MunoRN

    Dependent loops?

    MunoRN posted a topic in General Nursing

    My facility has had some issues and debate with our educatoin department's CAUTI prevention teaching, mainly around "dependent loops" and how they are defined and the best ways to reduce flow-limiting...
  12. MunoRN

    Hospice runner

    MunoRN replied to Nurseesg's topic in Hospice, Palliative

    I can't exactly pinpoint why, but the terms a bit
  13. MunoRN

    Frequent Blood Draw Question

    MunoRN replied to classicalcat's topic in Neuro Intensive Care, ICU

    There's no reason, other than quazi-voodoo based myth, not to reinfuse the
  14. MunoRN

    Cardiac telemetry vs medical telemetry?

    MunoRN replied to kathleenorrick's topic in General Specialties

    Generally the difference is that "medical telemetry" is for the purpose of ruling out an arrhythmia while cardiac telemetry refers to active management of arrhythmias or more specific EKG analysis...
  15. MunoRN

    Medical Response?

    MunoRN replied to firedupnursing70's topic in General Nursing

    Where was the pulse taken? According to Trauma life support guidelines, a palpable radial pulse suggests an SBP of greater than 80, although there are studies that say it's only reliable indicator of...
  16. MunoRN

    documenting a chart check?

    MunoRN replied to ddrn97's topic in General Nursing

    There is no reason to specifically document a "chart check" with an EMR, the purpose of a "chart check" with paper order entry was to make sure all the written orders had been transcribed, entered...
  17. MunoRN

    Research Results are in: To Suction or Not To Suction, End of Life & Hospice Patients

    MunoRN replied to NickICU-RN's topic in General Nursing

    The "death rattle" occurs because at even mildly decreased levels of consciousness that irritating tickle becomes unnoticeable to the patient, so they don't spontaneously clear those secretions. Even...
  18. MunoRN

    When do you hold insulin if no parameters?

    MunoRN replied to mzsuccess's topic in General Nursing

    The real-time advice seeking struck me that way as well at first, but if these discussions for "educational purposes" aren't so that the education we're referring to will result in affecting decision...
  19. MunoRN

    Is this discrimination?

    MunoRN replied to eacue10's topic in General Nursing

    The translation requirements brownbook were referring to come from an HHS administrative rule that clarifies section 1557 of the ACA. The ACA only specifically states that covered entities should not...
  20. MunoRN

    When do you hold insulin if no parameters?

    MunoRN replied to mzsuccess's topic in General Nursing

    So long as you're talking about the 5 unit nutritional dose you mentioned earlier then I would still give it with meals since it seems to be working for them if the pre-meal BG is 110. Keep in mind...
  21. MunoRN

    When do you hold insulin if no parameters?

    MunoRN replied to mzsuccess's topic in General Nursing

  22. MunoRN

    Levophed works better in D5 vs. NS

    MunoRN replied to Beautifulmirror's topic in Neurological

    D5 potentially increases ICP which your body responds to initially by increasing blood pressure, so it's quite possible that the difference you are seeing is correct, but the bigger question is it's...
  23. MunoRN

    Calling Report to ER from Urgent Care

    MunoRN replied to misdetermined's topic in General Nursing

    While they go by various names in their marketing, walk-in clinics / freestanding ERs / urgent care are all just considered clinics in terms of regulation. Freestanding ER's that are part of an acute...
  24. MunoRN

    Levophed works better in D5 vs. NS

    MunoRN replied to Beautifulmirror's topic in Neurological

    What do you mean by it "works
  25. MunoRN

    Shift Report: Listening, no writing...

    MunoRN replied to mtmkjr's topic in General Nursing

    I never right anything down during report. One reason is that if I just listen, I don't need to have anything written down, but also if my brain is occupied by writing things during report then for...