MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Do Not Resuscitate Order for suicidal patient

    MunoRN replied to mep726's topic in Activism, Healthcare

    "the patient signed a DNR order two days ago" would typically refer to a POLST form, since advanced directives don't establish DNR status, they express wishes that a Physician may interpret to then...
  2. MunoRN

    Do Not Resuscitate Order for suicidal patient

    MunoRN replied to mep726's topic in Activism, Healthcare

    This is a pretty common question in nursing school, although usually it asks about whether a patient admitted for suicide attempt can decline any or all interventions, not just DNR, and there's no...
  3. MunoRN

    Federal Marijuana Ban Lift Effects on Nursing

    MunoRN replied to bluma5's topic in Activism, Healthcare

    No states that have passed medical or recreational marijuana use have specifically prohibited it's use by nurses, I'm not sure where you're getting that from. All state's boards of nursing continue to...
  4. MunoRN

    Sign A Consent Without Witnessing Actual Signature

    MunoRN replied to knotizer12's topic in General Nursing

    I think people incorrectly assume that a signed consent for certain procedures is a legal requirement, and that there are legally defined requirements for a written consent, which there are not. It's...
  5. MunoRN

    Sign A Consent Without Witnessing Actual Signature

    MunoRN replied to knotizer12's topic in General Nursing

    The typical interpretation of "witness" is that they have confirmed that the patient signed the consent, this doesn't require witnessing the actual signature, it only requires saying something to the...
  6. MunoRN

    mixing pain medications with a flush

    MunoRN replied to painmeds's topic in General Nursing

    Smaller syringes use more markings for the same volume, so I'm not sure why it would be significantly more difficult to push slowly using a smaller syringe. 1mg over 2 minutes is 1mg over 2 minutes,...
  7. MunoRN

    mixing pain medications with a flush

    MunoRN replied to painmeds's topic in General Nursing

    I'm not sure how it's particularly different since the distance you're having to push the plunger over the 2 minutes is essentially the same whether we're talking 10ml in a 10ml syringe or 2 ml in a 2...
  8. MunoRN

    mixing pain medications with a flush

    MunoRN replied to painmeds's topic in General Nursing

    This is an old (nurses) wives tale. ISMP has multiple statements on the subject, generally finding that nurse's often unnecessarily dilute medications that do not require dilution, this introduces...
  9. MunoRN

    I gave an IV medication that the patient is allergic to

    MunoRN replied to 19rma's topic in Patient Medications

    I'm not sure where you feel a medication error occurred. Vomitting with Flagyl is not unusual and does not represent an allergic reaction to Flagyl. Keep in mind that typically the majority of...
  10. MunoRN

    Infusion times....in a pickle...

    MunoRN replied to mi_dreamin's topic in General Nursing

    Giving Zosyn over 30 minutes is still the FDA labelled infusion duration, and there's no risk in doing so, and we don't use 4 hour infusions for renal impairment but rather adjust the dose. For...
  11. MunoRN

    Blood products simultaneously

    MunoRN replied to jinpepito's topic in Patient Safety Issues

    First we should clarify the difference between giving blood products simultaneously where you are forgoing the ability to isolate the cause of a reaction due to emergent transfusion needs, and...
  12. MunoRN

    Are nurses and doctors equal?

    MunoRN replied to SisterofMary's topic in General Nursing

    If there's one thing a Board of Nursing will be concerned with when reviewing an event, it's when the nurse states that they were just following orders and that's their job, or anything to that...
  13. MunoRN

    Are nurses and doctors equal?

    MunoRN replied to SisterofMary's topic in General Nursing

    Nurses and Doctors play different roles, and while the paradigm used to be that the everyone was subordinate to the Doctor we now know that this view leads to ineffective, poor quality, and...
  14. MunoRN

    Injured doing compressions?

    MunoRN replied to dbabz's topic in General Nursing

    Compressions are strenuous, so unless you're in pretty good shape it's expected that you'll be sore afterwards. It doesn't sound like you have a reportable injury, so there's no injury claim to be...
  15. MunoRN

    Blood products simultaneously

    MunoRN replied to jinpepito's topic in Patient Safety Issues

    Ideally they are administered one at a time, although for life-threatening active bleeding the downside to simultaneously administering multiple products doesn't outweigh the benefit of having a...
  16. MunoRN

    RN tipping Botox

    MunoRN replied to BecksRN's topic in General Nursing

    Tips would usually fall under the gifts rule, although that only applies when working as a nurse, my state's BON doesn't consider working in a botox clinic as practicing
  17. MunoRN

    Aggressive family member

    MunoRN replied to Jerez's topic in General Nursing

    I'm not suggesting that it's the correctly reasoned action, but that trying to harm the nurse is not only viable explanation for someone putting their hand a nurse's hand to communicate they want...
  18. MunoRN

    Aggressive family member

    MunoRN replied to Jerez's topic in General Nursing

    Had someone been 'shoved' in the OP's scenario I'd completely agree with
  19. MunoRN

    Aggressive family member

    MunoRN replied to Jerez's topic in General Nursing

    I completely agree with telling the dad that wasn't appropriate as I stated earlier, what I don't agree with is the idea that this is worthy of criminal charges and CPS
  20. MunoRN

    Aggressive family member

    MunoRN replied to Jerez's topic in General Nursing

    I think I explained how they are alike, maybe you could be more specific on how they have nothing at all do with each other. Both involve sharp objects where you want the person manipulating the sharp...
  21. MunoRN

    Aggressive family member

    MunoRN replied to Jerez's topic in General Nursing

    The OP's scenario was pretty clear, the dad made contact with the nurse's hand for purpose of getting her attention and to stop the procedure, it was not intended to cause the nurse harm or injury or...
  22. MunoRN

    Aggressive family member

    MunoRN replied to Jerez's topic in General Nursing

    And you're always free to press charges for anything you like, just like you could press charges against the checker and the grocery store who gets your attention by tapping your shoulder to let you...
  23. MunoRN

    Blood glucose and insulin

    MunoRN replied to adclay's topic in General Nursing

    This is an education issue and not a policy issue, a proper understanding of the basis of insulin and BG management can be substituted with
  24. MunoRN

    Aggressive family member

    MunoRN replied to Jerez's topic in General Nursing

    Battery would require the intention of physical harm which clearly wasn't the intent or the result in this case, it's not the appropriate way to do it, but the intent was to decline the continuation...
  25. MunoRN

    NEW NURSE-antibiotic administration

    MunoRN replied to Oncnurse555's topic in General Nursing

    The pump doesn't control which bag the infusion in coming from, it's the physics of the fluid column you're creating by hanging the secondary bag higher than the primary that determines this. It is...