MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    NEW NURSE-antibiotic administration

    MunoRN replied to Oncnurse555's topic in General Nursing

    There's not necessarily a reason to enter separate primary and secondary infusions into the pump if you're just using a primary bag of NS to prime, backprime, and flush the line. When you enter a...
  2. MunoRN

    Aggressive family member

    MunoRN replied to Jerez's topic in General Nursing

    While I completely agree that nurse shouldn't tolerate abuse, I'm having a hard time make the jump to calling this violence, assault, abuse, etc. 'Pushing a hand away' is certainly inappropriate but...
  3. MunoRN

    Texas Children's investigates RN for social media HIPAA violation

    MunoRN replied to JustBeachyNurse's topic in HIPAA Challenges

    I haven't actually seen any mention of a HIPAA violation in the reporting, and it doesn't appear the nurse revealed the child's identity. The issue appears to be more with the fact the nurse who's...
  4. MunoRN

    Recent BSN graduate looking for jobs in OAHU, Hawaii! PLZ HELP!

    MunoRN replied to Britt92's topic in General Nursing

    Rush hour traffic in the Honolulu area can be horrid, not what you'd expect for a tropical island. But if you live reasonably near one of the freeways that go over to the windward side then it's not...
  5. MunoRN

    Aggressive family member

    MunoRN replied to Jerez's topic in General Nursing

    Had you just inserted the needle when the dad stopped you or were you digging around for a little
  6. MunoRN

    Walmart cashiers wearing gloves?

    MunoRN replied to Misstika's topic in Coffee Lounge's Lounge

    There have been no confirmed cases of fentanyl overdoses from skin exposure to fentanyl, although there have been a number of false reports. In each of the cases of publically reported law enforcement...
  7. MunoRN

    Recent BSN graduate looking for jobs in OAHU, Hawaii! PLZ HELP!

    MunoRN replied to Britt92's topic in General Nursing

    I haven't work on Oahu in a very long time, but typically Queen's requires some amount of experience to get a job, but if you're willing to go over the Pali to work or elsewhere on the island you can...
  8. MunoRN

    Gloves? Is this acceptable?

    MunoRN replied to medsurgRNCali's topic in General Nursing

    There was an episode of 'How It's Made' last night about Lasik eye surgery, the surgeon not only didn't wear sterile gloves but wore no gloves at all through the entire surgery, so there seems to be...
  9. MunoRN

    Gloves? Is this acceptable?

    MunoRN replied to medsurgRNCali's topic in General Nursing

    This isn't necessarily a question directed specifically at you since a number of people have had the same response, but why are you touching the patient's medications when transferring them from a...
  10. MunoRN

    Walmart cashiers wearing gloves?

    MunoRN replied to Misstika's topic in Coffee Lounge's Lounge

    There was a news story, which unfortunately I can't find right now, that stated some Wal-Mart's were choosing to use gloves to handle money due to reports of fentanyl contaminated cash, and if there's...
  11. MunoRN

    PRN scale opioids

    MunoRN replied to Emmers4's topic in General Nursing

    The general rule is that the prescriber and the person interpreting the order should have the same understand of how the order is to be interpreted. This common understanding can be through facility...
  12. MunoRN

    Non-licensed staff documenting in Code Blue/Trauma Code

    MunoRN replied to deweydecimal13501's topic in General Nursing

    Code Blue and Trauma Codes in the ER are typically documented by the ER docs scribe, which is an unlicensed position. On the inpatient side the Rapid Response nurse typically runs and documents the...
  13. MunoRN

    Number of Lymph Nodes Removed?

    MunoRN replied to DowntheRiver's topic in General Nursing

    Our policy is that there are no limitations in terms of IV or BP on an arm with previous lymph node removal regardless of the number of nodes removed since there isn't sufficient evidence to support...
  14. MunoRN

    Anterior MI's

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

    The right bundle branch is slightly more anterior than the left, and the right bundle branch is fed by the septal arteries which are fed by the LAD, so a new RBBB is highly suspicious for an anterior...
  15. MunoRN

    Being out of ratio. Is it legal in California?

    MunoRN replied to abnormal_saline's topic in General Nursing

    Our “Stop Repeat Offender Hospitals” bill — stay updated on its
  16. MunoRN

    Being out of ratio. Is it legal in California?

    MunoRN replied to abnormal_saline's topic in General Nursing

    It should first be noted that while California has legally mandated ratios, practically speaking it's not illegal to be out of compliance since there is no punishment for being out of compliance...
  17. MunoRN

    Who gets the write up?

    MunoRN replied to kosmopolitan's topic in MICU, SICU

    In theory, it should be the overall situation that "gets" the right up, not specific people, but if you were to identify responsible parties it would be both nurses, the MD, the facility. Just as...
  18. MunoRN

    Questionable Behavior: Reports and Write Ups

    MunoRN replied to SisterofMary's topic in General Nursing

    Without knowing what was actually said it's impossible to just assume that you were in the right, it's also possible that there was nothing inappropriate about what the UC said and that you just took...
  19. MunoRN

    Hate night shifts

    MunoRN replied to RN&RDH's topic in General Nursing

    The reality of 24 hour staffing is that at least a third of the staff are going to have to work at night, there are the rare few that like it, but for the most part nobody likes it, it's just part of...
  20. MunoRN

    Medical kidnap? Discuss

    MunoRN replied to dbabz's topic in Nursing News

    And that's certainly an idea that comes up now and then in our ethics committee reviews of cases, but it's only really applicable to psych-based capacity issues, in the context of capacity for medical...
  21. MunoRN

    Medical kidnap? Discuss

    MunoRN replied to dbabz's topic in Nursing News

    I referenced psych because it's generally the one circumstance where someone can be held (not allowed to leave) yet still be allowed to refuse treatment. Capacity to make medical decisions is either...
  22. MunoRN

    Fentanyl used in execution

    MunoRN replied to Emergent's topic in Nursing News

    According to reports, the fentanyl was one of 4 drugs used; fentanyl, valium for sedation, then nimbex and potassium chloride to actually induce death. This is basically the same as previous lethal...
  23. MunoRN

    Hospital Contracts

    MunoRN replied to LCCnurse123's topic in General Nursing

    It's possible they may just ignore your debt to them, if the amount they think it will cost them to recoup your debt from you would likely cost more than what you owe then there wouldn't be much...
  24. MunoRN

    Medical kidnap? Discuss

    MunoRN replied to dbabz's topic in Nursing News

    Leaving against a psychiatric hold isn't technically leaving AMA, a person can be held legally held on a psych hold but still be considered to have the right to legally decline certain medications or...
  25. MunoRN

    Medical kidnap? Discuss

    MunoRN replied to dbabz's topic in Nursing News

    The patient signed an Authorization for Media Release, so there's not really anything stopping them from explaining their side, unless they know they don't have a legit