MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Catheter Came out. Should I reinsert it?

    MunoRN replied to fergsu22's topic in General Nursing

    If the facility itself provides any sort of nursing or other healthcare services then it must be licensed as a long term care home, a retirement home not licensed to provide health or nursing services...
  2. MunoRN

    Medical kidnap? Discuss

    MunoRN replied to dbabz's topic in Nursing News

    Whenever I read a story in the media about a case I have first hand knowledge, it's usually impressive how incorrectly the story is portrayed, and usually with these stories you can come up with a...
  3. MunoRN

    Catheter Came out. Should I reinsert it?

    MunoRN replied to fergsu22's topic in General Nursing

    It's from the Ontario Long Term Care Homes Act of 2007:
  4. MunoRN

    Catheter Came out. Should I reinsert it?

    MunoRN replied to fergsu22's topic in General Nursing

    It is actually illegal in Ontario to have a long term care home without an after hours on-call doctor. Failure to comply with this law should be reported to the Ministry of Health and Long Term Care...
  5. MunoRN

    Very concerned

    MunoRN replied to ButterflyRN90's topic in General Nursing

    A continuous infusion of IV fluids that contain dextrose usually doesn't require the patient moving up to critical care any more than if they were getting a continuous NS infusion. If BG checks were...
  6. MunoRN

    When does HIPPA no longer apply?

    MunoRN replied to GuineaPigs's topic in HIPAA Challenges

    To clarify, a prosecutor can chose to press charges without the victim's agreement, but it doesn't happen all that often since there isn't much point to it. The accused has a legal right to "face...
  7. MunoRN

    Very concerned

    MunoRN replied to ButterflyRN90's topic in General Nursing

    I'm also unclear why you gave insulin to a patient with an unexplained BG drop to 44. The D50 is often only a temporary fix, the BG will drop back down if the underlying cause is not addressed, and...
  8. MunoRN

    Foley placement

    MunoRN replied to vxxen's topic in General Nursing

    With both males and females the openings of the catheter will enter the bladder before the balloon has, so if you stop advancing and inflate the balloon as soon as you see urine return then you are...
  9. MunoRN

    Scope of practice ? RN able to perform task ?

    MunoRN replied to clomicka's topic in General Nursing

    I don't know that there is any regulatory definition that is solely based on the use of a "surgical instrument", forceps are a surgical instrument, but that doesn't mean it's out of a nurse's scope to...
  10. MunoRN

    Scope of practice ? RN able to perform task ?

    MunoRN replied to clomicka's topic in General Nursing

    There is no single scope of practice for nurses, it depends on what you've been trained to do with a verified competency that isn't specifically prohibited, and the insertion of subcutaneous...
  11. MunoRN

    Verifying Medications in PACU

    MunoRN replied to kevinjen2's topic in PACU

    Our anesthesiologist/surgeon clicks a box in the EMR for the PACU orderset, pharmacy review usually isn't completed until well into the patient's PACU stay, so it wouldn't be appropriate to wait until...
  12. MunoRN

    What would you do?

    MunoRN replied to jimmyjohn1's topic in Patient, Colleague Relations

    I was picturing just the eye, not the whole face as being in the
  13. MunoRN

    What would you do?

    MunoRN replied to jimmyjohn1's topic in Patient, Colleague Relations

    While this would most likely violate facility policies and basic ethical principles, if the photo contained no patient identifiers then it would not be a HIPAA violation. Your post referenced some...
  14. MunoRN

    How safe are safety lancets?

    MunoRN replied to Allybee23's topic in General Nursing

    No, it's not really possible for a safety cover on a properly functional lancet to result in needlestick incident. I would suggest that if you pick up a lancet with the safety cover engaged that you...
  15. MunoRN

    Can a home health agency give their Nurses/PT/OT financial bonuses for referrals?

    MunoRN replied to Rnasn2017's topic in General Nursing

    Knowledge of the Stark Acts and related laws is actually a requirement for licensure in every state, so I'm more than a little disappointed that a number of nurses have referred to this is a legal...
  16. MunoRN

    C.Diff Waste on Floor?

    MunoRN replied to newtonursing123's topic in Patient Safety Issues

    So was the C diff waste "on the floor" or was it in a trash bag which was on the floor? Those are two very different
  17. MunoRN

    Weighted blanket "to prevent contractures"?!?!?

    MunoRN replied to ShimmaShimma0304's topic in Patient Safety Issues

    It make help to try and look at it from an outside perspective and consider whether the push to use the blanket is the only "control issue"
  18. MunoRN

    Weighted blanket "to prevent contractures"?!?!?

    MunoRN replied to ShimmaShimma0304's topic in Patient Safety Issues

    They asked whether a blanket which was described as movement restricting was a restraint, which it would be if it restricts movement since that is what defines a restraint. As it turns out however...
  19. MunoRN

    An Ethical Dilemma- Outstanding Warrants

    MunoRN replied to rkirk89's topic in Nursing Student Assistance

    We don't "discharge into police custody", either the patient is placed under arrest while still in the hospital, in which case the police can either staff an officer to be with the patient which is...
  20. MunoRN

    Weighted blanket "to prevent contractures"?!?!?

    MunoRN replied to ShimmaShimma0304's topic in Patient Safety Issues

    Weighted blankets are legitimately used for certain indications, soothing autistic children for instance, you're correct there is no reason to believe it will prevent contractures, but It's not a...
  21. MunoRN

    Transgender patient and a dilemma

    MunoRN replied to CBlover's topic in General Nursing

    Gender dysphoria and being transgendered are not treated as mental illnesses, gender dysphoria previously had a DSM diagnosis but that was removed 6 years ago. Both are the result of variations...
  22. MunoRN

    What Is This Type Of Schedule Called and Can I Change It?

    MunoRN replied to Shookclays's topic in General Nursing

    I guess I'm confused as what aspect o the schedule they don't like, they were promised "3 on 4 off" but where scheduled 2 on, 2 off, 3 on, 2 off, 2 on, 3 off which seems to be the issue or is it the...
  23. MunoRN

    What Is This Type Of Schedule Called and Can I Change It?

    MunoRN replied to Shookclays's topic in General Nursing

    A 2-week (or more) schedule is the only kind of schedule I'm familiar with in the hospital setting. A schedule that resets at just a week would have everyone either working all weekends or no...
  24. MunoRN

    How to use an Aero Chamber with a vent patient

    MunoRN replied to Joycgranny18's topic in General Nursing

    Make sure you are using the 'Aero Chamber MV' and not the regular Aero Chamber spacer used for non-intubated use. It's an inline spacer with a port for the MDI (without the mouthpiece holder)....
  25. MunoRN

    How do you discuss gender issues with adolescents?

    MunoRN replied to canoehead's topic in General Nursing

    Why Transgender People Experience More Mental Health Issues | Psychology Today "According to a study published in the July 2016 edition of The Lancet offers significant evidence that the "distress and...