MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    When they're SO sure they're right...

    MunoRN replied to Jedrnurse's topic in General Nursing

    I've had a general surgeon also insist that nobody makes urine while
  2. MunoRN

    Cna incident investigation

    MunoRN replied to Nnb07's topic in General Nursing

    To clarify, the OP was referring to a sit-to-stand lift, having the patient stand in the lift is it's main
  3. MunoRN

    Thai cave boys in hospital

    MunoRN replied to Emergent's topic in General Nursing

    The aggressive isolation procedures are reported due to a concern of "cave disease", aka histoplasmosis, even though just standard precautions are the generally accepted standard for patients with...
  4. MunoRN

    Double gloving: A good idea just got easier to implement

    MunoRN replied to Ansell's topic in General Nursing

    Sorry but that's not correct. Neither of those organizations, nor any other organizations, "support double gloving as an effective safety precaution". Those organizations do however support double...
  5. MunoRN

    Cna incident investigation

    MunoRN replied to Nnb07's topic in General Nursing

    The HPL 700 is a driven lift, which is where there is a logical reason to have a second person, Hoyer's sit to stand lift is the HPL 500, which states in it's user manual that a second person is only...
  6. MunoRN

    Cna incident investigation

    MunoRN replied to Nnb07's topic in General Nursing

    My experience is the opposite, I've worked at any facility or for any organization that required to 2 people to operate a lift, not even the manufacturers who tend to err on the side of caution...
  7. MunoRN

    Cna incident investigation

    MunoRN replied to Nnb07's topic in General Nursing

    "Spots"? Yes, that does seem like a silly waste of
  8. MunoRN

    SNF scenario question

    MunoRN replied to Chickenlittle130's topic in General Nursing

    The carbon dioxide vs oxygen driven in COPD patients is a bit understood, but in general you aren't going to harm a patient by giving them more supplemental oxygen because their oxygen saturation is...
  9. MunoRN

    The Push to Move Pts Leading to Unsafe Practices

    MunoRN replied to RNbirdie1018's topic in Patient Safety Issues

    Not giving report is abandonment in states I've worked in, these nurses should be reported to the appropriate licensing agency, whether the facility says it's OK or not doesn't change the nurse's...
  10. MunoRN

    Can you take phentermine during a nursing shift?

    MunoRN replied to Nsco2018's topic in General Nursing

    I think there's a reasonable argument to had about whether someone might be less impaired by taking potentially impairing medications than they would be without them, but as a legal precedent it's...
  11. MunoRN

    Cna incident investigation

    MunoRN replied to Nnb07's topic in General Nursing

    It's certainly part of it, but I can't find any manufacturers recommendations that require 2 caregivers for typical use of a lift. From the Invacare Stand Up Patient Lift manual: The stand up lift...
  12. MunoRN

    Patient safety compromised

    MunoRN replied to LonghornChic's topic in General Nursing

    What qualifies as full ICU vs stepdown varies widely by facility. I've worked at places where the patient you described would not only be considered ICU, but they might also get shipped out to a...
  13. MunoRN

    Writing order and having Dr sign later..your thoughts?

    MunoRN replied to mzsuccess's topic in General Nursing

    Normally that's completely reasonable to not be OK with that, but if you're charging $150 per call then I don't think you can really complain when someone avoids making a
  14. MunoRN

    Cna incident investigation

    MunoRN replied to Nnb07's topic in General Nursing

    I have never worked in a hospital that required two persons to use a lift, for those that have, what does the second person
  15. MunoRN

    Free RN labor to implement medical device research?

    MunoRN replied to jennycRN's topic in Activism, Healthcare

    Research is quite common in the hospital setting, if you feel you should be paid extra because an outside company is benefitting from your work, then wouldn't that also apply to giving medications,...
  16. MunoRN

    Writing order and having Dr sign later..your thoughts?

    MunoRN replied to mzsuccess's topic in General Nursing

    There's only 4 states left where a prescription is required for Narcan, so how to get the order might be moot. I'm more curious about your Docs are charging per call, is this a tele-hospitalist...
  17. MunoRN

    Can you take phentermine during a nursing shift?

    MunoRN replied to Nsco2018's topic in General Nursing

    It depends on the employer. If you're working direct patient care or any other position that can be considered "safety sensitive" then employers can restrict even appropriately prescribed medications...
  18. MunoRN

    Cna incident investigation

    MunoRN replied to Nnb07's topic in General Nursing

    The OP asked what the potential legal ramifications are of a caregiver using a lift by themselves, so I'm not really clear why you view a discussion of exactly that to be off
  19. MunoRN

    Cna incident investigation

    MunoRN replied to Nnb07's topic in General Nursing

    "Standard of Care" is a legal term that defines negligence, it's defined as something that no other reasonable or prudent nurse would do. Lifting a patient by putting a strap around the patient's...
  20. MunoRN

    Cna incident investigation

    MunoRN replied to Nnb07's topic in General Nursing

    Sit to stand lifts do not "require" two people to operate, and while I've heard stories of people who've worked at facilities where internal policies recommend two people to operate it's not...
  21. MunoRN

    Secondary IV infusions

    MunoRN replied to eiwneon's topic in General Nursing

    Manufacturers do figure in for remaining secondary tubing volume, they do not figure in for priming volume or remaining drug in the
  22. MunoRN

    Secondary IV infusions

    MunoRN replied to eiwneon's topic in General Nursing

    I did read the link but it doesn't say that manufacturers put more medication in their pre-mixed bags, it said that the IV fluid bags (prior to medication being added) typically have more volume than...
  23. MunoRN

    Secondary IV infusions

    MunoRN replied to eiwneon's topic in General Nursing

    Since the secondary drip chamber and a portion of the tubing will generally be empty after the infusion, how are you priming the secondary line without backpriming and also without disconnecting the...
  24. MunoRN

    Secondary IV infusions

    MunoRN replied to eiwneon's topic in General Nursing

    Unless they aren't to receive the full dose of the bag then they won't be getting more than ordered, one of the main purposes of a primary/secondary setup is to avoid giving less than the ordered...
  25. MunoRN

    Secondary IV infusions

    MunoRN replied to eiwneon's topic in General Nursing

    This came up as a question when a facility I worked at was re-doing our IV infusion policies. The answer we got back from our pharmacy director who reportedly spoke with a couple of manufacturers was...