MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Secondary IV infusions

    MunoRN replied to eiwneon's topic in General Nursing

    Priming the secondary tubing with the secondary medication instead of backpriming from the primary bag has the potential to waste the secondary medication resulting in underdosing, but also for...
  2. MunoRN

    Secondary IV infusions

    MunoRN replied to eiwneon's topic in General Nursing

    The overfill is in volume, not medication. A medication prepared in a 100ml bag with have overfill from two sources; the manufacturer overfills the fluid, typically about 5-10mls but it varies by the...
  3. MunoRN

    Vaccination Health Concerns

    MunoRN replied to user01298's topic in Nurse Disabilities

    As your article points out, those receiving immunosuppressant drugs can and should still receive vaccines, what it discusses in the considerations of type (live vs inactivated) and the timing of...
  4. MunoRN

    Secondary IV infusions

    MunoRN replied to eiwneon's topic in General Nursing

    The secondary tubing should be primed with the primary fluid, using the secondary medication to prime the tubing sort of misses the point of using a primary/secondary set up. This is particularly...
  5. MunoRN

    Showering patients in the ICU

    MunoRN replied to mgoodger113's topic in Patient Safety Issues

    You don't actually have to take patients off tele to shower, Phillips and other manufacturers make shower pouches specifically for showering with a tele box in use during the shower. But for the most...
  6. MunoRN

    What is the standard of practice regarding side rails on stretchers; fall risk

    MunoRN replied to Shubbell's topic in General Nursing

    From CMS regulations:
  7. MunoRN

    Is this considered a restraint?

    MunoRN replied to Firefly29's topic in General Nursing

    Why do you think it would be a problem if "someone is
  8. MunoRN

    Is this considered a restraint?

    MunoRN replied to Firefly29's topic in General Nursing

    It's up to facilities to decide what requires written consent and what doesn't but really everything we do requires consent, just not always written. It sounds as though in the situation described...
  9. MunoRN

    Is this considered a restraint?

    MunoRN replied to Firefly29's topic in General Nursing

    It's hard to discern exactly what technique was used, but using a sheet or more commonly a pillowcase is not necessarily inappropriate and for immobilzing an arm during a lab draw is actually safer...
  10. MunoRN

    Is this considered a restraint?

    MunoRN replied to Firefly29's topic in General Nursing

    From CMS restraint guidance:
  11. MunoRN

    Is this considered a restraint?

    MunoRN replied to Firefly29's topic in General Nursing

    It's a restraint to facilitate a procedure, but not an ongoing restraint, and generally when people ask "does this count as a restraint" they are referring to ongoing restraints since that is what...
  12. MunoRN

    NG Tube Leaking, Tips?

    MunoRN replied to CharmedJ7's topic in General Nursing

    When used correctly, a Salem sump tube will potentially leak out the vent port. In theory, a sump vent lumen will never occlude, in which case you can use continuous suction which will keep the vent...
  13. MunoRN

    Eating the patients' food?

    MunoRN replied to blackmamba123's topic in General Nursing

    I always bring my own food as well, although I generally don't have time to actually eat it until after my shift is over. What I eat during my shift generally consists of whatever I can inhale while...
  14. MunoRN

    Eating the patients' food?

    MunoRN replied to blackmamba123's topic in General Nursing

    Just as a basic word definition, you can't "steal" something that has no owner. If the patient doesn't want the food and therefore claims no ownership of the food, and the facility doesn't want the...
  15. MunoRN

    Eating the patients' food?

    MunoRN replied to blackmamba123's topic in General Nursing

    A "toonie" is a $2 coin in Canada, Canada has done away with paper $1 bills (although their currency is more plastic than paper) and the $1 coin has a picture of a Loon on it making it a "loonie",...
  16. MunoRN

    Eating the patients' food?

    MunoRN replied to blackmamba123's topic in General Nursing

    Snacks and food from the unit kitchen probably make up 50-75% of my nutritional intake while working mostly in the form of crackers and peanut butter, the rest comes from a Clif bar that I eat in the...
  17. MunoRN

    Foley Catheter Issue?

    MunoRN replied to JustANurse2018's topic in General Nursing

    This while likely being an ongoing area of conflict, but you really shouldn't test the balloon first. The balloons are rigorously tested during the manufacturing process and there's no evidence that...
  18. MunoRN

    Caring for end of life patients

    MunoRN replied to Tboland88's topic in General Nursing

    It's common to feel like nursing school didn't adequately prepare graduates for emotionally challenging situations, but I'm not sure that's really the role of nursing school. Developing more...
  19. MunoRN

    dropping meds in front of surveyors

    MunoRN replied to LibraNurse27's topic in General Nursing

    There's not actually an reason to waste medications that are still wrapped, this is why surveyors get a bad wrap as being not-too-bright (pun
  20. MunoRN

    Vaccination Health Concerns

    MunoRN replied to user01298's topic in Nurse Disabilities

    There's no reason why you can't receive a vaccine with an autoimmune disorder. There are certain autoimmune disorders where a vaccine is less likely to be effective, but does not have any additional...
  21. MunoRN

    dropping meds in front of surveyors

    MunoRN replied to LibraNurse27's topic in General Nursing

    The JC isn't there to survey nurses, they are there to survey the hospital and more specifically hospital administrators. JC surveyors aren't shy about sharing their general nursing practice...
  22. MunoRN

    RN's and LPN's working as Nursing Assistants?

    MunoRN replied to blackmamba123's topic in General Nursing

    You're held to the same knowledge level, not the same role, those are two very different
  23. MunoRN

    RN's and LPN's working as Nursing Assistants?

    MunoRN replied to blackmamba123's topic in General Nursing

    That's not actually what "held to the highest licensure means", it doesn't mean you are actually the patient's nurse in any state's interpretation of liability, it's generally concerning that nurses...
  24. MunoRN

    Los Gatos ER Physician in the News

    MunoRN replied to CityofAngelsRN's topic in Nursing News

    They were both being silly, but not unusually silly for either a patient or a doctor. The video didn't appear to show anything that isn't a pretty regular occurrence at any ER I've worked
  25. MunoRN

    Nurse Practitioner with emphasis in nutrition

    MunoRN replied to MICURN123.'s topic in Student Nurse Practitioner

    To paraphrase, you want to start a business where you recommend what nutritional supplements someone should use to lose weight/gain muscle/improve health? I'm not trying to be snarky (it just comes...