MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    G-J Tube Residual

    MunoRN replied to honeynurselpn's topic in Patient Medications

    Just based on the positioning of the gastric port it wouldn't be surprising that you wouldn't get all 30ml back, aside from the lack of a rational basis for her assessment technique there is no such...
  2. MunoRN

    Bloody hell!: venous sheath hemorrhage

    MunoRN replied to Nervous_nurse's topic in General Nursing

    I'm not clear from your description if you're saying blood was coming from the sheath itself and that this was because the stopcock had failed? It would be highly unusual for a stopcock to fail...
  3. MunoRN

    School Shootings

    MunoRN replied to OldDude's topic in General Nursing

    I don't know that anyone really disagrees that numbers need to be put in context by controlling for variables, you don't seem to actually get to how exactly why Australia doesn't show a lower rate of...
  4. MunoRN

    Patient mobility (functional) program/protocol

    MunoRN replied to Cehurstrn's topic in General Nursing

    I don't generally find it's a lack of knowledge or lack of sufficient intent to keep patients active, it's almost completely a workload issue. Assisting patients up to a recliner for meals takes...
  5. MunoRN

    Dosage calculation rounding pediatrics

    MunoRN replied to Jamesryan's topic in General Nursing

    The "rules" you're asking about do exist, they are called "significant digits", all calculations should done based on this mathematical rule, the final measurement would be based on how accurately the...
  6. MunoRN

    Confronting Unsafe Practices

    MunoRN replied to kkrn1116's topic in General Nursing

    Just based on the limited information you've provided it's not really possible to say whether or not the other nurses were charting inadequately or if the problem is that you over-chart and are...
  7. MunoRN

    New to critical care. Not new graduate. Need advice?

    MunoRN replied to alyssainthesky's topic in General Nursing

    I wouldn't worry too much. A good manager would want to meet with you and your preceptor before you've even done patient care with your preceptor just to set a plan for how you will transition from...
  8. MunoRN

    HIPAA Violation?

    MunoRN replied to Soccer990's topic in HIPAA Challenges

    I've read your scenario a few times and I'm still not clear on the specifics. It's not unusual that patient's sign a HIPAA disclosure agreement as part of standard paperwork when you establish care...
  9. MunoRN

    Federal Marijuana Ban Lift Effects on Nursing

    MunoRN replied to bluma5's topic in Activism, Healthcare

    I don't think shifting views on the part of BONs are "decades away" since a number of BONs have already put out position statements on medical and recreational marijuana. BONs are state based and are...
  10. MunoRN

    Why would a nurse push IV potassium?

    MunoRN replied to Nsco2018's topic in General Nursing

    We do actually give IVP potassium all the time, it's just slower than most pushes. The problem is that with a lot of IV terminology, there is no universal definition, and there are some contexts that...
  11. MunoRN

    Salbutamol with normal saline

    MunoRN replied to Puggy1001's topic in Critical Care

    Salbutamol (aka albuterol here in the US) comes already in a solution which is typically saline. Some formulations are already diluted with saline to an appropriate concentration for nebulization,...
  12. MunoRN

    Waste of Insulin

    MunoRN replied to WeirdNurseKelly's topic in Medical-Surgical

    While I completely agree with the need to appropriately label and store patient insulin in order to avoid waste, the short and intermediate insulins typically used in the inpatient setting costs...
  13. MunoRN

    Nurse busted for drugs/Hep C

    MunoRN replied to broughden's topic in Nursing News

    It's possible that the hospital had a Hep C outbreak and has pinned it on a nurse-gone-rogue to avoid any culpability they may
  14. MunoRN

    Nurse busted for drugs/Hep C

    MunoRN replied to broughden's topic in Nursing News

    There is now reporting that the nurse tested negative for Hep C, making it even less clear what went
  15. MunoRN

    Patient waking up during CPR

    MunoRN replied to LisaStone's topic in General Nursing

    Effective CPR that's started immediately after cardiac arrest should perfuse the brain enough for the patient to have at least some degree of consciousness. When a patient has an art line in, we...
  16. MunoRN

    Any Mormon/LDS nurses here? I need help?

    MunoRN replied to MaryFutureRN's topic in General Nursing

    I wasn't inferring or assuming that the OP felt that working as a nurse interfered with their calling rather than being part of their calling since the OP clearly stated that: As to your second...
  17. MunoRN

    Any Mormon/LDS nurses here? I need help?

    MunoRN replied to MaryFutureRN's topic in General Nursing

    As with every other time this topic comes up, I think anyone who feels that having to work instead of attending Church interferes with their ability to serve Christ, and therefore that caring for the...
  18. MunoRN

    So you're an RN - you must be earning big!

    MunoRN replied to _littlemissBSN's topic in General Nursing

    We earn significantly more than the average bachelor's degree job, so it's certainly not incorrect for someone to say we make relatively good
  19. MunoRN

    Protecting Your License: Notes from a Nurse-Attorney

    MunoRN replied to SafetyNurse1968's topic in General Nursing

    While there are states that extend perjury charges to falsifying government administrative forms, this would only apply to an application to a state or federal agency, it does not apply to private...
  20. MunoRN

    Can you give a lesser dose than prescribed without an order?

    MunoRN replied to Faith1234567's topic in General Nursing

    While JC surveyors often share their views on different things, they don't actually have any say as to what crosses the line into "practicing medicine". The JC is an accreditation service that...
  21. MunoRN

    Treating Dehydration DT Physical Exertion

    MunoRN replied to NurseNurseNurseNurse's topic in General Nursing

    Yes, that is flawed logic. If IV fluids are indicated and if they are then what type is indicated is up to the MD, but as the patient's nurse you are expected to be able to judge if the medical plan...
  22. MunoRN

    Treating Dehydration DT Physical Exertion

    MunoRN replied to NurseNurseNurseNurse's topic in General Nursing

    And that's the tricky part, "sweating in a desert" can result in either hypernatremia or hyponatremia based on additional information. Sweat contains about a third of the sodium per liter that blood...
  23. MunoRN

    Treating Dehydration DT Physical Exertion

    MunoRN replied to NurseNurseNurseNurse's topic in General Nursing

    And that's the think, "symptomatic", particularly in a nursing school question, could refer to anything from mild tachycardia to seizures or cardiac arrest. I think there's sometimes the view that...
  24. MunoRN

    School Shootings

    MunoRN replied to OldDude's topic in General Nursing

    The article repeats what I stated in my previous post, that the founding fathers were predominately deist and generally ranged from fairly opposed to today's organized Christian denominations to...
  25. MunoRN

    Treating Dehydration DT Physical Exertion

    MunoRN replied to NurseNurseNurseNurse's topic in General Nursing

    The actual correct answer would be that you don't move on to an intervention without first assessing, since that is what would determine how to best treat the patient. If all it's possible to know is...