MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    School Shootings

    MunoRN replied to OldDude's topic in General Nursing

    Countries that tend to be more theist also tend to have higher crime rates, and conversely countries with the lowest crime rates tend to be the most secular. Higher rates of crime are not necessarily...
  2. MunoRN

    School Shootings

    MunoRN replied to OldDude's topic in General Nursing

    Except many of the least religious societies are also have the lowest crimes rates, while many of the most religious societies have the highest crime rates, so your logic doesn't really pan
  3. MunoRN

    Nurse pay in France equivalent to CNA pay here

    MunoRN replied to Emergent's topic in General Nursing

    The average monthly nurse salary in France is $2786 USD compared to $3168 in the US. Nurses in France on average work 5 hours less per week than Nurses in the US, which brings the average Nursing...
  4. MunoRN

    School Shootings

    MunoRN replied to OldDude's topic in General Nursing

    I'm a gun owner with a CCW and a supporter of the second amendment, and like the majority of gun owners I support the currently proposed measures which consist of making a reasonable effort to keep...
  5. MunoRN

    Is late or lack of Documentation a reason for fireability?

    MunoRN replied to EternalFeather's topic in General Nursing

    You actually can't always be fired for failing to document, in the case of states with no mandatory overtime laws you can't be required to stay late or to come in extra to finish charting. We...
  6. MunoRN

    Pleurx drains

    MunoRN replied to artsmom's topic in General Nursing

    Going slow only prolongs the pain, it doesn't generally reduce it's severity, the patient experiences the same pain just for a longer period of time. In a HH setting premedication is not always...
  7. MunoRN

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

    MunoRN replied to Faith1234567's topic in General Nursing

    It's a very commonly held belief, it seems to come from facilities that tell their staff they are getting rid of range orders because the JC doesn't allow them, rather than admitting they are too lazy...
  8. MunoRN

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

    MunoRN replied to Faith1234567's topic in General Nursing

    Neither CMS nor the Joint Commission has ever forbidden range orders. The JC has suggested in the past that the upper end of a range order not needing more than double the lower end, but it should be...
  9. MunoRN

    Requesting to be laid off?

    MunoRN replied to nurseypants328's topic in General Nursing

    In laying you off your employer would have to confirm that they have no other positions for you to work, so if they were to lie and say they don't in order for to qualify for unemployment insurance...
  10. MunoRN

    Non compliance?

    MunoRN replied to Glycerine82's topic in Patient Education

    The term diet "order" is a bit misleading since it's really just a suggestion, all legally competent patients have the right to decline MD orders including diet. When nurses believe that orders can be...
  11. MunoRN

    Verbal orders for narcotics

    MunoRN replied to Geslina's topic in General Nursing

    After being passed along that many times, I might prefer to confirm the order, dosages, frequency etc with the MD directly. If it's true that there is no MD to contact then I would report them to...
  12. MunoRN

    Consent forms

    MunoRN replied to sjs1957's topic in Operating Room

    You'll need to discuss your specific concerns with your surgeon or surgical staff. Facility patient bill of rights follow the template of the CMS bill of rights, which allows patients to make changes...
  13. MunoRN

    Repackaging Medications

    MunoRN replied to Pinupnurse76's topic in General Nursing

    Whether this would fit the definition of "repackaging" depends on how the medications are initially prepared. It's not legal for medication aides to "dispense" medications in Virginia, so if that's...
  14. MunoRN

    Do you trust the organ donation process (after recovery of 'brain dead' boy)?

    MunoRN replied to Emergent's topic in General Nursing

    While that is how it often works it's not as standardized as you make it out to be, DACD can be a great way to make a bad situation a little better without really any moral uncertainty, but it can...
  15. MunoRN

    About the Nature of Nursing

    MunoRN replied to yoganurse2018's topic in General Nursing

    You had my attention until you referenced Jean Watson. I'm a big proponent of the holistic component of nursing, which is why I'm opposed to quacks who give holistic care a bad name, with Jean Watson...
  16. MunoRN

    Drawing labs from CVC locked with heparin

    MunoRN replied to JollyGreenGiant's topic in Dialysis, Renal, Urology

    Generally, POCT results are well within the accuracy range needed to guide patient care. Something those whose focus is solely the accuracy of lab results have difficulty understanding is the...
  17. MunoRN

    Loss of all personal freedom.

    MunoRN replied to Runnerlives's topic in General Nursing

    If something is just a workplace infraction that doesn't potentially place a patient at risk for harm then no, nursing boards typically don't consider that to be under their purview. And again, I'm...
  18. MunoRN

    Unlicensed personnel administering medications

    MunoRN replied to boquiabierta's topic in General Nursing

    While it's not unusual for MA's to be allowed to give medications, I don't know of any states where they are allowed to administer medications, it's important to note those are two very different...
  19. MunoRN

    No real time for bedside nursing...I have got to chart!

    MunoRN replied to Ms.muhammadRN's topic in General Nursing

    That's the nice thing about working in a state with legally prohibited mandatory overtime for nurses. Nurses can't be required to work beyond their scheduled time including to finish charting with a...
  20. MunoRN

    Unstable Admission

    MunoRN replied to ptsfirst's topic in General Nursing

    If all you asked was if there was a plan for treating the BP and if so what it was then no, you did nothing deserving a reprimand. It sounds as though this may just be part of a larger issue with the...
  21. MunoRN

    Mandatory Influenza Vaccine

    MunoRN replied to AllisonMcTigue's topic in General Nursing

    In theory it is to reduce the potential for exposing patients to communicable illness, which is why it's not a personal choice since that would be a choice that primarily effects only you. There's...
  22. MunoRN

    Reinsert Blood from CVC

    MunoRN replied to RonaIsaNurse's topic in Patient Safety Issues

    While it's true that contact with the interior surface of a device can initiate the early stages of clot formation, simple platelet aggregation doesn't actually have the ability to damage organs,...
  23. MunoRN

    Reinsert Blood from CVC

    MunoRN replied to RonaIsaNurse's topic in Patient Safety Issues

    All connections to a system include a risk of contamination, it's not particularly different for reinfusing waste. It's certainly reasonable to eradicate all unnecessary connections, although...
  24. MunoRN

    Loss of all personal freedom.

    MunoRN replied to Runnerlives's topic in General Nursing

    A valid diagnosis and treatment plan doesn't override the established right of an employer to prohibit the use of certain medications by employees in safety sensitive positions. I'm not in any way...
  25. MunoRN

    Unstable Admission

    MunoRN replied to ptsfirst's topic in General Nursing

    Based on the description given it doesn't appear clear that this was necessarily anything more than the appropriately handled correction of a knowledge deficit, which the OP then possibly took as a...