MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Unstable Admission

    MunoRN replied to ptsfirst's topic in General Nursing

    I'm not sure that being told the patient was OK to come up was really being "reprimanded". How to treat chronically low diastolic pressures in HD patients is something the entire field of nephrology...
  2. MunoRN

    Unstable Admission

    MunoRN replied to ptsfirst's topic in General Nursing

    There's far more information needed to say whether this was an inappropriate admit for a progressive care floor, but based on the information given there was nothing inappropriate about this...
  3. MunoRN

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

    MunoRN replied to Emergent's topic in General Nursing

    A number of the news articles do claim that the child was officially "brain dead", but then contradict that in the details of the article. Many of the articles reference that on the day he started to...
  4. MunoRN

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

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

    My rule is that nursing is all about prioritizing, if charting isn't more important than care which needs to be done then I provide nursing care first, whatever charting doesn't get done just doesn't...
  5. MunoRN

    Central line dislodging?

    MunoRN replied to daniela095's topic in General Nursing

    There's no rationale support for Xraying every time the tubing is "tugged", for many patients that would mean q 15minute CXRs, which would clearly cause more harm than any offsetting
  6. MunoRN

    Need advice on ethics

    MunoRN replied to AWorley80's topic in HIPAA Challenges

    If the only information the photo reveals about the patient is that they died then no, it's not a HIPAA violation, it's super-creepy, but not a HIPAA violation. In the culture most of us our familiar...
  7. MunoRN

    Central line dislodging?

    MunoRN replied to daniela095's topic in General Nursing

    Being "tugged on" while still remaining appropriates secured isn't going to cause an IJ central line to no longer be located in the vessel. Xrays are not benign and should only be used when there is...
  8. MunoRN

    Universal Deathcare.

    MunoRN replied to Kyrshamarks's topic in General Nursing

    It seems to be the fact that broughden is stating their position in a compassionate manner that people are disagreeing with. The things we do to maintain life are only morally justifiable when there...
  9. MunoRN

    Universal Deathcare.

    MunoRN replied to Kyrshamarks's topic in General Nursing

    The dramatics of the description aside, the description is correct, I'm not sure it's legitimate to ask that someone fundamentally change description of their view to make it easier to argue
  10. MunoRN

    My wife won't stay home alone and I don't get to see my family.

    MunoRN replied to Emtmurse15's topic in Health, Stress Management

    Actually my first inclination is usually that people here are just being whiny, which was my first thought on reading the OP. However the more I thought about it the more it was apparent that this is...
  11. MunoRN

    The ANA supports physician funding over safe patient ratios!

    MunoRN replied to DannyBoy8's topic in General Nursing

    I'm no fan of the ANA either, but the link in the OP isn't actually to the ANA position, the ANA position (which I don't agree with either) is here:...
  12. MunoRN

    Marijuana usage by parents in NICU

    MunoRN replied to fifita2010's topic in General Nursing

    The odor can stick with someone and linger where they've been long after they've smoked. You're initial post was that it was just odor you noticed, then later you changed their story to "smoke"...
  13. MunoRN

    When is the best time for blood transfusion?

    MunoRN replied to Davia's topic in General Nursing

    You're welcome for the input and response, but it's not a thank-you I can really accept. You have been fairly intent on only discussing the responses that agree with you're pre-determined conclusion...
  14. MunoRN

    When is the best time for blood transfusion?

    MunoRN replied to Davia's topic in General Nursing

    Having been 'ordered and not completed' just adds it to the overall careplan, it doesn't somehow cause it to no longer be subject to appropriate prioritizing based on nursing judgement. Wanting to...
  15. MunoRN

    Giving last name in report

    MunoRN replied to DaveICURN's topic in General Nursing

    It's a documented condition of licensure in every state, you are a publicly licensed professional which means those receiving your care or their representatives have a legal right to inquire about...
  16. MunoRN

    When is the best time for blood transfusion?

    MunoRN replied to Davia's topic in General Nursing

    It seems what your asking is if we can reliably assume that the blood transfusion was not appropriately prioritized by the previous nurse, and the answer is that no, it is quite possible the previous...
  17. MunoRN

    diuresing from chest tube

    MunoRN replied to MountaineerFan57's topic in CCU, Coronary, Cardiac

    No that's not common, seeing 40-100ml per hour of S/S drainage 7 days after OHS as a "good" thing is impressive optimism. Typically you would expect mediastinal or mediastinal/pleural drainage after...
  18. MunoRN

    Universal Deathcare.

    MunoRN replied to Kyrshamarks's topic in General Nursing

    In general healthcare is very expensive so you could correctly say that "the NHS costs a fortune", however the NHS is actually far cheaper than our system and if anything they could use to spend a bit...
  19. MunoRN

    My wife won't stay home alone and I don't get to see my family.

    MunoRN replied to Emtmurse15's topic in Health, Stress Management

    We should just call this what it is, abuse. Your wife is abusive. Pursue the best possible situation you can for you and your child and get out of an unhealthy
  20. MunoRN

    Giving last name in report

    MunoRN replied to DaveICURN's topic in General Nursing

    That rule applies equally to nurses since we're licensed professionals. Every state requires that we provide our full name on request if it's requested in relation to our nursing practice, with some...
  21. MunoRN

    Piercings allowed at Mayo Clinic

    MunoRN replied to jellybean570's topic in General Nursing

    There are multiple Mayo Clinics and their clientele varies by location so they're rules might vary by location, but generally they have a blanket policy that covers the whole system, the only people...
  22. MunoRN

    Giving last name in report

    MunoRN replied to DaveICURN's topic in General Nursing

    Handoff is part of the standard of care, and you only need to chart in detail that you're following the standard of care if you set that precedent. If as a general rule you specifically chart that...
  23. MunoRN

    Universal Deathcare.

    MunoRN replied to Kyrshamarks's topic in General Nursing

    I think it's far more nuanced than most people make it out to be, including myself. Not even the Catholic Church which is usually pretty good about presenting a consensus view doesn't agree with...
  24. MunoRN

    Giving last name in report

    MunoRN replied to DaveICURN's topic in General Nursing

    In general I would recommend against redundant charting. There's not really any reason to say if you gave report and who you gave it to, that only puts your charting at risk for omissions or...
  25. MunoRN

    Universal Deathcare.

    MunoRN replied to Kyrshamarks's topic in General Nursing

    Of course the government can "determine quality of life", the government frequently intervenes when children are being abused even if the parents don't see it as abuse, do you really feel that's...