MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Universal Deathcare.

    MunoRN replied to Kyrshamarks's topic in General Nursing

    Parents don't have "full decision making capabilities in the US", it actually works the same exact way here. Hospitals and their ethics committees can determine that futile care is not appropriate...
  2. MunoRN

    Pre-op thinks I sent them a mess

    MunoRN replied to Elaken's topic in Medical-Surgical

    There doesn't appear to have been anything wrong with the care you provided, the patient was going to the ER because they had a septic wound so the anesthesiologist shouldn't have been surprised when...
  3. MunoRN

    Universal Deathcare.

    MunoRN replied to Kyrshamarks's topic in General Nursing

    Except the decision that futile invasive treatment was not justified came from the UK judiciary system, not the UK nationalized healthcare system. Our judicial system takes the same action from time...
  4. MunoRN

    Mandated Nurse-Patient Ratios

    MunoRN replied to Nurse Beth's topic in General Nursing

    It allows a facility to take acuity into account and go beyond the minimum ratios, but doesn't actually require staffing to be adjusted based on acuity in any meaningful way. It requires acuity...
  5. MunoRN

    Can you give preblood transfusion IV meds less than 30 mins before the transfusion?

    MunoRN replied to Luichiede's topic in General Nursing

    I would guess you're referring to premedication for a febrile non-hemolytic reaction, in which case the medication is primarily for patient, and nurse, comfort. It keeps the transfusion being...
  6. MunoRN

    Universal Deathcare.

    MunoRN replied to Kyrshamarks's topic in General Nursing

    That's a pretty bold claim to make without including any sort of explanation of how you came to that conclusion. Alfie Evans had a terminal and untreatable neurologic condition that has left him in a...
  7. MunoRN

    I took a 25 mg of Seroquel the night before a drug test, will it show up as a something?

    MunoRN replied to Pdjorgen's topic in Patient Medications

    Seroquel is a common cause of amphetamine false positives, in which case the sample is laboratory tested for confirmation which reveals the cause of the false positive. If the person was unable to...
  8. MunoRN

    The ANA is worthless, looks down on floor nurses, don't join!

    MunoRN replied to DannyBoy8's topic in General Nursing

    The problem with the Massachusetts ANA position is that they appear to suggest that their ballot initiatives propose requiring that staffing be based on workload rather just number of patients, which...
  9. MunoRN

    Watchman device/LAA closure RN

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

    Ours stay in an observation unit overnight, get a TEE in the morning, then go
  10. MunoRN

    I took a 25 mg of Seroquel the night before a drug test, will it show up as a something?

    MunoRN replied to Pdjorgen's topic in Patient Medications

    It depends on the panel they use for the initial screen, but if they screen for it then yes, you might be in trouble. You took a (non-scheduled) prescription medication without a prescription, you...
  11. MunoRN

    Maintaining Patent Venous Access in Hypercoagulable State

    MunoRN replied to bgxyrnf's topic in General Nursing

    Heparin sodium isn't actually FDA approved as a catheter locking agent, then again, neither is NS. Although that's not particularly relevant because FDA labelling limits what a product can be...
  12. MunoRN

    Maintaining Patent Venous Access in Hypercoagulable State

    MunoRN replied to bgxyrnf's topic in General Nursing

    Venous flow in the limbs occurs primarily through "an outside force" compressing the vein, ie muscle contractions. The purpose of SCDs is to mimic the vein compression that occurs as a result of...
  13. MunoRN

    Maintaining Patent Venous Access in Hypercoagulable State

    MunoRN replied to bgxyrnf's topic in General Nursing

    At typically around 50 mmHg SCDs compress the vein less than muscle contractions do with common movements and ADLs, so if SCDs should be avoided in a PICC extremity due compression of the vein then...
  14. MunoRN

    Crap! Am I a crusty old bat nurse?? Carrying pens...

    MunoRN replied to klone's topic in General Nursing

    Pilot G2s are for pen philistines, the Zebra F301 0.7 is the way to go. I only use a pen to mark my coffee cup, I don't use a brain sheet, there are sharpies in all the nurse servers, but I feel naked...
  15. MunoRN

    Federal Nurse Staffing Bill Comparison

    MunoRN replied to NursesTakeDC's topic in General Nursing

    I agree that workload based staffing requirements would be better than simple ratios, but the ANA doesn't require that either. The ANA proposal at the federal level is the same as what they've backed...
  16. MunoRN

    Discharging Patient With Opioid in Hand?

    MunoRN replied to ceegee69's topic in General Nursing

    The difference there is that meds given in an LTC have often already been dispensed for that specific patient by a pharmacy, the LTC is then giving the patient meds from the patient's stock of meds,...
  17. MunoRN

    Discharging Patient With Opioid in Hand?

    MunoRN replied to ceegee69's topic in General Nursing

    Giving a patient a medication for them to self-administer typically falls under "dispensing". You could either administer the medication before they leave, or have it properly dispensed by the...
  18. MunoRN

    Do I have critical care experience?

    MunoRN replied to pepino23's topic in Critical Care

    I would declare your experience on an application as what it actually is; progressive care. There's certainly nothing wrong with progressive care experience, but it is by definition a different level...
  19. MunoRN

    PICC line question

    MunoRN replied to FDBMath's topic in Nursing Student Assistance

    I would avoid using petrolatum directly on or in the puncture site, this presents the potential for the petrolatum to enter the vessel, and there has been at least one documented case of death due to...
  20. MunoRN

    Sepsis protocols causing a future superbug??

    MunoRN replied to Alexx_xox's topic in General Nursing

    The Sepsis guidelines have never actually recommended initiating basing antibiotic treatment on the screening tools in use, the screening tools are only meant to trigger further assessment to...
  21. MunoRN

    Do nurses get away with nurse brutality

    MunoRN replied to DesiDani's topic in General Nursing

    You're making broad, unsubstantiated accusations of abuse, it shouldn't be too surprising if that isn't well received. If you want to discuss whether specific scenarios might be appropriate or not...
  22. MunoRN

    Do nurses get away with nurse brutality

    MunoRN replied to DesiDani's topic in General Nursing

    The evidence is pretty clear that nurses are far too often on the receiving end of physical violence, incidents of truly unjustified physical intervention are relatively rare. There is unfortunately...
  23. MunoRN

    Do nurses get away with nurse brutality

    MunoRN replied to DesiDani's topic in General Nursing

    I'm referring to pretty typical ICU care that I provide in patients where the family doesn't see any downside to what we're subjecting them to. (I'm not agreeing we guilty of "brutality", but it is...
  24. MunoRN

    Do nurses get away with nurse brutality

    MunoRN replied to DesiDani's topic in General Nursing

    I wish the public were more willing to see what we commonly do as brutality, but unfortunately the public and family members tend to be more likely to disagree with us when we say that what they are...
  25. MunoRN

    Medication administration confusion???

    MunoRN replied to Mike DBD's topic in General Nursing

    Pharmacists certainly play an important role in the medication review process and they should be utilized whenever the clinical situation allows, but they aren't a required part of the process between...