MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Medication administration confusion???

    MunoRN replied to Mike DBD's topic in General Nursing

    If there's no reason to do it this way then you're right, it shouldn't be done that way given the additional potential for error. You're not sure if registered nurses can interpret a physican's...
  2. MunoRN

    Medication administration confusion???

    MunoRN replied to Mike DBD's topic in General Nursing

    "Dispensing" as a regulatory term is actually different from what the pharmacy does when they prepare a med for use by an RN. "Dispensing" refers to receiving and interpreting a prescription and...
  3. MunoRN

    What are your Thoughts on Bedside Reporting?

    MunoRN replied to Phoenix16, RN's topic in General Nursing

    There is good evidence to support a bedside "Safety check" as part of report, however the evidence on handoff communication does not support a full report at the bedside. There is extensive research...
  4. MunoRN

    Medication administration confusion???

    MunoRN replied to Mike DBD's topic in General Nursing

    I would agree that having another nurse draw up the med for you to give is adding an unnecessary extra step that is presents an opportunity for error, but I think some are also maybe being a bit...
  5. MunoRN

    Gave Blood transfusion too fast maybe?

    MunoRN replied to Maria1308's topic in General Nursing

    That's actually a pretty good bump from only 1 unit. Keep in mind though that the close-observation period for transfusion reactions that would be detectible during the transfusion should continue...
  6. MunoRN

    Garbage Report

    MunoRN replied to chacha82's topic in General Nursing

    I'm happy to now work in a state where a faxed report is illegal. Although in general I don't see how any competent nurse can find a faxed-only report to be appropriate in a patient being admitted to...
  7. MunoRN

    Worktime issues in the US

    MunoRN replied to SpidersWeb's topic in General Nursing

    It varies from state to state, whether you work under a union contract, etc. Although whether or not you get paid for time worked, that's a common legal requirement to all situations in the US...
  8. MunoRN

    Garbage Report

    MunoRN replied to chacha82's topic in General Nursing

    I worked at a place that was trialing a 'faxed' report for patients coming from the ER, we filled out a form and faxed it to the receiving unit. One of my fellow ER nurses faxed a 'report' that just...
  9. MunoRN

    Unequal Healthcare Costs

    MunoRN replied to broughden's topic in Nursing News

    And I completely agree it would make far more sense to split up the costs in a far more equitable way, and that single payer universal healthcare is the only rational way to do that, and it has the...
  10. MunoRN

    Unequal Healthcare Costs

    MunoRN replied to broughden's topic in Nursing News

    That doesn't really change the costs to everyone else. They could instead get otherwise unpaid costs from government funds, which means it would come from taxes, which we pay for, it's just a...
  11. MunoRN

    Unequal Healthcare Costs

    MunoRN replied to broughden's topic in Nursing News

    The problem is that the bill (which was actually just over $6000) is actually what the hospital has to charge to simply exist. They could bill you $800 instead, although that would mean the hospital...
  12. MunoRN

    Facility Policy or State/Federal Requirements

    MunoRN replied to MrsBRN's topic in Nursing Professionalism

    An "order" just means the Physician has communicated aspects of the plan of care for a patient, such as inserting a foley, this can be communicated in a number of ways including in progress
  13. MunoRN

    Unequal Healthcare Costs

    MunoRN replied to broughden's topic in Nursing News

    There's actually far more to these cost comparisons than it would seem, in this case for instance the outpatient imaging is actually profiting far more than the hospital even though they are only...
  14. MunoRN

    POA / Guardian abuse

    MunoRN replied to Jenn197047's topic in Geriatric, LTC

    I think it's more accurately described as a situation where family education is indicated. I would convey to the family their role in decision making, which is to make sure the patient's wishes are...
  15. MunoRN

    POA / Guardian abuse

    MunoRN replied to Jenn197047's topic in Geriatric, LTC

    The POA's only purpose is to convey the patient's wishes when the patient can't do that themselves, so if the patient is able to convey they want something to eat or drink then it doesn't matter what...
  16. MunoRN

    Writing doctors orders without an actual doctors order

    MunoRN replied to Toadroad's topic in Critical Care

    It sounds like what is actually an acceptable practice has been taken too far, intubation for instance is a medical intervention that really should be based on the MD's personal assessment. But in...
  17. MunoRN

    Cardiogenic shock- patient placement

    MunoRN replied to ownie11's topic in CCU, Coronary, Cardiac

    It sounds like you're referring to what I've always known as an MCS team (mechanical circulatory support) which is typically headed up by a cardiac surgeon with MCS credentialing. Where I've worked,...
  18. MunoRN

    Admitting More ICU Patients than Hospital is Licensed To Take

    MunoRN replied to J Friday's topic in Patient Safety Issues

    Keep in mind that safe harbor laws don't protect your job, they provide a way of communicating that you feel an assignment is unsafe to potentially protect your license, you can still be fired for...
  19. MunoRN

    Hoping I did the right thing for my patient

    MunoRN replied to Agmiuit's topic in General Nursing

    Pharmacy had already reviewed and signed off on the initial dose of the meds, the re-order to a different frequency only applies to when the next doses can be given, so there is no reason to delay the...
  20. MunoRN

    When you have a rule that you don't 'friend' coworkers on FB

    MunoRN replied to klone's topic in General Nursing

    I am not a frequent FB user, but I don't have a problem accepting friend requests for coworkers so long as they aren't an a-hole. On related note, multiple places where I've worked have set up a group...
  21. MunoRN

    CO-PAY!!!

    MunoRN replied to misssomerville's topic in Activism, Healthcare

    Copays are nothing new, and along with the deductible are the main things you look at when choosing a plan; you can choose to pay lower copays and lower deductibles by paying higher premiums, or...
  22. MunoRN

    IV incompatibility error

    MunoRN replied to Pinkflower77's topic in General Nursing

    The commonly available Zosyn formulations include EDTA, in which case it is compatible with LR. LR is not compatible as a reconstitution solution when EDTA is not used, but those preparations are not...
  23. MunoRN

    Inappropriate scoring of GCS in acute stroke patients

    MunoRN replied to dudette10's topic in General Nursing

    Actually the NIHSS is of little use in directing decision making, outside of a pre-TPA risk assessment, it has no established role in ongoing assessments and is correctly identified as an overvalued...
  24. MunoRN

    Minoring in Spanish VS. learning it on your own

    MunoRN replied to baileyxmolto's topic in General Nursing

    College level Spanish is somewhat limited in terms of learning conversational healthcare Spanish. Basic conversational Spanish can often be achieved in 3 years of high school Spanish, or a...
  25. MunoRN

    Inappropriate scoring of GCS in acute stroke patients

    MunoRN replied to dudette10's topic in General Nursing

    A GCS done during a sedation vacation is potentially more useful than one done during sedation, but that doesn't mean you should substitute what you know a patient can do when un-sedated for what they...