MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Inappropriate scoring of GCS in acute stroke patients

    MunoRN replied to dudette10's topic in General Nursing

    GCS in general isn't a particularly useful tool for any purpose, I've worked places where it simply isn't used and for good reason, but you aren't actually supposed to adjust the score based on how...
  2. MunoRN

    State Surveyors Are Here...What Do You Do?

    MunoRN replied to RockinNurse2018's topic in General Nursing

    Surveyors aren't there to evaluate whether you should have a license or not, they are there to determine if the people who run your facility are competent at doing that, if they aren't then there's no...
  3. MunoRN

    CBD & Nursing don't mix

    MunoRN replied to OrganizedChaos's topic in General Nursing

    (Bolding mine) While it is certainly true that some BONs have taken a "zero tolerance" approach, others have not. Oregon for instance has stated it will view recreational marijuana no differently than...
  4. MunoRN

    CBD & Nursing don't mix

    MunoRN replied to OrganizedChaos's topic in General Nursing

    I'm not following you on that one, where are you getting a relationship between medicare and positions State BONs must
  5. MunoRN

    Multiple prn pain meds requested all at the same time

    MunoRN replied to lots2care4's topic in Addictions

    That doesn't make any sense. The gabapentin for instance is always active in their system when taking it as scheduled, so by that logic they can never have any prn
  6. MunoRN

    Right coronary artery infarct

    MunoRN replied to aer2008's topic in Nursing Student Assistance

    What areas of the heart does the RCA deliver blood and oxygen to? What happens when those areas of the heart lose the ability to function
  7. MunoRN

    Striking image of an 8 yo Hands

    MunoRN replied to tining's topic in School

    That's not particularly different than what anybody's handprint on a petri dish would look like, hands aren't generally
  8. MunoRN

    CBD & Nursing don't mix

    MunoRN replied to OrganizedChaos's topic in General Nursing

    There seems to be two extremes on this issue without much in-between. There are those who claim CBD is a cure-all, which it's not, and those who claim it's all a sham, which is equally incorrect. I...
  9. MunoRN

    CBD oil

    MunoRN replied to Mariatvillanueva's topic in Private Duty

    In a regulatory context, "medication" is a well defined term, and it is clearly not a "medication" in that context, and under current laws can't be considered a "medication", it's regulated in the...
  10. MunoRN

    CBD & Nursing don't mix

    MunoRN replied to OrganizedChaos's topic in General Nursing

    State regulations. Not every state regulates THC content in CBD products, but many do and in those states it is tightly controlled with required laboratory confirmation of residual THC levels at...
  11. MunoRN

    Does anyone us glucomander ?

    MunoRN replied to tokmom's topic in General Nursing

    I've used it at a couple of facilities but only for insulin drips, at both places we stopped using it because of safety issues. There's not anything inherently unsafe about the program so long as...
  12. MunoRN

    CBD & Nursing don't mix

    MunoRN replied to OrganizedChaos's topic in General Nursing

    The residual THC content of CBD products is actually highly regulated in a number of states, with each batch-lot undergoing laboratory GS testing for residual THC levels, in which case there isn't...
  13. MunoRN

    CBD oil

    MunoRN replied to Mariatvillanueva's topic in Private Duty

    As the OP pointed out, the MD approves of it's
  14. MunoRN

    CBD oil

    MunoRN replied to Mariatvillanueva's topic in Private Duty

    CBD oil is neither a prescription medication or over the counter medication. The 485 is a set of criteria that establish qualification for billed care, it is in no way the basis for the nursing plan...
  15. MunoRN

    CBD & Nursing don't mix

    MunoRN replied to OrganizedChaos's topic in General Nursing

    It's certainly reasonable to want to avoid any marijuana derivatives out of personal choice or to avoid employment issues, but just to clarify you're not going to "pop positive" for marijuana on a...
  16. MunoRN

    Has anyone else had a nurse manager swear during an interview?

    MunoRN replied to AnnieOaklyRN's topic in General Nursing

    I wouldn't mind, I prefer a salty
  17. MunoRN

    Restraints

    MunoRN replied to emm1256's topic in Patient Safety Issues

    This is the main study that articles misinterpreting the restraint/extubation/delirium cites:Influence of Physical Restraint on Unplanned Extubation of Adult Intensive Care Patients: A Case-Control...
  18. MunoRN

    medical guarded unit

    MunoRN replied to Nursingbsn2b91's topic in General Nursing

    Never heard of such a unit. Does that mean it's a medical floor with guards, or a medical floor for patients in "guarded"
  19. MunoRN

    Restraints

    MunoRN replied to emm1256's topic in Patient Safety Issues

    There have been some articles that draw that conclusion from studies but if you look at the studies you'll see those conclusions are not supported and that the studies actually suggest the opposite....
  20. MunoRN

    Rolling out bedside report

    MunoRN replied to magordon's topic in General Nursing

    Implementation of a full bedside report rarely gets traction because it's an unsafe and ineffective method for report. Nurse's generally will be resistant to anything that interferes with their...
  21. MunoRN

    CBD oil

    MunoRN replied to Mariatvillanueva's topic in Private Duty

    The 485 is a form that establishes the basis for home health coverage, it contributes to but does not define the plan of care for the patient. The nurse takes into account contributors to the overall...
  22. MunoRN

    CPR LAWS

    MunoRN replied to shargrove1201's topic in General Nursing

    CPR is a medical intervention, so a Physician is expected to determine when it is futile and discontinue it when indicated, this can be during or before a patient codes. It's not appropriate or a...
  23. MunoRN

    Charge nurse calls doc at night

    MunoRN replied to Nurse-please's topic in General Nursing

    That pretty clearly violates the basic standards of safe and effective communication, which is that the person who's recognized and has the best understanding of the problem should be the one who...
  24. MunoRN

    newly licensed WA RN on methadone

    MunoRN replied to Washingtonnewrn's topic in Nurse Disabilities

    Nursing is legally considered a "safety sensitive" job, which means an employer can screen you for even legally prescribed medications and deny you employment if you take a medication that could...
  25. MunoRN

    Family Member Watching Pro-terror/ Anti-America/ Anti-Semitic video

    MunoRN replied to sugarmagnolia3's topic in General Nursing

    What you're describing could easily apply to the media sources a large portion of the population utilizes, are you saying it would be reasonable for us to investigate all of these people for criminal...