MunoRN RN

Critical Care

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All Content by MunoRN

  1. MunoRN

    Vasovagal Syncope

    MunoRN replied to Katbug's topic in Nurse Disabilities

    I don't think you need to worry about the fainting so much as this part: "another I had to resign because I couldn't give a certain shot for religious reasons", the first problem with that is that...
  2. MunoRN

    How long before turning?

    MunoRN replied to JRN72's topic in CCU, Coronary, Cardiac

    We turn OHS patients typically within the first hour to move leads around to front, get the OR draw sheet out from underneath them (and invariably some caps and other odds and ends), and a quick...
  3. MunoRN

    Bed baths

    MunoRN replied to bryson.holbrook's topic in General Nursing

    While the good-ol-fashioned soapy water tub and washcloth technique is often preferred by staff as feeling more fulfilling, it's been shown to often do more harm than good. So if the goal is to...
  4. MunoRN

    Patient family vs. patient

    MunoRN replied to bryson.holbrook's topic in General Nursing

    The "log" the patient's family member wants seems to be just the regular charting, in which case I would direct them to whatever processes are in place for getting access to the patient's charting. I...
  5. MunoRN

    can confused pts refuse meds?

    MunoRN replied to cwilliams032's topic in General Nursing

    A confused patient can refuse meds, an appropriately declared incompetent patient can't, confused and incompetent are not interchangeable terms since a person can be confused and still be competent to...
  6. MunoRN

    nurse on nurse bullying

    MunoRN replied to profdocmaher's topic in Patient, Colleague Relations

    Your survey is based on the false assumption that everyone has the same definition of "nurse on nurse bullying", and your only example is of a nurse-nurse confrontation which is not the same as...
  7. MunoRN

    OMG JACHO IS HERE!

    MunoRN replied to hppygr8ful's topic in General Nursing

    I've never gotten why nurses stress over regulatory visits, they aren't evaluating you, they are evaluating how well your facility supports your ability to provide good care. What's really dumb is...
  8. MunoRN

    Nurse to patient allocation in ER what is the criteria

    MunoRN replied to Ouss's topic in Emergency

    The ESI triage process isn't intended for determining nurse staffing ratios, it's only purpose is to determine how quickly the patient should be seen by the MD. There is certainly some correlation...
  9. MunoRN

    Did I make a med error?

    MunoRN replied to Emilythenewgrad's topic in General Nursing

    That seems like an error that is not only possible based on the process being used, but should be expected. It would be far more safe and reliable if (preferably) the physician was placing the order...
  10. MunoRN

    Did I make a med error?

    MunoRN replied to Emilythenewgrad's topic in General Nursing

    Are you sure you maybe didn't misunderstand, and the reason why the pharmacy didn't update your EMR was that it isn't actually something they
  11. MunoRN

    Did I make a med error?

    MunoRN replied to Emilythenewgrad's topic in General Nursing

    Why aren't you or the physician putting it into the
  12. MunoRN

    Did I make a med error?

    MunoRN replied to Emilythenewgrad's topic in General Nursing

    Is the regular process really for the pharmacy to modify the order in the MAR? It seems unlikely that a third party pharmacy would go into your eMAR and modify the order. Many pharmacies are...
  13. MunoRN

    Did I make a med error?

    MunoRN replied to Emilythenewgrad's topic in General Nursing

    Ideally you would follow the process that already exists for error reduction and improvement, and identify the problem (neither the physician nor the nurse are keeping the eMAR up to date) and propose...
  14. MunoRN

    Did I make a med error?

    MunoRN replied to Emilythenewgrad's topic in General Nursing

    If what you describe is how the process is supposed to work then it would appear the ball was dropped by the pharmacy, but it also sounds like it's a bad process which is to blame if that's how it's...
  15. MunoRN

    Iv compatibility

    MunoRN replied to Sandradelanian's topic in General Nursing

    Whether they're compatible or not isn't the main issue, the bigger issue is that would involve a number of bag accesses that isn't legal outside a licensed compounding
  16. MunoRN

    Administer medication right or wrong

    MunoRN replied to Lovenursing1116's topic in Patient Medications

    Medication orders should express the ordered dose, not a math calculation that will lead you to the correct dose, and should not contain any values that could be confused for the dose, such as 0.25...
  17. MunoRN

    Mandatory flu shots????

    MunoRN replied to 45whenimdone's topic in Disaster Preparation

    Autoimmune diseases are not a reason to avoid influenza vaccinations, they are actually a known subgroup for whom influenza vaccinations are even more important than in the general
  18. MunoRN

    With-holding resuscitation on pt in the absense of a signed DNR order form? What?!

    MunoRN replied to Cat_RN's topic in Patient Safety Issues

    The Florida POLST form is not required to be yellow in order to be valid in or out of a hospital, and it does not have to be yellow in color for EMS to utilize it. The form specifically states that...
  19. MunoRN

    Catholic Nurse Sues Duke University Hospital After Refusing to Assist with Abortions

    MunoRN replied to tnbutterfly - Mary's topic in Nursing News

    Ms Falise has stated that the Duke ER provides emergency contraception and emergent abortions to save the mother's life, which Ms. Pedro's lawyers misleadingly described as just abortions in general....
  20. MunoRN

    Dangers of teaching kids they can be boys or girls

    MunoRN replied to nursingaround1's topic in General Nursing

    So someone born with XY chromosomes but who's genitalia is female (which occurs in about 1 in 80,000 births), has what innate gender
  21. MunoRN

    Dangers of teaching kids they can be boys or girls

    MunoRN replied to nursingaround1's topic in General Nursing

    I know you're not one to be swayed, but you should consider whether your premise is accurate. Gender is not a binary state, a person's gender characteristics all exist on a spectrum. We can easily...
  22. MunoRN

    Transitioning from 12 hour shifts to Mon-Fri?

    MunoRN replied to wsoxgirl2008's topic in Public, Community Health

    I think it completely depends on your personal preference, which will be hard for you to gauge if you've never worked M-F 9-5. I know nurses who really want those hours and are looking for how to get...
  23. MunoRN

    Sedation

    MunoRN replied to ILoveHorses's topic in PICU, Pediatric

    That would be a fair point if there was any evidence that ketamine impairs airway protection, the problem is there is no evidence to support that. There are studies that have looked at this...
  24. MunoRN

    Will my license be at risk?

    MunoRN replied to Elmstreet209's topic in General Nursing

    There's an important clarification there, the family can only be notified at the direction of the patient or with consent from the patient. As a nurse who works in an ER, the understanding family...
  25. MunoRN

    Will my license be at risk?

    MunoRN replied to Elmstreet209's topic in General Nursing

    If the patient is legally competent then you actually can't notify anyone of their admission to a hospital without their expressed consent to do so, patients do need to be asked if there is anyone...