murseman24 MSN, CRNA

murseman24 is a MSN, CRNA and specializes in anesthesiology.

Latest Activity

1. 

   No Narcs?

   murseman24 replied to MTRNlove's topic in General Specialties

   Why?
2. 

   Took Ibuprofen for 2nd Vaccine

   murseman24 replied to jlv613's topic in COVID

   I think the general recommendation is to take tylenol over ibuprofen as ibuprofen has been shown to reduce the immune response somehow. This is probably more of an issue with older patients who typically don't mount as adequate of an immune response...
3. 

   Intubation Should Be A Nursing Skill, Especially Now

   murseman24 replied to ErikWeeWoo's topic in COVID

   agreed. If already coding RT can intubate, as they don't need meds at that point and all you need is the physical act of intubating. Someone circling the drain requires much more consideration with someone that has the legal authority to make indep...
4. 

   Intubation Should Be A Nursing Skill, Especially Now

   murseman24 replied to ErikWeeWoo's topic in COVID

   I performed over 500 intubations before graduating CRNA school, and after that there were still plenty of airways that would give me pause or require extra help and consideration. Special situations like limited mouth opening or deranged anatomy/phy...
5. 

   JUST finished school

   murseman24 replied to Guest 1064378's topic in General Nursing

   Why wait so long to take your boards? Didn't you just spend the last 4 years learning what you need to take them? I think it better to cram really hard over a two week period if you're worried about boards then to wait so long to take them. I mean...
6. 

   New grad from online RN program with ZERO CLINICAL EXPERIENCE

   murseman24 replied to angel1312's topic in General Nursing

   How can one have the capacity for this when they are focused on how to prime the IV tubing they never got to touch in school? No, you have to be able to go through the basic motions before you can "ascend" to the level of critical thinking.
7. 

   New grad from online RN program with ZERO CLINICAL EXPERIENCE

   murseman24 replied to angel1312's topic in General Nursing

   This is ridiculous and SHOULD NOT BE A THING. You should not be able to graduate without a minimum of clinical hours. When I graduated I worked as a CNA in the ICU full time during the nights while I did nursing ADN program full time. I did CPR mo...
8. 

   New grad from online RN program with ZERO CLINICAL EXPERIENCE

   murseman24 replied to angel1312's topic in General Nursing

   yes
9. 

   IV Vitamin Infusion therapy, what you don't know can hurt you

   murseman24 replied to nlkimmel's topic in General Nursing

   Noice! *tips hat in your direction
10. 

    opioids

    murseman24 replied to suturethis's topic in Safety

    Toradol is supposed to have the same strength as 10mg of morphine. There is good evidence for magnesium. Tylenol and ibuprofen work best when given together. Gabapentin.
11. 

    IV Vitamin Infusion therapy, what you don't know can hurt you

    murseman24 replied to nlkimmel's topic in General Nursing

    "When medication such as a vitamin is administered via intravenous infusion the vitamin bypasses the liver; this is known as the first-pass effect." That's not really how that works... Why waste your time exaggerating the purported dangers of...
12. 

    Bagging ETT

    murseman24 replied to stacylethani's topic in Critical

    Looks like ya'll pretty much got the physiology covered, quality post guys! Only thing I can add towards bagging "technique" is when squeezing hold the bag for a quick half second at end inspiration to allow the alveoli to remain open and turn up th...
13. 

    Very Confused About Flushing IV Lines And Bolus Administration

    murseman24 replied to Demareseitipota's topic in General Students

    I just want to say I think it's great that you're critically thinking and questioning these practices.
14. 

    Over $300k in student loans - help.

    murseman24 replied to friendlyskies's topic in General Nursing

    the IBR schedule is 20 years, not 10, that is PSLF. Mathematically you just pay less this way, plain and simple.
15. 

    Over $300k in student loans - help.

    murseman24 replied to friendlyskies's topic in General Nursing

    This statement was made in response to a comment on the general utility of Dave Ramsey's advice from someone other than the OP. My advice as previously mentioned to the OP is to get on an income-based repayment program and go for forgiveness. In th...