kmchugh

kmchugh

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All Content by kmchugh

  1. OB ethical dilemma-need some advice

    kmchugh replied to Jedav's topic in Certified Registered Nurse Anesthetist, CRNA

    You are first a human being, then a student. No one said you had to put away your own moral code to be a student. I long ago made the decision that I would not participate in abortions, short of an...

  2. For My Fellow Veterans

    kmchugh posted a topic in Nursing Humor

    Found online (http://www.duke.edu/~pms5/humor/war.html), thought you all might enjoy this: Murphy's Laws Of Combat 1. If the enemy is in range, so are you. 2. Incoming fire has the right of way. 3....

  3. RN call outs, how do you handle them?

    kmchugh replied to Carotid's topic in Patient Safety Issues

    First, to the question posed by the OP: I think 3dShiftGuy has given you what appears to be a very fair policy where call in's are concerned. The issue is what is fair, both to the nurse who may be...

  4. Job Prospects - Saturation or Shortage

    kmchugh replied to msummar_smc's topic in Certified Registered Nurse Anesthetist, CRNA

    Yoga makes very good points (congrats, by the way, on reaching 44 years as a CRNA.) Current statistics show that CRNA's are retiring, and will continue to retire at a rate faster than the schools can...

  5. Propofol

    kmchugh replied to czipp's topic in Gastroenterology

    This is fine. You are talking about a patient who is already intubated and ventilated. Chances are, anesthesia personnel started the propofol infusion. In any event, I don't really have any problem...

  6. Propofol

    kmchugh replied to czipp's topic in Gastroenterology

    And some nurses want to give propofol just so they can prove what "nursing studs" they are, regardless the risk they are taking with their patients. This is a stupid argument. If this poster had...

  7. Out of my scope - NEED HELP!!!!!!

    kmchugh replied to militaryRN's topic in Patient Safety Issues

    Might your adminstrators have confused the placement of an EJ, which is considered peripheral IV access, with placement of an IJ, which is considered central access? Otherwise, the story you relate...

  8. Should Anesthesia Be an only MD Profession

    kmchugh replied to Oldsalt's topic in Certified Registered Nurse Anesthetist, CRNA

    Apparently "Oldsalt" is trolling. Doesn't want to come back to let us know who he is. Is it just me, or do there seem to be several posters of rather nebulous backgrounds "just asking questions"...

  9. Help, Mouthy!!!!!!!!!!

    kmchugh replied to RNBEAUTY2003's topic in General Nursing

    This probably belongs in general nursing rather than CRNA,

  10. CRNAs under Bush's administration

    kmchugh replied to kstiefel's topic in Certified Registered Nurse Anesthetist, CRNA

    Agree with the above poster. No real change. I practice rurally. We have two CRNA's, no MDA's, and practice independently. I make the decisions regarding my anesthetics.

  11. Should Anesthesia Be an only MD Profession

    kmchugh replied to Oldsalt's topic in Certified Registered Nurse Anesthetist, CRNA

    I'm wondering why you ask this question. Who and what are you? Sorry, but there is something about your initial post that set off alarm bells in my mind. Kevin McHugh,

  12. Does a "B" stand for Blackeye

    kmchugh replied to BamaDan's topic in Certified Registered Nurse Anesthetist, CRNA

    Dan Step back, take a deep cleansing breath, and relax. One B, whether it is in pharm, chem, or in flight missile repair, isn't going to hurt you. You have a solid GPA, and a B in a pharm class is a...

  13. OR Nurses Giving Conscious Sedation--WHY SHOULD WE?

    kmchugh replied to stevierae's topic in Certified Registered Nurse Anesthetist, CRNA

    Like Yoga, I have once had to reverse a benzodiazapine. It was on a teenager who had found his grandma's valium. I was called after the ER doc tried to rouse the kid with Narcan. Oddly enough, it...

  14. OR Nurses Giving Conscious Sedation--WHY SHOULD WE?

    kmchugh replied to stevierae's topic in Certified Registered Nurse Anesthetist, CRNA

    Why are you shouting? What is extensively trained? How many of these do you do a day, and how many patients do your RT's intubate a day? I take it that the physician and RT leave the bedside after...

  15. OR Nurses Giving Conscious Sedation--WHY SHOULD WE?

    kmchugh replied to stevierae's topic in Certified Registered Nurse Anesthetist, CRNA

    :uhoh21: Ladies and gentlemen, here we have it in a nice neat package. This is exactly why there are so many anesthesia providers who are against this practice. A total lack of respect for what...

  16. Why Shouldn't I Tell?

    kmchugh posted a topic in Certified Registered Nurse Anesthetist, CRNA

    Frequently on this board, we have posters who are not yet in nursing school (or have just started) who want to become CRNA's. I often advise these people, among other things, to keep their ultimate...

  17. Panniculectomy

    kmchugh posted a topic in Certified Registered Nurse Anesthetist, CRNA

    Looking for some input from practicing anesthesia providers. We have a panniculectomy scheduled for this week for non-cosmetic indications. Pt is mid-30's, with trisomy 21 and NIDDM. Pt has fairly...

  18. Boards Today

    kmchugh replied to WntrMute2's topic in Certified Registered Nurse Anesthetist, CRNA

    Oh, congratulations on finishing school, and on completing your boards. Welcome to the clan.

  19. Boards Today

    kmchugh replied to WntrMute2's topic in Certified Registered Nurse Anesthetist, CRNA

    Dave When I took my boards, the computer shut down at 90. I KNEW I had flunked. I kept thinking about "all" the questions where I was unsure of the answer. I spent the next week sweating the...

  20. Panniculectomy

    kmchugh replied to kmchugh's topic in Certified Registered Nurse Anesthetist, CRNA

    This is correct. There is a potential for Down's patients to have congenital malformation of the atlato-occipital joint. There have been cases of neck fractures resulting from overzealous neck...

  21. Panniculectomy

    kmchugh replied to kmchugh's topic in Certified Registered Nurse Anesthetist, CRNA

    We did the case today, and it pretty well went off without a hitch. The patient did need the surgery, and I think will do well post-operatively. For intubation, we had the difficult airway cart in...

  22. transgender nurse (transvestite)

    kmchugh replied to nursecathy's topic in Patient Safety Issues

    Another issue entirely. If I remember basic nursing classes, the nurse has the responsibility to accomodate the religious preferences of the patient. I must have missed the day when we were...

  23. Panniculectomy

    kmchugh replied to kmchugh's topic in Certified Registered Nurse Anesthetist, CRNA

    The case is not being done for cosmetic reasons. The patient does not have an empty pouch of skin from which fat was lost. The panniculum is large, and the patient frequently suffers from boils and...

  24. transgender nurse (transvestite)

    kmchugh replied to nursecathy's topic in Patient Safety Issues

    Sharon If the only issue were transgender, I would absolutely agree with you. I do not believe that being transgender is an issue where becoming a nurse is concerned. In fact, I generally think that...

  25. Do you sedate your pts to make them sleep?

    kmchugh replied to rncopper's topic in Patient Safety Issues

    "Do you sedate your pts to make them sleep?" Well, yeah. Usually, I sedate them so heavily they stop breathing! I chemically paralyze them too! Isn't that the objective of anesthesia? (small...