kmchugh

kmchugh

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All Content by kmchugh

  1. 100 days before graduation

    kmchugh replied to alansmith52's topic in Certified Registered Nurse Anesthetist, CRNA

    Folks, you are all going to do fine. Study you Valley Review. Take a deep breath, relax. By the way, while you are relaxing, give yourselves a pat on the back for what you have accomplished so...

  2. Bush Administration Proposes Cut in Veteran Benefits

    kmchugh replied to barefootlady's topic in Activism, Healthcare

    I don't believe I've "over dramatized" my experiences. Been pretty matter of fact about it. As to you "feeling guilty," well I can't make you feel that way. Perhaps you have some reason to feel...

  3. OB questions

    kmchugh replied to guest27716's topic in Certified Registered Nurse Anesthetist, CRNA

    Jenn As I have mentioned before, putting medications into the epidural space is an entirely different proposition than when medications are taken parentally. I cannot promise you that if fentanyl is...

  4. OB questions

    kmchugh replied to guest27716's topic in Certified Registered Nurse Anesthetist, CRNA

    Jenn The only way he can overpower you is if you give him that ability. Most anesthesia providers, be they MD's, CRNA's or AA's, I have met are more than willing to listen, and let you guide the...

  5. OB questions

    kmchugh replied to guest27716's topic in Certified Registered Nurse Anesthetist, CRNA

    Jenn I'm a little short of time, but will try to answer some of your main points: I was so drugged that I am still experiencing w/d symptoms. Alot of doctor's think I'm crazy but I know enough and...

  6. OB questions

    kmchugh replied to guest27716's topic in Certified Registered Nurse Anesthetist, CRNA

    1. General anesthesia is not an option for a mom in labor expecting a normal lady partsl delivery. As a rule, GA is the last option we choose for c-section. There are a lot of reasons for this, but...

  7. Sigma Theta Tau

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

    Can't hurt. I had it on my application to CRNA school, and it is an honor that looks good. But if you do a search, you will find that I also resigned not long afterward, owing to what I saw as a...

  8. Mass application vs Eggs in a Basket Approach

    kmchugh replied to BeatOU's topic in Student Registered Nurse Anesthetist

    Personally, I don't recommend a "shotgun" approach to school applications, mostly for the reasons you mentioned (cost, scheduling conflicts, time investment, etc.) I generally recommend that people...

  9. aspire to become a CRNA...any advice

    kmchugh replied to lizzieB05's topic in Certified Registered Nurse Anesthetist, CRNA

    Absolutely unnecessary, and such advice can be pretty demoralizing. Most programs require a 3.0 GPA to apply. After that, each school will have their own criteria. Certainly, you want to do as well...

  10. Nurse Not Doing Her Job

    kmchugh replied to TreetopAngel_RN's topic in Geriatric, LTC

    This is EXTRAORDINARLY bad advice. You have uncovered a potential problem, specifically a nurse charting actions not done. (I'm not saying she did or didn't do it, simply sumarizing what the...

  11. The right to refuse.. on what basis??

    kmchugh replied to goober's topic in General Nursing

    In my mind, the question boils down to what type of job you accepted when you were hired. In my case, my own beliefs would not allow me to participate in elective abortions. (I make no judgments...

  12. What's So Difficult About Crna School?

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

    It's a combination of a number of factors that makes the school so difficult. 1. Complexity of material: No matter how you shade it, the material isn't easy. It's tough, and there is not always a...

  13. Anesthesia attitudes

    kmchugh replied to UTRN2005's topic in Certified Registered Nurse Anesthetist, CRNA

    I don't think I've ever been anywhere that the relationship between the CRNA's and the MDA's was a poor as it seems at SDN. Remember, those folks are students, they are frazzled and frustrated, and...

  14. man holding wife still during epidural dies!

    kmchugh replied to smk1's topic in Ob/Gyn

    All kidding aside, I do understand what you mean in your earlier post. Were the faint a freakish occurance, I wouldn't worry about it. But it is rare to have more than a month go by that I don't see...

  15. man holding wife still during epidural dies!

    kmchugh replied to smk1's topic in Ob/Gyn

    Steph I absolutely agree with you, 100%. On the other hand, I DO try to avoid situations that might put me in their sight picture, know what I mean? Kevin

  16. How does Demerol work...?

    kmchugh replied to -MNC_RN-'s topic in General Nursing

    If the "rigors" you are referring to are the shakes some patients can get after surgery, the answer is "we don't really know." A lot of theories have been advanced as to how demerol works for this,...

  17. What would you think...

    kmchugh replied to lpnstudentin2010's topic in General Nursing

    You have NOTHING to be embarrassed about. Hear me? NOTHING. A needle stick can be painful, and tears are an uncontrollable (for the most part) response to pain. Shame on anyone who made you feel...

  18. Vicodin or Surgery??

    kmchugh replied to breezy5's topic in General Nursing

    Breezy The real question is what is the highest risk path your friend could follow? In the end, that's between her, her OB, and her surgeon. There are some things to think about, though. The...

  19. Hi I have a couple of questions?

    kmchugh replied to momof4plus1hubby's topic in Ob/Gyn

    From the standpoint of a nurse anesthetist: The drugs that we use for a general anesthetic for a bilateral tubal ligation would mostly be gone from your system by the time you were awake enough to...

  20. man holding wife still during epidural dies!

    kmchugh replied to smk1's topic in Ob/Gyn

    It may interest you all to know that, whatever the outcome of the suit, the fact that this tragedy occurred, and the subsequent lawsuit, has caused me to rethink my practice. In the past, if dad...

  21. Labor epidural lawsuit

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

    Mike Our facility hasn't really responded to this lawsuit at all yet. (We're smaller facility with four full-time and one part-time CRNA's.) However, I became aware of this lawsuit couple days ago...

  22. Question on epidural

    kmchugh replied to guest27716's topic in Certified Registered Nurse Anesthetist, CRNA

    My first question is whether you have any indication that you might need a cesarean section. Don't borrow trouble you don't need. However, be aware that as anesthetists, we often give narcotics to...

  23. Total Knee Surgery

    kmchugh replied to lifesaverwv's topic in General Nursing

    Have done a lot of these as a CRNA. Have not done a femoral block for one, but have seen it done. My question for you is are they planning to insert a femoral cath for continuous block after the...

  24. Share The Weirdest Reasons Patients Push The Call Light

    kmchugh replied to RN06-NP09's topic in Nursing Humor

    At a hospital where I used to work, the staff on one floor was notorious for both incompetence and laziness. One night, paramedics from the county fire department showed up at the nurse's desk on...

  25. Mayhem of a PICU unit

    kmchugh replied to KatyM's topic in Patient Safety Issues

    My first thought after reading your post was not that this woman was "overzealous," but rather that this woman was seriously mentally ill. Perhaps that judgment is a bit too harsh. However, I think...