Mr. Murse

Mr. Murse

Critical Care/Vascular Access

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All Content by Mr. Murse

  1. Bedside Report

    Mr. Murse posted a topic in General Nursing

    I'm wondering if anyone else thinks the incessant push by unit managers to do a "bedside report" is ridiculous (I assume the facilities I work at are not the only ones doing it). Don't get me...

  2. charting times

    Mr. Murse posted a topic in General Nursing

    Is anyone else's management asking you to chart at precise times, regardless of the time you actually did the task at? For example, our management has starting asking that we chart shift assessments...

  3. Bedside Report

    Mr. Murse replied to Mr. Murse's topic in General Nursing

    I'm not sure if you read the original post or most of the other responses on the thread, but we all agree that briefly going in to your patient's rooms together after report is a good and necessary...

  4. Bedside Report

    Mr. Murse replied to Mr. Murse's topic in General Nursing

    Yeah I've walked into patients lying on the floor and other crazy things before too. Which is why I'm 100% on board with going in the room together at shift change, but I feel like it should be after...

  5. Morphine for Hospice Patients: What Nurses Need to Know

    Mr. Murse replied to KyleStaarmannRN's topic in Patient Education

    ?Never said that it did, my friend. I also work at a hospital, where "1-2mg Morphine q5min PRN shortness of breath" is completely up to the nurse's discretion and it most certainly could hasten...

  6. Morphine for Hospice Patients: What Nurses Need to Know

    Mr. Murse replied to KyleStaarmannRN's topic in Patient Education

    I was responding specifically to pmabraham, and I'm not sure how my tone or words could be interpreted as accusatory or throwing shade, but if they came across that way to you or anyone else then I...

  7. Morphine for Hospice Patients: What Nurses Need to Know

    Mr. Murse replied to KyleStaarmannRN's topic in Patient Education

    First of all, I'm not accusing anyone of euthanasia. I'm saying there is a thin line between "making someone comfortable" and accelerating their death, and it is most certainly not clear cut or...

  8. Morphine for Hospice Patients: What Nurses Need to Know

    Mr. Murse replied to KyleStaarmannRN's topic in Patient Education

    You have a valid point, but where's the line that separates "helping" a person with the process of dying and euthanasia? It's vague at

  9. Morphine for Hospice Patients: What Nurses Need to Know

    Mr. Murse replied to KyleStaarmannRN's topic in Patient Education

    It may be a little inaccurately broad to say "Morphine will not hasten death". In the hospital setting when a patient transitions to Comfort Care it is not uncommon to see orders like "Morphine 1-2mg...

  10. New Nurse, Thinking About Throwing in the Towel

    Mr. Murse replied to SICURN19's topic in General Nursing

    Well I'll be the contrasting voice in the comments here and say that I actually really have enjoyed nursing (I'm almost 11 years in). I've done med/surg, ICU, charge, travel nursing, and currently...

  11. Truth vs. myths

    Mr. Murse replied to nurseinthemaking24's topic in General Nursing

    The $100 (ish) I pay every year for malpractice insurance is well worth my peace of mind. What I've been told (and seems to be verified by the post above who had been sued, and by the Radonda Vaught...

  12. This Guy's Take on How to Fix the Nursing Shortage Temporarily

    Mr. Murse replied to Red Shirt 6's topic in General Nursing

    There's never been a literal nursing shortage. It's a misnomer. There are plenty of RNs out there to fill every needed nursing roll, and there are plenty of nurslings rolling out of school every...

  13. Preceptor issues

    Mr. Murse replied to atlnurse7's topic in Critical Care

    Honestly, if you're still training, it sounds like you're developing some bad habits early on that are going to catch up to you sooner or later. Habitually carrying unwasted controlled meds around in...

  14. Making Mistake During My Orientation

    Mr. Murse replied to Starburst's topic in First Year After Licensure

    I don't say this to worsen your anxiety.......but this won't be the last mistake you ever make. In fact if you're human like most of us, it will be one of many. All you can do is learn from them and...

  15. IV gtts and arterial line

    Mr. Murse replied to Kate96's topic in Critical Care

    I've brought this topic up on its own thread before, but I'm wondering why you think heparin needs to be held to draw a PTT? obviously if you're drawing from a different lumen of the same PICC (or...

  16. ICU Nurses Dealing with COVID Patients

    Mr. Murse replied to MareBear112's topic in Disaster Preparation

    I work in the ICUs of 2 major hospitals in my area, and on the vascular access teams of 3, so I've had a pretty good view of the covid situation for the past couple of years around here. So here's my...

  17. What is something you never thought you'd have to say to a coworker?

    Mr. Murse replied to SilverBells's topic in General Nursing

    Actually........once urine passes through the outer parts of your urethra it is no longer sterile and would contain multiple types of bacteria you wouldn't want introduced into your GI tract....

  18. What is something you never thought you'd have to say to a coworker?

    Mr. Murse replied to SilverBells's topic in General Nursing

    "the chloriseptic spray supposed to go INSIDE YOUR MOUTH to help your sore throat"........to a patient I walked in to find looking like they had been shot in the throat, after spraying themselves with...

  19. Giving Report and IV Access

    Mr. Murse replied to thehipbonesconnected's topic in General Nursing

    I guess I just don't see the access as an inane data point, and I can't agree with the arguments suggesting as such. Furthermore, I really don't understand why remembering where your IVs are...

  20. Giving Report and IV Access

    Mr. Murse replied to thehipbonesconnected's topic in General Nursing

    I'm wondering, do you believe nurses should be doing shift change reports at all then? Why not peruse through the charting instead? As for charting, I can't tell you how many copy-pasted and...

  21. Med Error

    Mr. Murse replied to Rada's topic in General Nursing

    Keep in mind that often on this forum once a thread gets rolling it really ceases to be only about the OP and gets into more general discussion about the topic that was brought up. I don't think...

  22. ...Was I being insensitive??

    Mr. Murse replied to Delia37's topic in General Nursing

    I'm surprised she managed to dodge Covid patients for 3 weeks. Most travelers I know just accept the fact that that's essentially why they're even needed, and they will be usually exclusively working...

  23. Giving Report and IV Access

    Mr. Murse replied to thehipbonesconnected's topic in General Nursing

    You're talking about ED report to the floors or unit, not inter-shift report on the unit, where I feel like it is a useful part of report that's not very hard to keep up with. Coming from the ED it is...

  24. Giving Report and IV Access

    Mr. Murse replied to thehipbonesconnected's topic in General Nursing

    As an IV therapy/PICC/ICU nurse, I'm surprised that any RN doesn't see the importance in reporting off the size, location, and functionality of your access. It's silly to expect the oncoming nurse to...

  25. Unintentionally Violated HIPAA. Felt Stupid.

    Mr. Murse replied to Streetnurse42's topic in HIPAA Challenges

    I'm pretty sure that doesn't constitute a HIPAA violation. Frankly though, even if it does.........if no one cares then no one cares, and you seem to be the only one that cares in the situation....