Mr. Murse

Mr. Murse

Critical Care/Vascular Access

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All Content by Mr. Murse

  1. ICU or Step down

    Mr. Murse replied to rpresto706's topic in Critical Care

    I recently made the post about new grads in the ICU, and in general I think it's a good idea to get some experience outside of the units first. Stepdown sounds like an awesome way to get some well...

  2. New Grads in the ICU

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

    yes, I didn't even mention this part. The experienced nurses on the units are constantly training and having to pick up the slack. Our night shift is made up of probably at least 80% of nurses with a...

  3. Post-Extubation Policy

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

    Similar to the above post, we stop sedation and check alertness and command following and put them on spontaneous/pressure support for at least an hour. Sometimes an hour is all an agitated,...

  4. Normal Saline as a flush for PEG

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

    I think missmollie's comment is probably on the right track. I've worked in neuro ICU quite a bit and never seen saline flushes through a feeding tube, but my guess would be that it has to do with...

  5. Would I test positive for marijuana if my client smokes it

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

    It is highly unlikely for you to test positive from second hand smoke unless either the smoker is blowing it directly in your face or you are in a small enclosed space with them, like a car. Honestly,...

  6. Is it worth going back to get my rn when I make 57,000 a year?

    Mr. Murse replied to LPNTORN704's topic in General Nursing

    I'm surprised no one has said this, but if money is the only factor you're considering then don't do it. The last thing this field needs is another disgruntled nurse who hates their job and isn't...

  7. Accused of not giving dilaudid

    Mr. Murse replied to KMULL002's topic in General Nursing

    Like others have said, forget about it. This certainly won't be the last patient like this if you stay in the field. I distinctly remember one patient a few years back that did this sort of thing,...

  8. Turn Q2 and patient refuses

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

    how mobile are they? I mean if they're physically able to reposition themselves then chances are that they are repositiong slightly anyway, maybe not fully turning and tucking a pillow, but enough to...

  9. How did you spend your first nursing paycheck?

    Mr. Murse replied to NewGradRN114's topic in General Nursing

    I worked full-time through school and so my first nursing paycheck wasn't very significant. A slight pay increase but nothing to really

  10. racist patients

    Mr. Murse replied to Rn 1979's topic in Patient, Colleague Relations

    I will not pretend that I know what it feels like to be discriminated against in this country (I assume you're in the US) because of my skin color, but I will say I have seen nurses discriminated...

  11. nurses who are bad patients

    Mr. Murse posted a topic in Patient, Colleague Relations

    So this is somewhat of a vent, but also a genuinely curious inquiry. I've noticed over the years that when we have a patient who also happens to be a nurse in their "real life", they are usually...

  12. nurses who are bad patients

    Mr. Murse replied to Mr. Murse's topic in Patient, Colleague Relations

    I don't feel like this really falls into the category I was talking about. Drug and illness induced hallucinations and delirium leading to unruly behavior is not the same as a perfectly lucid...

  13. nurses who are bad patients

    Mr. Murse replied to Mr. Murse's topic in Patient, Colleague Relations

    No, i don't consider the patients who just go along with everything to be good patients at all. That's not remotely a factor in how I would define a good or bad patient. In fact, I love patients who...

  14. Male nursing student and female patient

    Mr. Murse replied to StudentNurseM1's topic in Men in Nursing

    I've been nursing for about 4 years now and had hundreds of female patients and honestly there is no one way to handle any situation. It's actually quite rare that being a male nurse is an issue. I...

  15. Applying for BSN Program

    Mr. Murse replied to TipsyNinja's topic in Men in Nursing

    I don't know much about California in particular, but I say just apply to a few different schools in your area and see what happens. It's competitive everywhere, so just go for

  16. New Nurse Exhausted from Extremely Long Shifts? Help?

    Mr. Murse replied to KellySpencer800's topic in LPN, LVN Corner

    19 hour shifts? I don't think that's even legal where I live. Seriously though, just say no to working any more OT than you know you can comfortably handle, or just no to working any more than you...

  17. Priming potassium lines

    Mr. Murse replied to Melanin's topic in Patient Medications

    Why is priming a line with K any different than priming any other line? As for bubbles, frankly, you'd have to run a huge portion of tubing full of air to risk an air embolus, a couple of tiny bubbles...

  18. Workplace Cowardice

    Mr. Murse posted a topic in Patient, Colleague Relations

    One of my biggest pet peeves is when people have an issue with what someone else does and before addressing it with that person, they take it directly to management or a "higher up" while the offender...

  19. charting times

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

    That's the thing though......ultimately, charting is all about covering our own butts. If you get taken to court by a good attorney, they will eat you up on every little discrepancy they find. If I...

  20. I want to quit nursing.

    Mr. Murse replied to Nomad_Nurse1's topic in General Nursing

    I don't mean this condescendingly, but I'm curious how old you are and what job experience you had prior to nursing. I say this because I noticed your complaints were about issues that are present in...

  21. Nerves/shakes while performing nursing skills

    Mr. Murse replied to alpha22's topic in General Students

    Practice is really your only solution. Maybe even try to always find someone to come watch you so that you're used to it when the time comes to be assessed. Learn to just focus in on your task and...

  22. Screaming match with my preceptor

    Mr. Murse replied to jherd's topic in Patient, Colleague Relations

    I would strongly suggest (in the interest of all involved) that you suck it up and pull the preceptor aside and apologize for losing your temper on her. Then go on to calmly explain that you felt she...

  23. Where will I have the least amount of contact with men?

    Mr. Murse replied to nightflower's topic in Ob/Gyn

    As others have said, OP, it would be very wise of you to take a long hard look at where your issue with men comes from and possibly even get help to deal with it. This would probably help you in many...

  24. Why don't you just read the chart?

    Mr. Murse replied to Guest219794's topic in Patient, Colleague Relations

    I'll tell you exactly why I ask details in reports: half the time the charting is wrong or inconsistent!!!!! Especially from the ER/OR/etc. So sure I could look it up, but then I go in and find an...

  25. Dear New Grad Nurse

    Mr. Murse replied to ashrose1992's topic in General Nursing

    When I used to train on my old surgical floor, one of the most common things I'd see new nurses do is become overly task oriented. No doubt nursing can be very task oriented at...