Mr. Murse

Mr. Murse

Critical Care/Vascular Access

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All Content by Mr. Murse

  1. charting times

    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 at precisely 0800 and 1400. Then also chart skin bu...
  2. Bedside Report

    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 wrong, I fully support the idea that both the nurses co...
  3. Bedside Report

    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 thing. Verify patient well-being, check IV drips, ch...
  4. Bedside Report

    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 report instead of before. That way the oncoming nu...
  5. Morphine for Hospice Patients: What Nurses Need to Know

    👍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 death with certain patients. You are in a different...
  6. Morphine for Hospice Patients: What Nurses Need to Know

    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 apologize. I'm 100% in favor of a patient dying w...
  7. Morphine for Hospice Patients: What Nurses Need to Know

    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 precise. I assume that I don't even have to tell you ...
  8. Morphine for Hospice Patients: What Nurses Need to Know

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

    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 IV push q5min PRN shortness of breath" or somethin...
  10. New Nurse, Thinking About Throwing in the Towel

    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 doing primarily PICC team/vascular access and float, ...
  11. Truth vs. myths

    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 situation) is that the hospital will defend you.......
  12. 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 semester all across the country. The problem is that th...
  13. Preceptor issues

    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 your pockets until you conveniently get around to ...
  14. Making Mistake During My Orientation

    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 move forward using it to make you a better and more...
  15. IV gtts and arterial line

    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 CVC, etc) as the heparin gtt then you would pause it ...
  16. ICU Nurses Dealing with COVID Patients

    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 honest, non-biased-as-possible view. Ever sin...
  17. 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. Secondly, drinking urine would be essentially like drinkin...
  18. "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 red chloriseptic all over their neck, chest and p...
  19. Giving Report and IV Access

    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 (especially in the ICU) and spending 15 seconds in rep...
  20. Giving Report and IV Access

    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 erroneous IV charting we see as IV therapy. Aside from...
  21. Med Error

    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 people are specifically talking to you or attacking you...
  22. ...Was I being insensitive??

    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 with Covid on their assignments. Sounds like ...
  23. Giving Report and IV Access

    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 more excusable, but I still feel like the ED nurs...
  24. Giving Report and IV Access

    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 have to look up your charting. If that's the case,...
  25. Unintentionally Violated HIPAA. Felt Stupid.

    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. I would quit worrying about it. Everyone has...