murseman24 MSN, CRNA

anesthesiology

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All Content by murseman24

  1. murseman24

    Best sedation med

    murseman24 replied to miamiheatrn's topic in General Specialties

    Precedex was the only thing we were allowed to keep on when we were coming off the vent, so it was used to that end. But yeah, I wouldn't call it a "strong" med for sedation
  2. murseman24

    Will my stats get me into school?

    murseman24 replied to CVRN931's topic in Student Registered Nurse Anesthetist

    GPA not a deal breaker but it will stand out as a little subpar I think. Some schools take the GRE (yours is pretty good) a little more serious than GPA, and look at science GPA in addition to total...
  3. murseman24

    Nursing Prioritization! Help!

    murseman24 replied to 7816fallonm's topic in Nursing Student Assistance

    samesies.
  4. murseman24

    Ondansetron contraindicated for subdural and epidural hemorrhage?

    murseman24 replied to smuin538's topic in Nursing Student Assistance

    I don't know either. I know zofran can cause headaches, that's about the only neuro symptom I can think of. It's not you being a student, that's a good
  5. murseman24

    Afib

    murseman24 replied to BSN_Studnt's topic in CCU, Coronary, Cardiac

    Offlabel and passinggas, It is quite obvious from your posts you work in anesthesia (also passinggas is a bit of a giveaway . Being able to think for yourself and getting away from policies as a...
  6. murseman24

    Atrial kick and A-flutter

    murseman24 replied to usernamee's topic in CCU, Coronary, Cardiac

    Sorry, I didn't get a "notice" that you replied b/c I wasn't quoted in your response. So let me know if I'm interpreting this correctly. CO is maintained by increased preload (from the RAAS system)....
  7. murseman24

    Best sedation med

    murseman24 replied to miamiheatrn's topic in General Specialties

    Sounds like you have a pretty good working knowledge already. Do you have a specific question regarding these meds? In our ICU we used Prop/Fentanyl as the standard, but if hemodynamically unstable...
  8. murseman24

    Intubation turning into a code blue

    murseman24 replied to ICUisLife's topic in Critical Care

    That sounds like he doesn't know what he's doing. First step should have been an OPA and 2-handed technique. "The bag not working" just sounds stupid. Mask ventilating really is a skill that needs...
  9. murseman24

    New Grad in the ICU. Is this right for me?

    murseman24 replied to Emmastone's topic in Critical Care

    Sounds like you're already doing it. Maybe buy an ICU specific nursing book for reference. I had one from the
  10. murseman24

    Anyone else regret becoming a nurse?

    murseman24 replied to Florida Sun RN's topic in General Nursing

    If you don't mind me asking, what exactly did you do as a primary care RN that a MA doesn't do? Giving injections and assisting with procedures sounds like a MA job
  11. murseman24

    Is it just me or is nursing school not as difficult as everyone makes it sound?

    murseman24 replied to Nicolecn's topic in General Students

    I think you'll be
  12. murseman24

    Is it just me or is nursing school not as difficult as everyone makes it sound?

    murseman24 replied to Nicolecn's topic in General Students

    I think the difficulty level is highly overrated. I had children and full time work when I was going through school as a second career and got through with a 4.0 never really feeling stressed about...
  13. murseman24

    Any facilities actually using an AccuVein? Any thoughts?

    murseman24 replied to BiscuitStripes's topic in General Nursing

    Worthless. ultrasound is the way to go for a difficult stick. I hate those things, never had any success with them. Guaranteed to get it every time with
  14. murseman24

    Does the BSN in 10 apply to all nurses or just RN's and why?

    murseman24 replied to LPNTORN704's topic in General Nursing

    I'm personally not a fan of any of those topics, but if they are going to be a mandatory part of the curriculum than either make them sporifice and not encompass the entirety of the BSN, or make them...
  15. murseman24

    Med error . I’m devastated

    murseman24 replied to Stephen ww's topic in General Nursing

    Could be worse. At least you didn't give Vecuronium instead of Versed
  16. murseman24

    Does the BSN in 10 apply to all nurses or just RN's and why?

    murseman24 replied to LPNTORN704's topic in General Nursing

    I don't oppose the BSN as an entry level for nurses. I oppose the curriculum. The fluff classes are in every program, it's the foundation of the BSN. If you are receiving a "higher" level of...
  17. murseman24

    Does the BSN in 10 apply to all nurses or just RN's and why?

    murseman24 replied to LPNTORN704's topic in General Nursing

    I would like to think so, but I whole heartedly disagree. Please tell me one instance where a course in nursing informatics, ethics, and "nursing management". Is applicable AT ALL. The management...
  18. murseman24

    Does the BSN in 10 apply to all nurses or just RN's and why?

    murseman24 replied to LPNTORN704's topic in General Nursing

    I went to an ADN, then did the ADN-BSN. I got 4 ICU job offers and only put in two applications. I was on a 1 day rotation to the ICU and was offered a job in said ICU with the option of starting in...
  19. murseman24

    Understanding the Power of Nursing Specialty Certifications

    murseman24 replied to Melissa Mills's topic in General Nursing

    We got a small raise after getting our unit certification. I think it's a good idea and shows a moderate level of understanding in said field. The cost of testing should be reimbursed by the unit...
  20. murseman24

    Medication error

    murseman24 replied to red426's topic in General Nursing

    If the pt was deteriorating rapidly cardiovert would have been better. You were just following orders and doing what you thought would help. Rapid response anytime the pt is deteriorating like that...
  21. murseman24

    Moderate Sedation Tips

    murseman24 replied to 5h3ryL's topic in Gastroenterology

    peak effect of Versed 5 min, peak of Fentanyl, 7 min. Give with enough time before they start so the med can work, repeat if it isn't enough. Start with 1mg Versed, 50 mcg fentanyl, and titrate up...
  22. murseman24

    Is endoscopy nursing considered acute care?

    murseman24 replied to Dyoshirn's topic in Gastroenterology

    If it's a straight yes or no, I would just go with yes, esp. since it seems that's what they are looking for. It's definitely not chronic/long term care. critical care? no. Acute care?
  23. murseman24

    Versed/Fentanyl vs Propofol?

    murseman24 replied to koobair's topic in Gastroenterology

    RNs can do versed/fentanyl, anesthesia are the only ones supposed to be using propofol. If in an endoscopy center that is trying to save on cost by using RNs and not anesthesia, that is where you...
  24. murseman24

    Atrial kick and A-flutter

    murseman24 replied to usernamee's topic in CCU, Coronary, Cardiac

    What? Fall in renal pressure leads to increased cardiac filling? Did you miss a step there? Doesn't decreased pressure, less sodium going past MD cells and JG apparatus lead to renin and...
  25. murseman24

    CRNA School and Debt Advice

    murseman24 replied to PediatricCTICURN's topic in Student Registered Nurse Anesthetist

    300K is a lot to pay off. You won't be making physician money, and I don't think their average after school debt is that high either. Have you looked into the military? They have CRNA programs and...