murseman24 MSN, CRNA

anesthesiology

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All Content by murseman24

  1. murseman24

    RN switching specialties....indecisive, unmotivated?

    murseman24 replied to Offthehandle's topic in General Nursing

    I don't think you're indecisive or unmotivated, but you're not qualified for ICU. I would think you would be able to find med/surg, tele jobs as that is considered an entry level nursing job, and the...
  2. murseman24

    When is cardiac clearance needed?

    murseman24 replied to Denise362's topic in PACU

    Why is it easier for the MD than the
  3. murseman24

    Beta Blockers PreOp

    murseman24 replied to RNDarling's topic in PACU

    It decreases the risk of
  4. murseman24

    Swan-Ganz catheter & PCWP

    murseman24 replied to SamanthaRT2020's topic in Cardiac

    cool. We use a TEE during the procedure but they still put the PAC in. I've heard a lot of places don't
  5. murseman24

    Incompetent CRNAs?

    murseman24 replied to krnlm's topic in PACU

    I'm an SRNA (Student CRNA) and would NEVER bring a patient back like that for fear of getting my ass chewed out. It sounded like it was from sufentanil if it was given right before coming back....
  6. murseman24

    Swan-Ganz catheter & PCWP

    murseman24 replied to SamanthaRT2020's topic in Cardiac

    something about an uninterrupted fluid column between the pulmonary artery and the left atrium during a portion of the cardiac cycle which allows for interpretation of the left atrial pressure. But...
  7. murseman24

    Best critical care book

    murseman24 replied to abidingpanda's topic in MICU, SICU

    The best book I've ever read was "Rapid Interpretation of EKGs" By Dale Dubin. I've read it multiple times and still reference it from time to time. When I worked in the ICU I had a large book from...
  8. murseman24

    IV Drip Rates

    murseman24 replied to MarvelousMistyRN's topic in Critical Care

    only issue I see with that is the catheter might clot off with such a slow rate. I think a carrier would be preferable just to maintain
  9. murseman24

    PA catheter and parameters

    murseman24 replied to hyhero89's topic in Critical Care

    Even though these numbers can be obtained from a PAC doesn't mean they are exclusive to its use. These numbers are important for understanding cardiac physiology and can be gathered through a right...
  10. murseman24

    Heparin Drips And Lab Draws

    murseman24 replied to Mr. Murse's topic in General Nursing

    Nurses always want a protocol for something so they don't have to think. Also to cover their ***. That way someone can't come behind them and get them in trouble b/c they "followed the protocol"....
  11. murseman24

    First code blue, hard not to blame myself.

    murseman24 replied to 1793stopper's topic in Critical Care

    Why do you keep harping about the wheelchair? The D-dimer was elevated b/c she had an embolic event. This patient needed the CT-scan in the ED STAT. The blood was not a priority, but none of this...
  12. murseman24

    Need to vent and process this

    murseman24 replied to jess11RN's topic in School

    OMG I couldn't deal. No
  13. murseman24

    Overtime?

    murseman24 replied to Reminisce's topic in Certified Registered Nurse Anesthetist, CRNA

    I suggest you apply to a very poor, non-competitive program that is heavily medically directed so you can become a stool monkey, as those that do it for the money become. You will be eaten alive with...
  14. murseman24

    local anesthesia and drug test

    murseman24 replied to jojojojojojo's topic in Pre-Nursing Students

    They do not test for local anesthetics. These are not psychotropic drugs, they are not tested. The half-life of lidocaine is 2 hours. A drug is essentially 95 - 97% completely eliminated from your...
  15. murseman24

    Quit first hospital job after less than 6 months

    murseman24 replied to murse27's topic in First Year After Licensure

    Good for you, the hospital works you too hard and pays too little. From what I've seen you can get more pay for doing much less outside of the hospital. Or work pre/post-op, or some of the...
  16. murseman24

    Teaching nursing with a Ph.D. in medicine?

    murseman24 replied to BRN131417's topic in Nursing Educators, Faculty

    I think I may have an idea on who this particular person may be... hmmm? . And what is a PhD in
  17. murseman24

    Terrified...is this normal?

    murseman24 replied to Piper98's topic in General Students

    I would reconsider. At this stage I would think one would be excited to start on this new adventure they've CHOSEN to go through. Feeling completely overwhelmed and ridden with anxiety at the...
  18. murseman24

    How do I become stronger clinically?

    murseman24 replied to alexamasan's topic in General Nursing

    There are plenty of good nursing books to expand your knowledge. I had one on EKGs, one comprehensive critical care book, one on general pharmacology, and one on cardiac that I would read parts of...
  19. murseman24

    Flushing PIV with clot

    murseman24 replied to Robin1990's topic in General Nursing

    I second, pt will be
  20. murseman24

    Working During Nursing School

    murseman24 replied to cloud0_07's topic in General Students

    I definitely think you should take the job. I worked three 12 hour shifts/week, as a nurse tech first on med-surg, then transferred to ICU. my wife and I had our first child, and I did my ADN as...
  21. murseman24

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    murseman24 replied to Nurse Beth's topic in General Nursing

    THIS. She went through the trouble of reconstituting it and everything, come on. You know she just gave the whole
  22. murseman24

    Had to give Epi Today!

    murseman24 replied to linda1959's topic in School

    I think you did fine. They weren't decompensating so there was no need to rush. that is the hardest part, to calmly assess the situation while under stress, instead of just "react". That did not...
  23. murseman24

    Had to give Epi Today!

    murseman24 replied to linda1959's topic in School

    "I wouldn't have given it unless they were vomiting?" What does vomiting have to do with an anaphylactic reaction? altered mental status (brain hypoxia), chest tightness, breathing pattern...
  24. murseman24

    Advice for acceptance into CRNA school

    murseman24 replied to TennesseeRN2015's topic in Student Registered Nurse Anesthetist

    My school looked at your science GPA apart from the other classes, and placed higher weight on the mathematics portion of the GRE. I definitely think you can get in with those stats, but the...
  25. murseman24

    Fear-mongering in nursing school?

    murseman24 replied to nursiee's topic in General Students

    It's good to be vigilant, but honestly it's really hard to kill a patient. Even if you give the "whole vial" instead of the intended dose, the patient may experience some adverse effects, but it is...