murseman24 MSN, CRNA

anesthesiology

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All Content by murseman24

  1. murseman24

    Destined to Be a Flight Nurse

    Yep, keep the CRNA dreams a deep and dark secret, then GTFO when you've learned everything you can, as a means to an end. The best ICU nurses go on to become CRNAs, and the ICUs should be grateful...
  2. murseman24

    Should I have accessed her port?

    If whoever had their port placed for chemotherapy, then that's why it was placed and is for. Not for pain medicine. CLABSI to avoid a needle stick is the ignorant thing to
  3. murseman24

    Should I have accessed her port?

    She wasn't withholding pain medicine. "it works better in the port" is a pretty poor reason for accessing it. I understand your concern, but there is a risk/benefit for using them. There IS an...
  4. murseman24

    Should I have accessed her port?

    Did you tell them they had the wrong number, as you work in a hospital, not in "customer service." That would be my response ALL DAY
  5. murseman24

    Pr interval

    second
  6. Some CRNAs do fluoro-guided invasive interventional pain management much like their physician counterparts. This is not the norm, and as is done with most autonomous, advanced provider roles, is...
  7. murseman24

    BLS renewal—ouch

    oh hell no! who are these
  8. murseman24

    BLS renewal—ouch

    Whenever I did a code I always eventually jumped on the chest because, well, I'm a dude and it's hard work. I always bounce on my toes and get a good rhythm, letting my legs do most of the work, but...
  9. murseman24

    Written Up

    As a word advice to the OP, DO NOT DO THIS. Do not call the cardiologist about an order for Xanax from another provider. That should not concern him and you will look like an idiot when he tells you...
  10. murseman24

    Written Up

    Yep. CNS depressant, benzo, opioid all together create a synergistic "avalanche" that can culminate in a stormy blizzard of respiratory depression. 1 mg PO Xanax (an appropriate dose) is not in and...
  11. murseman24

    Written Up

    You had me at pathologic
  12. murseman24

    Written Up

    1 mg PO, *gasp! What would Dr. Google
  13. murseman24

    Any way you could stay over and work a few hours

    I had no problem giving them a big NO when I didn't want to work. It's their problem, not
  14. Get a job as an assistant in the unit you want to work in, and you're
  15. murseman24

    ICU approach vs Floor nurse

    She just sounds like a biotch ICU/ED nurses tend to not stress the "small stuff", as they tend to have a better grasp on pharm/physiology, and take care of much sicker patients, so I would expect...
  16. I would lean HEAVILY towards CNA. Find out if you even need to be "certified" as a patient care tech (CNA) if you're in nursing school. Many of my classmates took jobs as PCTs during nursing school...
  17. murseman24

    PCU Nurse Feels "Second Rate"

    You sound like an ideal candidate for an ICU hire IMO. The fact you are excited to learn about new drugs and monitoring modalities is fantastic. PCU is where we preferentially hired our non-ICU...
  18. murseman24

    Blood Transfusion

    Current recommendations vary with regard to the frequency of change of a red blood cell (RBC) administration set. A full review was undertaken to evaluate the recommendations for how often a RBC...
  19. murseman24

    Blood Transfusion

    If everyone did everything exactly according to policy, NOTHING would get done. Bedside reports would take 30 min/patient, doctors would go NUTS with never ending phone calls for a written order for...
  20. murseman24

    Excuse my ignorance....

    In most large urban centers you will work in what is called an "anesthesia care team" (ACT) model. This is where you will have one anesthesiologist in charge of usually 4 rooms. They will see the...
  21. Only thing you need to know is that more local anesthetic is not to be injected b/c of the risk of toxicity (no reason more should have to be injected anyways). It should help with post op pain and...
  22. murseman24

    COPD and O2

    It's generally thought that since COPD patients have a normally high amount of CO2 that the normal drive to breathe caused by hypercapnia is reduced. Their sensitivity to CO2 is decreased, and...
  23. Actually, go on facebook and join the SRNA page and you will get any and all information you might possibly want to
  24. The blogosphere is strong. I felt like I knew generally the reputation of the school and its dirty secrets just from posts on this forum and ones on the anesthesia sites. If you're local you can ask...