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Do you want to go from dreading emergencies to feeling confident and ready to jump into action to rescue your patient? Well, this show will let you see emergencies unfold through the eyes of a Rapid Response Nurse. With real life stories from the frontlines of nursing, host Sarah Lorenzini MSN, RN, CCRN, CEN, a Rapid Response Nurse and educator, shares her experiences at rapid response events and breaks down the pathophysiology, pharmacology, and the important role the nurse plays during eme ...
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Med-Surg Moments - The AMSN Podcast

Academy of Medical-Surgical Nurses

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Med-Surg Moments is the official podcast of the Academy of Medical-Surgical Nurses (AMSN). Our podcast offers an engaging look at the lives of - and surrounding- medical-surgical nurses. We’ll have guests on from every corner of the industry, bringing you stories that are relatable and compelling on myriad topics. Our goal is to bring you interesting perspectives and insights that will serve you at any step of your nursing career. We truly intend this podcast to be an exciting, interesting g ...
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I've been an RN for twelve years; I've worked in med/surg, ICU, as a nurse manager and now I'm back to bedside in the Emergency Department. From the patriarchal systems that place us and our patients at risk to not having enough time to pee, each episode covers what it's like to be a nurse in the hospital today. I'm your host, an ED RN and I hope you'll stick around to listen.
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The co-hosts welcome two nursing students to the show for a fascinating and insightful conversation about nursing school, the med-surg specialty and the nursing profession. The co-hosts welcome two nursing students to the show for a fascinating and insightful conversation about nursing school, the med-surg specialty and the nursing profession. SPEC…
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Managing liver failure often means walking a tightrope with kidney function. This episode explores what happens when the kidneys begin to fail due to liver disease, a condition known as hepatorenal syndrome. Host Sarah Lorenzini sheds light on this common but severe complication of cirrhosis, sharing a critical case that exemplifies the challenges …
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On today’s episode we’re going to talk about talking to patients. A good interaction with a patient can make your day, as surely as a poor interaction with a patient can ruin it. And although we as individuals are not responsible for the behavior of other individuals, there are some evidence-based ways we can shape our communication to improve the …
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A cirrhosis patient has stable vitals, but then starts vomiting blood. What do you do next? This episode delves into a case study that highlights the urgent management of esophageal varices in liver failure patients. Host Sarah Lorenzini reveals how a rapid response call quickly spiraled into a life-threatening emergency, and the critical steps tak…
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No matter your specialty, every nurse cares for patients with liver failure. Host Sarah Lorenzini starts off this four-part series on liver failure by sharing the story of a rapid response call that featured classic complications of cirrhosis: ascites, jaundice, and hypotension. Exacerbating the patient’s terminal condition was a suspected diagnosi…
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On today’s episode we’re going to talk about talking to doctors. For the new nurse, this can be intimidating, for the experienced nurse this can be exhausting, but for most every nurse who’s been around for longer than a minute, this is the source of many a tale told at many an after-work happy hour that is only funny in hindsight. Because being ye…
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Ever wondered what exactly is a Clinical Nurse Specialist (CNS) and how is it different from other advanced practice RN roles? Join the co-hosts as they welcome special guest NACNS President Dr. Jennifer Manning who shares her unexpected journey and covers everything you need to know about the role of CNS. Learn more about the National Association …
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NTI 2024 brought together critical care nurses from across the country, and this episode highlights over 10 of their most heartwarming and unforgettable stories. Host Sarah Lorenzini speaks to ICU nurses and nurse educators who share tales of human connection, critical thinking, and compassionate care. From navigating crazy shifts to creating new p…
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Nursing care plans are the bane of many a nursing student’s academic experience. They are seen as an unnecessary burden to their already heavy workload. But they play an important role in the nursing process, and nurses put these plans into clinical practice every day — whether they realize it or not. In this episode, Nurse Gwenny, an ER and flight…
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On today’s episode we’re going to talk about Nurses’ Week; also known, by me, as the week in which anyone with decision-making authority in healthcare spaces chooses to hand out candy and pizza instead of enacting policies to decrease workplace violence, increase pay, or in any way contribute in a meaningful way to the prevention of long-term menta…
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A great book can be life-changing. Join the co-hosts as they share 12 of their favorite "must read" books which transcend both professional and personal interest. Book List "Being Mortal" by Atul Gawande recommended by Laura "When Breath Becomes Air" by Paul Kalanithi recommended by Laura "The Little Prince" by Antoine de Saint-Exupéry recommended …
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Nursing educators may not hold the most glamorous position, but they are undoubtedly the backbone of the profession. Nurse Educator Patrick McMurray exemplifies this by bringing creativity and inclusivity into nursing education, supporting nurses at every stage of their career. In this episode, host Sarah Lorenzini talks to Patrick about his approa…
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Obstructive shock may be the least common type of shock, but it’s no less critical. As part of Nurse PodCrawl 2024, Bryan Boling and Brandon Oto from the Critical Care Scenarios podcast join host Sarah Lorenzini in this episode to talk about the critical care management of obstructive shock. Together, they walk nurses through a patient scenario, de…
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AMSN chapter involvement is truly fulfilling on both a professional and personal level, but have you ever wondered what it takes to start and grow an AMSN chapter? Join the co-hosts for a conversation with AMSN Chicago Chapter #317 Founder Cora Palmer as she shares the chapter's story, lessons learned and advice for starting up and growing your own…
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On today's episode we're going to talk about EMTALA (Emergency Medical Treatment and Active Labor Law), the Supreme Court and abortion. For legal abortion care in all 50 States (yes, ALL 50 States): PlanCPills.org Mayday.Health Sources used in this episode: PBS NewsHour American College of Obstetricians and Gynecologists American College of Emergen…
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Which side of the debate do you fall on? Should families be present during resuscitation or escorted to a quiet area to wait? Among those advocating for family presence are nursing researchers, Margo Halm, APRN-BC, PhD, FAHA, NEA-BC and Jessica Sexton, MSN, RN, CPEN. During their conversation with host Sarah Lorenzini, they explain why family prese…
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We’ve talked about hyponatremia, but what do you know about Syndrome of Inappropriate Antidiuretic Hormone secretion (SIADH) and Diabetes Insipidus (DI)? In this episode, host Sarah Lorenzini and Nick McGowan RN, MSN dive into these diseases that develop from complex hormonal responses that manage the body’s water and sodium. They explore the patho…
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On this special PodSwap Episode, you will be hearing from Nurse Mo from the Straight A Nursing Podcast! She does an amazing job breaking down all the pharmacology of medications we use for Rapid Sequence Intubation or RSI. Rapid sequence intubation, a procedure performed to emergently intubate a patient with an intact gag reflex in cases of acute r…
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Has troubling patient behavior ever caught you by surprise or, worse, resulted in violence? Join Eric, Laura, Maritess and Neal as they open up to share their own frightening experiences and offer you perspective on how to recognize and deal with these behaviors before they become a problem. MEET OUR CO-HOSTS Samantha Bayne, MSN, RN, CMSRN, NPD-BC …
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Are you considering a career as a nurse practitioner? Do you want to go back to school to transition into an advanced practice nursing role? Join host Sarah Lorenzini and guest Dr. Sandra Pagenta, DNP, as they discuss opportunities available in nursing and how to decide if the nurse practitioner path is the right one for you. Dr. Sandra Pagenta ref…
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Every day that you complete a shift is a day to celebrate because nursing is undoubtedly one of the hardest professions in the world, especially in the last few years. Burnout rates are extremely high, and for good reason, but there are ways to keep your passion for nursing even after decades in the field. In this milestone 100th episode of Rapid R…
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Unfamiliar with Nursing-Sensitive Quality Indicators and their impact on your nursing practice? Join Eric, Laura, Maritess, Neil, Sam and Sydney as they assess their varied understanding of these nursing metrics and explore the opportunities and challenges they present to our med-surg nursing practice. MEET OUR CO-HOSTS Samantha Bayne, MSN, RN, CMS…
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Treating hyponatremia, a condition characterized by low sodium levels in the blood, can be both complicated and quite risky.. Disruptions to the delicate balance of sodium in the body can lead to a spectrum of outcomes, from an asymptomatic presentation to life-threatening seizures, coma, and death. Through the patient story of Mrs. Saltman, host S…
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Takotsubo cardiomyopathy, also known as “broken heart syndrome,” is hard to diagnose because its symptoms mimic more common conditions like acute coronary syndrome. This stress-induced cardiomyopathy presents a mysterious challenge to nurses, as you’ll hear in today’s patient story. Host Sarah Lorenzini shares the case of a patient who went from ex…
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Ever wonder if you're where you should be in your nursing career or what the next step should be? Explore the answers as Laura, Maritess, Neal, Eric, Sam and Sydney welcome back AMSN President Marisa Streelman for an insightful conversation filled with personal stories and perspectives on how to advance your nursing career. Also, get the latest AMS…
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Part two of our crashing asthmatic series continues with a comprehensive look into what exactly happened in last week’s nightmare patient case. Host Sarah Lorenzini dives into the pathophysiology of status asthmaticus, explaining the physiological changes in the airways during severe asthma attacks and what makes these cases resistant to standard t…
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Severe asthma leads to cardiac arrest in today’s gripping patient story. Brooklyn, an ER Nurse joins host Sarah Lorenzini to discuss a nightmare case of a young asthmatic patient and her team’s desperate fight to stabilize him. Despite various interventions, from albuterol, magnesium, BiPap, ketamine, and more, the patient's condition deteriorated,…
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This is part two of the burnt to a crisp series and now that we know how burnout contributes to poor patient outcomes (not to mention our own mental and physical wellbeing), let’s find out just how burnt we all are. Should be fun. TW: some mention of people deleting themselves in this episode Receipts: The MBI tool for burnout (what I can find for …
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Looking for alternatives to the use of restraints for patients with cognitive impairment? Also, are you ready to meet our three new co-hosts? Join Laura, Maritess and our three new co-hosts Sam, Eric and Syndey as they share a wealth of perspectives, stories and strategies for patients with cognitive impairment. CO-HOSTS Samantha Bayne, MSN, RN, CM…
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Do you know how to recognize a wide or narrow pulse pressure and what each finding tells you about your patient? Following last week's discussion on the shock index, host Sarah Lorenzini introduces pulse pressure as another essential tool in the nurse's assessment arsenal. In this episode, Sarah outlines how to measure and interpret pulse pressure.…
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This is the 50th episode of this podcast and we're going to celebrate by talking about one of my favorite subjects: nurse burn out. Statistically speaking, many of us are already burned out and 250% of us will be burnt out by the time we decide to quit nursing; why is burnout a problem, and what should we do about it? let’s find out. Receipt: 31.5%…
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Looking at HR or Blood Pressure alone as determinants of how stable the patient is can lead us astray. The Shock Index allows us to detect when patients are declining… while they are still compensating. Shock Index = HR/SBP… but how can we use this tool? A patient’s vital signs can appear normal, meanwhile they’re on the brink of shock. This was ex…
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Med-Surg Moments celebrates 5 years and welcomes back some familiar voices for this celebration episode. Also, we bid farewell and appreciation to two long-time co-hosts. Join Caroline, Laura, Maritess and Parker alongside former co-hosts Alissa and Evie for this memorable episode. SPECIAL GUESTS Alissa Brown, MSN, RN, CMSRN, NPD-BC is a clinical n…
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Are you familiar with BRASH syndrome? The complex interplay of Bradycardia, Renal Failure, Atrioventricular Block, Shock, and Hyperkalemia forms a collection of clinical signs known as BRASH syndrome. One condition leads to another which leads to another, heightening the severity of symptoms. Fortunately, it’s easy to manage if you know what you ar…
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Timing is everything when it comes to strokes because every second without treatment impacts patient outcomes. If you’ve ever wasted time debating whether or not to call a stroke alert, you don’t want to miss this episode with Dr. Eric Wilson RN, AGNP-C, DNP, NREMT-P! During his conversation with host Sarah Lorenzini, Eric emphasizes the urgency of…
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Who's your nurse hero? Join Laura, Maritess and Neil as they share stories about their nurse heroes, perspectives on what made them a 'hero' and how you can become a nurse role model and hero. CO-HOSTS Laura Johnson, MSN, RN, NPD-BC, CMSRN has been a nurse since 2008 with a background in Med/Surg and Oncology. She is a native Texan currently workin…
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Cardiac output equals heart rate times stroke volume… but what does that really mean and how does it apply to the bedside? This formula (CO = HR x SV) is crucial for nurses to understand in the application of vasopressors and inotropes, so why is it so difficult to memorize their role in improving cardiac output? This episode is dedicated to breaki…
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Did you listen to Joey’s story in last week’s mystery episode? If you did and guessed rhabdomyolysis as his diagnosis, congratulations! Joey’s muscle injury from playing a little too hard at football camp resulted in a release of muscle proteins that ultimately caused his kidneys to shut down, which led to his diagnosis and treatment for rhabdomyol…
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Ready for your med-surg unit to be recognized for the exemplary patient care you provide? Join Laura, Neil and Maritess as they welcome special guest Lori Magestro for a conversation about the prestigious AMSN PRISM Award® and how your unit can apply. SPECIAL GUEST Lori Magestro, DNP, RN, MEDSURG-BC has over 30 years of experience as a registered n…
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Are you ready for some diagnosing fun?! In this episode, host Sarah Lorenzini will challenge your diagnostic skills with the mystery case of Joey, a 14-year-old patient who went from playing football at summer camp to being intubated in the ER. Joey presented with an altered mental status, and was tachycardic, tachypneic and febrile. Once in the ER…
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On today's episode, we're going to talk about business. Not the first thing you think of when you think healthcare or nursing, but in fact business kind of runs what we do. On a day-to-day basis. And for a lot of us, it can ruin our lives and those of our patients. So let's talk about it. Receipts: Healthcare is big business... ...and not-for-profi…
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As host Sarah Lorenzini insightfully explains, “think of autonomic dysreflexia symptoms as the body's way of telling you something is wrong.” Autonomic dysreflexia is a medical emergency that occurs in patients with a spinal cord injury, but it can be hard to recognize because of the body’s confusing responses to stimulation. That’s why it’s crucia…
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You've survived burnout and now it's time to figure out how to stay grounded amidst the daily chaos of med-surg nursing life. Join Laura, Maritess, Parker and Sam as they share their own personal stories, tips and strategies to help you determine what might work best for you. GUEST CO-HOST Samantha MacMillan, MSN, RN, CMSRN is a Nursing Education S…
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Goals of care discussions are among the most difficult to navigate as a nurse, BUT there are ways to provide both comfort and clarity to patients and their families in these emotionally charged situations. In this episode, host Sarah Lorenzini and Hospice Nurse AJ share tips and insights on how to approach these challenging discussions with sensiti…
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Orienting as a new Nurse in the ICU is much like climbing your first big mountain — both require basic knowledge, passion, and the ability to learn quickly and adapt in a demanding environment. But without these attributes, you have an arduous, possibly insurmountable journey ahead of you. In this episode, host Sarah Lorenzini and Sarah Vance RN de…
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Accessing patient mediports is often one of the most requested nurse training topics. Join Laura, Maritess, Parker and special guest co-host Samantha MacMillan as they share educational insights, approaches and stories regarding the ins and outs of mediports. GUEST CO-HOST Samantha MacMillan, MSN, RN, CMSRN is a Nursing Education Specialist in the …
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