CRNA Induction Sequence List - page 3

CRNA's, Would you PLEASE list for me you're DETAILED SEQUENCE of actions during an induction (non-complicated patient). Just think about your actions from the very start and put them in a... Read More

  1. by   deepz
    Quote from PurplFrawg
    ......standards that set nurse anesthetists apart and above other providers is constant vigilance. Precordials provide that input at no cost......
    An observation on learning the fine points of clinical anesthesia -- in my own days as clinical instructor at Wayne State, I had one student doing an induction, his precordial on the patient's chest, as was mine also. While he bagged aggressively, sweating bullets, waiting for muscle relaxant onset, I asked, "Hear that, that squeaky gurgle? Ease up a bit. You're bagging air down the esophagus."

    Being open to subtle changes is another part of vigilance.

    I still have my original precordial stethescope from 1966, and I use it regularly, though I can't say I listen continuously every time I put it on. For long cases, once in a while you can hear a buildup of secretions that can be suctioned out before leading to problems. For little kids it's invaluable.

    deepz
  2. by   mwbeah
    You make statements like you are a seasoned pro.......I just read your posting where you stated you were JUST accepted in March '04. You should consider changing your name.

    The truth about the monitoring with a precordial stethoscope is that it is NOT considered a standard monitor as there has been litigation concerning tunneling of the esophageal stethoscope in the submucosa of the pharynx. Again it is NOT a standard monitor
  3. by   traumasrna
    I had stated in my response that I was inexperienced. So, there is no effrontery going on here. The traumacrna is my yahoo ID and email and it's what I'd like to do one day. I never thought I'd get so many people who would react to this statement. I kept it professional and only presented my perspective as many of you have. Good luck on your practice.


    Quote from mwbeah
    You make statements like you are a seasoned pro.......I just read your posting where you stated you were JUST accepted in March '04. You should consider changing your name.

    The truth about the monitoring with a precordial stethoscope is that it is NOT considered a standard monitor as there has been litigation concerning tunneling of the esophageal stethoscope in the submucosa of the pharynx. Again it is NOT a standard monitor

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