Lidocaine prior to IV start? - page 4

I am in a front-loaded program and will be starting full-time clinicals in August (thank goodness), but this semester we have had several "observation days." During my last obs day I was with one of... Read More

  1. Visit  JJRN profile page
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    Out of curiousity, rn29306...what were you talking about with the Juniors doing the preops?

    And yes, use intradermal Lido with all awake ALs and IVs.
  2. Visit  rn29306 profile page
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    Quote from JJRN
    Out of curiousity, rn29306...what were you talking about with the Juniors doing the preops?

    And yes, use intradermal Lido with all awake ALs and IVs.
    It was a joke about how our system works. The OR schedule comes out the day before scheduled cases. All-inhouse patients are supposed to be seen by junior students the night before and fill out an anesthesia pre-op form, make sure they are NPO, look at labs, XR, and order any labs or blood products that may be necessary. In our system, seniors run cases without CRNA supervision and we (seniors) run cases well past midnight when on-call. So seniors can't exactly bail on a current case and thus the preops fall on the juniors. Every now and then some preops slip through the cracks and we end up doing them when the pt comes to pre-op holding. Then we give the juniors crap about doing 'their work' but it is all in jest.
  3. Visit  NephroBSN profile page
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    Quote from rn29306
    It was a joke about how our system works. The OR schedule comes out the day before scheduled cases. All-inhouse patients are supposed to be seen by junior students the night before and fill out an anesthesia pre-op form, make sure they are NPO, look at labs, XR, and order any labs or blood products that may be necessary. In our system, seniors run cases without CRNA supervision and we (seniors) run cases well past midnight when on-call. So seniors can't exactly bail on a current case and thus the preops fall on the juniors. Every now and then some preops slip through the cracks and we end up doing them when the pt comes to pre-op holding. Then we give the juniors crap about doing 'their work' but it is all in jest.

    A JOKE>> You can joke but others can't...Interesting concept.
  4. Visit  rn29306 profile page
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    Quote from NephroBSN
    A JOKE>> You can joke but others can't...Interesting concept.

    I was joking about our anesthesia system functions and the jovial exchanges between junior and senior students as we traverse anesthesia school. I am sorry you cannot comprehend that.

    Telling someone you are allergic to something when you really aren't doesn't fall under my definition of joking..
  5. Visit  NephroBSN profile page
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    Quote from rn29306
    I was joking about our anesthesia system functions and the jovial exchanges between junior and senior students as we traverse anesthesia school. I am sorry you cannot comprehend that.

    Telling someone you are allergic to something when you really aren't doesn't fall under my definition of joking..
    I wasn't joking with her. I was protecting myself.. It was a JOKE here............

    And giving juniors extra work and treating them as inferior doesn't seem fall under my definition of joking either.
  6. Visit  rn29306 profile page
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    Quote from NephroBSN
    I wasn't joking with her. I was protecting myself.. It was a JOKE here............

    And giving juniors extra work and treating them as inferior doesn't seem fall under my definition of joking either.
    Seniors run cases solo. Juniors do some necessary paperwork issues because:

    1. they can't do cases solo
    2. what do you expect me to do, leave a case I'm currently in and go do it?

    Performing a preop assessment is a learning tool that teaches juniors how to evolve from a staff RN to an anesthesia provider. It teaches them to look at a patient from a global standpoint and also intense focus, esp with labs, blood and blood products, radiologic reports, etc. It is not scut work.

    No one is giving them extra work, our call shifts are 16 hours regardless. Actually, the juniors get ALL the intubation attempts, PIV sticks (OMG, with lido) and Alines, even if the case is ours. We offer them endless opportunities to advance themselves. Some take advantage, some don't - but the offer is there.

    Like I said, I'm sorry if you cannot comprehend this. You are trying to bait me in an attempt as how you view what happened earlier. Ain't gonna happen.
    Last edit by rn29306 on Apr 13, '06
  7. Visit  NephroBSN profile page
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    Quote from rn29306
    Seniors run cases solo. Juniors do some necessary paperwork issues because:

    1. they can't do cases solo
    2. what do you expect me to do, leave a case I'm currently in and go do it?

    Performing a preop assessment is a learning tool that teaches juniors how to evolve from a staff RN to an anesthesia provider. It teaches them to look at a patient from a global standpoint and also intense focus, esp with labs, blood and blood products, radiologic reports, etc. It is not scut work.

    No one is giving them extra work, our call shifts are 16 hours regardless. Actually, the juniors get ALL the intubation attempts, PIV sticks (OMG, with lido) and Alines, even if the case is ours. We offer them endless opportunities to advance themselves. Some take advantage, some don't - but the offer is there.


    Like I said, I'm sorry if you cannot comprehend this. You are trying to bait me in an attempt as how you view what happened earlier. Ain't gonna happen.
    But you do chide them that you "had to do their job or was work"

    You are trying to bait me it seems . You took this thread and brought up something I said in jest, even using " " to denote that fact, and brought it to another thread.

    It still is my RIGHT to list any and every medicine a I care to any way I care to.

    I will put you on the list also so you won't have to worry about my impending V-tach.

    Just for clarification here I did not use the word scut YOU DID.. Self-fulfilling prophecy.

    And since when have RN's stopped looking at a patient globally?
    Last edit by NephroBSN on Apr 13, '06
  8. Visit  rn29306 profile page
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    Quote from NephroBSN
    But you do chide them that you "had to do their job or was work"
    Like I said, you won't understand, nor will I explain this any further to you.


    Quote from NephroBSN
    It still is my RIGHT to list any and every medicine a I care to any way I care to.
    But that doesn't make it an allergy, just your perogative to manipulate things surrounding you.


    Quote from NephroBSN
    And since when have RN's stopped looking at a patient globally?
    Assuming you are an RN, which I doubt, could you right now approach an in-patient in a Level 1 hospital, usually in a Trauma/SI/CV ICU, with multiple co-existing diseases and acute injuries, metabolic disturbances, and prep this patient for anesthesia? Keep in mind that an anesthesia MD will be coming behind you and checking your sheet and orders, and if you miss something there will be consequences far exceeding senior vs junior joking. I seriously doubt it. That is what teaching someone how to do a preop for anesthesia does. I am sorry if this hurts yours or anyone else's feelings here, but a CRNA or SRNA has much, much more personal responsibility and liability than do staff RNS. Fact of life dear.

    This concludes our fireside chat for the evening and any further explanations of twisting the facts of anesthesia school around. We will probably both be booted from this forum in the morning anyway.
    Last edit by rn29306 on Apr 13, '06
  9. Visit  rn29306 profile page
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    Quote from NephroBSN
    Just for clarification here I did not use the word scut YOU DID.. Self-fulfilling prophecy.
    And I said doing pre-ops was not scut work. It is a useful teaching device.
  10. Visit  JJRN profile page
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    Jeez...don't know what's with the banter between you two regarding this simple question. I was asking rn29360 about the dynamics of her program, simply as a comparison to others...mine. None the less...moving on...thanks for the original explanation.
  11. Visit  NephroBSN profile page
    0
    Quote from rn29306
    Like I said, you won't understand, nor will I explain this any further to you.




    But that doesn't make it an allergy, just your perogative to manipulate things surrounding you.




    Assuming you are an RN, which I doubt, could you right now approach an in-patient in a Level 1 hospital, usually in a Trauma/SI/CV ICU, with multiple co-existing diseases and acute injuries, metabolic disturbances, and prep this patient for anesthesia? Keep in mind that an anesthesia MD will be coming behind you and checking your sheet and orders, and if you miss something there will be consequences far exceeding senior vs junior joking. I seriously doubt it. That is what teaching someone how to do a preop for anesthesia does. I am sorry if this hurts yours or anyone else's feelings here, but a CRNA or SRNA has much, much more personal responsibility and liability than do staff RNS. Fact of life dear.

    This concludes our fireside chat for the evening and any further explanations of twisting the facts of anesthesia school around. We will probably both be booted from this forum in the morning anyway.

    Isn't one of the requirements for attending CRNA school one year of critical care nursing? Do critical care nurses not look at labs, etc as you so carefully explained. If that is the case then NO I don't qualify.

    As far as being a nurse. I will overlook your attack on me in that department. I guess you don't know what BSN stands for. I've been a nurse almost as long as you have been alive.

    As Richard Pryor used to say.. "When I go into the woods to get the switch for you to beat me with I hope it meets with your approval"

    Besides I chose my field of practice early on. I like my patients awake so they can TELL me what hurts and what doesn't.
  12. Visit  NephroBSN profile page
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    Quote from rn29306
    And I said doing pre-ops was not scut work. It is a useful teaching device.
    But you did use the word scut.. Freudian slip????????

    And a two-fer.. Wow for someone who wasn't gonna dig anymore.....Oh nevermind
  13. Visit  NephroBSN profile page
    0
    Quote from JJRN
    Jeez...don't know what's with the banter between you two regarding this simple question. I was asking rn29360 about the dynamics of her program, simply as a comparison to others...mine. None the less...moving on...thanks for the original explanation.
    I DO know what banter is. The other poster seems to know in only in context of their own posts. That was my point...
    Last edit by NephroBSN on Apr 13, '06


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