What does a normal CRNA day look like?
- 1Oct 7, '10 by jwconn1104I know that a normal CRNA day is almost impossible to define, so I was hoping that CRNAs on this site could respond and tell me what your Wednesday work day looked like this week, whether it was a slow day or a long day.
If you could, please list when you went in, how many cases you worked, what types of cases, and when you got out of work. I think this could help interested students like me get a better idea of what you do everyday through the varied answers I hope to receive.
Thank you in advanced, I hope to hear from a lot of you.
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- 1Oct 9, '10 by CRNA1982Yesterday I worked in Endo. I provided anesthesia for 15 colonoscopies and 4 EGD's. This requires lots of paperwork to fill out for each case in a very short period of time. My job was to maintain the patients airway (Keep them breathing on their own with minimal assistance) and keep them sleepy/comfortable without moving. Most cases I performed using straight propofol.
- 0Oct 14, '10 by stanman1968all depends in my surgical center gig it is just endoscopy, push propofol and maintain airway.
In my rural gig a bit more.
I will do TKR and colon resection
TKR go over labs vitals hx etc. see pt and perform a an interview if al is well (have had to cancel in past for uncontrolled angina etc.) discuss anesthesia and post op pain control, usually perform FNB and SNB preop take back induce monitor wake up to PACU manage any problems in PACU (pain, N/V, htn etc. etc) see them that night to check on pain control and see them the next day for post op. Overnight handle any calls for post op pain etc. etc.
For colon resection see above for pre-op except thoracic epidural for post op pain control. Back to the OR start 2nd iv (18 G at least) hook up fluid warmer, all after induction and then all the same as TKR except I keep the epidural in place for 2-3 days post op, may dose with duramorph before catheter removal.
In my rural gig I may get called for line placement or emergency intubation or any number of emergency cases but little trauma.
there you go the 2 ends of the spectrum.
- 0Oct 14, '10 by jwconn1104Thanks for the information! I'm hoping to get some time and shadow a couple of CRNA's in a rural hospital pretty soon, and then shadow some at my workplace (which is one of the largest hospitals in GA).
Thanks again! Please keep the information coming. I really do want to hear all I can from real CRNA's. I've read as much of the literature that I know is out there on the internet, but have had little real CRNA experience. I'm still in my ASN and will grad in April, so I have time.
- 1Oct 17, '10 by wtbcrna GuideMy last call day I put an epidural in a lady that was 450lbs. Did anesthesia for a lap chole for another lady that was 28wks pregnant. Then in between that I pulled a couple of epidurals, made rounds on post op patients, called our post block patients for f/u, and dealt with "mag" baby until peds showed up. The whole time I was the only anesthesia provider in house.