[yoga crna]

I personally think that same of the most meaningful posts of this forum are from student or recently graduated CRNAs regarding how much they learned in anesthesia school regarding medications and techniques they used as nurses. The fact that they shutter to think of what they did prior to receiving an anesthesia education is very telling and should be considered by all nurses who are practicing, in my opinion beyond their scope.

A very brilliant anesthesiologist once told me that it takes a lot to kill a patient, and that the healthy body is very resilient. But, the body can take only so much abuse and then the worse happens. That comment was made after we both answered a code to the ER, where the ER doc had given sedation to reduce a fracture on a child with a full stomach. The child vomited and aspirated his stomach contents and died. We would have never given an anesthetic to that child without doing a rapid sequence induction/intubation. So why did they use a different standard in the ER.

I learn from you young people every day; keep those posts coming.

Yoga CRNA

[rayman]

Well said once again, yoga. Everyone I have ever known and worked with that went to na school has always told me a variation of " if I knew then what I know now".

[athomas91]

yoga - i could tell you all stories that would make your heads fall off... it is amazing what you don't know - and i was just as everyone else - at the pinnacle of my career as far as ED nursing goes... but OMG ... it even terrifies me how little docs know (not MDA's) about pathophys, pharm etc...

funny story - went to a code on the floor - 80 some year old woman - like 5am - cold... yeah, you get the picture.... respiratory was bagging her - so i get to the head of the bed and say (i am still a student so i was trying to be polite) - do you want me to take over - of course they said no... that woman was getting no ventilation whatsoever - she was completely obstructed...and i kinda giggled but i didn't push the issue because there was clearly no reviving her... but again it was such a good example of someone who thought they knew what they were doing and couldn't be more wrong...
a wk or so ago (my last clinical week thank you... ) i was in the trauma surg icu and a post crani patient w/ new onset seizures was failing resp wise (yep...was late cushings - hypotensive,irreg resp and afib w/ rvr) i went in moved people out of my way - said move the bed down i need the head - and completely took control... so much changes ...

[deepz]

Originally Posted by athomas91

........ i went in moved people out of my way - said move the bed down i need the head - and completely took control... so much changes ...

Way to go. Most CRNAs tend to become Triple-A: assertive, aggressive, and abrasive.


!

[athomas91]

nah - that was me as an ER/trauma nurse - i became very assertive but also abrasive... i don't need to be that way at this point...i konw what i know.. i do what is best for the patient ...and that is it...
well - back to study - cummulative test for school tomorrow...must pass...
then.. more board prep...
yoga- you remind me so much of a CRNA i know (trained me)...

[Just a CRNA]

A student once asked the difference between MD anesthesia residency and RN anesthesia residency. The short answer was that they teach you how to get out of trouble...we teach how to prevent getting in trouble.