FockerRN

FockerRN specializes in Trauma ICU.

Latest Activity

1. Isotonic vs hypotonic vs hypertonic

   FockerRN replied to ornurse25's topic in Medications

   No offense intended to anisettes, but isitpossible's explanation is more accurate. Hypotonic - solution has less sodium (as was stated later by @Isitpossible, tonicity is about solute, though na is the greatest component in osmolarity of the human bo...

2. Intubation and Sedation

   FockerRN replied to shannonFNP's topic in Emergency

   I stand corrected about STP availability. All I know is that generally in the area I am in there is narry a drop to be had. The problem with STP and Propofol are that they are not money makers for the drug companies and thus they are not going to d...

3. Intubation and Sedation

   FockerRN replied to shannonFNP's topic in Emergency

   Thiopental is no longer available for use in the United States and if you had some you could probably get a pretty penny for it from one of the states that has a current backup of executions. The last manufacturer of STP moved their operations to It...

4. Anesthesiologists being replaced by CRNAs???

   FockerRN replied to MONEJA783's topic in CRNA

   Goodness, you starting to sound like a broken record. The whole "war" thing was saying that if you want to argue a subject such as this then you need to come armed with something other than "because I said so and I'm a doctor so I must be right" and...

5. Anesthesiologists being replaced by CRNAs???

   FockerRN replied to MONEJA783's topic in CRNA

   Way to avoid the point all together and try to get out of it by taking the "high road". You come and say that anyone in the "know" wants a MDA and that CRNA solo practice is unsafe. First, as the money gets tighter in healthcare all those hospital a...

6. Anesthesiologists being replaced by CRNAs???

   FockerRN replied to MONEJA783's topic in CRNA

   No, sitting on the fence essentially makes you holier-than-thou.... Patient safety? Research study after research study has shown that independent CRNA practice is as safe as ACT practice and MDA only practice, period. You were uncomfortable? Fine, ...

7. What got you into school?

   FockerRN replied to RNextraordinare's topic in SRNA

   CRNA 2012, I was just messing with you...sorry . I know the internet is a bad place for such humor but I couldn't help myself. Focker

8. What got you into school?

   FockerRN replied to RNextraordinare's topic in SRNA

   CRNA2012, You are right they don't need to worry about the first few posts but the OP asked what got us into school. I wrote what got me into school. I'm glad that you are an expert on me and my psyche. Give me your email so I can ask you some ques...

9. Malignant Hyperthermia

   FockerRN replied to ICRN2008's topic in CRNA

   Your right, Ca channel blockers are a big no-no, but why not LR? I guess the K? It didn't think it had enough to make a huge difference but NS would probably be best and safest. Watching the CO2, as one person suggested, is the earliest sign but if...

10. 0.45% NS is Hypernatremia?

    FockerRN replied to CBsMommy's topic in Student Assist

    I'm glad you brought up about the slow correction of hypernatremia. We had a couple residents decide to correct a particularly high Na with D5 one day and the next day they dropped the persons Na by a significant amount (greater than 6 I think but I...

11. 0.45% NS is Hypernatremia?

    FockerRN replied to CBsMommy's topic in Student Assist

    What you have to realize is that just about every solution we have is "scary if overused". Little that is done to patients is benign but you have to weigh the costs and benefits. Especially in the critically ill, which I am most familiar with. If ...

12. CRNA clinical Hours

    FockerRN replied to BSNRN's topic in CRNA

    I agree that I didn not answer the question, but I would say that they are asking the wrong question. Trying to track down meaningless stats is not useful.

13. CRNA clinical Hours

    FockerRN replied to BSNRN's topic in CRNA

    What they are in for is spending their life as they know it studying and in the OR. It is a time commitment that takes up most all of your life while you are in it. Asking the number of clinical hours is not going to tell you a thing. How many sem...

14. CRNA clinical Hours

    FockerRN replied to BSNRN's topic in CRNA

    What difference does it make? It is a full time job between classes and clinical. You are there until you go home, and then you study until you go to bed. Number of cases of various kinds you do is relevant, when you start clinical is relevant but ...

15. New Grad with no experience feels like being discriminated

    FockerRN replied to strawberrypie's topic in General Nursing

    ummm, I'm sorry you are having a difficult time finding a job and all, but discrimination? Please! Hospitals have every right to "discriminate" when there is more supply than demand. As you noted the experienced nurse provides a cost benefit to the ...