neveragain

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1. CRNA Vs. MD

   neveragain replied to Amir's topic in CRNA

   This state law still SAYS that anesthesia may be provided by "a CRNA who is UNDER THE DIRECTION of the operating practitioner or (UNDER THE DIRECTION) of a qualified physician who is immediately available if needed." Sorry for being so dense, but th...

2. Anesthesia Provider Pay to Drop 60%

   neveragain replied to Screen name's topic in CRNA

   Wow, so this FEDERAL LAW has absolutely nothing to do with supervision as it states, only billing, which it says nothing about. So this LAW actually means that it is giving people permission to BILL for supervision without actually having to supervi...

3. Anesthesia Provider Pay to Drop 60%

   neveragain replied to Screen name's topic in CRNA

   42CFR (civil federal regulations) 485.639 - Condition of participation: Surgical services (2) In those cases in which a CRNA administers the anesthesia, the anesthetist must be under the supervision of the operating practitioner except as provided in...

4. CRNA Vs. MD

   neveragain replied to Amir's topic in CRNA

   42CFR485.639 ©(2) In those cases in which a CRNA administers the anesthesia, the anesthetist must be under the supervision of the operating practitioner except as provided in paragraph (e) of this section. An anesthesiologist's assistant who admini...

5. Colonoscopy Drugs and alternatives

   neveragain replied to darne20's topic in Gastroenterology

   Right on cue hypocaffeinemia does exactly what I expected. Versed can be a very bad drug and is unilaterally used on unsuspecting patients to gain compliance. Villifying those poor souls who have a bad reaction to Midazolam is perplexing to say the...

6. Colonoscopy Drugs and alternatives

   neveragain replied to darne20's topic in Gastroenterology

   lolol benzodiazepines linked to post-icu depression here is just one. i didn't really want to get into a *war* of citations. i assume that you will pick apart any of the studies i bring up. you may also want to look at studies of brain activity i...

7. Colonoscopy Drugs and alternatives

   neveragain replied to darne20's topic in Gastroenterology

   Yes, I surface on Midazolam discussions. I am a patient advocate with personal experience with Midazolam. It is not false to tell patients that Midazolam causes AMNESIA! It isn't false to tell the patient that under Midazolam they will be unable t...

8. Colonoscopy Drugs and alternatives

   neveragain replied to darne20's topic in Gastroenterology

   Its very telling to see posts like hypocaffeinemia! To have patients concerns dismissed as "anecdotal" and

9. Can a patient refuse sedation?

   neveragain replied to Web-G.I.nurse's topic in Gastroenterology

   Thanks CrohnieToo! I have been worrying about having an endo without the Versed (or Propofol) The amnesia doesn't work for me with 9 mls of Versed but it does render me helpless. I just can't go in and have anything done with Versed. I would be t...

10. Can a patient refuse sedation?

    neveragain replied to Web-G.I.nurse's topic in Gastroenterology

    I refused the procedure if I had to be sedated or knocked out. I told the doctor, called his office to remind him the day before surgery and told everybody that came in my room at the hospital that these things were out of the question. It didn't m...

11. Can a patient refuse sedation?

    neveragain replied to Web-G.I.nurse's topic in Gastroenterology

    In theory the patient is allowed to have some say over sedation drugs or anything else for that matter. In practice it's not true. My nurse never said a word even though she knew that I had declined the drugs and had not signed an informed consent ...

12. Colonoscopy Drugs and alternatives

    neveragain replied to darne20's topic in Gastroenterology

    There are a lot of people who have a bad reaction to Versed. Not just tin foil hat people either. I have noted that people who do not get the amnesia claim that they were immobile, that their blood pressure shot up and that they were NOT relaxed. ...

13. Colonoscopy Drugs and alternatives

    neveragain replied to darne20's topic in Gastroenterology

    Notice how it is patients who dislike this drug while the nurses love using it. Very peculiar. I hope some nurses read this, as it seems nobody in the medical field wants to discuss how bad this favorite drug is. For every person who likes having ...

14. questions on versed usage

    neveragain replied to J.R.theR.N2b's topic in General Nursing

    Versed merely blocks the memory of the pain. For me the idea that I may be in pain, screaming and writhing while my caregivers assume that I won't remember it is the stuff of nightmares. Babbling on about things that would absolutely humiliate me i...

15. questions on versed usage

    neveragain replied to J.R.theR.N2b's topic in General Nursing

    There are studies in dental phobia that show Versed, because of its amnesia effect is not good for alleviating the phobia. Since there is no memory 90% of the time, there is a continuing panic reaction to dentist visits. I also feel that the roughn...