smiling_ru

Latest Activity

1. Regional Anesthesia

   smiling_ru replied to sonessrna's topic in CRNA

   Maybe we should add to the FAQ which programs have a lot of regional and line placement opportunities.

2. *******SUPERVISION REQUIRED or NO for CRNAs?*******

   smiling_ru replied to rtinkam's topic in CRNA

   O.K. This is how it works. The order for anesthesia is given, a discussion with the person ordering the anesthesia occurs ie.. general/local/block/MAC. This does NOT mean that the person ordering the anesthesia needs to discuss every drug. No matt...

3. *******SUPERVISION REQUIRED or NO for CRNAs?*******

   smiling_ru replied to rtinkam's topic in CRNA

   If you feel that you are considered inferior because you are an LPN, then change it. I started out as an LPN, and dealt with some of the same issues you have. The only solution for me was to further my education.

4. *******SUPERVISION REQUIRED or NO for CRNAs?*******

   smiling_ru replied to rtinkam's topic in CRNA

   You need to educate yourself in the practice of nurse anesthesia. We are not in a position where our actions are determined by anyone other than the patients needs. We do not need an order to administer a drug, we do not need an order for the type ...

5. Doctor of Nursing Science - On-line

   smiling_ru replied to tkcgjones's topic in CRNA

   loisane, Which school did you ultimately choose? I have looked at Case Western, Rush, VCU. I applied to UT Memphis, but the switch from DNSc to DNP concerns me. I am afraid that the DNP may limit my future choices as opposed to the DNSc, what do...

6. Bradycardia in response to hypoxemia in kids

   smiling_ru replied to charles-thor's topic in CRNA

   Maintenance of adequate heart rate is the most important factor in ensuring adequate cardiac output. However, the dominance of the parasympathetic portion of the autonaumic nervous system tone makes neonates, infants, and young children particularly ...

7. Aggressive fluid therapy in Severe Septic Shock and ARDS.

   smiling_ru replied to Diprivan/Vented's topic in CRNA

   Ventilator injury; http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=14508153 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12793874 htt...

8. Aggressive fluid therapy in Severe Septic Shock and ARDS.

   smiling_ru replied to Diprivan/Vented's topic in CRNA

   (IMHO) Antimicrobial accessiblity in these situations is going to be circulation dependent, increasing the pulmonary edema will only increase the shunting, decreasing antimicrobial availability. The other issue is that protiens leak along with the ...

9. MAC level information

   smiling_ru replied to Tia's topic in CRNA

   The anesthesia reference sheet that Cusick puts out has most of that information. I have never heard of MAC induction/ MAC intubation. But, I would assume MAC BAR would be intubation. If you don't already have this sheet, this link has an example ...

10. Here's what AAs really think of CRNAs

    smiling_ru replied to Athlein1's topic in CRNA

    Quote: These arguments are great if your audience is mostly CRNAs, other nurses and medical professionals. That is the real problem for CRNA's. Because, while anyone working in US healthcare is familiar with what a nurse brings to the table, the ...

11. Here's what AAs really think of CRNAs

    smiling_ru replied to Athlein1's topic in CRNA

    For those of you who can not discern a difference, and see this as a turf battle, I would like you to consider this. A nurse anesthesia student starts the program with a great deal of education and experience in the medical field. They all understan...

12. Roll call for Seattle

    smiling_ru replied to NCgirl's topic in CRNA

    I will be there.

13. Here's what AAs really think of CRNAs

    smiling_ru replied to Athlein1's topic in CRNA

    Anesthesiologists working in an "anesthesia team" environment do NOT generally administer the anesthesia. This is why I laugh when a patient insists that an anesthesiologist provide theirs. They are basically asking for the person with the LEAST da...

14. Here's what AAs really think of CRNAs

    smiling_ru replied to Athlein1's topic in CRNA

    AA do not receive direct reimbursement, they must be supervised therefore, the anesthesiologist bills for supervised cases. This is in contrast to CRNA's who can bill directly.

15. Here's what AAs really think of CRNAs

    smiling_ru replied to Athlein1's topic in CRNA

    Teeituptom, I am curious, why would you prefer an AA to a CRNA?