snakebitten

Latest Activity

1. New Mexico practice

   snakebitten replied to RCroft01's topic in CRNA

   There are some decent jobs to found in ABQ, but they are far and few between. I live in ABQ, but work on the Navajo reservation 1 week on 1 week off for full time pay. Of course there are no anesthesiologists that want to work there. It is a great...

2. Military CRNA School

   snakebitten replied to poja_18's topic in SRNA

   How about this perk. AUTONOMY. I was trained in the military, will finish my 20 years at the age of 43. I will RETIRE with half my pay. Yes the pay on paper is less, but with the benefits and all of the current incentive bonuses, it get close if ...

3. Lap Chole and Narcotics

   snakebitten replied to bwt02's topic in CRNA

   sissies

4. Lap Chole and Narcotics

   snakebitten replied to bwt02's topic in CRNA

   I agree, Desflurane or as our my other colleagues call it "Deathflurane" is like inhaled barbed wire IF you use insufficient narcotics. It works like a charm with higher doses of narcotics. I might try switching over to Sevo now that they lost thei...

5. Lap Chole and Narcotics

   snakebitten replied to bwt02's topic in CRNA

   Yes, I know alot of you think that 15cc of Fentanyl is excessive. It has worked for me for 10 years here. I run very little gas 2-3% Desflurane with Nitrous. Gas (and Narcan by the way) are intruments of the devil. High narcotics dosages as you a...

6. Lap Chole and Narcotics

   snakebitten replied to bwt02's topic in CRNA

   Here is my recipe for lap choles. By the way, I work on an Indian reservation where we do 20 per week. 1. 750 mics of Fentanyl all up front 2. 100 mg propofol 3. Vec. 5 mg 4. Des/Nitrous 5. Toradol 60 IM 6. Decadron 10 mg for antiemetic Surgeons ta...

7. Double Lumen LMA for Lap procedures?

   snakebitten replied to TraumaNurse's topic in CRNA

   I have used the LMA Proseal for a Lap Chole. I inserted an NG tube through the lumen and held it to suction. Will I do it again, probable not. I just tried it on a thin women. No problems. But I did suck about 200cc's of bile out of her belly, ...

8. Job prospects and nice places to live in New Mexico?

   snakebitten replied to TexasCCRN's topic in CRNA

   I work independently for the Indian Health Service in Northern New Mexico. It depends on how remote you want to get...There are a quite a few jobs available. I know they have been looking for a CRNA in Raton, Farmington, Shiprock (Indian Health Ser...

9. CRNA independent states

   snakebitten replied to cooper's topic in CRNA

   Wrong--1% to 100% supervised means just that. The MD can come in and change your plan if he or she feels necessary. They will be there on induction, sometimes push your drugs (that they decide), start your lines etc.. and leave, then come back for ...

10. CRNA independent states

    snakebitten replied to cooper's topic in CRNA

    Come to New Mexico-we are an "opt out state". No supervision necessary. In my opinion--"collaboration" is supervision on a smaller scale. If someone can come in to my room and push my drugs, start any part of the anesthetic or change my plan witho...

11. Regional Anesthesia

    snakebitten replied to sonessrna's topic in CRNA

    I find it a sad state of affairs that there are CRNA's out there that graduate without being proficient at ALL regional blocks. I work in a rural city (Opted out state) ALONE. It gives the profession a black eye when I hire a locum to help me out a...

12. Attention NC Residents

    snakebitten replied to NCgirl's topic in CRNA

    Why don't you all spend your money, letters, calls and energy petitioning your governor to "opt out"--that would solve alot of your problems. Mike (from New Mexico--an opted out state)

13. Central lines for a lefty?

    snakebitten replied to charles-thor's topic in CRNA

    Tenesma is right on the money..also if your department can afford it--a site right ultrasound is a great tool to have... Mike

14. Day in the life

    snakebitten replied to NeuroNP's topic in CRNA

    Typical Day--Today To work at 715, set up room draw up drugs machine check. I work in rural New Mexico town, where we are independent practitioners (We are one of the opt-out states). On todays schedule. C-section, AV graft, Ex-Lap, colonoscopy-E...

15. CRNA Induction Sequence List

    snakebitten replied to miloisstinky's topic in CRNA

    I'm with JWk..Well said