nycnurse1982 1,188 Views
Joined: Jul 12, '12;
Posts: 23 (4% Liked)
; Likes: 1
I worked for two years in a level one trauma SICU before going to anesthesia school. I was right out of nursing school and I found this to be a great basis for becoming a CRNA. That being said, I have many friends from anesthesia school who worked in the SICU, MICU, neonatal ICU, CICU ect and we all did fine. Good luck!!
I think that is is great that you have assessed the patients record prior to receiving the patient. As others have said, there are two primary triggers for MH, anesthetic gas and Succs (a depolarizing muscle relaxant). These can be avoided rather easily. It is common to do these cases first in the morning (so the anesthesia machine can be flushed of all gas or a separate machine is used) with a total IV anesthetic. Someone mentioned hypotension with propofol injections but I have found these to be no greater than with traditional gas anesthetics. We also use propofol anesthetics for patients with severe PONV, and there is really no limit to the length of the case. These patient will take much longer to wake up from anesthesia than with regular gas. Also, Succs is avoided but other muscle relaxants can be used with no problem. Not knowing the full patient history, it may or may not be a great idea to do this case outside of a hospital setting, but this is highly dependent on anesthesia provider and surgeon comfort levels. It is possible to do this case safely in your setting so please do not panic.
I emailed the help center and this is the reply I received.
Hi, the first disbursement is sent during the first full calendar month of the contract. Disbursements are normally sent around the 19th, but there was a delay in October; the payments will resume the normal schedule in November. Your payments are scheduled to continue through September 2014, so that will make for your total of 24 monthly payments. Thank you
Hope this helps [FONT=Arial, Helvetica, sans-serif][COLOR=#333333]clarify things
Weird...so most of our contracts started 9/6. Its now 10/29, so we either should get another payment by 11/6 or we will be one month behind right?
So I emailed the help dept and the guy that wrote back said that the first payment is during the first full month (this month for us who began service last month). He also said that payments tend to go out toward the end of the month, and that you can kind of see when your regular payment will occur based on when you get your first one. So, still waiting
Stay safe Janisleigh!
Lol I think I have officially lost it! I got my email 8/14 and thought for sure I would hear something by now...the waiting is driving me crazy
Wow...that's a lot of applications! No wonder all the emails seen to be later this year! Good luck everyone
Just got an email!!! RN, tier 1, 115%.....I'm praying like crazy for everyone else!!
Hi Liz....I hope we hear soon too! Maybe they are finishing up with the NPs and faculty now and will get to us soon...good luck!
I wonder when the RNs will start to hear anything.....
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