Hello, everyone. I just switched jobs and have worked as a CRNA at a Level 2 trauma facility for a couple of months. Many of the CRNAs and MDAs at this hospital are not comfortable using "newer" medications (precedex, ketamine, remi, etc). I have explained some of my own cocktails, but I feel that if I can show these drugs are effective in many different situations, other providers will be more open to using them. So, I was wondering if anyone out there had some unusual concoctions that you find work great. I would also like to hear of any unique ways of using these drugs (I.e. in preop, IM, intranasally, etc). Thanks!
Specializes in Former NP now Internal medicine PGY-3.
3 minutes ago, wtbcrna said:
There are FB groups for CRNAs that you can get more input from. These comments on here are extremely mild compared to some you will get on there though.
You likely work in a medically directed or supervised environment and in those areas it’s going to be difficult to get people to change unless it is directed/encouraged from the top down.
I had similar problems when I worked at Kaiser. There was excellent evidence to encourage practice changes, but no one would change their practices until it was dictated from the Chief MDAs or someone similar.
Hence why I avoid med Twitter and all that garbage. Mostly just ego stroking
Specializes in Former NP now Internal medicine PGY-3.
I would just ask them “hey what do you think of this?” If they aren’t interested and esp if it’s a collaborating facility I would just let it be. Medicine is a rigid hierarchy
Before you take your ball and go home, just consider something for a second. You say you've been there for two months. You're the new gal and you've assessed all of the existing group's skill and knowledge level in those two months and now you want to show 'em all how it's done? Don't be that CRNA. You've let us know you're not the type of gal that takes advice, but trust me, quietly doing your cases, being helpful and establishing yourself as skilled and knowledgeable will go a lot farther than trying to school people, many of whom may have done their first anesthetic when you were in high school. And if you've got such great ideas on your own that you are going to enlighten these people with, why are you looking for 'cocktail recipes' on allnurses? They may be more sophisticated than you're giving them credit for. But knock yourself out.
Since you plan on reporting me for your hurt feelings… “That CRNA” is the person that gives unsolicited and condescending advice. It’s not the person that asks questions and strives to better themselves and their profession. Have a good day, gal ?
Tegridy
583 Posts
Hence why I avoid med Twitter and all that garbage. Mostly just ego stroking