PresG33

Latest Activity

1. Trauma level 1 or level 3 for future CRNA?

   PresG33 replied to violet87's topic in SRNA

   I worked at a level 3 trauma hospital, but we did tons of super complicated cardiac and vascular, RNs in the unit ran ECMO, and we also took complicated medical patients. All of this was with tons of autonomy. Trauma level only applies to trauma case...

2. A rant and a question re: CRNA master’s program

   PresG33 replied to RN_2001's topic in SRNA

   Every ICU in America is full of nurses who at one point wanted to go to CRNA school and decided not to for whatever reason. They had kids, didn’t want to move, was too expensive, wanted to do a masters instead of doctorate. Whatever the reason, the d...

3. CRNA school with 1 year ICU Experience

   PresG33 replied to heythatsmybike's topic in SRNA

   There’s plenty of people who worked in the ICU for 5 years and just kinda slid by and did whatever the ICU docs said and then got into CRNA school. And there’s plenty of people that busted their butts for 1-2 years, took super sick patients, practice...

4. How to Afford School

   PresG33 replied to JRoss's topic in SRNA

   I was married with two kid, house, etc. when I went to CRNA school. People would always ask how I could afford to go to school. I would say “how can I afford NOT to go to school??”. I meant this both financially (even with maxed out loans, by decreas...

5. I got into a CRNA program...how can I prepare myself?

   PresG33 replied to chris21sn's topic in SRNA

   1) spend lots of time with friends and family and remind them that your ability to spend time in school will be minimal. Try to build up some goodwill now for the inevitable decrease in your ability to spend lots of time on these relationships. 2) w...

6. CRNA schools to avoid? Wish you would have known?

   PresG33 replied to CVnurse2014's topic in SRNA

   One point I will make: in my opinion the strength of your schooling is mainly attributable to you being an active learner. There are SRNAs at “weaker” programs that are very good because they take an active role in their learning and make the most ou...

7. ICU experience for CRNA school

   PresG33 replied to Micu 2020's topic in SRNA

   Leaving just to manage IABPs is not necessary for CRNA school or in practice. Whenever they put a balloon pump into a heart I’m doing it is managed by perfusion. We are generally to busy to do anything with the balloon because if the pt is getting on...

8. Help with post CABG pts

   PresG33 replied to Cheers_G's topic in Critical

   I worked in a CVICU and am now a CRNA who primarily does hearts. A few tips: - There are lots of nurses that know WHAT to do but not WHY. They know that adding milrinone will make the cardiac index go up and they might need to put on some norepi, but...

9. First CRNA Job - What to look for?

   PresG33 replied to kdkd25's topic in CRNA

   If possible, dont make the decision on where to work at your first job based on commuting time or salary.... make it based on case mix and autonomy. You will have plenty on time in your career to make location and money based decisions, but the first...

10. CRNA School with a young family

    PresG33 replied to ECRNICU's topic in SRNA

    I had two kids during school (one was born during school). It was OK. It forces me to plan ahead and prioritize my time in a way that made my studying more efficient than my classmates. When I got my syllabus for the semester I would start working on...

11. Ca++ and Threshold potential

    PresG33 replied to mdubb342's topic in CRNA

    Yes. Ca can "buy you some time" by maintaining the difference between RMP and threshold, but it will not keep badness from happening. This is true of most "treatments" like bicarb, hyperventilation, insulin/glucose, albuterol, etc which only shift K ...

12. Ca++ and Threshold potential

    PresG33 replied to mdubb342's topic in CRNA

    In hyperK, the resting membrane potential rises, which brings it closer to the threshold potential. This means that a much smaller stimulus is needed to trigger an action potential, which can lead to arrhythmias. Ca raises the threshold potential wit...

13. Cricoid Pressure

    PresG33 replied to SBURNSTEVEN's topic in CRNA

    The main reason to apply cricoid pressure is to be able to check that box on documentation and hopefully not get sued if there's an aspiration. The cricoid pressure itself has been shown to decrease glottic exposure during laryngoscopy (means longer ...

14. Is this job hopping/bad?

    PresG33 replied to mindy kaling's topic in SRNA

    I think leaving a job in less than a year is semi suspect. I'm assuming you want to go to CRNA school b/c that's the forum you posted in, so the optics of that type of move is important when admissions committees are looking through hundreds of resum...

15. Disadvantage attending a smaller program?

    PresG33 replied to TBLV4's topic in SRNA

    At my large sites the attending a pushed induction drugs, were stingy with giving us central lines and blocks, and I did a few really cool big cases and a bunch of normal cases. At my CRNA/Indy rotations I did all my own inductions, did a ton of blo...