passgasser

passgasser

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All Content by passgasser

  1. Elective Primary C/S

    passgasser replied to Gem97's topic in Ob/Gyn

    First of all, I agree that the whole notion of a primary elective c-section is not only silly, but a dangerous trend. I think it is a result of patients' desires to be "more involved" in their own...

  2. RSI rapid sequence intubation question

    passgasser replied to BFE/RN's topic in Emergency

    ERNurse1139 Please forgive me, some of the tone of my original post was directed elsewhere. It was not meant for those with genuine questions. (I am Passgasser, not MedicRN111.) In answer to your...

  3. RSI rapid sequence intubation question

    passgasser replied to BFE/RN's topic in Emergency

    Even funnier when someone makes a statement like this, then promptly makes a number of mistakes in their recipie. From an anesthesia perspective, there are a lot of ways to skin the cat. I have used...

  4. gpa 3.2

    passgasser replied to garfieldrn's topic in Student Registered Nurse Anesthetist

    OK, I've gone back and looked at your other posts, and I feel there is more to be said. Again, I simply want to be very honest with you about your chances to get into a CRNA program. According to what...

  5. gpa 3.2

    passgasser replied to garfieldrn's topic in Student Registered Nurse Anesthetist

    I have a number of thoughts. I'm going to be straightforward with you, but please do not infer that to be discouraging or rude. Much of what I am going to tell you is offered so that you don't waste a...

  6. crna preparation beyond nursing curric.

    passgasser replied to brianjones's topic in Student Registered Nurse Anesthetist

    Sounds to me like you probably don't need to retake the chem or the physics. There are two things you could do to find out. I think there are some college level chem and physics refresher courses on...

  7. Getting wisdom teeth removed, need advice from a CRNA

    passgasser replied to BethBSN's topic in Certified Registered Nurse Anesthetist, CRNA

    You asked the advice of a CRNA. So, here it is. Wise choice. Provision of anesthetic drugs is best, and most safely performed by educated anesthesia providers. While there are other people out...

  8. Live and learn...my med error!

    passgasser replied to Antikigirl's topic in General Nursing

    Not an area I would usually post, but I have a few comments: First: Kudos to you. Upon finding themselves in the position you were in, many would scramble to throw off as much blame as possible....

  9. opinions about epidurals

    passgasser replied to Jayla's topic in Ob/Gyn

    I agree. I Once had a patient walk into the unit for a scheduled induction ask for her epidural before anything (including the IV) had been done. She was a primip, and was just sure that the epidural...

  10. opinions about epidurals

    passgasser replied to Jayla's topic in Ob/Gyn

    Yep. Sorry, but you are not the deciding factor on whether or not I'll go talk to a patient. Do you have any idea how many patients have refused epidurals at first, only to call me back later to get...

  11. What do you really do over there...

    passgasser replied to Sonn's topic in Certified Registered Nurse Anesthetist, CRNA

    Plain and simple. We do anesthesia. Though I now work in a facility with a MD, I have worked in facilities where there were no anesthesiologists on staff. Even now, I do general and regional...

  12. Starting to look for work...

    passgasser replied to snowboarderRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Since you posted this in the CRNA section of the board, I'm going to presume that you just graduated from a CRNA program. That makes most of the previous poster's points moot. No, scratch that, it...

  13. propofol

    passgasser replied to popbob's topic in Emergency

    Personally, the EP lab is the last place I'd use propofol for conscious sedation. First of all, the sedation provided by the drug is anything but conscious. More importantly, propofol has significant...

  14. Ketamine for conscious sedation in peds in the ED

    passgasser replied to nanb's topic in Emergency

    ERNP The first thing I would tell you is that I don't use valium with any of my patients, and never have. The reason for that is because I consider versed to be a far better drug. It is generally...

  15. propofol

    passgasser replied to popbob's topic in Emergency

    "If you look it up as you should, it's just like any other medication." Yes, that statement troubles me as well. The fact is that it is not just like any other med. It has a nasty habit of biting the...

  16. propofol

    passgasser replied to popbob's topic in Emergency

    And, for those who think they can give these drugs safely, let me pose a question. Suppose your ER doc ordered you to give a patient a potent chemotherapeutic drug, would you do so? I submit you...

  17. propofol

    passgasser replied to popbob's topic in Emergency

    Canoehead You wrote: "I agree with you that an ER doc that is in the middle of some procedure is not going to be timely in putting down a tube, they,and the hospital, feel that solong as someone is in...

  18. propofol

    passgasser replied to popbob's topic in Emergency

    Hmm, interesting. The juxtaposition of two comments from the same poster: "first off, if an er physician is not capable of intubation anything that walks in the door, he or she shouldn't be in the...

  19. propofol

    passgasser replied to popbob's topic in Emergency

    One other point needs to be made. When you administer an anesthetic agent, such as etomidate, propofol, brevital, or ketamine, you are performing anesthesia. In court, your actions will be judged on...

  20. propofol

    passgasser replied to popbob's topic in Emergency

    I apologize, I really don’t mean to be condescending or insulting. However, without even knowing it, your last post highlights exactly what I was trying to say. It also proves what I said in the...

  21. propofol

    passgasser replied to popbob's topic in Emergency

    The rest of your anti-education post aside, I found this particularly funny. All the various manufacturers of propofol have included the restrictions on administration to satisfy one anesthesiologist...

  22. propofol

    passgasser replied to popbob's topic in Emergency

    I know I'm beating a long dead horse, but it appeared that, even though this question had been answered in several different posts, it was never directly addressed. So, here is your answer: 1....

  23. Ketamine for conscious sedation in peds in the ED

    passgasser replied to nanb's topic in Emergency

    I think this is interesting. Another way to say the same thing: "We know about the intense hallucinations the drug causes, so we only give it to that segment of our patient population that is least...

  24. Ketamine for conscious sedation in peds in the ED

    passgasser replied to nanb's topic in Emergency

    Versed is a great drug for kids, given orally at 0.5 mg/kg. It's amnestic properties are very helpful with children. I've also heard of some docs who like chloralhydrate po for sedation. Remember,...

  25. Ketamine for conscious sedation in peds in the ED

    passgasser replied to nanb's topic in Emergency

    I'm glad I haven't offended. I've been berated for my position on this topic (administration of anesthetic agents by non-anesthesia qualified nurses) many times. Just to be clear, I've talked with...