TopherSRN

TopherSRN

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All Content by TopherSRN

  1. Drs rounds......

    TopherSRN replied to Misty1's topic in MICU, SICU

    Zee

  2. anesthesia clipboard

    TopherSRN replied to athomas91's topic in Certified Registered Nurse Anesthetist, CRNA

    I ordered a mini yesterday without even knowing what all it had. Even though thats the 02 version I'm glad i got one. Even though I'm not an anesthesia provider there is still a ton of inofrmation to...

  3. Drs rounds......

    TopherSRN replied to Misty1's topic in MICU, SICU

    10:27

  4. Why havent CRNAs pushed MDAs out yet?

    TopherSRN replied to platon20's topic in Certified Registered Nurse Anesthetist, CRNA

    Nice assumption but wrong. You are not a CRNA so why dont you stick to Pre-CRNA forums? Way to be a hypocrite. I'll post anywhere I'd like, anytime I like until an admin says otherwise with a ban....

  5. Why havent CRNAs pushed MDAs out yet?

    TopherSRN replied to platon20's topic in Certified Registered Nurse Anesthetist, CRNA

    My point was that MDA isn't a recognized title except by nurses on this board. The majority of people on this board ran yoga off with their ignorance, so good luck with that. Nursing as a whole might...

  6. Why havent CRNAs pushed MDAs out yet?

    TopherSRN replied to platon20's topic in Certified Registered Nurse Anesthetist, CRNA

    I understand MDA is shorthand for Anesthesiologist, but I had a novel idea and figured out MD (their legitimate title) is even shorter than MDA. I'm not a doctor, rather a nurse but even this irks me...

  7. Swan Lines

    TopherSRN replied to 2ndChance's topic in Certified Registered Nurse Anesthetist, CRNA

    Swans in MICU and other units are probably totally uneccesary save for pronounced shock patients. In CVICU its a different ballgame. The literature doesn't necessarily say swans are bad as much as...

  8. Nursing with a Southern Accent

    TopherSRN replied to natron20's topic in General Nursing

    This is obviously a pressing issue since there are no nurses in the south solely because their accents prohibit them from being competent

  9. how much $ is too much

    TopherSRN replied to PTU2SLP's topic in Certified Registered Nurse Anesthetist, CRNA

    why is it any different for a a kid? That 50 something lady you're intubating for a CABG x4 c an AVR is someone's daughter/sister/mother/etc. I also think the question of too much money is rather...

  10. Read the article about calling 911 to get seen faster???

    TopherSRN replied to missboo622's topic in Emergency

    We had a patient sit in the waiting room for 6 hrs, leave, walk across the street and call 911 from the parking lot. She was wheeled past the nurses desk by EMS and back out into the waiting room....

  11. New Grad going to ICCU..

    TopherSRN replied to Anjann's topic in CCU, Coronary, Cardiac

    Whether or not you should start in an ICU is a question that only you can ultimately answer. I will be starting in an ICU as a new grad an look forward to the challenge. I have been studying for 8 mos...

  12. How many is too many?

    TopherSRN replied to mich_01085's topic in First Year After Licensure

    depends on how much you like your

  13. To thump or not to thump....

    TopherSRN replied to 123456yy's topic in MICU, SICU

    Jiffy, great post and not to take anything away from it, but doesn't intubation herald a sympatheitc response hence all the premedication. Also spent time shadowing a CRNA in CVOR and he made a point...

  14. Titrating drugs: dosages or CC's

    TopherSRN replied to dorimar's topic in MICU, SICU

    I don't think it really matters how you go up/down on gtts as long as you know the dosage. Drugs are dosed mcg/kg/min, but the titration is patient driven. So to me as long as the dosage is in an...

  15. RN and BSN difference??

    TopherSRN replied to dixiechickn71's topic in General Nursing

    Even if you don't know if you want to pursue a master's then if you're able you're better off with a BSN. It might be more difficult to go back later should you change your

  16. Chest tubes

    TopherSRN replied to Lisa CCU RN's topic in General Nursing

    We always put them to H2O seal and a nurse accompanied the patient down and back. I know they don't like PCXRs because of the

  17. Air Embolisms by Central Line Removal

    TopherSRN replied to mach1of8's topic in Certified Registered Nurse Anesthetist, CRNA

    The guide wire/dilator (Seldinger technique) is used with Cordis/TLCs, correct? Whereas Mmac is just doing basic IJ cannulation with a PIV

  18. Emergency or Critical Care..Its up in the Air!!??!!

    TopherSRN replied to jellybeanmead's topic in General Nursing

    Either one will be roughly as 'difficult'. And neither will be that bad. If you have the determination and the want to work there you can make it work. Just be a sponge and soak up everything and...

  19. Why Can't Hospitals Offer Shifts Other Than 12 hr. 7 to 7?

    TopherSRN replied to neonurse97's topic in General Nursing

    In my limited experience the department with the most flexibility in scheduling is ER. Could also try Endo or Cath Lab; departments that typically work 7-3, though both may require call. Also same day...

  20. Why Can't Hospitals Offer Shifts Other Than 12 hr. 7 to 7?

    TopherSRN replied to neonurse97's topic in General Nursing

    I think you'll be unhappy to find you're in the minority. I don't know the exact reasons for 12s making a come back but like everyone has said its win-win. Nurses and administration alike win. It will...

  21. Why Can't Hospitals Offer Shifts Other Than 12 hr. 7 to 7?

    TopherSRN replied to neonurse97's topic in General Nursing

    4 days off is great. I wouldn't work anything but 12s. Overtime oppurtunities are better as well. If you want 8s try ER, they are probably the only place that routinely has different

  22. First Code Blue

    TopherSRN replied to danigirl58's topic in General Nursing

    Shocking asystole was hospital or ACLS protocol at the time? And I realize that ACLS protocol should trump hospital. When did ACLS ever advise shocking asystole (I'm asking as I don't know and...

  23. How long before NPs will be able to do surgery solo?

    TopherSRN replied to platon20's topic in Nurse Practitioners, NP

    Great post pds10. All I know is if I ever need surgery I'll be sure not to be in Mayberry where the OP

  24. Lidocaine prior to IV start?

    TopherSRN replied to WVUturtle514's topic in Certified Registered Nurse Anesthetist, CRNA

    so you're saying a 24ga hurts just as much as a 14ga? I think the issue might be the whole ER nurse v. CRNA. In the ER the importance of lido on an adult, even if deemed effective, might be lessened....

  25. How long before NPs will be able to do surgery solo?

    TopherSRN replied to platon20's topic in Nurse Practitioners, NP

    Either this is a troll post or the OP smokes crack, but I'll humor you. a RNFA is a far cry from a surgeon. 1 yr experience and another week of classes + a test does not equal medical school +...