FockerRN

FockerRN

Trauma ICU

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All Content by FockerRN

  1. Isotonic vs hypotonic vs hypertonic

    No offense intended to anisettes, but isitpossible's explanation is more accurate. Hypotonic - solution has less sodium (as was stated later by @Isitpossible, tonicity is about solute, though na is the greatest component in osmolarity of the human bo...
  2. Intubation and Sedation

    I stand corrected about STP availability. All I know is that generally in the area I am in there is narry a drop to be had. The problem with STP and Propofol are that they are not money makers for the drug companies and thus they are not going to d...
  3. Intubation and Sedation

    Thiopental is no longer available for use in the United States and if you had some you could probably get a pretty penny for it from one of the states that has a current backup of executions. The last manufacturer of STP moved their operations to It...
  4. Anesthesiologists being replaced by CRNAs???

    Goodness, you starting to sound like a broken record. The whole "war" thing was saying that if you want to argue a subject such as this then you need to come armed with something other than "because I said so and I'm a doctor so I must be right" and...
  5. Anesthesiologists being replaced by CRNAs???

    Way to avoid the point all together and try to get out of it by taking the "high road". You come and say that anyone in the "know" wants a MDA and that CRNA solo practice is unsafe. First, as the money gets tighter in healthcare all those hospital a...
  6. Anesthesiologists being replaced by CRNAs???

    No, sitting on the fence essentially makes you holier-than-thou.... Patient safety? Research study after research study has shown that independent CRNA practice is as safe as ACT practice and MDA only practice, period. You were uncomfortable? Fine, ...
  7. What got you into school?

    CRNA 2012, I was just messing with you...sorry . I know the internet is a bad place for such humor but I couldn't help myself. Focker
  8. What got you into school?

    CRNA2012, You are right they don't need to worry about the first few posts but the OP asked what got us into school. I wrote what got me into school. I'm glad that you are an expert on me and my psyche. Give me your email so I can ask you some ques...
  9. Malignant Hyperthermia

    Your right, Ca channel blockers are a big no-no, but why not LR? I guess the K? It didn't think it had enough to make a huge difference but NS would probably be best and safest. Watching the CO2, as one person suggested, is the earliest sign but if...
  10. 0.45% NS is Hypernatremia?

    I'm glad you brought up about the slow correction of hypernatremia. We had a couple residents decide to correct a particularly high Na with D5 one day and the next day they dropped the persons Na by a significant amount (greater than 6 I think but I...
  11. 0.45% NS is Hypernatremia?

    What you have to realize is that just about every solution we have is "scary if overused". Little that is done to patients is benign but you have to weigh the costs and benefits. Especially in the critically ill, which I am most familiar with. If ...
  12. CRNA clinical Hours

    I agree that I didn not answer the question, but I would say that they are asking the wrong question. Trying to track down meaningless stats is not useful.
  13. CRNA clinical Hours

    What they are in for is spending their life as they know it studying and in the OR. It is a time commitment that takes up most all of your life while you are in it. Asking the number of clinical hours is not going to tell you a thing. How many sem...
  14. CRNA clinical Hours

    What difference does it make? It is a full time job between classes and clinical. You are there until you go home, and then you study until you go to bed. Number of cases of various kinds you do is relevant, when you start clinical is relevant but ...
  15. ummm, I'm sorry you are having a difficult time finding a job and all, but discrimination? Please! Hospitals have every right to "discriminate" when there is more supply than demand. As you noted the experienced nurse provides a cost benefit to the ...
  16. Interview attire

    You should dress as absolutely professionally as possible. Dress like you imagine someone at a Wall Street corporate job might dress. Pant suit or skirt suit (whichever you are most comfortable in) would be most appropriate. Just make sure it fits ...
  17. Secret to successfully inserting an NG tube?

    If an NG is one of the worst things you've seen nurses have to do then you have seen too little to this point. A couple weeks ago I was up to my wrist in a woman's hip packing a wound and just the other day I helped pack a guy's scrotum and perineum....
  18. Did you become a CCRN before CRNA?

    My overall GPA is 3.67 but nursing is a second career for me and I got my BSN from the same university that I received my first degree. So, my GPA for my BSN, with some pre-med and BSN prereq's thrown in, was a 4.0. My first degree was in Mechanica...
  19. Did you become a CCRN before CRNA?

    Well, I will throw my 2 cents in. I did not have my CCRN when accepted but I would have taken the test if I had not gotten in when I did. I had 10 months experience when I interviewed and was accepted at both schools that I applied to. However, I ...
  20. Good Reasons to Become a CRNA

    As I have read various posts on the boards and the FAQ about becoming a CRNA a question has been brewing in my head. What are good, solid, defensible reasons to become a CRNA? Especially in regards to answering the question that may come up in an ...
  21. What got you into school?

    BSMechanicalEngineering 1999 GPA 3.4 BSN prereq's 4.0 BSN 2008 GPA 4.0 (3.6 cumulative with BSME) 4 MS Engineering classes (GPA 3.75) and am taking 1 MSN class (expect A) GRE 1430 (Q780,V650,W5.5) ~10 months experience at interview, ~19 months at sta...
  22. information about crna, reliable information please

    Anyway...as I said I would say that the definition would be something more on the order of: sitting in the doctor's lounge reading magazines, surfing the web or sleeping. Having NO patient interaction because you have delegated such menial tasks t...
  23. [/size]demographic and previous career details: how long have you been a nurse? 13 months age? 33 gender? male what was your previous career?mechanical engineering did you receive a college degree in that specialty?yes how long did you work ...
  24. I need some advise on ICU jobs

    I have to somewhat disagree. Level 2 SICU vs Level 1 SICU would put you at a disadvantage-all things being equal. However, if you make the most of your experience and learn what you need to learn, getting CCRN if you choose or taking classes etc.......
  25. TPN and PRBC

    You never, NEVER, run blood with anything but Normal saline. Running anything else with blood can cause major issues, if not death. No wonder you got written up, the ultimate no,no that was taught ad naseum in nursing school.