MmacFN

MmacFN

I know stuff ;)

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All Content by MmacFN

  1. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Hey heart Well the dose is variable and the physician makes that call. The nurses never give the bolus the MD/DO has to do that. The policy is that one RN monitors the drip and another assists the...

  2. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    the whole idea is scary. I just dont understand why it is lawsuits arent common? FOr some reason they are dont seem to be happening, be it settlements with confidentiality orders or what. I think its...

  3. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    well said thomas Well, lucky for me I am seldom in the position where im asked to do it since i do not work there full time. I totally dislike the fact that 2 nursing associations are vs each other....

  4. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Hey Lou Okay, Mike, I'm sorry pal, but are your eyes brown, because you are completely full of BS. I guess you have no way of knowing my motives, thats OK. You keep attempting to explain the subtle...

  5. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    hey there i dont live in texas and the nsg board here considers diprivan for the use in concious sedation as within the scope of practice for an rn. it does state that no rn can push the drug. in...

  6. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Good finds Thomas! Im grabbing them now! Thanks! I know the ER isnt using ETCO2 as they only have capnography for intubated patients, I believe there are new devices which can measure CO2 in the...

  7. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Hey Heart. The way the local ER was doing it was this: - 2 micrograms/kg of fentanyl i.v - continuous infusion of propofol at 0.21 mg/kg/min i.v. to the desired level of sedation. A maintenance...

  8. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Hi. No i havent been lost just dont see any point in discussing this further. I have replied to a few questions via PM. As for the issue of experience and opinions in regards to how dangerous a drug...

  9. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Ok I am all for the spirit of discussion/debate, argument and professional sabre rattling. Its fun. I also learn alot from it. I enjoy challenging norms and learning the whys behind things....

  10. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    hehe Ok, I guess the hospital, the ER Docs all the RNs and all the MDAs will soon be going to jail eh? Of course its legal or they wouldnt take the risk. As opposed to answer your question why they do...

  11. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Hey RN Let me answer your questions. PPV then anectine to break laryngospasm. Every first year student knows this. Let me get this straight - the VC snap shut because of some stimulus, then you...

  12. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    hey jen this is true. however, the board defines anesthetics differently than concious sedation of which diprivan is the drug of choice in the er. diprivan gievn for the purpose of anesthesia is when...

  13. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Hey Ray Absolutely. Obviously I dont know about anesthesia, thats what everyone here does (or many do). I am sure as im reading (all those books i bought to learn more before school) i will be amazed...

  14. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    hey jen I actually do not work in the ER much anymore. However, all patients are prepared for the possibily of aspiration. The measures taken when the drug is given are: - Suction ready - code cart...

  15. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Well said Keith

  16. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Hye jwk Thanks for the sarcasm and judgement as opposed to answering the questions. I dont know everything about anything. I work with people who have forgotten more than i will ever know. However,...

  17. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    hey Jen Im very concerned about aspiration. If its an issue i plan to control it with cricoid ring pressure and patient positioning. The problem is that all of these issues mentioned below are not...

  18. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    here is another article to review with references. Please refute it with references. December 2004 Jeanne Lenzer Robert Solomon, MD What is the best sedative/amnestic agent for brief, but...

  19. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Hey Keith You know why im frustrated here? It has everything to do with how people are quick to quote research to back up their opinions when it comes to the same conclusions, however; when there is...

  20. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    hey I hear yah. However, internal closed reductions are a common procedure done in the ER. It is the pervue of the emergency phsyician to decide what is emergent and what is not. ASA AANA has no say...

  21. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    This is directly from the monogram which im holding in my hand. Your arguing semantics with me here. I know the difference but its irrelevant. DIPRIVAN Injectable Emulsion is a sterile,...

  22. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    As an aside, here is what ACEP and ENA say about propofol in the ER: First, from ACEP: ACEP Policy #400344, Approved October 2004 ACEP believes that: Emergency physicians and nurses under their...

  23. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Hey Lou Im not suggesting they are right or wrong, good or bad. All stats can be twisted anyway you like them and you then could say that is true of the CRNA vs MDA study and safety. Peer reviewed,...

  24. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Good post yoga. I agree with you. However, the problem is there is a deep well of research done showing it to be safe. Really, there is very little to suggest that the packet insert is standard. After...

  25. Non anesthesia provider providing anesthesia

    MmacFN replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Hye Night Good post Im not saying you guys are right or wrong. What im saying is that in order to make claims about saftey in the name of patients one must do research to back up those claims. I see...