MmacFN

MmacFN

I know stuff ;)

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  1. Hye RN Yer back to opinion and no evidence. The definition of "emergent" as defined in the hospital policy signed off by the MDAs ER Docs and hospital, is "anything entering the ER with an acute...
  2. Some good articles for you to read. Essentially, the research on this topic is a mixed bag with no worse negative outcomes for diprivan use in the ER vs Versed. The worst identified outcome was...
  3. for the record... i didnt say that versed = dip comment. Tee
  4. hey ray Yes i do understand what people are concerned about. I agree with them. I was just asking another question in regards to saftey issues and potential for harm. Just looking for general
  5. As a twist on the conversation... I give succs, vecc and roc all the time. The intent, however, is always to intubate. What seperates my administration of that medication in flight from having an ER...
  6. Hey Nephro There is nothing wrong with refusing a drug because of preference. You may even go so far as to call it a sensitivity. There is certainly nothing wrong with saying its an allergy if you...
  7. Moments of Terror

    man. I dont even know what to say except good job trying to be an advocate for the patient, you were right other provider was
  8. Ok So in a quest to learn more about my future profession, ive been doing alot of research....
  9. Hmm What are NAPS? I know here in AZ diprivan has been approved as long as the facility has a policy. They place it under concious sedation in the hospital, maybe that is a loop
  10. Hey london! Yes i was already schooled I wrote without reading first and found out afterward why there is a difference, afterall, what do i know about thiopental? I have never used it. I love reading...
  11. this is an interesting discussion Depending on where im working (and the clinical situation), i use lido or i do not. When my patient is quite sick, i dont use the lido, like in the ER or a crasher in...
  12. Well let me tell you what hospitals use them most. 1) Maricopa Medical Center in PHX 2) Mayo Hospital in Scottsdale various other facilities use CRNAs but in a manner that would probably bore you...
  13. For all the CRNAs What are your percieved positives and negatives between hospital employee and being apart of a CRNA or Anesthesia Team group? Is there one that is better than another? Im currently...
  14. There is no medical restriction. The hospital, in association with its various physician stake holders, make the decision what can and cannot be done where. Where I work anesthesia was consulted and...
  15. Hey jen Dont come here. It will change, i have talked to may MDAs who feel that within 5 yrs it will be a crna landscape, which they welcome. Currently it is extremely oppressive here for midlevels of...
  16. cool I want to work in that kind of
  17. Hey! I appreciate you comments and your right. However, sometimes the fingers get engaged before the brain gets in gear Ah
  18. Wow http://scholar.google.com/scholar?q=propofol+registered+nurse&hl=en&lr=&safe=off&start=10&sa=N It is clear that the majority of these studies are done by GI guys looking to...
  19. for whomever asked 13 states prohibit RN admin of diprivan. All the rest allow it
  20. hey ray i feel the same way. I have only 2 CRNA friends (AZ isnt very CRNA friendly) and shadowed about 5 others. Im sure ive seen less than 10% of what CRNAs in other places do/can do. That part is a...
  21. hehe thanks ray Well, when yer wrong yer wrong! Im sure yoga will be proving me wrong shortly in that other thread and i expect it What fun is the internet if everyone is being nice and patting each...
  22. Thanks yoga! There must be some studies related to those comments. I will see if i can find
  23. thomas I appreciate you advice and experience. I will be glad to just get on with it and goto school at this point. Reading this board is exciting and, while some of my posts are contraversial, I...
  24. wow Well thats interesting since I took that quote directly out of these 2 studies Barash PG, Cullen BF, Stoelting RK: Clinical Anesthesia. Philadelphia JB lippincott,2001;327-343 Hartmannsgruber...
  25. hey thomas Yes, i do realise there are many studies which refure each other. However, the research done on RNs pushing diprivan has all been positive in that there we no negative outcomes for...