Qwiigley

Qwiigley BSN, MSN, DNP, RN, CRNA

Nurse Anesthetist

Doctorate in Nurse Anesthesia Practice (DNAP)

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All Content by Qwiigley

  1. Clinical instructor in California. I need to keep myself in "shadow" so I can post with blatant
  2. PErsonally, when I need help or advise, I don't care if its an anesthesiologist or a CRNA as long as they have a lot of hands on experience and can help. There are people on both sides that do not do...
  3. Oh so true in anesthesia school. Some, (not all) of my instructors were just trolls!! But I'm now an instructor and i try to teach as well as keep my sense of humor. The only thing that annoys me...
  4. physical restraint in picu

    When I began PICU care apprx 15 yrs ago, all the kids on a vent were paralyzed with norcuron (vecuronium). Then we evolved to 2 pt soft restraints, then no restraints if a family member signed a form...
  5. Nagelhout was the head of our school when I was in school, we were just used to his type of explanations, I guess. He is SUCH a nice guy. WBT, you did prison nursing? yikes! (I just noticed your...
  6. Float nursing and PICU

    When I did work PICU, our managers all 4, could also take a case or do charge. We only floated other critical care nurses to our unit. Never should a floor-trained nurse be expected to take care of a...
  7. Man, some days I don't even have time to sit to chart. We have (general) surgeons that can do lap chole/or hernia faster that I can chart the intubation, monitors and fluids. Surgery centers usually...
  8. I loved Morgan in school and continue to purchase new editions for reference as they come available. We keep current books in our lounge for quick review if we havent done a specific case in awhile....
  9. Help with job search

    Very Good Advise, JWK. Those anesthesia providers that go the route you mentioned have already shown more initiative and IMHO worth taking a look
  10. Policies for masks in the OR

    A scrubbed person should never leave the room, by definition and protocol, they are no longer sterile especially if they then touch something outside the room, such as opening the sterilizer. (remind...
  11. Hey Stan-man; You are so very
  12. Experienced CRNAs; Lets look at positioning, needles, doses for spinals for total hip replacements. What are your likes, dislikes. Drug choice, doses. What is your favorite position for placing?...
  13. hey guys! I had a student with me all day today, whew! I'm tired of talking! But, he had this study concerning the change of Isobaric marcaine to hypobaric when warmed to body temp. Anyone see that...
  14. Yesterday, one of the L&D nurses was talking about an OB patient post delivery/c-sec that had a hematoma from a spinal and was paralyzed (different hospital, so I don't know the details). My...
  15. Policies for masks in the OR

    We wear masks in rooms with open sterile supplies. During cases like ESWL, cysto we don't have to, but I feel "naked." ha,
  16. Great license plate...

    I'm a CRNA, my license plate reads,
  17. Respiratory issues & desats

    Good response from Vamedic. Help the parents to feel more empowered. Give them the bulb syringe and teach them how to use it. Teach them why you position the baby, why you suction. Eventually the...
  18. Scope of Practice

    This discussion is rather interesting. I do not practice pain management. But I have been reading all of the arguments and looking up each of the links. I would like to hear from those CRNAs that do...
  19. Yeh, I've worked with a couple of total jerks myself! Thanks for the
  20. Scope of Practice

    NG is right. We have to watch what is happening to our peers in other states. We have to be pro-active and not reactive. We need to support our state PAC and encourage others to do so. The A$A has...
  21. JWK; I actually do neuro, and specialize in pediatrics. FYI. My group CRNAs do hearts, and transplants. We let our students do them with supervision on intubation, extubation and periodically...
  22. Just for practice:

    Very true Stanman! Thanks for bringing that up. Its good to look at many different options. The idea behind this question was just that, to look at the many ways different people do thier cases...
  23. Lets look at a made up case and see how many different ways we can do the anesthesia for the case. 74 yo male, a fib, COPD mild, GERD, Kidney tumor, no problems with diabetes, thyroid, or neuro. Meds...
  24. PS: When I was in school, we were not permited to work and I didnt have time
  25. Wow, this thread is getting out of hand. There are going to be so much work out there in the coming years. The baby boomers are getting older. The Democrats are about to get into office, therefore a...