Qwiigley

Qwiigley BSN, MSN, DNP, RN, CRNA

Nurse Anesthetist

Doctorate in Nurse Anesthesia Practice (DNAP)

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All Content by Qwiigley

  1. I imagine you have had plenty of responses. But a good source for a quick reference is Morgan, Mikhail, Clinical Anesthesiology. Also Nagelhout's Nurse
  2. CRNA Outlook

    Lastly, it is hard. CRNA school is very tough. But if it wasn't so tough, everyone would be (actually) doing it and not just talking about
  3. CRNA Outlook

    The AANA has studied this and come to the conclusion, like the previous poster, that the CRNA population is aging and we are not replacing them in a timely manner. The schools in our area (Califrnia)...
  4. Boards

    You will know soon enough. I live in California. We find out in about 7 days (altho the state says 2 weeks). After you take your test, everyone thinks they failed and they could have done better. I'm...
  5. Epidurals/Tatoos

    That is sad. I am disappointed in any CRNA that will willingly limit their own practice due to laziness. That is unprofessional and very bad for us as a
  6. PS: If you do contract with a group (surgery center or such) be sure to put in your contract things such as: If called off, must give 48 hr notice. If called in, a min of 4 hrs must be paid. Stuff...
  7. In this position of CRNA it will benefit you to have a change of thought. You are "selling" yourself. In this I mean that you have to act like you are self-employed. You will be required to work hard...
  8. Rural vs Metro

    I usually work hard the first 12 hrs in the main OR. Then I go up to L&D. It can be hit and miss there. In July, August you will work all night and finish your shift exhausted. But in March, April...
  9. Rural vs Metro

    I work in Los Angeles. I do self-scheduling. I prefer to work a 16 hr and a 24 hr shift each week (40 hrs), I then have plenty of time for my home and family or to pick up extra shifts. There are...
  10. Took boards today!

    Joe: good point, I 2nd
  11. Question for CRNAs

    I actually don't want that much interaction with some of my patients!!!! ha,
  12. In California I work for a huge HMO. CRNAs work with chronic pain patients administering steriod epidurals. We don't get involved in much else. We currently do not have any CRNAs who specialize in...
  13. These type of positions are kinda rare. I suggest asking more CRNAs the type of work they do as well as types of cases, how much of their license they use as well as how much overtime they are forced...
  14. Personally, I rarely use mine. I know of only one anesthesiologist who uses one and that is only for
  15. I do not live in a rural area, nor do I practice in a small hospital. That said, I have been out there for 4 years and think that if you have 2 years GOOD independent experience before moving, then...
  16. Epidurals/Tatoos

    I do epidurals thru tats, but I also tell them that their MAY be a higher risk of infection. I have not seen any problems and I have never refused for this reason. Actually the only refusals I give...
  17. epidurals

    The newest thinking on laboring epidurals is that in the past they were much too dense of blocks. The patient needs to have pain relief but not tot he extent that they can't feel their legs. Epidurals...
  18. Ketamine must be administered WITH Versed. Doesn't matter how young the child is. Doses work quick and the patient continues to breath by themselves. Beware of ICP side effects. IOP side effects....
  19. Didnt realize you already had an Iv, of course, propofol would have worked great. Prefered way to induce. Propofol and roc. RSI still
  20. I believe strongly in being active in your state association. Our state, California, although large has only a few active members in the organization. I like politics, so I will volunteer there. But...
  21. Don't forget boards:
  22. Forgot to mention, turn to Sevo down to 3 after about 4-5
  23. These are my kind of cases. I love peds. I like the way you had him in your lap. Nice touch. I may have placed the Sevo at 8 (yes, 8) placed in on the bed until the circuit an bag were full, then...
  24. I've just recently been a bit more bold with my narcotics usage. I give even short cases big doses of fentanyl on induction, very little gas (Seveo .4 ish) and use nitrous to keep them asleep. When...
  25. David; pm me with your site. You did the right thing, BUT remember to let them believe you are listening or you'll just get a reputation.