Tranman

Tranman

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All Content by Tranman

  1. Very Unhappy With My Career

    Dang, you've made a liar out of me. Ok, hopefully this is my last post. OK you really have no idea how bad surgeons can be. I know everyone's had their run ins with surgeons on the unit, but it's not the same as working side by side 8-12 hours a d...
  2. Very Unhappy With My Career

    Though they share some commonalities, both professions being nurses per se, they couldn't be more different. Or should I say they are more different than they are alike.
  3. Very Unhappy With My Career

    Uhhh...I don't feel threatened at all. why would I feel threatened that you (a non-CRNA) is giving advice to a CRNA? Give all the opinion that makes you happy. I was merely pointing out the fact that the OP was seeking advice from other CRNA's in a...
  4. Very Unhappy With My Career

    I guess not, but it sure does help. You mean if a patient who is addicted to drugs tell you that you don't know what it's like and you've never been an addict that you suddenly can understand where the patient is coming from?
  5. Very Unhappy With My Career

    hmmm, just wanted to point out that the original poster asked if there were other CRNA's out there unhappy with their job. Not sure why we have people from every other profession giving this person advice. Not to say that your opinions don't count,...
  6. ST changes

    Just wanted to post some generalizations here. Well of course we are all here to advocate for the patient. Unfortunately some of us disagree with one another on how to handle situations like this in the OR. UDSCIRN, don't know if you know the politic...
  7. HELP, New CRNA prac getting screwed by the man.

    I have a hard time believing that call is the demand of the hospital. What does hospital admin know about anesthesia. They usually leave scheduling and call issues up to the department heads. I would look there 1st. Sounds like you're getting wor...
  8. HELP, New CRNA prac getting screwed by the man.

    gosh sounds like a pickle. I'm not at all suprised. This seems to happen all to often. Obviously the lesson is to get everything in writing. When you don't, it gives the other party the excuse to change the agreement. And they keep screwing ya t...
  9. SRNA Blood transfusion question

    I see what's going on here. this is all very funny to me. 1st BeatOU and the other students, I commend you for asking the questions. It makes us practitioners think and learn. So keep it up. So you are on the right track, but if you are still confuse...
  10. 1099 Contract for a new grad

    Thanks. Again you have to look at all the specifics of any offer. You can post a job offer and everyone here will give you their take on it. I hope I am making myself clear. To avoid being misunderstood, I feel like I have to do more explaining....
  11. SRNA Blood transfusion question

    What do mean by "the expected distortion of the Svo2"? It is either distorted (dropped) or it is not. You don't give blood b/c you are expecting the sat to drop from low hgb. You'll give blood 1st to keep the pt/VS stable. The BP is where you'll ...
  12. 1099 Contract for a new grad

    Also don't get me wrong. I am NOT saying a 1099 is better than a W-2. 1099 works better for some people. One example is that Single people or couples who are young and don't need comprehensive medical insurance. You can buy your own insurance for ...
  13. 1099 Contract for a new grad

    what in the world are you talking about? I never changed the terms of the proposal? I said," $98/hr on a 1099 for a GRNA with no call is a Great Postion! Basically $98/hr = $200+/yr." I know this position is for no call. I'm NOT counting call as ...
  14. how much $ is too much

    Saw on the news tonight, one of the actresses from the tv show "Lost" was busted in LA for DUI. She served 4hrs jailtime out of a possible 2 months. Reasons stated was b/c they need to make room for more serious offenders. Not sure if she got pref...
  15. Fluid Replacement on Weight Basis

    I normally extubate most of my patients deep anyway. I understand your point about popping stitches, but I would be hestitant to extubate deep on a 10 hour case with 600-800cc bld loss neccesitating lots of blood and fluids and having spend any sign...
  16. Coumadin prior to major surgery, your experience?

    underdog, you're good dude. we're not worthy!!
  17. Hello

    Yes it is true that it is only a CRNA Prep class. as far as who runs it, i don't know but probably an Anesthesia Care Team. I wouldn't be surprise if it was run by a combination of CRNA's and Docs or just a bunch of Docs. They make huge $$$ of t...
  18. Fluid Replacement on Weight Basis

    You guys are all Wrong!!! Just kidding. Great posts all. Yes i would do the math and use the numbers as a guideline but would titrate my fluids according to the urine output and BP. If she is making good clear urine throughout the case and the VS...
  19. Circ Arrest

    ??? can't find info on circ arrest? I'm lost. guessing you're talking about cardiac arrest? no...you can't be. If so...ACLS book? What kind of biggie case in the morning with circ arrest? Like a aorta bilateral femoral bypass? or a femoral/popli...
  20. Etomidate and adrenal suppression

    Yes we routinely dose patients in the OR with hydrocortisone without a high-dose cosyntropin stimulation test. But it's usually not out of concern of adrenal suppression by etomidate. We usually do this out of concern of adrenal suppression by vir...
  21. SRNA Blood transfusion question

    dyshemoblobinemias such as methhemoglobin is usually transient. I am assuming your're talking about when you give indigo carmen or methylene Blue. It's true, that here the Sat reading is not appropriated to pt's hgb, but this is usually transient ,...
  22. SRNA Blood transfusion question

    I definitely agree with Nitecap. I may be able to find a text to reference, but it's late and I'm lazy. sorry. But a dropping sat d/t low hgb is definitely time to transfuse. You should have been transfusing already in preparation of that really...
  23. Soon to be SRNA needs advice

    No don't just relax. Relaxing or taking it easy can in fact do you in. This 1st chem class is many times meant to weed the weaker students out. Students not meant to be there. You are doing the right thing by getting the book and reading through ...
  24. Labor Epidurals and Sterile Technique

    So my wife Tivo'd the program and I just got done watching it and wanted to post a few afterthoughts and opinions. Seems everything posted so far about the program is in fact presented as such in the program. should also be noted that the husband re...
  25. Hello

    Wow. I didn't knowthe AANA was after Valley anesthesia. I wonder how long Valley has been around. I'm guessing early 90's but not sure. I couldn't find that info on their website. Would also be interesting to know how many students have used the...