Pete495

Pete495

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All Content by Pete495

  1. PASSED AANP

    Hi, I took my AANP in early January and passed! I am stoked and wanted to share with others what I did to pass. I took 2 review courses over the Fall semester from September to December I did the Hollier Live Course and the Fitzgerald Live course...
  2. Looking For Other Pa Nurses!!!!

    Hello all, I'm taking this chance to meet other nurses in PA. Who knows, maybe I've meant some of you. I graduated a year ago, and meant a lot of other nursing students in clinicals, and such. Anyway, if you're interested in joining this discussi...
  3. Did anyone get there degree online?

    My experience with online programs is that the coursework and content is quite rigorous. However, there is no research comparing online programs with traditional classroom programs, so we are all speaking strictly from our own experiences. Hopefull...
  4. Is Med/Surg necessary if I'm going for my CRNA?

    Med Surg doesn't matter. They don't care if you've had medsurg experience. You should look for a critical care fellowship if there are any available in your area. They train nurses out of graduate school in critical care. Not all hospitals offer ...
  5. We get patients all the time that come in for stupid ^&$$. We send them straight to Triage if possible. They figure if they call the ambulance they will get seen quicker, but in my hospital, we try to send their asses straight to triage, esp. i...
  6. Treating pain in ER

    Call your family doctor if you are having pain. don't let it get so bad that you need to come to ER. You need to be specific about your pain. If you're having pain in 3 different areas at the same time, it's hardly an acute condition unless it's ...
  7. NPO in the ER

    In my ER, they are not as conspicuous with the Doritos. Usually you walk in on them eating. Then they want a turkey sandwich and some crackers not only for themselves, but for all 3 of their visitors as well.
  8. Can I get opinions on this $$ hourly rate?

    Not true at all. Many hospitals pay their critical care floats, or "superfloats" between 37-50 dollars per hour. Look at it as leverage for Nurse Practitioners. Use the leverage to induce a higher rate of pay if possible. This is part of what is ...
  9. Make Advanced Practice Nurses Independent

    Nurses need a more independent role, report argues - Health - Health care - msnbc.com
  10. Discouraged!

    Don't be so discouraged! Health Care is moving in a new direction, and Advanced Practice Nurses will be a huge part of the movement. Family Nurse Practitioners are going to be some of the most utilized Practitioners. This is partly because the num...
  11. ED ratio across the US

    My hospital is a Level III, and we are generally 3:1 in Williamsport, PA. The acuity level is medium. I couldn't begin to count my patients. A majority of them are not in and out though. Patient satisfaction at my hospital is terrible because of...
  12. Concerned, Worried, Afraid

    Well, I would pick a different school if at all possible. I doubt if you can argue their requirements. That sounds a little like overkill if you ask me. One has to wonder why they even offerred you an interview if you hadn't fulfilled all of thei...
  13. Starting another program, kids or school,help?

    Spode, I sent you a pm Pete495
  14. Bottom Line is you need a BSN and critical care experience (at least one year). I would take this seriously. It will be very difficult to get in without it. Not only do you need it for admission, but you need it for yourself to be competent as a s...
  15. Respiratory Therapy

    I don't see how it wouldn't help clinically, but it is not the right way to get started on a path to CRNA. You need a bachelor of science in Nursing and some critical care experience before you can apply to CRNA school. Read the stickies on the sit...
  16. Starting a Staffing Agency

  17. Questions about Ketamine & Propofol Case

    Well, there is also the simple plan of JUST NOT USING IT. Seems pretty simple, but it works. The reasons textbooks don't tell you when and when not to use it is because clinical judgement is in the hands of the provider.
  18. Questions about Ketamine & Propofol Case

    Can't argue with Barash. There's no doubt about Ketamine's bronchodilating effects. I think the question is do you use it in a rapid sequence w/ sux, and do you use it with hemodynamically unstable patients. In some instances, the ketamine could b...
  19. Questions about Ketamine & Propofol Case

    The use of ketamine is very contraversial, so I won't get into that too much. Suffice it to say if a patient is crashing, I wouldn't look to give ketamine, giving its propensity to cause so many other side effects and know what else is going on. Ho...
  20. Do you have your own equipment?

    Hey Mike, Since nobody else is biting, I will take a shot. I'm just a lonely student though. My program requires a precordial stethoscope, which you must purchase yourself. I have two of them, one adult, and one pediatric. I've been through every...
  21. The Physics of Anesthesia

    Part of the point also was that if those resources are not avail. then you will have to do it by hand, which I totally believe in. I don't even take my PDA to work, cuz I think it looks bad in the OR to be looking at it. I do have a calculator with...
  22. How many schools did you apply to?

    Applied to 3 schools, interviewed at 2, and accepted a position from my second interview, which I liked a lot better than the first school. So, getting the interview experience actually helps, and even if you have a good first interview, you might l...
  23. Non anesthesia provider providing anesthesia

    Also, during MAC cases, there's always that nagging feeling, "boy I hope I don't have to go to a general, cuz this surgeon is gonna be pissed off." If it has to be done, it has to be done, but who wants to tell the surgeon the patient needs intubate...
  24. Best clinical experience

    Hi Melissa, There are pros and cons to both approaches, but I will tell you what I would do. First, if you go the bigger hosptial route, you will be involved in a lot of big cases, and will see a lot of different approaches to anesthesia, but you m...
  25. Moments of Terror

    I am also wondering why they didn't to a mitral valve repair also w/ 3+ MR? Ablation therapy also seems appropriate while you were in the OR with the history of chronic AFIB. Did the AFIB happen after you pushed the drugs or was it while you were in...