ralatek

Latest Activity

1. Took boards today!

   ralatek replied to EmeraldNYL's topic in CRNA

   I also took the boards recently and had the 100 questions. I found out in 5 days that I passed. I'm sure you passed too. Just to clarify, I actually found out I passed by looking on the AANA website before I even knew my in-laws received my Fedex ...

2. Technical question for CRNA

   ralatek replied to TangoLima's topic in CRNA

   More likely the surgeon told the anesthetist that the patient was swallowing and hence more propofol to deepen the anesthetic. If there was active swelling of the airway that the surgeon could see, that constitutes a bigger problem and propofol will...

3. Vecuronium: nickname, Rock??

   ralatek replied to RNcDreams's topic in MICU

   You are right about everthing but metabolism. Both roc and vec are primarily metabolized by the liver with some renal excretion.

4. How exactly does a surgeon "supervise" a CRNA?

   ralatek replied to platon20's topic in CRNA

   The medicare opt-out has nothing to do with independent practice of a CRNA. It is a billing issue. In those states that have NOT opted out, a CRNA must be supervised in order to receive full reimbursement for MEDICARE cases they do. The supervisin...

5. Why Do Anesthesiologists Despise CRNA's?

   ralatek replied to DermNP2Be's topic in SRNA

   Just goes to show you how awesome CRNAs are in that they provide the same quality of care and can learn anesthesia in 1/2 the time according to the above posted time table. Granted, the 12 year time frame (MDA) is accurate but I think you underestim...

6. Induced hypotension in surgeries.

   ralatek replied to GmanRN's topic in CRNA

   The CRNA titrates all vasoactive gtts. As mentioned previously, some procedures require lowing the blood pressure for periods of time for specific reasons, (decrease bleeding, during vascular clamping) and can be accomplished by a variety of ways al...

7. A day in the life of a CRNA

   ralatek replied to vastudent09's topic in SRNA

   Well, not a CRNA yet but due to finish school in the next couple of months. My current day is as follows: up by 5:15, in the OR by 6:15 setting up for the days cases. See the first patient around 7am and hopefully if all the stars are aligned, in ...

8. number of cases

   ralatek replied to gooseafrn's topic in CRNA

   I have over 600 with 3 more months to go.

9. Best prep for CRNA school

   ralatek replied to nynurse!'s topic in SRNA

   Bottom line...it doesn't really matter what unit it is. As long as you get plenty of vents, hemodynamic monitoring, vasopressors, etc. Go to the unit you think you'll be most happy with. Your attitude will be better and you'll want to learn all yo...

10. crna school and iv skills

    ralatek replied to confused1234's topic in SRNA

    you'll get plenty of chances to start IVs and you'll catch some heat for not being good at it. That is a skill that most of your CRNA instructors feel you should have mastered as a ICU nurse. Practice, practice, practice...

11. Third Semester Blues

    ralatek replied to CRNABH2b's topic in CRNA

    I just keep reminding myself I've only been doing this for 18 months now and there is no possible way I can be an expert...despite the expectations. I just try to improve each day no matter how big or small the improvement. If you're learning and i...

12. arterial waveform cascade

    ralatek replied to versed88's topic in CRNA

    The way it was explained to me was that during PPV, intrathoracic pressure increases and venous return to the R heart decreases thereby decreasing LV preload and hence, decreasing arterial blood pressure. During periods of hypovolemia this up and do...

13. Relatively High CRNA Wages.

    ralatek replied to Ekklesia's topic in CRNA

    Nope we don't manage vents and such in the ICU...we do it in the OR. And I'm not talking about punching in a Tv and RR. We get some very sick patients with major pulm issuse that require a good understanding of vent management. Alot of the newer a...

14. cardene

    ralatek replied to ECU_CRNA2B's topic in CRNA

    I seem to be seeing it used more at our main clinical site. We do the standard 25mg in 250ml (0.1mg/ml). Some will then draw up 10ml into a syringe and bolus 0.5-1ml increments

15. Is the AA profession gaining ground?

    ralatek replied to Alpha13's topic in CRNA

    Please take time and research the facts before you post false statements. It is obvious you don't fully understand the history and current practice of nurse anesthetists.