Divergirl

I realize this was a serious event and I am following the appropriate chain of command. My question was "Are there standards set by a professional organization?" I went to AACN website to see if they had any standard for what should be set up in the room. When I was an ICU nurse, there was always an ambu bag in the room and suction set up. I don't want to get an excuse of "Well, the ambu bag is available on the crash cart" I wanted a set of standards I could pull out to show risk management.

I was wondering if anyone knows of standards of care for icu room set up? I was called to intubate a patient in the icu and when I got there, there wasn't any suction set up, no ambu bag was in the room and the intubation roll was missing several items. Is there a professional organization that sets the standards for what must be immediately available at the bedside? thank you

I would love it if every patient that came in for surgery requested an MDA. Ha Ha, wouldn't they be surprised when they would have to reschedule their surgery because there aren't enough MDAs available.

Actually, there was no standard until 4-5 years ago. You could take the NCE as many times until you passed. I know of a graduate who took 4 years and multiple, multiple attempts before she finally passed it. She hadn't practiced hands on anesthesia during those 4 years.

I am a CRNA and I worked in a L&D unit for 2 years. I did spinals and epidurals for laboring moms and anesthesia for c sections. I also worked with many CNMs (certified nurse midwives). They were masters prepared advance practice nurses who provided all aspects of prenatal care including delivery. They were great to work with and had a lot of autonomy. They did not do c sections but many times scrubbed in to assist the OB. our facility hospital over 3,000 babies per year and I would guess the midwives delivered at least 30-40 percent of the babies.

I think 8 attempts and 2 years to take/pass the NCE is actually a little lax. You have 4 years and 4 attempts to pass the recert exam which seems reasonable to me.

Did anyone go to the meeting in Boston? I've been getting my info from the NBCRNA website. I'm curious as to what was said at the meeting.

from the nbcrna website continued competence for nurse anesthetists recertification examination successful completion of a standardized recertification examination based on a published content outline consistent with the four core competencies of the cpc program is required every eight years. certified registered nurse anesthetists may take the recertification examination at any time during the second four-year recertification cycle. given the cpc program implementation date of january 1, 2015, all certified registered nurse anesthetists will be required to satisfy the recertification examination requirement no later than december 31, 2023. recertification examination candidates must pass the test before the expiration date of their certification. those who fail the recertification examination on their first attempt are permitted a total of three additional attempts before their expiration date. passing the recertification examination on any attempt results in recertification, and failure after the fourth attempt results in the loss of certification at its expiration date.

Yes, according to NBCRNA (our certifying body) we will have to pass a standardized test every 8 years. If you fail to pass in 4 attempts, you have to re-take boards. Scary! I've been out 2 years and I've forgotten tons. I can't imagine what some of my colleges who have been out for 20+ years must be thinking.

I would say "I'm going to attach some monitors and start an IV"

If you are an ICU nurse, you might consider the PACU. You would still be able to use some of your critical care skills but it tends to be a less stressful environment. The PACU is known as the "ICU graveyard"

Typically, its a little easier to follow a CRNA at a hospital you work at. Also, the anesthesia school I went to would help potential SRNAs arrange shadowing opportunities. You might want to contact an anesthesia school and express your interest.

from the package insert........... duration of action: long-acting; effects on accommodation may last 6 days; {48} mydriasis may persist for 12 days. {48} read more: http://www.drugs.com/mmx/isopto-atropine.html#ixzz0x6jwln1f i would suspect the eye gtts were not given sl

The info from Baylor isn't very clear, but they offer have a DNAP completion program. (Application Procedure - Graduate Program in Nurse Anesthesia - Baylor College of Medicine, Houston, Texas) They take 30 per year. I couldn't tell if it is all on-line. I'm thinking TWU maybe my best option.

I'm actually looking for CRNAs who are going for their DNP. I'm teaching a class for my anesthesia school this fall and the hospital I work at will be a clinical site for SRNAs this spring. Thanks for the advice.