Brenna's Dad

Brenna's Dad

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All Content by Brenna's Dad

  1. I believe only approx. 20% of all anesthetics are done by CRNAs without supervision. Supervision, though as we probably all know is more about payment than actually doing the case. When the shart hits...
  2. This also is a very good overview.
  3. Actually, this link http://www.aana.com/crna/prof/reimbursement.asp explains it much better than I
  4. First of all, it is the nurse practice act of each state that determines the elements of CRNA practice. It is my understanding, and several people more qualified than me have agreed, that no states...
  5. I'm astounded by the continuance of bills such as these. You would have thought that the past lack of success by various boards of medicine would serve as a wake-up call to stop these attacks. From a...
  6. Hey heartICU, I've only ever seen one bone marrow aspiration, and it was during my initial nursing training. There were two of us in the room watching and my partner passed out and hit the wall,...
  7. I also thought it would be interesting to compare Illinois law with the laws in Washington, where I am completeing my training. WAC 246-840-300 Advanced registered nurse practitioner.An advanced...
  8. Interesting stuff. Section 10.7 (3)(B) states: For anesthesia services, an anesthesiologist shall participate through discussion of and agreement with the anesthesia plan and shall remain physically...
  9. 35 total vacation and sick days for the 28 month program. Also, we get the odd bonus
  10. I'm really not sure why this checkbox you mention is required. The only requirement by the surgeon is to request anesthesia services. Since the surgeon knows next to nothing about anesthesia, I'm not...
  11. I missed my first few and then just the other day tubed the goose twice in a row with a Robert-Shaw (very embarrassed). Mind you, I hadn't put in a double-lumen for almost a year. Even the skilled...
  12. Beginner with OB epidurals

    I'm not questioning the technique of intrathecal catheters or the cause of complications associated with their use, but rather the medicolegal situation one is placed in if he/she chooses to use the...
  13. Beginner with OB epidurals

    Where I'm training intrathecal cathetes are a no-no, d/t a high than acceptable level of permanent nerve damage, which I thought was the case nation wide. I agree with prophylactic blood patches not...
  14. Central lines for a lefty?

    (Gasp...) They let lefties into anesthesia .....?? Sorry, couldn't
  15. I'm also Canadian. I had been doing locums in the USA for almost five years before starting CRNA school. I received my greencard almost a year before starting school, but this is not a requirement....
  16. I'm here in Washington state and there is plenty of jobs. Interestlngly, in Seattle, which has historically been a more MD town, both Harborview and Children's in Seattle are
  17. MAC and pts with reflux

    I'm not a proponent for ETT and a general anesthetic for Colonoscopy. However, I do feel these cases should be truly done with MAC/ conscious sedation if the patient has significant GERD. I'm not...
  18. MAC and pts with reflux

    I am hesitant to do a MAC case in patients with serious GERD. As I said in a recent post, I believe the majority of MAC cases are really general anesthetics. Since pharygeal reflexes are lost when the...
  19. I have no problems with RNs giving propofol as long as they know how to manage an airway. Unfortunately, I don't think this is the norm. When I was working in the ICU, I thought I was moderate good at...
  20. Carotid Endarterectomy

    One of our surgeons prefers the awake method after doing his own field block. I have done this twice, so obviously don't have a great deal of experience.. however, both times the patients got rather...
  21. I agree with the above. I do very little true MAC cases in my student anesthesia practice. In reality they are almost all general anesthetics with the patient either maintaining their own airway or...
  22. canadian in crna program

    Also saw that MDB....probably just empty threats by the provincial government, but you never know. Interesting
  23. All very interesting stuff. Regarding my very early comment regarding the mechanical aspects of anesthesia.... I was not necessarily referring to advanced clincal skills such as the insertion of...
  24. Day in the life

    I'm finished in a few more months. I have clinical 4 days a week and usually one saturday a month. Usual day shift...get up at 0530, 15 minute shower, 15 minute drive stopping at Starbucks...