Brenna's Dad

Brenna's Dad

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All Content by Brenna's Dad

  1. CRNAs in Florida to require anesthesiologist supervision

    Brenna's Dad replied to Tony35NYC's topic in Certified Registered Nurse Anesthetist, CRNA

    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. Difference between medically directed and supervision

    Brenna's Dad replied to air's topic in Certified Registered Nurse Anesthetist, CRNA

    This also is a very good overview.

  3. Difference between medically directed and supervision

    Brenna's Dad replied to air's topic in Certified Registered Nurse Anesthetist, CRNA

    Actually, this link http://www.aana.com/crna/prof/reimbursement.asp explains it much better than I

  4. Difference between medically directed and supervision

    Brenna's Dad replied to air's topic in Certified Registered Nurse Anesthetist, CRNA

    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. CRNAs in Florida to require anesthesiologist supervision

    Brenna's Dad replied to Tony35NYC's topic in Certified Registered Nurse Anesthetist, CRNA

    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. Anesthetic for Bone Marrow Harvest

    Brenna's Dad replied to heartICU's topic in Certified Registered Nurse Anesthetist, CRNA

    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. *******SUPERVISION REQUIRED or NO for CRNAs?*******

    Brenna's Dad replied to rtinkam's topic in Certified Registered Nurse Anesthetist, CRNA

    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. *******SUPERVISION REQUIRED or NO for CRNAs?*******

    Brenna's Dad replied to rtinkam's topic in Certified Registered Nurse Anesthetist, CRNA

    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. How many sick days do you guys have?

    Brenna's Dad replied to MaleAPRN's topic in Certified Registered Nurse Anesthetist, CRNA

    35 total vacation and sick days for the 28 month program. Also, we get the odd bonus

  10. *******SUPERVISION REQUIRED or NO for CRNAs?*******

    Brenna's Dad replied to rtinkam's topic in Certified Registered Nurse Anesthetist, CRNA

    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. Did you get your first intubation?

    Brenna's Dad replied to louloubell1's topic in Certified Registered Nurse Anesthetist, CRNA

    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

    Brenna's Dad replied to SproutRN's topic in Certified Registered Nurse Anesthetist, CRNA

    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

    Brenna's Dad replied to SproutRN's topic in Certified Registered Nurse Anesthetist, CRNA

    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?

    Brenna's Dad replied to charles-thor's topic in Certified Registered Nurse Anesthetist, CRNA

    (Gasp...) They let lefties into anesthesia .....?? Sorry, couldn't

  15. Any Canadians move to the US to become a CRNA?

    Brenna's Dad replied to Missa's topic in Certified Registered Nurse Anesthetist, CRNA

    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. Job prospects on the west coast?

    Brenna's Dad replied to Missa's topic in Certified Registered Nurse Anesthetist, CRNA

    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

    Brenna's Dad replied to charles-thor's topic in Certified Registered Nurse Anesthetist, CRNA

    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

    Brenna's Dad replied to charles-thor's topic in Certified Registered Nurse Anesthetist, CRNA

    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. Procedural Sedation in the ICU

    Brenna's Dad replied to NeuroNP's topic in Certified Registered Nurse Anesthetist, CRNA

    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

    Brenna's Dad replied to TraumaNurse's topic in Certified Registered Nurse Anesthetist, CRNA

    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. Amidate and Propofol for MAC?

    Brenna's Dad replied to athomas91's topic in Certified Registered Nurse Anesthetist, CRNA

    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. What to brush up on before school starts?

    Brenna's Dad replied to MollyS's topic in Certified Registered Nurse Anesthetist, CRNA

    Sleep...

  23. canadian in crna program

    Brenna's Dad replied to canuck2's topic in Certified Registered Nurse Anesthetist, CRNA

    Also saw that MDB....probably just empty threats by the provincial government, but you never know. Interesting

  24. What is up with CRNA/AA/MDA politics.

    Brenna's Dad replied to dreatx's topic in Certified Registered Nurse Anesthetist, CRNA

    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...

  25. Day in the life

    Brenna's Dad replied to NeuroNP's topic in Certified Registered Nurse Anesthetist, CRNA

    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...