stevierae

stevierae

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All Content by stevierae

  1. Propofol IV push by non-CRNAs in non-intubated patients--allowed in Oregon

    stevierae posted a topic in Certified Registered Nurse Anesthetist, CRNA

    i know we've discussed this issue to death, both on this forum and on the gastroenterology forum. as an rn and operating room nurse, i have very, very trong feelings against this practice, which is...

  2. Need to purchase teaching mannequin--ideas?

    stevierae posted a topic in Nursing Educators, Faculty

    I looked at the Susie Simon http://www.gaumard.com/viewproducts.asp?idproduct=305&idcategorie=7 It has lots of options--I want the IV access arm, male catheterization adapter, and the injection...

  3. Using same syringes all day

    stevierae posted a topic in Certified Registered Nurse Anesthetist, CRNA

    OK, I have wondered about this for many years, and wonder what the current thinking is. Wherever I have worked as an OR nurse, since the early '80s, anesthesia draws up their meds in the a.m.--their...

  4. Cosmetic Surgery Death after RN (not CRNA) Administered Propofol

    stevierae posted a topic in Certified Registered Nurse Anesthetist, CRNA

    As usual, it took a patient death to effect change to a dangerous practice. This is why I, an operating room nurse, am so adament about getting the practice of RNs giving conscious sedation stopped,...

  5. Old abbreviations now passe?

    stevierae posted a topic in Medical-Surgical

    I just heard from a friend that, in nursing school nowadays, nurses are no longer taught things like "b.i.d." "q.i.d" "q6h" "h.s" and things like that--that, in fact, it is now required that, in...

  6. Infection control nurses, we OR nurses need your expertise!

    stevierae posted a topic in Infectious Disease

    I wonder if some kind soul from this discussion area would drop into the operating room nursing area and tune in to the MRSA discussion? This issue comes up all the time, and, especially in the...

  7. Circulators

    stevierae replied to StudentSandra's topic in Operating Room

    Sigh. Same ol', same ol.' This is deja vu all over again--it's just like the old "Who's better---A.A. RNs or BSN RNs." It never stops. This discussion has been had ad nauseum on this BB, if anyone...

  8. Propofol

    stevierae replied to czipp's topic in Gastroenterology

    i was just checking out the "dr. naps" site, which appears to have recently been updated. this (below) is directly off the site. it's ("naps) just so wrong, on so many levels. i hope some...

  9. Medication error causes 2 deaths in Indiana NICU

    stevierae replied to MegNeoNurse's topic in NICU, Neonatal

    no excuses. this is nursing 101, and spelled out in the ana code of ethics and most states' nurse practice acts---each person is responsible for his or her own actions. also from nursing 101--the 5...

  10. Bovie Smoke

    stevierae posted a topic in Operating Room

    I just got the newest edition of Alexander's as part of a 125 hour CE course (to renew my CNOR.) OK, so I was reading about laser plume . It says that exposure to laser plume during long cases...

  11. Ephedrine for prevention/treatment of PONV?

    stevierae posted a topic in Certified Registered Nurse Anesthetist, CRNA

    I don't believe I have ever seen Ephedrine ordered or utilized for PONV--not currently; not even in the 90s, '80s, or '70s. I was looking at a chart for QA purposes, though, in which PACU staff said...

  12. Ephedrine for prevention/treatment of PONV?

    stevierae replied to stevierae's topic in Certified Registered Nurse Anesthetist, CRNA

    per yogacrna: "ekg changes with drop (read black box in package insert") yes--regarding the black box warning of ekg changes---as soon as that occurred, every place i worked at on the west coast...

  13. laryngospasm and peds Succs dose.

    stevierae replied to SRNA312's topic in Certified Registered Nurse Anesthetist, CRNA

    Seems to me it was always discussed in ACLS. I've had to give it IM a time or two for peds patients who laryngospasm'd while anesthesia was masking, (pre-intubation, and, therefore, before IV access...

  14. Question about jewelry and ESU

    stevierae replied to IsseyM's topic in Operating Room

    Well, as others have stated, we do so because we worry about swelling and subsequent impaired circulation. I, too, like to give the ring/rings in question to a family member to wear. Also, I don't...

  15. Ephedrine for prevention/treatment of PONV?

    stevierae replied to stevierae's topic in Certified Registered Nurse Anesthetist, CRNA

    Yoga, I always read your posts attentively, and learn from them. Never apologize--you are a wealth of info and

  16. Question about jewelry and ESU

    stevierae replied to IsseyM's topic in Operating Room

    I've been thinking for years that this issue is really a non-issue--a sacred cow-- that should be addressed anew by an electrical engineering expert. Personally, I think we are all going on outdated...

  17. Female Foleys... I STINK AT THEM>>> HELP!!!

    stevierae replied to RNOTODAY's topic in Operating Room

    Try this---it's how I've taught students who happened to be in my O.R. rooms over the years. I think it will help you, too--soon you will be teaching your OWN students this way: Get your Foley tray...

  18. Ephedrine for prevention/treatment of PONV?

    stevierae replied to stevierae's topic in Certified Registered Nurse Anesthetist, CRNA

    I asked an anesthesiologist colleague today if he's ever used it as his first-line drug of choice for PONV. Here's his response: "Nope. Never, never. Ephedrine is used like water, and I mean water...

  19. stevierae or anyone. San Francisco OR's

    stevierae replied to Realgains's topic in Operating Room

    LOL!! I haven't been here in quite a while---got kinda caught up on political blogs, and with working. Actually, yes, I do work in SF, occasionally, but not so much clinically anymore--these days, I...

  20. Ephedrine for prevention/treatment of PONV?

    stevierae replied to stevierae's topic in Certified Registered Nurse Anesthetist, CRNA

    Update--I found one study, circa 1991. Somehow I don't think interest in using ephedrine for PONV ever caught on, but I could be wrong: Rothenberg DM, Parnass SM, Litwack K, McCarthy RJ, Newman LM:...

  21. Need an OR table instruction manual (Shodobe and I already looked...)

    stevierae posted a topic in Operating Room

    OK, I'll post this here, in the hope that somehow, somewhere, there is an O.R. nurse manager or materials co-ordinator who still has possession of a user's manual (instructions) for the old manual...

  22. help! Are surgical techs and RNs the same??

    stevierae replied to BernadetteRNBSN's topic in Operating Room

    I agree with the "hold them accountable" part. That's why management gets the big bucks. I don't agree with calling management our "leader(s.)" I also don't agree that it's necessary (or even...

  23. From RC -> AC Army Nurse Corps, Report date 3 APR 06 Madigan Army Medical Center...

    stevierae replied to Corvette Guy's topic in Government, Military

    Just have a question about Army enlisted people who go through Army LPN training. Are they then part of the Army Nurse Corps? Do they remain enlisted, or are they officers? Are they SPCs, or what?...

  24. Sacred cows that need to be laid to rest

    stevierae posted a topic in Operating Room

    Here are a few of mine--they are things that no one who does them can explain the rationale for, other than justifying it with these 6 words, their mantra: "We've always done it this way." 1....

  25. OR Nurses Giving Conscious Sedation--WHY SHOULD WE?

    stevierae posted a topic in Operating Room

    Frankly, I have never understood why some operating room nurses feel honored to be able to sit up at the head of the bed and administer conscious sedation, especially during elective cosmetic surgery...