London88

Why should a circulator be alarmed because an SRNA gave fentanyl to a pt. That same SRNA was giving dilaudid and morphine to pts in the unit. What has changed because she is now giving a narcotic to a pt in the OR? I can understand the concern if the...

Platon20 When did you come to the conclusion that CRNAs do not manage vents in the OR? When CRNAs start critical care drips on a pt in the OR this is not considered CC? When we give drugs to maintain a pt's hemodynamic status I guess this is not CC. ...

Suzanne4; It is everybody's responsibility for positioning and not just anesthesia's responsibility. I do not position any pt without the surgeon in the room especially for positions other than supine. Granted I will make a final check to make sure t...

Micugirl; keep up the good work. You might have been over prepared for your case but I am sure you scored extra points. I much rather a student who is over prepared than one who is under prepared! Keep reviewing your cases the night before and make n...

I do not read magazines in the OR period. Like gazzpasser said I do not want to miss anything. When I speak to my pts in holding I promise them my undivided attention and that is what they get. However, i am not trying to tell any other CRNA how to p...

micugirl; ACNP has given you excellent advise as well as good reference material. I also utilized Jaffe as a student and even as CRNA if i am going to do a case that i have never done before i still browse through Jaffe so that I know what to expect....

micugirl; I urge you to hang in there. I was in a similar situation at a clinical site when I was a student. I had no problem setting up for cases, but I was not treated fairly by the clinical director of anesthesia and I spoke to my director who con...

StikTie and paindoc very well said. I simply could not be bothered to take the time to write what you guys explained to neveragain. The anesthetic plan can change rapidly depending on what is going on especially after incision. Here you have a person...

neveragain, without knowing your situation if you want to be awake and alert for your surgery just ask for anesthesia not to be present. Now if you are saying that you did not want a general anesthetic and you agreed to local MAC then that is another...

Online BSN is good if you have an ADN and you are practicing as an RN. I did my BSN online and only had to do one clinical as I was already an RN in ICU, and I had to show my RN license before being accepted into the online program. The school is a r...

SWtooth key word in your post is the pt is intubated already. As for the hypotension ask yourself what causes the hypotension? I personally have no problem in a situation where the physician can intubate such as in an ER, but I have not come across ...

It never ceases to amaze me when I walk in on a code or a resp distress situation and find the RN or the RT standing at the side of the bed with the AMBU and mask on the pt's face. This is what we are talking about when we say most non anesthesia pro...

sc17 Now that you have looked up an-es-the-si-ol-o-gy Why don't you look up nu-r-se an-es-the-sia.

In response to your last post paindoc, I am assuming these same legislators are trying to protect all patients from a rogue CRNA, or from a midwife from treating a pt typically seen by a NP, or from a NP from doing a procedure that is typically done ...

I was under the impression that an MD can only cover two rooms with SRNAs and can only bill 50% for each room. However if he or she is cover CRNAs then he or she can cover up to four rooms. Somebody correct me if I am wrong.

Vinny: I am sure you did fine. Many of you out there who still have to take the exam should learn from this. I personally do not believe that valley is enough by itself. I supplemented each section of valley with M&M. Down to the day of taking th...

I had one of those references when I was in school and misplaced it. Since reading the previous thread on this reference sheet, I went online and ordered one. The CRNAs where I work are also impressed with it and we have decided to put one in all our...

I did one of those today. The pt was cooled to 11 degrees celcius and then cpb was stopped for a little more than 20 mins. The pt is then rewarmed and then back onto cpb until the temp becomes acceptable to come off cpb. This was a pediatric pt with ...

Yoga i am glad you reconsidered!

wntrMute2 is absolutely right. It does not matter what you think of the practice you need to know how to interpret the swan readings and how to treat those readings. We are currently averaging 20-25 hearts a week. When our students come here they are...

i got a Terri loan when i was in school. I simply went to their website and applied online. I was still working on the weekends when i was in NA school so I did not need a co-signer. I do remember them waiting for paperwork from my school to confirm ...

Freemedcme.com has 10 free credits for CRNAs and cmezone.com also has some free credits for CRNAs. Between the two sites I have rec'd 17 free ceus.

I have yet to experience this as a significant problem with adults. it seems to be more of a problem in pediatrics with the smaller kids whereby with flexion you cause a mainstem and with extension you dislodge the tube. As said above we use a specia...

MmacFan You are referring to an IV infusion of lidocaine for arrythmias. Go to any anesthesia source and you will see the dose of lidocaine for anesthesia purposes (which is not an intravenous administration) is 4-7 mg/kg. I am talking about the dose...

You are right it is a slightly different game in the heart room and we do primarily hearts. You are constantly watching the monitor as things change by the second. When we are on bypass you get to relax a little. If we are doing off pump then you are...