smiling_ru

smiling_ru

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All Content by smiling_ru

  1. Regional Anesthesia

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

    Maybe we should add to the FAQ which programs have a lot of regional and line placement

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

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

    O.K. This is how it works. The order for anesthesia is given, a discussion with the person ordering the anesthesia occurs ie.. general/local/block/MAC. This does NOT mean that the person ordering...

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

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

    If you feel that you are considered inferior because you are an LPN, then change it. I started out as an LPN, and dealt with some of the same issues you have. The only solution for me was to further...

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

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

    You need to educate yourself in the practice of nurse anesthesia. We are not in a position where our actions are determined by anyone other than the patients needs. We do not need an order to...

  5. Doctor of Nursing Science - On-line

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

    loisane, Which school did you ultimately choose? I have looked at Case Western, Rush, VCU. I applied to UT Memphis, but the switch from DNSc to DNP concerns me. I am afraid that the DNP may limit...

  6. Bradycardia in response to hypoxemia in kids

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

    Maintenance of adequate heart rate is the most important factor in ensuring adequate cardiac output. However, the dominance of the parasympathetic portion of the autonaumic nervous system tone makes...

  7. Aggressive fluid therapy in Severe Septic Shock and ARDS.

    smiling_ru replied to Diprivan/Vented's topic in Certified Registered Nurse Anesthetist, CRNA

    Ventilator injury; http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=14508153...

  8. Aggressive fluid therapy in Severe Septic Shock and ARDS.

    smiling_ru replied to Diprivan/Vented's topic in Certified Registered Nurse Anesthetist, CRNA

    (IMHO) Antimicrobial accessiblity in these situations is going to be circulation dependent, increasing the pulmonary edema will only increase the shunting, decreasing antimicrobial availability. The...

  9. MAC level information

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

    The anesthesia reference sheet that Cusick puts out has most of that information. I have never heard of MAC induction/ MAC intubation. But, I would assume MAC BAR would be intubation. If you don't...

  10. Here's what AAs really think of CRNAs

    smiling_ru replied to Athlein1's topic in Certified Registered Nurse Anesthetist, CRNA

    Quote: These arguments are great if your audience is mostly CRNAs, other nurses and medical professionals. That is the real problem for CRNA's. Because, while anyone working in US healthcare is...

  11. Here's what AAs really think of CRNAs

    smiling_ru replied to Athlein1's topic in Certified Registered Nurse Anesthetist, CRNA

    For those of you who can not discern a difference, and see this as a turf battle, I would like you to consider this. A nurse anesthesia student starts the program with a great deal of education and...

  12. Roll call for Seattle

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

    I will be

  13. Here's what AAs really think of CRNAs

    smiling_ru replied to Athlein1's topic in Certified Registered Nurse Anesthetist, CRNA

    Anesthesiologists working in an "anesthesia team" environment do NOT generally administer the anesthesia. This is why I laugh when a patient insists that an anesthesiologist provide theirs. They are...

  14. Here's what AAs really think of CRNAs

    smiling_ru replied to Athlein1's topic in Certified Registered Nurse Anesthetist, CRNA

    AA do not receive direct reimbursement, they must be supervised therefore, the anesthesiologist bills for supervised cases. This is in contrast to CRNA's who can bill

  15. Here's what AAs really think of CRNAs

    smiling_ru replied to Athlein1's topic in Certified Registered Nurse Anesthetist, CRNA

    Teeituptom, I am curious, why would you prefer an AA to a

  16. charting...dialed in or end tidal?

    smiling_ru replied to mbrian46's topic in Certified Registered Nurse Anesthetist, CRNA

    The original poster said it the same way. End tidal is more reflective of brain

  17. Going to be a grandfather!

    smiling_ru replied to Trauma Tom's topic in Certified Registered Nurse Anesthetist, CRNA

    Congratulations

  18. Just "knocking people out"?

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

    One of my intructors described it in a somewhat dramatic, but possibly apt statement. "You guys will be bringing somebody to the brink of death and then bringing them back, you better know your...

  19. Why CRNA

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

    I have already done that. Lizz, The ICU experience is before the nurse anesthesia portion. So when I talked of working and going to school, I did not mean during the CRNA portion. Look at it this...

  20. Why CRNA

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

    I believe that we discussed both Georgetown and Columbia some time ago. In that discussion, somone pointed out that they still had to obtain 1 year of critical care experience to enter the anesthesia...

  21. Why CRNA

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

    I think that it is harder to respond to this question from someone who has not worked in nursing yet. This is because once you have worked for a little while in the profession you get a feel for the...

  22. Drug abuse and burnout?

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

    There is a high rate of drug abuse among anesthesia providers in general. But, there is not a high burn out

  23. Few questions from a young one.

    smiling_ru replied to Busy20yo's topic in Certified Registered Nurse Anesthetist, CRNA

    the only thing i would add to the previous post is that if the problems occurred when you were a juvenile you can have your record expunged and it will not come back to bite

  24. Laryngospasm

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

    I guess I think of laryngospasm as being associated with the glottic opening (glottic reflex), whereas a bronchospasm would involve the lower airways. I am not trying to be demeaning. I am just...

  25. Laryngospasm

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

    I am not sure what your talking about. What are the symptoms of your "laryngospasms". With a tracheostomy I would assume that there would be no issue as the airway is open. Could it be something...