smiling_ru

smiling_ru

Member
  • Content

    297
  • Visitors

    3,532
  • Followers

    0
  • Likes

    0

All Content by smiling_ru

  1. Regional Anesthesia

    Maybe we should add to the FAQ which programs have a lot of regional and line placement opportunities.
  2. *******SUPERVISION REQUIRED or NO for CRNAs?*******

    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 the anesthesia needs to discuss every drug. No matt...
  3. *******SUPERVISION REQUIRED or NO for CRNAs?*******

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

    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 administer a drug, we do not need an order for the type ...
  5. Doctor of Nursing Science - On-line

    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 my future choices as opposed to the DNSc, what do...
  6. Bradycardia in response to hypoxemia in kids

    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 neonates, infants, and young children particularly ...
  7. Aggressive fluid therapy in Severe Septic Shock and ARDS.

    Ventilator injury; http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=14508153 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12793874 htt...
  8. Aggressive fluid therapy in Severe Septic Shock and ARDS.

    (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 other issue is that protiens leak along with the ...
  9. MAC level information

    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 already have this sheet, this link has an example ...
  10. Here's what AAs really think of CRNAs

    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 familiar with what a nurse brings to the table, the ...
  11. Here's what AAs really think of CRNAs

    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 experience in the medical field. They all understan...
  12. Roll call for Seattle

    I will be there.
  13. Here's what AAs really think of CRNAs

    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 basically asking for the person with the LEAST da...
  14. Here's what AAs really think of CRNAs

    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 directly.
  15. Here's what AAs really think of CRNAs

    Teeituptom, I am curious, why would you prefer an AA to a CRNA?
  16. charting...dialed in or end tidal?

    The original poster said it the same way. End tidal is more reflective of brain concentration.
  17. Going to be a grandfather!

    Congratulations Gramps!
  18. Just "knocking people out"?

    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 stuff". If you think about all of the things that can p...
  19. Why 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 way, you go and get your BSN, your year of experien...
  20. Why 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 program. This was obtained during the program, a...
  21. Why 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 types of patients/care that you want to provide. ...
  22. Drug abuse and burnout?

    There is a high rate of drug abuse among anesthesia providers in general. But, there is not a high burn out rate.
  23. Few questions from a young one.

    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 you.
  24. Laryngospasm

    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 trying to figure out why you would have symptoms of la...
  25. Laryngospasm

    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 other than a laryngospasm? Without the tracheostomy I...