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ctbsurf

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All Content by ctbsurf

  1. crnachat.com not very active, though
  2. major troll. check out all his posts he made within only two days. putting down nurses in his misguided notion that nurses believe they are = to MDs. get a clue.
  3. uniform w/ a cap. are you kidding. i was wondering why we drive cars to work instead of horse and buggy. give me a break
  4. i would brush up on your chemistry. anything more would be overkill. it doesn't matter if you have 1 year or ten years of icu experience everyone is in the same boat, everyone will be stressed and pulling their hair out. so be glad you got in, kick your feet up and relax now b/c when you start it will be a long-hard 2+ years.
  5. ummmm, actually not always, my friend. pain and defecits relayed to CES depend on the specific nerve roots affected... so if sacral roots 3-5 are affected they may have pain in their perineum, lack of bulbocavernosus and anal sphincters function. so yes it is possible to have CES and not have pain in your legs which would be nerve roots L2-S2. CES possible, yet not likely unless.... he recieved a saddle block which might increase his chances. so where do you want meet to study!!
  6. this is for CRNA income not a RN salary
  7. my precordial collected dust until i did my pediatric rotation. it generally is more of a hassel to use b/c sometimes i won't hear the surgeon when they are asking me to do something. if they are playing music in the background, forget about it.
  8. my resume was more than one page as well, i wouln't worry about it, definatly put the stand out info on the first page to keep them reading
  9. no it serves no purpose if you already got in. you are no longer an ICU nurse, move on to the next big step, surviving anesthesia school. then we'll talk about personal achievment. good luck and congrats.
  10. palpating the pelvis to identify L4 can be done most of the time, if not they will have a nice fat roll that gives an approx location of L4. ususally you can't feel any interspaces so basically I end up using the needle i inject local as a finder needle. if you go in and hit bone right away you know you have to move up or down about 1/2 - 3/4 inch to get into ligament. you need to make sure you also have a long enough needle because the tuohy needle is 9cm to the hub so if more is needed you either need to get a longer needle or be able to push the hub into patient's back a couple of cm.
  11. SB 626 (AA bill) passed the House friday by a vote of 74 to 39. This bill now goes to the Governor Jeb Bush. If the Governor signs the bill, or allows it to become law without his signature, it will take effect on July 1, 2004. the only way it won't go through is if he vetos the bill which doesn't happen often
  12. I had difficulty w/ the numbers also... start H.S at age 12 or 13 graduate @ 16 with 2 kids married @ 16 finish ADN @ 18 work for four years as nurse while going back to school for BSN and while having 2 more kids. now almost 22 wants to get into CRNA school has no problem paying for school because her husband and four kids will all be moving into mom's house. hmmm... i guess it's possible, just at first glance it doesn't seem to add up b/c you would think there would be some gaps in the timeline secondary to you having four kids at such a young age. but anyway yes i think you have good stats, but would stick to discussing only your academic achievments when the time comes, you don't want to raise any eyebrows for the wrong reasons ( not saying you did wrong , but inherently your story will raise eyebrows and you never know how people will interpret it.) it certainly raised my eyebrows
  13. one year PCU, one year ICU, w/ 6mo of the ICU time as charge nurse. ACLS, PALS certified. never got CCRN. overall GPA 3.45 w/ strong science background. chem I & II, Bio I & II, physics I & II. GRE 1610 overall (old test). I applied at 2 schools at the ripe age of 24, interviewed w/ both , accepted at one, put on alternate at the other. have three semesters left to go before i graduate.
  14. no, just go for it, don't wait. what you need to know about anesthesia will be taught to you. you'll kick yourself later for not accepting. I got in w/ 1 yr PCU and 1 yr of ICU. never dealt w/ pts on IABP, VADs, or ECMO. that is not what you'll be seeing on a normal day of anesthesia. what you do need to know is basic pharm, A&P, and being comfortable tirating drugs to effect. i never felt disadvantaged at all, b/c whether you have 1 yr or 10 yrs everyone in your class will be starting from scratch. there is a reason they only make 1 year of ICU a requirment and there is a reason you got accepted, apparently they thought you were capable. don't look back, just trudge on forward, you won't regret it.
  15. nilepoc, i'm confused at first i thought you were disagreeing w/ kscrna, but then your last sentence is agreeing with what he had said originally. ET%=brain
  16. i thought it was a good joke, and even more hilarious is how many people are taking it so personal. get over it and learn to take a joke.
  17. i thought it was a good joke, and even more hilarious is how many people are taking it so personal. get over it and learn to take a joke.
  18. Barry U 27 mo program 48 credits 610/credit = $29300 + books
  19. angel337 for most surgical procedures a neuromuscular blocking agent (muscle relaxer) is given to allow better surgical access such as big belly cases. by giving these drugs you competively block the receptors that allow muscle contraction. each drug has different duration of action therefore need to be monitered using a twitch monitor. this twith monitor releases varying degrees of current. the ulnar nerve is frequently used to stimulate the adductor pollicus. when the anesthetist is monitoring a train of four (TOF), four bursts of current are fired from the stimulator and depending on how much drug is on board determines how many twitches are displayed. 1/4 twitch- 90% block 2/4- 80% block and so on. this allows the anesthetist to gauge whether more muscle relaxant is needed or not depending on twitch responce. finally at the end of the case the muscle relaxant need to be reversed in order to allow the patient to breath because we essentially paralyzed their diaphragm. these reversal drugs are called acetylcholinesterase inhibitors. in short they prevent the breakdown of Ach by certain enzymes, thus allowing excess Ach to displace muscle relaxants from receptor site (Ach is needed for muscle depolarization--contraction) but these reversal agent can prolong block if given too early b/c they themselves can get in the way and block receptor sites along with muscle relaxant thus increasing the competition for the Ach to due it's work. hope this helps scratch the surface
  20. you're on the right path, once it binds to the nerve terminal it triggers the exocytosis of ACh-containing vesicles. This leads to an initial overstimulation via cholinergic transmission, followed by blockade as the nerve terminals are depleted of their neurotransmitter. this is why it is potentially fatal causing respiratory paralysis
  21. i think we are all in agreement w/ the oral airway linkage
  22. w/ ENT procedures there is potential for lots of bloody secretions. suctioning is very important. if patient was already spont. vent. but still in no-man's land the oral airway + secretions probably caused the spasm. what did you have to do to break it? was it easy to break?
  23. after one year into the program. ~300 cases, ~500 hrs 1st semester no clinical, 2nd semester 3d/week, 3rd semester 4d/week. will start 2nd year clinical increases to 5d/week
  24. 2 years total as RN with one year in smaller 10 bed ICU unit with 6 months of that time as charge. no ccrn, strong science background, 3.3 nursing gpa, 3.4 total. undergrad at the univ. of FL...go gators. I interviewed at two places my first choice Barry U. --got in, had a great interview. 2nd choice U of S. carolina--waiting list and then denied--my interview wasn't good, very nervous--interviewers seemed stuffy and uninterested, their loss. GRE ok, nothing spectacular.
  25. yes that's what I meant, good call thank you g8r

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