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FLAreN

FLAreN

ER, OR, MICU
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FLAreN specializes in ER, OR, MICU.

FLAreN's Latest Activity

  1. FLAreN

    Praise the Lord i passed!!!

    Awwww congrats!!!! So happy for you! Yes, I definitely would not be where I am today without God. He carried me through my darkest days.
  2. FLAreN

    when crazy family member is also a nurse

    Having had family members as patients and being a patient myself, I know that mistakes can happen even with the best intentions. Thus, coming from the "crazy nurse" perspective, if i suspect or suggest that something is not how I perceive it should be, I would be open to a non-confrontational explanation as to why one is doing something or not doing something. There is definitely more than one way to skin a cat so education and PROPER communication is key. I don't think there is any way you would be able to ask me where I work, how long, what I do, etc. . .that would not be transparent and offensive. THIS is why "crazy nurses" act the way they do. It is not your place as the nurse to judge the culture of your patient or their family members. Culture includes their professional culture. It is your duty to facilitate and guide them. Just my 2 cents.
  3. FLAreN

    why making mistakes make me think I am stupid !

    Sorry to hear about your experiences. You are still learning. Don't be too hard on yourself; however, I did note that you are trying to "never leave an opportunity to learn anything". This is great and you are adopting a wonderful attitude towards learning, but you may be trying to do everything and cannot focus on anything by doing this. In the beginning, just try and focus on YOUR basic skills as a new nurse. When you are starting a task, only focus on that task for now. You are not expected to notice EVERYTHING around you yet. That comes with time. You ARE expected to check your meds 3 times before giving it, ie right drug, right dose, right patient, right time, right route. It sounds like you know what you are supposed to do but fall short along the path somewhere. Try to stay focused. Your willingness to help others is sabotaging your own efforts in completing your task at hand. Don't get distracted too easily. This will help you throughout your career. There will be many situations where distractions cause medical errors even to seasoned nurses. When doing something relatively dangerous do not let your mind wander or worry about other things. You are still in the process of getting your bearings so if you veer off from your task, you will not be able to find your way back too quickly and mistakes will happen. You are probably thinking about too many things at once. Hope that helps! Good luck! Cheer up! Your attitude will take you far but just remember to focus on the task at hand.
  4. FLAreN

    Reglan for migraines

    Reglan use for headaches is an off-label use. There has been some research linking dopamine and migraines. Reglan works on the dopamine receptor in the body. Unfortunately long-term use of reglan may cause tardive dyskinesia which is also seen with patients who have parkinsons disease. It is NOT recommended for long term use and is mostly used for patients with a history of post operative nausea and vomitting. Reglan is used to increase gastric motility. You are not supposed to push Reglan as it can cause all the side effects everyone who has tried it has noted. Benadryl is given to "calm" these effects. Usually giving it over 10-15 minutes IVPB is best when the patient is awake and not sedated. It is totally unclear how it works on migraines. Sometimes migraine attacks are accompanied with gastric dilation as well as nausea and vomitting. Increased levels of dopamine has been shown to reduce these symptoms. There are other receptors as well that affect nausea and vomitting but it has been noted that increasing dopamine levels decrease migraines. Hope that helps!
  5. It is probably a prescription because fish oils have anticoagulant properties so if the strength were high enough it would interfere or have a synergistic effect with other meds. Its not as benign as people think. I'm not a drug company supporter but this was a good call. Some people take many OTC meds and don't know the possible drug interactions and effects.
  6. FLAreN

    PICU or Pediatric CICU

    Go whereever you are going to administer the most med drips. . .most likely CICU. Besides, it is an area you haven't tackled. Always better to expand your knowledge base. Good luck!!!
  7. FLAreN

    Chiropractor to CRNA advice

    Everyone's answers here are great. Long story short. . .I am a CRNA. I had a previous life as well where I incurred school loans. Thus, I would say establish residency whereever there is a STATE CRNA program. Where you go doesn't matter as much as will you graduate. I'm sure there are different levels of CRNA schools but no matter what school you goto, you will learn what you need to get started or else they wouldn't be accredited. Your wife sounds like a top notch candidate who will not stop until she finishes so better she finish with the least amount of school loans. Things to note as another member posted, be aware of the CRNA programs that now require you to get a Doctorate in Nursing Practice (DNP) like in Iowa. This will incur more time and more money. Understanding your situation, I am sure you are trying to go the quickest route possible. That being said, I also used to live in Iowa. Iowa is much more economical than Boston as far as living expenses and for the most part it is pretty safe. I don't know much about the CRNA school in Iowa though. Anyway, if you would like more info, PM me. Good luck! Sorry for the short and abrupt sentences. At this time, I am usually asleep since I wake at 430 / 5am on most days.
  8. FLAreN

    Getting too far ahead of myself?

    They will look at your sciences as well as your nursing grades. I would take the "C" classes over. It doesn't matter where you take them as long as you are going to get better grades in them. I will tell you that some schools scrutinize your science grades more than your nursing grades. This is because anesthesia is a totally different beast than nursing and it will focus more on biochem, chem, A&P as a base and NOT nursing. Nursing is only there to facilitate your ability to handle clinicals and the hands-on things. Yes, you will need to know your basic critical care nursing skills but even that is based moreso on the sciences. As an anesthesia provider you are required to know why you do or do not do things on a much much more in depth level; thus, you will need a strong human bio & science background. As for the GRE, I would take it now since you just completed your B.S. Bio. Ofcourse, that would mean you would have to apply to CRNA school within 5 years of taking the GRE. If you are determined and failure is not an option, you can do it! Good luck!
  9. FLAreN

    Anesthesia Provider Pay to Drop 60%

    Well if it makes any difference I was offered a competitive salary WITH a sign-on bonus AFTER the health care bill passed. I was hired by a private anesthesia group and not a government entity nor am I considered a hospital employee. If they were scared of the health care bill and not getting reimbursed, I definitely wouldn't have gotten a sign-on bonus. The facility is in a metro area.
  10. FLAreN

    Clincal advise for the first month?

    I would know the anesthesia machine basics and the flow of process...i.e. setup machine...see your patient (preop)...go back to check that you now have your setup tailored to your patient: tube size? meds? better sniffing position? know your doses!!! (patient weight / allergies? basics) know somewhat about the pathophysiology of your patient diabetes? HTN? Then the flow of it all once you patient is ready: Wait in holding to take your patient back with CRNA (versed should have been given unless contraindicated) Bring patient in room: Transfer to bed (first, take IV bag and put on IV pole in the room before transfer - note which hand the IV is on so you can place it on the same side) Transfer patient to bed once you have someone at patient feet and sides. They will wait for you to say it is OK to move. Connect (in this order): pulse ox BP cuff then take a BP then EKG leads Turn on oxygen and place mask on patient (make sure you remember to tell patient what you are doing as they are still awake LOL) Tell patient to take deep breaths Then you are ready for the attending Have drugs and intubating equipment ready Induction: More versed? Fentanyl? Lidocaine Propofol? Etomidate? Whatever - check lid reflex...no reflex - tape eyes Can you ventilate? Verbalize...if not, place in oral airway...can you ventilate? verbalize Then paralytic is given...wait till it works, i.e. onset? then OK to intubate inflate cuff check bilateral breath sounds check for end tital co2 (Turn on gas, turn down o2 and add air : 1/1 or whatever) secure tube THIS is the basics... I wish I would have been able to visualize this and do this first semester. You are so nervous that you just forget...in the meantime someone is asking you a dozen questions while another is telling you what to do and you have no time to hear your own thoughts...LOL Thus, I would have just wanted to get the mechanics down so that I didnt need brain power for it cause I basically had none...LOL. Good luck!!!!
  11. I would lost some weight so that the weight that I gained while in school wouldnt have been so significant LOL! oh yes....and do ABSOLUTELY whatever the heck it was that I wanted to do with the sole purpose of having complete FUN!
  12. FLAreN

    A day in the life of a SRNA

    Hi, I don't know what semester / year you are in but I can say that the first year was as I described...no time to do anything. Now I am in my second to last semester and I do have more time because I am at clinicals 4 days a week and class on the 5th day. I don't have time to study much because I have to take care of my 2 yr and 3 yr old. As for weekends...it is the same thing. I have exhausted my family members' generosity so I don't really have anyone to help so I will say that makes it difficult to study. Thus, I still have to wake up in the wee hours to have time for myself. I am exhausted most of the time because even though I don't study much clinicals is still stressful because I am at a site that continues to 'challenge' you. Honestly, the only reason why my household was in order for the most part is because I had a housekeeper every week. So I tip my hat to you if you are able to balance your life so well in anesthesia school. I wish I could have gotten some advice from you before ALL of this :-)
  13. FLAreN

    Am I the only one??

    I haven't thought of quitting due to clinicals but it has MORE THAN CHALLENGED me...actually, quitting is not an option especially because of what I have endured in clinical...it's been and continues to be a mental, physical, and spiritual challenge for me. What has helped me is to talk to other classmates who are going through similar things...actually al of us are or have experienced the same emotions and abuse at one point or another. Call it what you want...misery loves company...whatever, but it helped me to get through the rough times knowing that I had someone to talk to who could understand EXACTLY what I was going through. Hang in there!
  14. FLAreN

    "Must have's" for school and clinical

    For clinicals, I can't live without my Nurse Anesthesia Pocket guide and my Uniball Signo 0.38 extra fine tip pen for clear charting. :-) Everyone else pretty much covered all the other stuff. I do have a Palm for the moments when I actually have time to look up non-anesthesia meds in the patient history but I don't do that too often. I have all the anesthesia programs as well but you can't look at your phone in the OR and you don't have enough time in between cases to look up anything either so if you don't get a PDA fine, if you do, fine...IMO
  15. FLAreN

    A day in the life of a SRNA

    A year later and I am still in it to win it - MUCH THANKS to GOD! My prayers worked :-):yeah: Truthfully I don't know how I do it so it must be a higher power. It has been and continues to be rough but the emphasis has changed now. I am in class less and more clinicals focusing on specialty rotations. I guess they figured I had enough of Lap Choley's, cyst removals, and D&C's (for those of you in the program - you know what I mean LOL). The most challenging part is learning how to handle different and difficult personalities especially when they go out of their way to show they are smarter or to make you look stupid. It is really disheartening at times because I am an adult who has self-respect and I have high regard for self and others so when other 'adults' act in this way it really is bothersome and ANNOYING. None-the-less, I am still here, still married, with [now] a 1 yr old and a 2.5 year old who continue to get sick during every season. I just wanted to keep anyone who reads this and thinks they can't do it that they can. It is NOT easy mentally, physically, emotionally, and spiritually but you always have to keep pushing forward. My family has been as supportive as they can and as understanding as they can. Just a note - I ALSO have to make sure I am understanding towards their needs as well. It is hard to juggle everything but I am still doing it. 1 and couple more months to go! Wish me luck and send prayers!!!!
  16. FLAreN

    A day in the life of a SRNA

    How is it going?