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Nitecap

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  1. On the spot. You will go on 4-5, 25 min 1 0n 1 interviews. Google the most common interview questions asked and be prepared for these questions that could be asked to any profesional.
  2. Plan: 100% O2, maintain ventilation O2 is vital to the organs. Keep pressure up to ensure organ perfusion. Give what ever drugs the donation people want you to, they are the experts in preserving organs. A little opioid can smooth things out. Even though the patient is dead they still have an sympathetic response to pain which can send HR and BP through the roof since the surgey is so traumatic. Heart out, turn off the vent whenever surgeon says its cool. Let them take the rest of the organs. Peace out.
  3. A-line wave form analysis Upstroke - contractility Down stroke - SVR, Volume status Level of dicrotic notch - Volume status, SVR, norm should be in upper 1/3 of downstroke Area under curve - Stroke volume Respiratory variability - volume status. Square wave tests - assess to see if under or over dampened
  4. Nice post. One thing I do question is the statement of educating 10 CRNA's for one MD. My total of CRNA school will be about 120-130K. I really dont think it takes 1.2 million to educate 1 anesthesiologists. I think the AANA needs to quit using this stat or show the data to validate it. I am glad the Texas Association of Nurse Anesthetist has finally proven their statement that 80 Texas Counties are soely served by CRNAs. The list, including hospitals, is found on the TANA website, which by the way all TEXAS CRNAs and SRNA should visit at http://www.txana.org. Use the voter voice option to contact your lawmakers. Send the prewritten letter. It takes 2 minutes tops.
  5. Continue to have Your Voice heard in Austin On March 11th, TANA sent you an e-mail via voterVoice regarding SB 1314 and HB 3313. We asked that you send an e-mail to your State Senator and State Representative. Using the link provided at the bottom of this e-mail, TANA has provided you with a suggested pre-written message to send as a follow-up e-mail to your legislators. TANA asks that you: 1. Immediately e-mail your State Senator and State Representative the message provided. Please include your name, credentials and contact information (home address and telephone number). 2. Ask your co-workers, family and friends to send an e-mail to their State Senator and State Representative. Please include name and home address. 3. Visit your legislators at the Capitol in Austin or in their district office to voice your displeasure with SB 1314 and HB 3313. TANA Board Members visit the Capitol twice a week (Tuesday and Thursdays); if you would like to join them, please contact the TANA office at 512-495-9004 for further information. Act now to insure your practice does not change. Thank you! Click the link below to log in and send your message: http://votervoice.net/target.asp?id=tana:13477818
  6. Please join the fight whether you get in our not. We need you help now. Goto http://www.txana.org under the voter vioce section and contact your Tx rep or senator. It literally takes 3minutes.
  7. The shortages loom where MD's choose not to work. How can AA's fill these shortages when they cant work in these areas either. AA's arent any cheaper than CRNA's. In states that allow AA practice they make the same as CRNAs.
  8. AA's are not good for texas. What Texas needs is to continue increasing production of the proven and more versatile providers which are CRNAs and Anesthesiologists. The Texas Nurses Association is totally against the AA bill. All nurses should unite.
  9. Listen the most logical solution to any shortage in Texas is to increase the number of CRNAs and Anesthesiologists. Both camps are already increasing numbers in Texas as we speak. Why do we need an AA liscensing board for so few Texas AAs. Lets just divert the time and resourses to increasing MD and CRNA output. To all TEXAS SRNAs and CRNAs and Nurses this bill will effect you. PLease goto txana.org. From here goto the voter vioce section let your senator/representative no you dont want them to support this bill. Its a fight for your profession no doubt. Once the AA profession catches fire it will attract similar applicants as PA programs which have been overwhelmed with fresh out of undergrad applicants with no clinical back ground what so ever. Yes these PAs serve a purpose and many are really good, however many work in clinics or for docs and dont have to make decisions on the fly like we do in the OR. DO you really want a fresh out of school AA with an undergrad in Education or Exercise Science putting you to sleep with only 1 yr of patient care experience that they recieved in AA school. Yes I know AA school is 2 yrs but a year of that is didactic since most seem to be front loaded. IF AAs get a board in Texas you can put your money on it that AA programs will pop up all over TX. That means a flooding of the market with a less proven provider. You do the math. To thwart this we must take action now. Sources close to the politics of this have warned that they expect the TSA to prob. insert supervision language somewhere in this process. Texas law makers need to be bombarded with letters, emails, phonecalls and faxs urging them not to support these bills. Its time to step up guys/gals.
  10. I know several AA, Hispanic and Asian CRNA's as well. 40% of my CRNA class is non-White. There are plenty of Minority CRNA's.
  11. I would just keep calling the BCM admissions office. Dont call the Nurse Anesthesia Program directly. All applications go thru the admissions office first. They will be the one that know what they do and dont have. You should get a letter as well. The peeps in the admissions office are fairly new. This is the first yr that these individuals handle CRNA apps. Just keep calling and be patient.
  12. First you have to think Big, then roll Big and back your big thinking up with big actions. Anyone can do anything they want if they put forth all the effort they have. Be resiliant, dont accept defeat, stand tall, roll with the punches and accomplish your goals.
  13. Professionalism? Please dont judge my professionalism over 1 opinion that I stated. The proper way to do things is to hand out a more detailed word document if all you are going to come to the table with is a presentation with a title and 5-6 short fragmented bulleted statements per slide. The word doc should flow with the presentation but be in greater detail. Sadly many profs(not just CRNA's but MD/PhD) fail to do this. Then what you have is a student that a day or so later is trying to make heads or tails out of fragmented, incomplete sentences with a bunch of pictures that have no detailed explainations. You are the prof. A little constructive crit can only make you more effective in teaching and getting your point across. After all im paying 20k a year for my education. Believe me I put it in evals and have already seen a change. Thats how the system is supposed to work. Listen I give my profs mucho props. Love all of them. I WAS JUST trying to explain that students shouldnt try to learn BIG TICKET CONCEPTS by relying soley on the notes of one professor. They should turn to at least 1 if not 2 texts and see how the authors explain it. Many times it may be the same way. But many times it may be presented slightly different which may help you to grasp the CONCEPT much tighter and chew on it and spit it right back out when you are getting PIMPED in the OR. Thats all. SO Teach dont take things personally. Believe me I have learned that that can be your worst mistake in forum posting. Have a great weekend.

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