nurselemmon

hey everyone, So my husband went to the nursing department today to find out about the waitlist. He is done with his last prereq in a few more weeks and will be taking the NET test next week. Anyways, he was told that when you are put on the waitlist is the day that you complete your classes and NET test.....but, they actually look at when you submitted your initial nursing school application when ranking you, which he did over a year ago when he started taking the classes. So this is probably how people get bumped forward or backwards! Just what he said.

I have been in the CVICU for a year now. Still work in the ED contingent about 4 to 6 shifts a months. I still need my ER fix.

I did it that way I am glad I did. When I went into the ICU (CV-ICU) I had alot of prior cardiac and resp arrest experience and new most of the drips (alot I had never heard of though) Not only that, in the ER you are used to handling alot of very unstable patients that have nothing done yet when they come to you (etc maybe a 20g in the hand being bagged) You you learn very quiclky how to "multi-task" QUICKLY when patients are going down (ex-quickly obtaining better IV access, know the defibrillator inside and out, know the vent etc) I think then since you have that base knowledge already you get to spend more time learning on the actual patho that you get to learn in the ICU, and the "OPEN CHEST TRAY-I had never experienced that one until the ICU!! lol) GO for it...One thing I never learned how to do very good in the ER was how to gica a bed bath...LOL

Whatever you do, don't work at the "U" in the CV-ICU...good learning on hemodynamics, but not a friendly crew...that is for sure.

I was wondering if we have any michigan crnas here or any current crna students attending any of the michigan schools and what their stats were upon admittance. GPA, GRE, years ICU experience, type of ICU experience? THANKS

Did they discuss the average GPA, GRE, and years ICU experience of the last class admitted. thanks

I was an ED nurse in a level I trauma center for 5 years, the OR for 3 years, and then the SICU in the same hospital for another 5 years before I became a crna. We used propofol daily without any issues. It is an extremely safe medicaion. I think it is crazy for any high functioning ED or ICU not to have propofol available or sedation, especially with severe trauma patients that require intubation! These nurses should be trained on the use of these drugs, and the use of the ramsey scale to be in compliance with sedation reguations. It is not that difficult to titrate a propofol drip, no more than a nipride or levoped drip. Titrate to the desired effect...if the patient becomes unstable, stabilize the patient. This is for patient safety and patient care. How safe it is for an anxious patient to be trying to dislodge his tube or trying to get out of bed with multiple traumatic injuries? I do not want to downplay the work of my profession, but let me say this... certain high functioning departments are prepared to handle almost any emergent situation if it arises with the use of certain sedative agents. The emergency physicians I have had e pleasure to work with intubated sometimes more than 10 patients a day. I am not talking about patients with stable VS, "Here take a few deep breaths," patient is relaxed, now intubate! I am talking about gashes through the throat, bullet wounds next to the trachea or anaphylaxis with a swelling throat on a 400+ pounder. You are trying to say that a patient who needs sedation with a crash cart next to him, on a monitor, with a physician neaby, and a nurse that pushes drugs through code situations left and right is not equipped enough to handle a patient that becomes extremely hypotensive, or even goes into Vtach or Vfib??? What can we do that this team cannot do? Really? I thought I was high and mighty for a while after I graduated from the CRNA program, but I now realize that it only takes 2 1/2 more years of school and any nurse with some ICU experience can become a crna. It is simple as that! instead of being so cocky, we shoud be thankful that we can come out of a 2 1/2 year program making $75/hr. Keep your mouth shut before everyone realizes how overpaid we really are! TLL, crna

I was an ED nurse in a level I trauma center for 5 years, the OR for 3 years, and then the SICU in the same hospital for another 5 years before I became a crna. We used propofol daily without any issues. It is an extremely safe medicaion. I think it is crazy for any high functioning ED or ICU not to have propofol available or sedation, especially with severe trauma patients that require intubation! These nurses should be trained on the use of these drugs, and the use of the ramsey scale to be in compliance with sedation reguations. It is not that difficult to titrate a propofol drip, no more than a nipride or levoped drip. Titrate to the desired effect...if the patient becomes unstable, stabilize the patient. This is for patient safety and patient care. How safe it is for an anxious patient to be trying to dislodge his tube or trying to get out of bed with multiple traumatic injuries? I do not want to downplay the work of my profession, but let me say this... certain high functioning departments are prepared to handle almost any emergent situation if it arises with the use of certain sedative agents. The emergency physicians I have had e pleasure to work with intubated sometimes more than 10 patients a day. I am not talking about patients with stable VS, "Here take a few deep breaths," patient is relaxed, now intubate! I am talking about gashes through the throat, bullet wounds next to the trachea or anaphylaxis with a swelling throat on a 400+ pounder. You are trying to say that a patient who needs sedation with a crash cart next to him, on a monitor, with a physician neaby, and a nurse that pushes drugs through code situations left and right is not equipped enough to handle a patient that becomes extremely hypotensive, or even goes into Vtach or Vfib??? What can we do that this team cannot do? Really? I thought I was high and mighty for a while after I graduated from the CRNA program, but I now realize that it only takes 2 1/2 more years of school and any nurse with some ICU experience can become a crna. It is simple as that! instead of being so cocky, we shoud be thankful that we can come out of a 2 1/2 year program making $75/hr. Keep your mouth shut before everyone realizes how overpaid we really are! TLL, crna