CRNA1982

CRNA1982

Anesthesia

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All Content by CRNA1982

  1. The Things I've Seen Today...

    CRNA1982 replied to INparrothead's topic in General Nursing

    Ooh wait, there is another post about lazy co workers on the homepage! Lets all go and comment about how superior we are and how we are better than our

  2. The Things I've Seen Today...

    CRNA1982 replied to INparrothead's topic in General Nursing

    I often log on to Allnurses.com to read and discuss clinical issues to better my knowledge and understanding of medicine. Instead, I continue to find people complaining about lazy co-workers and...

  3. blood and levophed in same line?

    CRNA1982 replied to link51411's topic in MICU, SICU

    Really? What is the rationale behind that? What kind of a problem are we talking about? Pt. survives code and lives vs. the LOW probability of losing limb due to extravastation? (After all, you are...

  4. blood and levophed in same line?

    CRNA1982 replied to link51411's topic in MICU, SICU

    You do what you have to do in order to keep the pt. alive.....Forget about all of the stupid protocals and rules that you are trained to follow. There are always exceptions to the rule. Obviously,...

  5. Advice needed. Crna vs MD

    CRNA1982 replied to ConfusedxRN's topic in General Nursing

    I do not work like a dog.....My typical day is way less exhausting compared to a floor nurse in the ICU (Been there, done that). I work 40 hours a week and nothing more. I have every weekend off as...

  6. How often do you draw the line?

    CRNA1982 replied to Mully's topic in Certified Registered Nurse Anesthetist, CRNA

    If the anesthesia provider is not comfortable proceeding with the surgery because they feel that it is too great of a risk to the patient, then this is communicated to the surgeon. If the surgeon...

  7. Adding NS to blood transfusion?

    CRNA1982 replied to Okami_CCRN's topic in General Nursing

    I routinely mix my PRBC's with 0.9 NS in order to cut down on the viscosity. In the O.R. we don't use pumps for blood products and undiluted PRBC's will not "free float" even with the roller clamp...

  8. post op and renal failure

    CRNA1982 replied to isthatso?'s topic in General Nursing

    Renal failure s/p surgery is usually due to long periods of hypotension and inadequate fluid resuscitation peri-operatively. This leads to decreased renal perfusion and subsequently decreased urine...

  9. Exposed to bodily fluids, what would YOU do?

    CRNA1982 replied to naijanurse's topic in General Nursing

    Your decision to go the the E.R is completely justifiable; nobody can question your decision on that matter. However, if you were not sure if you got hit in the eye, it sounds really low risk to me....

  10. Do you ever feel like a licensed drug pusher?

    CRNA1982 replied to whykiki0103's topic in Emergency

    Yeah, I guess I kinda am a licensed drug

  11. Post CABG, HR105= is it normal?

    CRNA1982 replied to payang0722's topic in General Nursing

    I'm not so comfortable with any pt. > 40 y/o with a HR > 100 and I'm definitely not comfortable with a tachycardic pt. s/p CABG..... Even if we are dealing with fresh "wide open" grafts;...

  12. Malpractice Insurance?

    CRNA1982 replied to Jmiami's topic in General Nursing

    Your insurance premium has never been over $100.00/year because of the fact that nurses rarely ever get sued for anything; therefore your premiums are ridiculously low... I challenge anybody to any...

  13. PICC Lines And TPN

    CRNA1982 replied to pearldiaz's topic in General Nursing

    Each time you push meds through a TPN line, you run the potential of introducing infection into the line. Get

  14. Study says redheads are harder to sedate

    CRNA1982 replied to michele742's topic in Certified Registered Nurse Anesthetist, CRNA

    There are many studies that suggest redheads require more anesthesia. I have personally seen this on several occasions. Therefore, I always consider this before I anesthetize a redhead. I will say...

  15. queston on zofran

    CRNA1982 replied to link51411's topic in MICU, SICU

    Hmm......This is not typical. No need to give vial after vial of zofran. For anti-emetic prophylaxis, we typically give a combination of 3 or more different drugs that each hit a different receptor...

  16. Hep B

    CRNA1982 replied to sheilav's topic in General Nursing

    With a little research I'm sure that you could find out who should not receive the vaccine. Certain vaccines contain eggs or other ingredients that people may be sensitive to. I would imagine that...

  17. Hep B

    CRNA1982 replied to sheilav's topic in General Nursing

    Why are you not comfortable with giving a

  18. Malpractice Insurance?

    CRNA1982 replied to Jmiami's topic in General Nursing

    Over 3/4 of my fellow staff CRNA's that I work with are >45 y/o with at least 15+ years experience in anesthesia (Not including prior nursing experience) None of them carry personal liability...

  19. Malpractice Insurance?

    CRNA1982 replied to Jmiami's topic in General Nursing

    Hmm....after having further discussion with my CRNA colleagues (Who work for the hospital and have been in practice for decades), I could not find one person who has purchased malpractice insurance....

  20. Malpractice Insurance?

    CRNA1982 replied to Jmiami's topic in General Nursing

    You don't need malpractice insurance. I'm a CRNA and I don't even own malpractice insurance. As long as you are working for the hospital, you will be fine. The "Deepest Pocket Doctrine" is a fine...

  21. explore lap

    CRNA1982 replied to fuyuojo's topic in General Nursing

    Coffee grounds post-op day 1 are not uncommon at all; in fact it is expected after an ex-lap for GSW. So this is not a "Profound" symptom that any attending should be worried about. Furthermore, NG...

  22. explore lap

    CRNA1982 replied to fuyuojo's topic in General Nursing

    Did the pt. aspirate? This could lead to cardiac arrest. Coffee ground emesis is old blood. This would not cause him to

  23. How much morphine is too much??

    CRNA1982 replied to b eyes's topic in Emergency

    So don't sweat it! You did fine, don't worry about what the CRNA said. If the pt. needs a lot of opioid then give them what they

  24. How much morphine is too much??

    CRNA1982 replied to b eyes's topic in Emergency

    Morphine 32 mg IV over 2 hours does seem like a pretty big dose BUT I would not freak out over it. The guy was a young guy and could probably handle it. I would probably just induce without narcotic...

  25. Why everyone wants to become anesthetist? Is it because of the salary?

    CRNA1982 replied to Datu's topic in Student Registered Nurse Anesthetist

    1 CRNA per O.R. unless help is needed such as a massive trauma or code. As far as the profession, I could not imagine doing anything else. I was doing a case the other day with a new, first year...