athomas91

athomas91

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All Content by athomas91

  1. SRNA's!!! How hard is it being a student!?!!

    athomas91 replied to miloisstinky's topic in Certified Registered Nurse Anesthetist, CRNA

    play the game. (with a smile)

  2. Non compete clauses

    athomas91 replied to mgrn88's topic in Certified Registered Nurse Anesthetist, CRNA

    mgrn88 - of course i am not yet a crna...but did speak to some crna's who were also legal consultants...and they said that a non-compete clause is usually bound by some type of LOGICAL...

  3. CRNA vs. Politics

    athomas91 replied to MrRacer98's topic in Certified Registered Nurse Anesthetist, CRNA

    Jeremy, try not to get so defensive. If you look at your origional post - it is very clearly stated that you do not want to be involved in any type of "politics" and you clearly asked if anyone...

  4. CRNA vs. Politics

    athomas91 replied to MrRacer98's topic in Certified Registered Nurse Anesthetist, CRNA

    I am "just a student" - and i must admit that although in the past i belonged to professional organizations - i never really took an interest in them. I don't think that being involved always means...

  5. Central line placement

    athomas91 replied to Laughing Gas's topic in Certified Registered Nurse Anesthetist, CRNA

    i read everything i could get my little hands on - the only things that helps is doing it with guidance by someone who knows! i am glad to say it comes rather quickly (so far...*fingers crossed*)...

  6. After You Finish Anesthesia School

    athomas91 replied to CRNA, DNSc's topic in Certified Registered Nurse Anesthetist, CRNA

    I agree with the OP and Loisane...once you get in the habit of inactivity (as far as professional memberships etc...) it is really hard to get back into the swing of it...and it is so detrimental to...

  7. Nubain and Epidural Anesthesia, in case you didn't know

    athomas91 replied to DutchgirlRN's topic in Medical-Surgical

    it is fine for epidural patients if the epidural is just a type of local (marcaine...etc..) if there is an opioid in it (fent or duramorph) it is not a good

  8. Nubain and Epidural Anesthesia, in case you didn't know

    athomas91 replied to DutchgirlRN's topic in Medical-Surgical

    nubain is an opioid agonist/antagonist. it does help with pain relief by activating SOME of the pain receptors - however - it competitively inhibits narcotics by sitting in their receptors....

  9. Patient with awareness

    athomas91 replied to Mana_Tangata's topic in Certified Registered Nurse Anesthetist, CRNA

    loisane and kevin - very well

  10. Procedural Sedation in the ICU

    athomas91 replied to NeuroNP's topic in Certified Registered Nurse Anesthetist, CRNA

    mattsmom81 - i am going to have to agree with the other posters - you are just wrong. i too was a nurse who considered myself good enough to give anything and usually did - i like brenna's dad - am...

  11. Amidate and Propofol for MAC?

    athomas91 posted a topic in Certified Registered Nurse Anesthetist, CRNA

    i was curious - do any of you use this mix for MAC cases? i have been to a clinical site that does and another that completely disapproves - and many of my cohorts in school have found the same to be...

  12. Amidate and Propofol for MAC?

    athomas91 replied to athomas91's topic in Certified Registered Nurse Anesthetist, CRNA

    as to the posting about the ER - as an ER nurse i can tell you that the majority of pts that are in need of intubation in the ER require little to nothing for intubation or they are already dead. but...

  13. Carotid Endarterectomy

    athomas91 replied to TraumaNurse's topic in Certified Registered Nurse Anesthetist, CRNA

    trauma - the ones i have done have been under general and utilizing the cerebral pulse oximeter to roughly just blood flow to the hemispheres prior to and during clamp time - i found it very...

  14. "When Anesthesia Fails" on Discovery Health Channel

    athomas91 replied to Sarah Kat's topic in Certified Registered Nurse Anesthetist, CRNA

    affected - that is what they are trying to say - there IS no guaratee that it will prevent even 1:1000 people from having recall - BIS comes with absolutely no guarantees - and that could even give a...

  15. "When Anesthesia Fails" on Discovery Health Channel

    athomas91 replied to Sarah Kat's topic in Certified Registered Nurse Anesthetist, CRNA

    just a note.... i think it is also important to realize the differences in anesthesia....some types of anesthesia -- you WILL HEAR, you WILL REMEMBER... they are meant that way and i find many...

  16. Ethical issue paper

    athomas91 replied to Future SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    i could be wrong on this - will have to do some research - but i don't think that GETA is "quicker" than regional - they have longer PACU stays, more hospital admissions due to complications from...

  17. Ethical issue paper

    athomas91 replied to Future SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    because substance abuse is such a problem in the anesthesia realm - a interesting paper could be on what to do if you suspect a colleague of having these issues. we are actually obligated to turn...

  18. Spec Grav of Local anesthetics

    athomas91 replied to catcolalex's topic in Certified Registered Nurse Anesthetist, CRNA

    morgan and mikhail has it all listed in a chart as well...good

  19. pKa

    athomas91 replied to Gump's topic in Certified Registered Nurse Anesthetist, CRNA

    ooops... you are absolutely right - i was thinking of benzocain (pKa 3.8)....

  20. pKa

    athomas91 replied to Gump's topic in Certified Registered Nurse Anesthetist, CRNA

    ionized = water soluable = nonactive unionized = lipid soluable = active you are right - pKa is a number that signifies that at that pH 1/2 is ionized and 1/2 is unionized... to know which direction...

  21. What is up with CRNA/AA/MDA politics.

    athomas91 replied to dreatx's topic in Certified Registered Nurse Anesthetist, CRNA

    had to post this...sorry....:) an MDA i worked with recently (who is great and full of knowledge and a benefit to my learning) didn't know how to set up the fluid/blood warmer.... he was very open...

  22. Any PDA suggestions for school? Is one necessary?

    athomas91 replied to TexasCCRN's topic in Certified Registered Nurse Anesthetist, CRNA

    i carry the brain, baby barash and secrets...i use them for any small breaks i may get as well as on call...likewise if i am doing a case that i didn't know about and haven't done - they are useful....

  23. Any PDA suggestions for school? Is one necessary?

    athomas91 replied to TexasCCRN's topic in Certified Registered Nurse Anesthetist, CRNA

    it really depends on it you are a computer oriented person or not... i have the HP handheld - with a few programs i have found useful - archimedes (free), the manual of anesthesia practice, and...

  24. CRNA Induction Sequence List

    athomas91 replied to miloisstinky's topic in Certified Registered Nurse Anesthetist, CRNA

    i have had awesome (i can't stress enough) instructors at my clinical site...they have taught me amazing ways to utilize anesthesia... i tape the eyes prior to mask ventilating (if not a 400lb patient...

  25. What is up with CRNA/AA/MDA politics.

    athomas91 replied to dreatx's topic in Certified Registered Nurse Anesthetist, CRNA

    while i would like to agree with the positism...i again agree w/ deepz...because we all know it comes down to