athomas91

athomas91

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All Content by athomas91

  1. Non anesthesia provider providing anesthesia

    athomas91 replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    so - from what i am reading...this study was primarily looking at cost effectiveness and patient/doctor satisfaction..the study clearly has validity issues which the author themselves refer to... no...

  2. Non anesthesia provider providing anesthesia

    athomas91 replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    i am telling you ... that if your reasoning is..."if they crash the ED MD can intubate" then you shouldn't be giving propofol for sedation because you have just given it way wrong. you spoke of a...

  3. Lidocaine prior to IV start?

    athomas91 replied to WVUturtle514's topic in Certified Registered Nurse Anesthetist, CRNA

    most places i have been they use it (only anesthesia can administer it though)... however, i think it is overkill unless you are using and 18ga or bigger. if you are coming in for a boob job and...

  4. Non anesthesia provider providing anesthesia

    athomas91 replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    mmacfn..... i too was an experienced ER/Trauma RN - worked in at least 15 different ER/trauma centers... ignorance may be bliss - but you are arguing with those of us who have been where you are -...

  5. Non anesthesia provider providing anesthesia

    athomas91 replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    read the package inserts.... then decide if it is a good

  6. Question on Lidocaine Toxicity via Local

    athomas91 replied to Joshua21's topic in Certified Registered Nurse Anesthetist, CRNA

    speaking about jumping down throats... rn29306 wasn't referring to the poster as a genius but the DOCTOR administering the local... the part she was referring to is that why would anyone follow orders...

  7. Question on Lidocaine Toxicity via Local

    athomas91 replied to Joshua21's topic in Certified Registered Nurse Anesthetist, CRNA

    RN's should never be concocting recipes- - nor giving anesthesia without proper training - it it dangerous for patients and for nursing practice in general...CRNA's however always "concoct" and we are...

  8. SRNA clinical tactics

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

    now- that kind of stuff has never - never happened to me and i feel is quite inappropriate... i must say that as a student - everyone knew we were poor and would buy us lunches frequently - telling us...

  9. Have Docs kept you out of an OR room b/c your a CRNA?

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

    +jeez... must you always make it a crna/aa issue.. he actually said that "our capitalistic system" encourages competition - not crna's welcome competition... however... if you must go there - please...

  10. SRNA clinical tactics

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

    coug - noone likes the game - but as you and i both know it is a part of this life for know... (but not after may....:)

  11. Taking THE exam

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

    awesome.

  12. SRNA clinical tactics

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

    it's called playing the game.. and a little butt kissing never hurt

  13. Valsalva maneuver

    athomas91 replied to rn4cicu's topic in Certified Registered Nurse Anesthetist, CRNA

    a few years ago - FN's weren't sanctioned to do centrals - i knew they were thinking about changing that - when did it

  14. Taking THE exam

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

    i am sure you did fine... but 2 from philly area took them in nov - 90 ? and failed... i am sure you are fine - sounds like you really prepared well... chew this - i took valley - take boards in early...

  15. New grad in the ER, is CRNA school out of the question?

    athomas91 replied to extowboater's topic in Student Registered Nurse Anesthetist

    i did ER my entire nursing experience... the last year i did CVICU as well for my "requirement"... it didn't hinder me in the

  16. About the Gasses

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

    apais... sevo can be run on low flows for 2 full MAC hours w/o complication and the only complication they are seeing after that isn't compound A it is heat/fires in the absorbers.... so that can cut...

  17. About the Gasses

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

    money is always the bottom line... i always use what is best for my patients...however... when vec can be used instead of roc... that is money in my employer pockets...and eventually in

  18. About the Gasses

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

    boy...hope i can get myself straight before i take boards in 30 days or

  19. Was Let Go From A Program

    athomas91 replied to air's topic in Student Registered Nurse Anesthetist

    air - i would have to wonder what was happening at clinical that you all weren't privy to... perhaps he just wasn't good at the

  20. About the Gasses

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

    it all comes down to $$$$$$$ never forget it... propofol/remi drip - great anesthetic - expensive as all get out... des on a short case - great - longer than 20 min - your MAC of 6 will eat through...

  21. Maintaining a long distance relationship

    athomas91 replied to csojet's topic in Student Registered Nurse Anesthetist

    are you

  22. mixing meds?

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

    mixing diprivan with other agents is done frequently - the only concern i feel is viable is if contamination rates are higher... however, if diprivan is drawn up just prior to use - as it should be -...

  23. Was Let Go From A Program

    athomas91 replied to air's topic in Student Registered Nurse Anesthetist

    i am in a program that in the past few years has had to let a few people go... and trust me...there are things your friend is leaving out... it isn't easy to kick someone out of a program...it takes...

  24. Dr. EGER and his book/dvd on the pharmacology of inhaled anesthetics.

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

    i personally think that all the anesthetics have their pro's and con's and should be used according to the patient... yeah, i hate that des patients wake up sputtering... yeah, i hate that iso...

  25. The differences in RSI vs Gas

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

    Mike, as a soon to be graduate...yeah!! i will give my 2 cents... i feel we have quite a luxury in that we often (not always) but often in the OR have a controlled environment in which we can...