athomas91

athomas91

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All Content by athomas91

  1. Help--info On Payback Penalty

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

    denverlover - it never hurts to pay a few bucks and let someone w/ legal training look over the contract... but little tidbits i have learned through here and signing a contract myself 1. are your...

  2. Who did a contract for repayment with a group/hospital

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

    no - i searched gasworks - pulled off jobs in the area i wanted to work - and asked about offers... i was lucky that the hospital had just started this deal - and it was the best i found - i did...

  3. CRNA & NP: Advantages??

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

    CRNA's can apply for prescription authority - they, like NP's, are advanced practice nurses...CRNA's just have more clinical time, and some (my program) have more didactic hours as compared to NP's in...

  4. Multidose antibiotic vials in OR?

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

    i likewise in nursing nor nurse anesthesia have ever seen a multidose abx vial. i agree w/ jwk - sounds like the pharmacy placed the wrong vial out for

  5. Doxepram?

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

    i can't remember exactly - know i encountered it studying for boards - i know it is a central respiratory stimulant - can't remember right now where it works - maybe the apneustic center...i will try...

  6. Decadron for PONV prophylaxis?

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

    8 of decadron is a heck of a lot less expensive than the zofran..... i am a puker - so i give them all because i wouldn't wish it on any of my

  7. Why can't you go straight to CRNA School from BSN?

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

    the fact that you ask that question is your

  8. Interviewers' goal

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

    i disagree that they are looking "for a reason to reject your application" - first and foremost if they are calling - then they have already accepted your application - the interview is just to make...

  9. Tips for IJ placement

    athomas91 replied to bwt02's topic in Certified Registered Nurse Anesthetist, CRNA

    ultrasounds are great - but i don't agree with learning by using them - it just disables you when you are on your own - you can't always count on having one available at all institutions...and when...

  10. Whats with the tape?

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

    LOL... isn't funny how anal retentive you become even as early as your junior year... i am 4 1/2 months out of graduation and i am absolutely crazy about taping the eyes prior to ventilation (unless...

  11. Clinical Question

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

    you read/learn/hear about cardiac steal - but from what i can tell it is more of a theory than a proven phenomena... please correct me if i am wrong... however you must also consider the effects of...

  12. Lap Chole and Narcotics

    athomas91 replied to bwt02's topic in Certified Registered Nurse Anesthetist, CRNA

    i agree w/ jwk - if you are giving narcs - your co2 will need to be a little higher to stimulate the breathing in a patient...how long are your lap chole's taking - if they are 30 min or so - 4cc may...

  13. Question re Post-Op Amnesia

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

    the only thing that article continued to refer in regards of measuring "cognitive dysfunction" was psychological testing....were i to have time i would read further into the study - it doesn't cite in...

  14. Tips for IJ placement

    athomas91 replied to bwt02's topic in Certified Registered Nurse Anesthetist, CRNA

    i was initially taught to also feel the carotid and leave my fingers there - and i continue to do that even though some say that i shouldn't - but there are cases where you can't turn the patients...

  15. What do you like/dislike about your program?

    athomas91 replied to sn2bcrna's topic in Student Registered Nurse Anesthetist

    i like that my program is integrated as opposed to front-loaded - additional things that i like about my program are : that it is actually a 30 month program - we start clinical right away (at least...

  16. Double Lumen LMA for Lap procedures?

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

    i haven't seen these double lumen in particular - but i agree w/ your thinking - i know they use them for just about everything in the UK - but some of those things make me highly uncomfortable - and...

  17. RRNA/SRNA clinical problems

    athomas91 replied to zzzno2's topic in Certified Registered Nurse Anesthetist, CRNA

    also w/ heavy patients - really watch for the "sniffing" position - the first 1/2 of my schooling i had it all wrong - and it made obese patients more difficult for me - ask one of the CRNA's you...

  18. CRNA accused of sexual misconduct

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

    i have seen some funny stuff w/ propofol... i am glad i am a female in most of the situations that way i am safer than my male counterparts... funny (and very true) story... in GI one day - sedation...

  19. RRNA/SRNA clinical problems

    athomas91 replied to zzzno2's topic in Certified Registered Nurse Anesthetist, CRNA

    what "issues" specifically are you having....and how far along in your program are

  20. Clinical Quiz

    athomas91 replied to piper77's topic in Certified Registered Nurse Anesthetist, CRNA

    i would have also guessed bronchospasm - but seeing as how you specifically mentioned the absorber change and circuit check - i am guessing something was wrong

  21. How many epidurals does it take.......

    athomas91 replied to Pete495's topic in Certified Registered Nurse Anesthetist, CRNA

    Pete - if you don't mind me asking (you can pm me) what program/hospital are you in... i think it is a bunch of bunk that an -ologist is perpetuating to maintain control over the anesthesia reigns......

  22. Who did a contract for repayment with a group/hospital

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

    sending it now.. good luck ... wouldn't go through... will try again...

  23. Who did a contract for repayment with a group/hospital

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

    sandman, i contracted approx the 10th month of my program great deal up to 50k - prorated over 27 months - so i will total only about 35k because i didn't sign on till the 10th month of my program so...

  24. Clinical Question

    athomas91 replied to bwt02's topic in Certified Registered Nurse Anesthetist, CRNA

    an ASA III 64 yr old - that may have been too much for him even though you maintained a 2/4 twitch.... i also had a problem once - similar - and it was the preop versed that left the patient weak -...

  25. astromorph injection ?

    athomas91 replied to lisa41rn's topic in Certified Registered Nurse Anesthetist, CRNA

    the small amt of air/fluid you get on aspiration of an epidural cath can be reinjected - it is an air filled space you are injecting into... but be careful - that fluid should only be the infusion...