sleepy26

i worked at Avista Adventist Hospital in Louisville (between Denver and Boulder). Nice community hospital - very small and no trauma. Might be best to work in a bigger place after school but will say the CRNAs had a lot of autonomy. Hardly ever saw the MDAs. CRNAs did all of the epidurals. Not sure if they are in a group but it'd be a good place to go after you get some experience.

actually, you do not speak for all nurses. I have taken a year of physics, inorganic, organic and a semester of biochem. I have As in all of my chemistry courses. The only thing between me and med school is ONE exam. I chose the CRNA route - it has nothing to do with not being able to get into medical school. I do not wish to diagnose and treat disease - I only want to do anesthesia. That is the route i have chosen.

SOOOO TRUE. I've had plenty of anesthetists say they could never go back to the unit. It is a totally different experience. Suck it up - it gets better. Some days you'll have great cases other days you'll do nothing but respond to code browns. It's a means to an end - plenty to learn along the way.

heart rate in the 50's before the lopressor gtt was hung?? that alone is a contraindication for a beta blocker of any kind. very poor judgement on the day nurse's part. we use cardene for heads in our neuro unit. GREAT drug.

E-mail came out today saying no decisions have been sent out. They will be sent out via US mail no later than Dec 15.

Piedmont has a great critical care residency program. Six-months with rotations through 4 different units. Very competitive though. Many are removed from the program if you can't hack it.

In addition to the properties of the steroids, the practitioner may consider the particulate content in relation to where the injection will be. For example, methylprednisolone and triamcinolone are suspensions with particles. If the injection was inadvertently given in an artery, the small particles could embolize the artery and infarct the cord. Dexamethasone is commonly used in high risk cases such as cervical and high-lumbar ESIs.

Of course it can be incorrectly placed, you have to know what you're looking at. That's why you look at the flow patterns of contrast. Any addition of fluid into the epidural space can place pressure on the nerve. The ability to recreate "their pain" during the injection is actually a good sign that you're in the right spot since that is where the medication is going. Of course if you're hitting the nerve with the needle that will hurt too - it's why you use contrast!