There is a group called Gay and Lesbian Anesthetists (GALA). Each year at the AANA National Conference they have a dinner. This year the dinner will be on Sunday, August 8. The dinner is NOT an official AANA event. Attire is casual. The organizat...
I am currently in my first year at the Univ. of Pittsburgh. I absolutely love it. The faculty is amazing, the facilities are also amazing, and the clinical experience is second to none. It is such a supportive environment. I got an interview at ...
Case's interview was not that bad. They did not really ask me and clinical questions in detail. Asked about work experience, shadowing, why I wanted to be a CRNA, strengthsm ,weaknesses, etc.
JJRBuckeyeRN replied to vastudent09's topic in MICU
I agree with the previous posts. Try to get "tasks" done early in your shift. But, at the same time...do not focus on "tasks" if there are more pressing issues (such as your pt having hypotension or desaturating). The ICUFAQs website is a great web...
I just was accepted into the Case Western program to start Aug 2009. Has anyone else been accepted? Which clinical site did you request? I requested the Cleveland Clinic. Looking for my future classmates!
JJRBuckeyeRN replied to leesespieces's topic in MICU
I work in a 26 bed MICU at a tertiary care, university, teaching hospital. The protocols we have include: *Electrolyte replacement- if the pt is >50 kg and does not have renal issues. *Ventilator weaning *AM dose optimization and weaning of sedat...
JJRBuckeyeRN replied to nursingdude78's topic in MICU
We do a lot of perc trachs on our unit. Here is what I do to be prepared: *Check coags with AM labs the morning of the procedure. *Turn off appropriate gtts (ex: heparin, argatroban, etc) *Make sure to have AMBG bag and suction set up *Have an intub...
What we usually try to do is have a nurse with one pt and an open bed be the CNC "Code Nurse Coordinator." Most of the times the code comes to the ICU. That way the nurse that responds to the code will then take care of the pt once they are transfe...
I work in a 26 bed MICU. Our charge nurses never takes an assignment on day or night shift. Then another nurse, who has a full assignment, is the designated "Code Nurse Coordinator" and responds to all the codes.
I have been taking care of a male pt for the last couple days that seems to be a medical mystery.... 36 yo male PMHx- unidentified connective tissue disorder, G-5 deficiency (which I believe causes anemia), 100lbs wt loss in the last 10-12 months. Se...
JJRBuckeyeRN replied to TraumaSICU's topic in SRNA
I got a letter from Case that said: "You will be contacted by the Nurse Anesthesia Admissions Committee to make arrangements for an interview. ... I decision will be made on your application for nurse anesthesia after the interview process." I have n...
Propofol is great for neuro pts. You can turn it off and the pt will wake up quickly to do an accurate neuro assessment. We check triglyceride levels dails on pts who are on propofol. If they are too high we will switch the pt to fentanyl and verse...
JJRBuckeyeRN replied to SIGMACHIGUY's topic in SRNA
I work in a MICU at a tertiary care, university medical center. We get vasoactive gtts all the time. There are many times where I have pts on more then one pressor. Between the sedation, vasoactive, replacement gtts, etc there are times that i hav...
JJRBuckeyeRN replied to alwayslearning08's topic in CRNA
I am in the application/interviewing process right not to get into an anesthesia grad program. I went into my undergraduate nursing program not knowing that I would ultimately want to be a CRNA. I have loved being a staff RN in the ICU. I would hop...
I started right in an ICU internship and I feel that I had a great orientation. I work in a MICU that has awesome teamwork among the staff. The more senior nurses look out for those of us who are new when we first come out of orientation. I have n...
I should probably shadow a RN in the ED where I work before I start to judge their practice. However...it just seems that whenever they bring a pt up to the MICU they are a MESS! The other day it took 5 nurses in the MICU a good solid hour to untang...
I work in a medical ICU and we get a lot of ARDS pts. I have only been a RN for 2 years. But, it has been my experience that we use proning as a last ditch effort. We usually try the HFOV (High Frequency Oscillator Vent) and using nitric with the...