darne20

Two weeks after an uneventful T&A as an adult, I returned to my job as an airline pilot (weekend hospital pharmacist); while approaching an internatinal airport I felt my nose dripping...didn't realize that I had been bleeding and dripping down m...

I'm not a nurse, actually an airline pilot and every other weekend hospital pharmacist..........last weekend, I was the pharmacist-in-charge (whatever that means, and one of our pharmacist's (a Ph.D candidate, not a PharmD.) dispensed MS contin 100mg...

The word "hazing" caught my eye. My undergraduate training was at West Point (long ago) and hazing was an art form there. Physical and mental. It was phased out in the 1970's because it was mean-spirited and degrading. Why anyone would tolerate h...

I'm hoping to get some help here. I'm 54, an airline pilot, and a former clinical pharmacist (who has received great answers here)..I was NEVER claustrophobic; I spent many happy years in the confines of a fighter cockpit and actually felt safe in co...

Thanks for the info; I tried max doses of oral benzo's, but it didn't help. I don't do IV sedation, although the MRA facility offered it. My pain was so bad, I just had the exam. When I got there, they had a CRNA and sedation ready. I didn't want...

I'm a clinical pharmacist (weekends), a reserve Air Forse officer and an airline pilot by profession. Many have asked me to pee tp prove my innocence. Recently, the hospital where I have worked (part-time) for 25 years "requested" a random durg tes...

In basic term, can anyone tell me how closely a CNRA has to be supervised by the anesthesia MD in charge; or put another way, is it usual practice to have one anesthesia MD supervising more than one CRNA doing a case at the same time? thanks

I wanted to reply to this old thread because I just got back from having my second ulnar nerve/trans CTR done and this time I was able to have the CRNA/MDA, no sedation, Bier Block only issues settled in advance. For the first operation, the MDA had ...

thanks-redfaced and sweating was an accurate description, but the pain was preferable to getting so-called "conscious sedation" that I didn't consent to. Some patients like propofol; I hate it. I did my Ph.D. thesis on propofol, so I know a little ...

thanks for the info-redface and sweating (SOAKED)

Thanks TXCRNA-Due to a cancellation I was able to get the surgery done this morningn and I did go with the status qood (good suggestion). The only rough spot was when I reminded them that this was supposed to be a Bier Block without sedation (becaus...

I was wrong to think that I would be better off with the anesthesiologist rather than a CRNA. I just finished separate meetings with the anesthesiologist and the supervising CRNA to determine how to proceed. My surgeon's advice was poor. The anesth...

Thanks for the replies; this is more complicated that I had originally thought. Since the re-do will be elbow/wrist surgery with a Bier Block and the "problems" arose from the "conscious sedation" I'm thinking that I'll just request the procedure wi...

I have documented med allergies to 2 meds and the CRNA gave me both.....30 years as a hospital pharmacist tells me that this happens; there would have been a difference if I had a MD provider: the CRNA admited that she made the error; I wonder if a...

Thanks, that's what I needed to know. I recently had surgery and there was an anesthesia problem; the surgeon suggested that I should make sure that I have a anesthesiologist when we reschedule not a CRNA like we had the first time. I'm guessing th...

Apply for the job and be honest about something that happened in the past. It was a mistake; they happen every day in hospitals and sometimes every hour...making mistakes happens to everyone, it's what you do after a mistake happens that counts. I'...

Thanks for the replies. If the surgeon agrees that the anesthesia will be performed by an anesthesia MD (because of patient request), is this a problem if agreed to in advance?

JB-I have had acupuncture a number of times for dental surgery in the Far East and it worked great; I'm no expert but I would guess that it could be used for endoscopy as well, but I doubt that you have an easy time finding an endoscopist who will ta...

I just had a colonoscopy and it probably took a little longer because it was without sedation. The doc who did mine told me that she's in no race to reach the cecum; slow and easy lessens the chance of perforation. The withdrawl time was over 10 mi...

I was wondering if I could get some general input from GI nurses and or CRNAs who provide procedural conscious sedation and pain control for colonoscopy. Since I get this exam yearly after avoiding extensive cancer surgery, I try to get as many pat...

Creo-I think that you are 100% right, if the endoscopist is experienced and willing to take a little extra time, drugs are probably unecessary. My last one was done with a little fentanyl only and afterwards they told me that I didn't really need it...

Thanks for all of the replies to this thread. I just got back from my colonoscopy without sedation, the endo center had no problem with this request and mentioned that an increasing number of patients are requesting this option although they do not ...

ChronieToo-I couldn't agree with you more. Sedation and analgesia are often used interchangeably, but in fact many people have negative experiences with sedation (especially Versed), but they can have a comfortable procedure with just an analgesic (...

I appreciate all of these replies; I had to read them again before I schduled my own exam for friday. This will be at a new freestanding endo facility, when I went in to pick up the rx for the prep, I was surprized that an RN did the informed consen...

It's great to get so much information and personal opinions from people who deal with this issue on a daily basis. So far, a few things are clear to me: 1. Colonoscopy can be done with or without sedation and that's a personal choice that the patient...