jdpete

that was quite honestly the biggest bunch of bull**** ever composed---an MDA staying in-house is incomprehensible, much less staying to do "paperwork"---while I go off in a sportscar leaving in the evening hours? I will never read here again if this is the idiotic crap posted here---my gosh this board should educate serious nurses about the wonderful profession they have the opportunity to join-what the hell was that?-

I wouldnt classify a pt "moving" on incision a complication---have to agree here staff, people posting here should have more knowledge about the subject, but I guess that is where others have to speak up---

agree with 0.1mg/kg

more than likely you are in good shape because if you fail, it seems they get it back to you real quick to get you in the process again---also, you took ninety which means you are at the bare minimum and more than likely passed unless you bombed it---it is a long wait though, but when you get that nice packet saying CRNA, man you know the journey is complete-----best of luck

Just a question out there to see who is using diprivan for stat c sections and who all still use Pentothal and what experiences these have had for you---

what is the ebl with cell saver? I had always heard to estimate the blood loss as three times what you gave back---so if you give 500cc back, the ebl is 1500cc--is this the same as you learned, if so can someone provide a link--- thanks

good points all the way around, and you are right with learning new things, I really was more messing around, I didn't mean for it to sound as malicious as it did :)

thanks for the cme's

Yeah, Yeah---you are missing my point---if you look at original post, he asked what to give to increase BP, drug A or B----I am not saying that this is bad, to look at all angles, but that wasn't his question---they didn't ask how to increase the BP overall, just between the two drugs---this is said with tongue in cheek and really just picking, not malicious---but when I read the original post, I wondered how long it would take before it went into a crazy direction, with made up scenarios, and people interjecting their experiences all over the place with hypotensive patients---the original post didnt post any scenarios or other angles----just a simple question---I just failed to see what the calcium level, the level of narcotics on board, whether the surgeon had made incision yet, the end tidal of the agent was at the time, etc etc--I mean damn, he just asked what drug you would give to bring the BP up with the pressure 70/40--I mean, I would assume you would give one of the two drugs at this time while you are analyzing what is going on---Its kind of insulting to ask whether or not the agent is up too high, or you are waiting for the surgeon to cut---It just kind of cracks me up to see how some of these threads shoot off in these ways,

the thread side tracked though---basically he was asking the question between the two drugs---that's why the fluid blah, blah, blah quote----without getting into all the questions asked, between the two drugs, neo is the choice---besides, if you are worried about the heart's ventricle to not give Neo, I would definitely be cautious loading up with colloids for the same reason---you could ask a thousand scenarios and try to impress, but he asked between the two drugs----

Neo is what I would use as well, one thing, it just seems that giving just ephedrine never brings the pressure up good by itself when they are beta blocked----I also sometimes give 50-100 mcg of Neo and at the same time give 5-10 mg of Ephedrine plus, they are beta blocked for a reason and that reason is to protect the heart-----so I would be cautious with getting the heart rate up too fast anyway---that is why I sometimes like a little of both because your heart rate usually remains about the same (without a big increase or big drop) and with the Neo, the BP is increased dramatically, which is what you want if it is 70/40

I love my T5 as well,,, have used it for over a year with multiple programs and books on it----haven't had the first problem

here is a link to the lawsuit http://www.msnbc.msn.com/id/8506245/

I think hospitals can be good as well-----my "group" is getting way behind on contributions with retirement, they only give 3% matching and ***** about everything from our salaries to our malpractice payments----not sure where you are looking at trauma nurse, would like to talk to these people myself

let me reply number two for ya------anytime you can go to school and are motivated to do so, you need to take advantage of it, no matter what time that is in your life---enjoy your kids while they are young,,school definitely takes a lot of quality time away from them, I know---but it is all worth it when you go---so anyways, I don't think the time away is bad, if and when you get the desire to do so, hit it with a full head of steam and determination----but, it is hard to find the "perfect" time to go---there will always be something there in your life that will make it hard---good luck in your decisions----

we just talked about that debate today and read the rebuttals that were there in the mags that jwk spoke of---I agree with the theory that this doesn't take away, but makes you sharper---in the sense that when I am not reading or looking at an article of some type, you are in a dream type state at times---some cases are 3 hours long or greater---there is no way you dont have passing thoughts---anesthesia sometimes is like watching paint dry----before you flame, make sure you have been there---you are completely in tune with your monitors, being esoph steth, pulse ox, BP warnings, etc. Our pulse ox controls the tone of our heart rate, and many know you pick up on desaturation quicker than anyone in the room regardless of how loud the room is, how long the case is, or what I might be reading,,PERIOD! Nobody picks it up quicker----People outside of the OR do not understand, as the above remark about a magazine being sterile, so discount these remarks. Does it look professional? I think that it doesn't. I know people will start saying how much I make and I can go without reading while I am working, but dont judge us quickly. I know some CRNA's who don't read, and that is certainly their right, and I dont at all disagree with them. I do believe that it looks more professional---but I have never thought I was slow to respond, or felt anymore distant from my pt. just because I was reading. Also, this doesn't mean that I read all of the time--I think that we are professionals, and are capable of distinguishing when is a good time to look at a magazine and when one isnt----Lumbar Lami---good time if BP stable----total hip with spinal block--great time----Colon resection---bad time---this is a tough debate because I can see both sides of the coin---but I repeat that I truly believe it keeps my mind sharper, as said in the article, when I am reading in a long case that has a stable patient---watching DVD's??? tough to justify----and a last thought, It does not look pathetic either vinny

I sent a PM with some info for you

this is how we work----I like the experience of working this way--I worked last night and slept for about 2 hours, but I enjoy doing the epidurals (most of the time) b/c there is great satisfaction--I also enjoy working on my own---the huge difference is we are paid hourly---this is where the bulk of my pay comes from----there has to be something you can do, I just dont know where to look---I for one, would start making lots of noise----they tried a little while back to make us go home when we were not working, and to give us a call pay of $10.00 an hour---they tried to paint this as we could be home on weekends some, and holidays---what they didnt tell was that we would still do the same amount of work, just with a huge pay cut. When it looked like almost half of the CRNA's would quit, they quickly dropped their $$$$ idea. there are some Sundays I stay all day and maybe just work a couple of hours, but I feel we deserve it b/c of all the work we usually do---it is very odd for us not to have an epidural going anyways. We get a small Christmas bonus from the epidurals we do, but I think many others can make more. But I would hate to have to work like I do for a set salary. I would definitely stand up for what is right. I would contact other places, and just explain to andministration that is crazy to not think you deserve more money. Hope this helps some--you will have a increased workload--we do from 60-90 epidurals a month---this adds up to not much rest usually at night

need to elaborate a little bit as to exactly what happened--you really dont receive "too much" anesthesia---maybe you are sensitive to narcotics which made you drowsy in the recovery room or something---if you had to stay on a machine due to muscle relaxers you probably have another problem altogether, but they would have told you that----hope this helps, but really need to know more about what actually happened in order to explain better

need to elaborate a little bit as to exactly what happened--you really dont receive "too much" anesthesia---maybe you are sensitive to narcotics which made you drowsy in the recovery room or something---if you had to stay on a machine due to muscle relaxers you probably have another problem altogether, but they would have told you that----hope this helps, but really need to know more about what actually happened in order to explain better

I probably deserved some of the grief I got, and I accept. There is one good doc where I work, that is real hands on and helps out some, but the majority are definitely on the lazy side, that is my point. The one good young doc we have is slowly getting sucked into the practice of his colleagues though, and is getting less "hands on" than he was. It does however surprise me that a doc would scout a "nursing board" and actually get mad enough to go off like that. I forgot to mention radiologist as probably being easier too, if that makes a difference. Burn out? I can give you that if you do hearts all day, or even run a room of your own. But burnout at my rural hospital? These guys have been around forever, there is no burnout around here, I can tell you that. They have it made, anybody in this OR will agree with that. I am not saying I am smarter, work harder, or deserve more money. (OK, I do work harder) But it would just be nice to see these guys drop their newspapers, eat breakfast at home instead of the anesthesia office at 8:45, check their stocks after the market closes instead of keeping tabs ALL DAY LONG, actually give a break or a lunch now and then, maybe help you turn a room over, move a patient, etc etc etc, instead of "pushing and pushing for room turnover to go home for the day. We take 24 hour in house call and sometimes stay over the next day for up to 6 hrs. So I am a little biased. I respect "most" of their intelligence, and like all of them for the most part personally. I have never seen one start a case and get it going so you can take 20 minutes. They act as if the place could implode if they go in the room for more than 5 minutes with you out of it. I feel as if the patient benefits from the team of both providers, no question. I think you guys are really intelligent, and I go to them when I have to without a doubt. But as you told me, walk in our shoes just for a while. It gets pretty damn aggravating as well. As for user 69,,,I know about all your chemistry, thanks for the input. But I stand behind my statement. I personally know of an anesthesiologist who has a bachelor of some kind of foreign art. Yes, I know they take chemistry, physics, etc etc etc to get in med school, I am not a complete idiot. Only point being, the years of school is always thrown in our face---as if to say that they had 13 yrs of anesthesia and we had 6. I also know that 4 years of SICU is not BETTER than Med school. If you read between the lines, I am just saying that it is not always as big of difference as they would like to make it.

couldn't help but notice that some srna's failed to compare yourself to MDA's----When you get out and you see how little they do throughout the day, yet have the surgeons, and sadly, the public in their corner, it will make you sick---they have without a doubt, the easiest job I have ever seen for a physician---however, I come from a group who does very little---we do almost all the epidurals, spinals, central lines, arterial lines, in the hospital---this I like, but at the same time, it drives you crazy to see the laziness these guys have---When I was in school I had high regard for many MDA's because they got to step back and teach you, quiz you, etc---(while the CRNA worked!) It really sickens me at times, and it is very hard to put up with--CRNA's must always claw for respect---Is the art of Anesthesia nursing, or medical? Most of the time, it is clearly nursing. The initial poster said he would put his "skills" up against any MDA. That is a very fair statement. I was shocked Tenesma took this so personal and flared up anyway. I too, could read TEE's as well, if I learned it in school, or had it taught to me. I don't believe it is rocket science. I just never had the training to do so. Like the first poster said, "If you have the knowledge and skill." CRNA's are not offered extensive teaching in TEE's. Most MDA's dont fuss like nurses do, they don't have to. Nurses, in general, must always band together and stick up for each other, whether it be, LPN's, RN's, or advance practice nurses. As for the 13 years training compared to 6.5 years...... I would trade my four years of SICU experience against many MDA's four year Bachelor of Arts and Music degree anytime. I am not saying I am smarter, but work in my enviornment and you will understand. Plus, I could "run" the PACU as well if I sat on my *** in the office beside it all day----- P.S. JRVB, you will see the light in time, my friend---believe me...

I agree, the less than $100k is a little surprising to me, especially for a W2 total. I realized it was a lot of students, but I was hoping enough experienced CRNA's would reply. Someone mentioned earlier that there was another thread like this,,if anyone knows where it is let me know. thanks so far everybody

I am currently renegotiating and thinking of possibly moving, just would like to know where my income range is at on comparison thanks poll for W2 earnings----not locums or self employed just full time employees with groups or hospitals------ How much was your gross for 2003?

I did not get any----I am healthy and did not see the reason to do so----everybody else in the class said I was stupid, but I saved a load of cash not doing so---$350 was better in my pocket every month---If you are young and healthy I would do without, especially dental---you can pay to get your teeth clean twice a year for about what the whole insurance would cost you----