detroitdano

detroitdano

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All Content by detroitdano

  1. Nuggets of Wisdom

    detroitdano replied to WhiffOfGas's topic in Certified Registered Nurse Anesthetist, CRNA

    Actually they are going quite well, thank you. Enjoy your new

  2. Nuggets of Wisdom

    detroitdano replied to WhiffOfGas's topic in Certified Registered Nurse Anesthetist, CRNA

    You've read wrong apparently, as I never "tattled." I didn't even see the MDA until my CRNA called them because of the unexpected complication. The MDA later told me they wish they'd been called...

  3. Nuggets of Wisdom

    detroitdano replied to WhiffOfGas's topic in Certified Registered Nurse Anesthetist, CRNA

    So when we're having patient issues and my CRNA asks the RN to call the MDA to the room, they are calling them in so that their practice can be controlled? Um, no. It's to have someone else with...

  4. Nuggets of Wisdom

    detroitdano replied to WhiffOfGas's topic in Certified Registered Nurse Anesthetist, CRNA

    I am in no way saying MDA's are more qualified to do care than CRNA's. I hate calling my MDA for anything, but if you need 'em, they are there. That's all my post was really trying to

  5. Nuggets of Wisdom

    detroitdano replied to WhiffOfGas's topic in Certified Registered Nurse Anesthetist, CRNA

    Because that would go over smooth as butter, I'm sure. Threatening to walk out of the room is sure to get you a glowing review. Aside from all the legal BS, an ACT practice is a collaborative practice...

  6. Nuggets of Wisdom

    detroitdano replied to WhiffOfGas's topic in Certified Registered Nurse Anesthetist, CRNA

    I forgot how anti-MDA this site is. If you don't think offering advice to fellow students that an MDA is a resource if you need them, you're a lost cause. I guess it's better to ignore a problem to...

  7. Nuggets of Wisdom

    detroitdano replied to WhiffOfGas's topic in Certified Registered Nurse Anesthetist, CRNA

    Then the circumstances change. I have yet to work in such a facility, but I'm really looking forward to it to see how different things are

  8. Nuggets of Wisdom

    detroitdano replied to WhiffOfGas's topic in Certified Registered Nurse Anesthetist, CRNA

    I'm an SRNA in my second semester now, so I can't offer up much, but I did learn this one the hard way last week. This applies to fellow SRNA's: If your surgeon is doing something that makes you...

  9. conscious pt terminal wean

    detroitdano replied to taylynnfree's topic in MICU, SICU

    If the patient is deemed competent and wants to give up the fight, they have the right to make that choice. Terminal weans usually get enough Morphine to be out of it, but usually not enough to cause...

  10. What classes beef up my application the most?

    detroitdano replied to UnfinishedSentenc's topic in Student Registered Nurse Anesthetist

    Wow, I thought it was standard for a BSN program to have an individual pharm class. If you haven't had one, yes, definitely take one. It will help you out dramatically then in the anesthesia program....

  11. Asking for letters of recommendations

    detroitdano replied to future_anesthetist's topic in Student Registered Nurse Anesthetist

    It's completely fine to ask for a recommendation from your manager after a year. That's how my manager was. Any manager who refuses to write a letter after a year, knowing you are still giving a full...

  12. What classes beef up my application the most?

    detroitdano replied to UnfinishedSentenc's topic in Student Registered Nurse Anesthetist

    Retake whatever you need that you did not receive an A for the first time around. Having a 4.0 in your science prerequisites is pretty much a must around here, despite schools saying you need a B or...

  13. ICU Experience Question

    detroitdano replied to flamalenurse's topic in Student Registered Nurse Anesthetist

    Contact programs you're interested in and ask them. Experience expectations differ so drastically from school to school. From what I have seen, most places want full-time ICU experience for 1-2

  14. Prolonged use of paralytics

    detroitdano replied to ICUNurseStat's topic in MICU, SICU

    http://www.atsjournals.org/doi/abs/10.1164/rccm.201107-1320OE#.UquFTY0fV_w I have had that one saved for some time now. I don't think it addresses exactly what you're looking for (prolonged NM...

  15. Inquiry about breaking bad news

    detroitdano replied to Smamaghrabi's topic in MICU, SICU

    Also, gotta say I was disappointed. I was expecting this thread to be about Breaking

  16. Inquiry about breaking bad news

    detroitdano replied to Smamaghrabi's topic in MICU, SICU

    If it's life changing news, I let the doc handle it. If it's expected news (low hgb after bleeding, C. diff positive with diarrhea) then I would tell the patient/family. As was mentioned, if you...

  17. Best CRNA programs

    detroitdano replied to muesli's topic in Student Registered Nurse Anesthetist

    Definitely don't just pick a program because they've got easy to meet criteria for entrance, as already mentioned. Research around, see if you can find attrition rates/board pass rates, number and...

  18. inotrope via syringe driver or pump?

    detroitdano replied to sister s's topic in MICU, SICU

    I've only used Alaris infusion pumps for pressors. As was already mentioned, I'd set the volume for less than what is actually there to avoid having the bag run dry. I also made it a habit to keep...

  19. My first truly critical patient!!!

    detroitdano replied to francoml's topic in MICU, SICU

    Awesome dude, congrats. People that far gone are usually going to die, medical treatment isn't miracle treatment. Just make sure you're learning something from these experiences that you can apply to...

  20. MICU patient population

    detroitdano replied to Chaserr's topic in MICU, SICU

    Everything other services won't touch. Post cardiac arrest but not qualifying for hypothermia and the CICU is full, hyponatremia with cerebral edema but neuro is full...you name it. Lots and lots of...

  21. Dealing with competitiveness, cliques...

    detroitdano replied to SRNALola's topic in Student Registered Nurse Anesthetist

    When you take about 20 intelligent, highly motivated people and cage them up all week long, you know you're going to learn everyone's quirks and start being annoyed by a few now and again. My program...

  22. OR nurse to the ICU??

    detroitdano replied to JoeTheRN's topic in MICU, SICU

    Go for it! OR experience will help you out in many areas. Anyone that says you need to learn manage patients on the general floors first can eat dirt. I would not, however, mention your desire to go...

  23. Vasopressor and Inotrope Titration Orders

    detroitdano replied to RN Nick's topic in MICU, SICU

    Having JCAHO in the hospital is like having your parents to your college for a weekend. You clean your place up, make it look nice and if they give you suggestions, you say oh yeah sure I'll do that....

  24. Abandoned Patients?

    detroitdano replied to Cardiolyte's topic in MICU, SICU

    I'm sure she can be in two places at once. There's never ever two sick patients that have to travel at the same time, right? Close the thread folks, problem has been

  25. Abandoned Patients?

    detroitdano replied to Cardiolyte's topic in MICU, SICU

    That's what Fentanyl and Versed are for. Put the patient on auto-pilot, go on your travel and all will be fine. I'm kidding. Sorta. We used to have another nurse watch them. I didn't ask certain...