MP5PDW

I think you already know the answer to the question. The evidence is every single NP, I have met who came from the NP community has said the CRNA school is much harder than NP school. I do not think there should even be a debate about this. Why is it so difficult to admit one is simply more difficult than the other? It is just a fact of life. I think egos are being bruised.

The SRNA thread, as is the CRNA thread, is very moderated. They are only as insulting as the moderators will allow. Why don't you ask a moderator to tone down the replies over there? I would be willing to bet the post I quoted above would not be tolerated in a moderated forum.

as you observed, there are a lot of compulsive, narssacistic egomaniacs in anesthesia. thats because the specialty demands huge assertive balls. I am NOT compulsive. Who told you that?

It does not appear that any hospital experience is required. There are direct entry NP programs. And while TECHNICALLY hospital experience, albeit, not patient care experience, I have seen many an operating room nurse go to NP school with no real patient care experience. While it might be a good idea.. it is by no means an iron clad requirement. So it would appear the real answer is.. no you do not.

The plural of anecdote does not equal data. Now THAT is funny. I am soo going to use that on a student.

Non brain dead organ donors are those who do NOT meet brain death criteria, BUT are going to be "terminally weaned" from the vent. In other words support will be withdrawn. The patient is taken to the OR, the wean is done and once the heart stops, the organs are harvested. Yes it is being done and is quite controversial to say the least.

I must say, I have to agree with him or her about the lack of critical thinking skills. I lay the blame on the maternalistic manner in which most nurses are taught... and then managed once they graduate. I do not think malpractice is a cause, as suing a nurses is pretty rare. Many nurses blindly follow protocols without questioning anything. If you are given a stupid protocol to enforce, you need to say... wow this is pretty stupid, I think I will find employment in an environment that does not take me for an imbecile. Let me give you an example of a lack of critical thinking skills. I do neurosurgical anesthesia in a huge medical center. The "Desk people", these are nurses who do not like patient care and sit at the desk all day with headsets on like air traffic controllers, have been given the task of insuring EVERY SINGLE PATIENT has a surgical cap on before they are taken to the room. Did I mention this is neurosurgery? they get back to the room , the cap is removed and the head is shaved IN THE ROOM. That, my dear friends is a serious lack of critical thinking.

That's all good in the OR, but outside of the OR, there is very limited use of local anesth. for IV insertion by staff RN's. It is an ongoing issue of whether the RN can administer a parenteral (IE: non topical) anesthetic prior to IV start. There is no common consensus between state boards of nursing. I would think a standing order in place from the medical director of your ER or the ER physician on duty would be more than adequate. Do you not have chest pain protocols that involve at least an aspirin chewed on presentation? This is along those lines. Topical carbonanted lidocaine 0.5% or 1% is pretty safe for just about anyone. And local anesthetic will actually improve your chances of getting the IV.

Trivial? I would submit what they are doing is almost worse than physical abuse. To take a group of people, many of which are of a diminished mental capacity, and preach voodoo, complete with chants , hang prayers in their rooms insinuating they are sinners , tell them they are going to hell if they do not accept a 2000 year old dead rabbi as their personal savior.... and THEN hit them up for CASH? Mountains out of molehills? I think the OP is actually underestimating how dangerous this is. I can assure you, if I had personal knowledge of this, I would not have asked on a discussion forum what to do, It would already have been done. We are wayyy too tolerant of religions bilking people in this country. It is time to fight theses charlatans.

With local anesthetic... 1 or 2 % lidocaine with bicarb intra-dermal prior to insertion.... a 14 guage feels exactly like a 23 guage in the hands of a veteran practitioner.

Cutting the pilot tube as a student will get you a very poor eval and kicked out of the OR to go look up articles. Cutting the pilot tube is darned near malpractice. The pilot tube on endotracheal tubes made since about 1974 are NOT elastic and self deflating. if you cut the tube and remove the tube... guess what? You are deflating it against the cords.. Medline some articles about vocal cord injuries and ET tube removal.

Allways bigger is better. Here are the flow rates for IVs 22ga X 1 inch =35ml/hr 20ga X 1.16 inch = 60 ml/hr 18ga X 1.16 inch = 105 ml/hr 16ga X 1.16 inch = 220 ml/hr 14ga X 1.75 inch = 330 ml /hr Notice how the flow rates increase almost exponentially? It actually increases by the power of 4. look up the Hagen–Poiseuille equation or law. Avoid the AC unless you're placing a RIC line those are 7 or 7.5 french. No one ever said " Darn I wish I had not put in a big IV." Nothing wrong with the dorsum of the hand.... it allows you to move up the arm if the IV infiltrates.

Unless the nursing home is funded by a christian chruch... and EVERYONE has the right to REFUSE to listen to preaching nonsense.... what they are doing is wrong. It is a captive audience and, from your description, without the capacity to make an informed decision. Like most religions.. they are preying ( no pun intended ) on the weak minded. I think I would drop a dime to the state or federal entity that certifies LTC facilities. These people must be STOPPED. this is bordering on criminal in my opinion.

200K for an independent CRNA is a pretty low figure.

Gold is for the mistress -- silver for the maid -- Copper for the craftsman cunning at his trade." "Good!" said the Baron, sitting in his hall, "But Iron -- Cold Iron -- is master of them all." So he made rebellion 'gainst the King his liege, Camped before his citadel and summoned it to siege. "Nay!" said the cannoneer on the castle wall, "But Iron -- Cold Iron -- shall be master of you all!" Woe for the Baron and his knights so strong, When the cruel cannon-balls laid 'em all along; He was taken prisoner, he was cast in thrall, And Iron -- Cold Iron -- was master of it all! Yet his King spake kindly (ah, how kind a Lord!) "What if I release thee now and give thee back thy sword?" "Nay!" said the Baron, "mock not at my fall, For Iron -- Cold Iron -- is master of men all." "Tears are for the craven, prayers are for the clown -- Halters for the silly neck that cannot keep a crown." "As my loss is grievous, so my hope is small, For Iron -- Cold Iron -- must be master of men all!" Yet his King made answer (few such Kings there be!) "Here is Bread and here is Wine -- sit and sup with me. Eat and drink in Mary's Name, the whiles I do recall How Iron -- Cold Iron -- can be master of men all!" He took the Wine and blessed it. He blessed and brake the Bread. With His own Hands He served Them, and presently He said: "See! These Hands they pierced with nails, outside My city wall, Show Iron -- Cold Iron -- to be master of men all." "Wounds are for the desperate, blows are for the strong. Balm and oil for weary hearts all cut and bruised with wrong. I forgive thy treason -- I redeem thy fall -- For Iron -- Cold Iron -- must be master of men all!" "Crowns are for the valiant -- sceptres for the bold! Thrones and powers for mighty men who dare to take and hold!" "Nay!" said the Baron, kneeling in his hall, "But Iron -- Cold Iron -- is master of men all! Iron out of Calvary is master of men all!" One of the best poets who ever took pen to paper.