PaSSiNGaS

Might want to look up the actual costs. It is just about identical in price when you compare it to using Neo/Glyco for reversal. Not to mention there are plenty of studies showing it is far superior for reversal of paralysis. If admin is giving pushback I recommend bringing them articles and a simple cost analysis.

Unfortunately as a SRNA you have to just "go along" with the CRNA you are with. My advice is pick up stuff from everyone that you like, that you don't plan on doing, and what is just dangerous or incorrect. Like off label said there isn't a right or wrong answer but if I am dealing with hypotension and to fix it I plan on turning down the gas then I will prepare to possibly paralyze because like you said I don't want the patient moving. Another option could be run them deep enough to avoid movement while running a small phenylephrine gtt. Many people feel their way is the only way to do anesthesia and that just isn't the case.

I wouldn't worry about any of that. Just be prepared to start your nursing courses and enjoy the time off. If you absolutely have to do something I say try to get a job in any unit at your hospital just to get a feel for how things run with the nurses on a daily basis.

No, they will only be in the ICU and honestly are not used nearly as much as they use to.

Short answer yes... Know what each one is and corresponding number and what their purpose is.

Congrats to all of you. The hours they require in your clinical rotations are very light and out early so that is one plus from this program I guess.

Basically if you bring up a type of patient you see on a daily basis or certain drugs/pathology you see when you work then be prepared to answer questions about it.

Hold out and just start straight in an ICU. Many hospitals are desperate for help and are hiring new grads straight to the ICU now.

Not quite sure what your question is since you didn't actually ask one in your post but I'm assuming you want to know if you should look for a higher acuity hospital or stay? If you are handling patients who are surgical and medical with multiple pressor/inotropic/vasoactive medications with multiple comorbidities I would say you should be fine. Apply and just read up on physiology, pharmacology of anything and everything you have come into contact with as a RN in your unit. If you don't manage to get in for whatever reasons I would then suggest moving over to U of M Shock Trauma or something with a higher acuity like CVICU.

I may be missing something here but how in the world would you do clinicals remotely or online?

Get the vaccine... I can assure you any side effects you may get from the vaccine far out way the side effects of covid (ie Death). We are putting people on ECMO left and right and they are all unvaccinated. People with hypothyroidism get vaccinated. There are no contraindications to getting vaccinated just because you have hypothyroidism.

I think many CRNAs are more than willing to help RNs with questions about CRNA programs. Feel free to PM myself or anyone here and I think we would all be willing to help out.

Everything you mentioned you are struggling with are tasks and procedures. I tell SRNAs all the time I could care less how great they are at placing an Aline or getting the best grade I view during intubation. This stuff will come with practice and the more you do the better you will be. The more important things you should worry about is being competent at knowing the WHY about all those things. Why do you need to intubate or place a CVC or what happens if there are complications from something. Understanding the why and what to do with complications is much more important to know at your stage then actually being a master at placing a LMA.

The most important thing I find many RNs lack in the ICU is simple physiology. Read read read up on physiology. Anything new can be overwhelming but if you understand the basics it will really help you understand and bring it all together. Find a good physiology book and read up on cardiovascular and respiratory physiology. When you can explain how for example normal oxygen consumption and delivery works and how intrathoracic pressures change everything else you do will start to make sense. Also understand the drugs you use on a daily basis in the ICU so you can make sense of why things are being done. Levo, Epi, Milrinone, NTG, etc.

Best way to learn IVs is to do them. Do as many as you can. Tell all the RNs around you each shift if they have an IV that you would like to do them. Sad to say but best patients to learn on are the ones who are already sedated.