macanes BSN, MSN, DNP, CRNA

Anesthesia

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All Content by macanes

  1. macanes

    FNP state licensure for Army nurse

    Old school train of thought here. Remember when folks said ALWAYS keep your state of original licensure current? I believe keeping all of your AP licenses with your original state of licensure might be a good idea, too. Until a national license or a ...
  2. macanes

    Defasciculating dose before Succs?

    I agree and don't usually give a defasculating dose before my SCh, when I use it. Several points: (1) the defasc. dose needs to be on board for a few minutes, so I should give it when I get the pt on the table, (2) I use 5mg roc, if I use it at all ...
  3. macanes

    Do crnas deserve that much salary?

    You are sorely misinformed. I am not trying to be disparaging when I say you are clueless on this subject. But, you have clearly not done your homework. Your institution is not the standard, nor do I think things are exactly as you perceive them to b...
  4. I need help. I am developing a research hypothesis for my doctoral program. Many states, including Alabama and my nursing home state, Georgia, ask nurses as part of the licensure/renewal process whether they have been treated for mental illness (excl...
  5. I need help. I am developing a research hypothesis for my doctoral program. Many states, including Alabama and my nursing home state, Georgia, ask nurses as part of the licensure/renewal process whether they have been treated for mental illness (excl...
  6. I had just graduated nursing school and went to a party with a friend of mine. There was a vivacious redhead there who had obviously lost interest in her date/boyfriend/whatever. I started chatting her up and thought I was doing ok. Then, she found o...
  7. macanes

    How much do you make?

    You might also seek help on the CRNA and SRNA forum on Facebook. But, job searches on gaswork is probably your best indicator. If you are a fully qualified CRNA, do the rest of us a favor and don't jump on the first ACT job that offers you $120k/year...
  8. macanes

    Choices (looking for CRNA's advice)

    It sounds like you haven't considered or have already ruled out training in the military. I think Army training (my experience) was the best — and Navy grads wills ave a similar point. You'll get your DNP, and the $100,000 other folks mentioned is mo...
  9. macanes

    MDA/CRNA infighting

    I agree with the other comments here. I have worked primarily in military settings -- as active duty, then contractor, and now GS. I generally enjoy working in the military environment, if only for independence. However, I'm at a small MEDDAC, and th...
  10. To clarify, wtbcrna, you _can_ go directly into the USAGPAN if you are already qualified and have it WRITTEN INTO YOUR COMMISSIONING CONTRACT [emphasis added for obvious reasons], such as the critical care experience, GRE, and prior acceptance into t...
  11. macanes

    Common dosage of child's Motrin/Tylenol

    It's not that the PR dose is necessarily more. In anesthesia, we often given kids a LOADING DOSE ONLY of 40mg/kg of PR Tylenol intraoperatively after induction of anesthesia., then let the parents revert to the 10-15mg/kg regimen.
  12. So, you've got this great job. But now, a new fly-by-night company has won the bid on the Department of Defense (DoD) contract at your facility. They come to you and say, "Hey, we're the new contract holders - want to come work for us (at a 22-percen...
  13. macanes

    Future CRNA's ; what about your families?

    You're family is probably going to have to endure several career changes throughout, whether you go for CRNA or not. For my part, it was a question of us being able to endure without me being a CRNA. Honestly, trying to pay our bills now, I don't kno...
  14. macanes

    Army to pay for CRNA school?

    Well, since the Army trains a lot of y'all, you'd have to say you've got "Arrrrrmy traaaiiinning, sir!" Specifically, though, since I'm not aware of the AF having it's own CRNA program, and the Army and Navy are top-rated, I was not slighting my brot...
  15. macanes

    Army to pay for CRNA school?

    I cannot emphasize enough how critical -- and superfantabulistic personally -- it is to have the Army pay you and pay for your school while you slave away in graduate school (and a tough one at that), nay, REQUIRE you NOT to work whilst learning. A t...
  16. macanes

    Am I Too OLD???????????

    I started my BSN program at 27 (previous degree, took three years to do prereqs and Jr & Sr year), started the Army anesthesia nursing program at 32, graduated the USAGPAN as a CRNA at 35, been working as a CRNA since Jan 2000, now 43. When is it...
  17. macanes

    Ephedrine for prevention/treatment of PONV?

    I use ephedrine to treat hypotension . . . which I find is frequently the reason a pt is nauseated, especially on OB and especially during SAB for c/s. I also use decadron with zofran or anzement (study showed 40% greater efficacy with t&A in kid...
  18. macanes

    30 Sep 1966 ...

    To me, too. My father was a medic in Korea (Chosin, Pusan, Inchon, etc.) and went to nursing school a couple of years after getting out of the Army in 1953. He went back into the ANC in 1960 as an RN, and got his CRNA in 1964, the year I was born. Pr...
  19. macanes

    Questions about weight requirements

    You will need to "make tape" throughout your Army (or any service) career in order not to be "flagged for no favorable action" -- that is no promotion or awards and bad juju with the chief nurse. It is a pain, but the truth. If you are overweight and...
  20. macanes

    CRNA and the military???

    What you are asking about is exactly what I did in 1996. I was 18 mos. out of my BSN and had been working in a CCU/SICU for five years (3.5 as a tech during school, 1.5 as a RN after grad) when I entered "direct ascesion" into the Army. I went to the...
  21. macanes

    AANA Annual Convention attire

    If we're going to start the pro- versus anti-Clinton arguements again, let's at least get our facts straight. Pres. Clinton's mother was, yes, a CRNA. However, he only signed that indy-practice option in the last month before he was set to leave offi...
  22. macanes

    Navy Vs. Army Nursing?

    To put myself on your _initial_ side of this debate, I'll quote myself: "Hey, Corvette Guy, doesn't the Navy deploy medical up front with the Marines . . . Plenty of field work there, eh?" Or something like that. As for the rest: Dude, I can't believ...
  23. macanes

    Navy Vs. Army Nursing?

    Aren't the Navy guys deployed up front with the Marines? Corvette Guy, eh? Plenty of field work there. Z
  24. Ok, I've got to get this off my chest and I want to hear some thoughts from y'all. BLUF: Hospital commander comes to preop and/or PACU for field-grades before or after surgery -- I say HIPAA violation certainly, but invasion of privacy at very least....
  25. macanes

    How would you manage this airway?

    Straight to trach, IMHO. Z