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todabnrn

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  1. If they already have a combitube in place, why did they not use a cook airway exchanger and slide a new tube in over that?????. By utilizing the CAE you WONT lose your airway. Works like a charm....
  2. U-R sleepy is making a point but, it's somewhere are profession doesn't need to go. There are some battles the AANA needs to fight and some they shouldn't. Pain management is one area they do not need to get involved in. Believe me, Im all about independant practice HOWEVER, this is a niche the MDA's can claim as there own. Let them have it!!! Our time and resources are better spent elsewhere. Why kick a hornets nest if it only affects less than 5% of the practicing CRNA's.
  3. U-R sleepy is making a point but, it's somewhere are profession doesn't need to go. There are some battles the AANA needs to fight and some they shouldn't. Pain management is one area they do not need to get involved in. Believe me, Im all about independant practice HOWEVER, this is a niche the MDA's can claim as there own. Let them have it!!! Our time and resources are better spent elsewhere. Why kick a hornets nest if it only affects less than 5% of the practicing CRNA's.
  4. I have to agree with pasgasser! In my opinion the BIS is crap. The information is unreliable and most times affected by outside influences (i.e bovie) therefore giving an inaccurate reading. People must understand Aspect is pumping a lot of cash into the BIS program. One rep said they were trying to get the BIS to become a standard monitor (in fact he likened the BIS to the second coming of the pulse ox) If one does a lit review on the BIS monitor they will be suprised on the number of articles stating no correlation between BIS monitor usage and the decreased incidence of recall.
  5. Take the summer off!!!!!!!!!!!! You are going to have information overload after the first week of school therefore, you will more than likely forget everything you looked over during the summer. In fact, if you have a family, spend as much time as possible with then because its going to get rough in a couple of months.
  6. "It probably wouldn't make sense to have many schools since AA's are only licensed in a few states". Why is this? Again, if they are such a good idea why are there not more schools?
  7. AA2B Just one quick question. If AA's are such a great idea.........and correct me if I'm wrong.....have been in existance for 30+ years..........why is there only two schools? How long does it take for the the school to "come into favor" just a thought
  8. Trauma nurse is giving you great advice. Let me highlight a couple of TN's pearls. Definitley shadow a CRNA, which it seems like you are doing. Second, take a graduate level class in something and do well. That is one criteria we liked to see. Obviously the applicant is qualified or she/he would not have recieved an invitation to interview. What will make you stand out from the others is your ability to do grad school work. Also, that you were motivated enough to start on your own. The only advice I can add is if you want to "hone up" on something; learn, live, love the autonomic nervous system. When you take your anesthesia pharm you suddenly will become enlightened.
  9. Ether/Hanpat First of all, not only would I recommend shadowing a CRNA but I would also highly encourage it. I was on a selection committee for potential SRNA's and there was one question I asked EVERY candidate in the interview. "Have you spent time in the operating room shadowing a CRNA?" If they answered no in my mind the interview was over. I would then ask them: you are going to uproot your family, move X amount of miles, assume a loan greater than $40,000, bust your butt both physically and mentally yet, you haven't spent one minute in the OR? Soliciting advice from chat rooms and fellow CRNA's only go so far in my book. Until you spend some quality time in the OR you truley have no clue what a CRNA actually does on a daily basis. Believe me some of the responses I recieved were rather amazing such as: Our hospitals anesthesiologist said I would make a good one or I work in the ER giving conscious sedation so Im almost a CRNA already (I should note that these canidates had great GPA's and very high GRE scores). In fact, when I went through school, an underclassman who was a super genius 4.0 type (in anesthesia school) quit after his first semmester in clinicals because he knew anesthesia wasn't for him. Second of all, nursing professors! From my first hand experience (no scientific basis here) and observation (slightly biased) nursing professors (which I know I am generalizing and there is always and exception to the rule) are not very supportive of student nurses pursuing a career in nursing anesthesia. If I were you, I would contact a CRNA at your hospital on your own and then set up a time to shadow him or her as much as possible. We have nursing students at our facility and a few do just that. I would worry about being refused, most if not all CRNA's welcome and encourage future SRNA's. Lastly, I have to bust on you for your last comment. Are you sure you don't want to be a surgeon? You already have learned the first rule of surgery. FIRST BLAME ANESTHESIA THEN FIGURE OUT WHAT HAPPENED. I quote " The pt was getting an amputation r/t poor diabetic self-care.... this pt had very poor health overall (COPD, PVD, etc., etc)..pt was a DNR". Do you really think it was the anesthesia that killed her? Your heading in the right direction shadowing a CRNA!!

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