snakebitten

There are some decent jobs to found in ABQ, but they are far and few between. I live in ABQ, but work on the Navajo reservation 1 week on 1 week off for full time pay. Of course there are no anesthesiologists that want to work there. It is a great...

How about this perk. AUTONOMY. I was trained in the military, will finish my 20 years at the age of 43. I will RETIRE with half my pay. Yes the pay on paper is less, but with the benefits and all of the current incentive bonuses, it get close if ...

sissies

I agree, Desflurane or as our my other colleagues call it "Deathflurane" is like inhaled barbed wire IF you use insufficient narcotics. It works like a charm with higher doses of narcotics. I might try switching over to Sevo now that they lost thei...

Yes, I know alot of you think that 15cc of Fentanyl is excessive. It has worked for me for 10 years here. I run very little gas 2-3% Desflurane with Nitrous. Gas (and Narcan by the way) are intruments of the devil. High narcotics dosages as you a...

Here is my recipe for lap choles. By the way, I work on an Indian reservation where we do 20 per week. 1. 750 mics of Fentanyl all up front 2. 100 mg propofol 3. Vec. 5 mg 4. Des/Nitrous 5. Toradol 60 IM 6. Decadron 10 mg for antiemetic Surgeons ta...

I have used the LMA Proseal for a Lap Chole. I inserted an NG tube through the lumen and held it to suction. Will I do it again, probable not. I just tried it on a thin women. No problems. But I did suck about 200cc's of bile out of her belly, ...

I work independently for the Indian Health Service in Northern New Mexico. It depends on how remote you want to get...There are a quite a few jobs available. I know they have been looking for a CRNA in Raton, Farmington, Shiprock (Indian Health Ser...

Wrong--1% to 100% supervised means just that. The MD can come in and change your plan if he or she feels necessary. They will be there on induction, sometimes push your drugs (that they decide), start your lines etc.. and leave, then come back for ...

Come to New Mexico-we are an "opt out state". No supervision necessary. In my opinion--"collaboration" is supervision on a smaller scale. If someone can come in to my room and push my drugs, start any part of the anesthetic or change my plan witho...

I find it a sad state of affairs that there are CRNA's out there that graduate without being proficient at ALL regional blocks. I work in a rural city (Opted out state) ALONE. It gives the profession a black eye when I hire a locum to help me out a...

Why don't you all spend your money, letters, calls and energy petitioning your governor to "opt out"--that would solve alot of your problems. Mike (from New Mexico--an opted out state)

Tenesma is right on the money..also if your department can afford it--a site right ultrasound is a great tool to have... Mike

Typical Day--Today To work at 715, set up room draw up drugs machine check. I work in rural New Mexico town, where we are independent practitioners (We are one of the opt-out states). On todays schedule. C-section, AV graft, Ex-Lap, colonoscopy-E...

I'm with JWk..Well said

I have been doing this stuff probably as long as JWK and I agree with him/her. There is no standard for wearing a precordial stethescope and I still won't use them on adults. There are better monitors (for me), I just prefer not to use precordials....

I have been doing this stuff probably as long as JWK and I agree with him/her. There is no standard for wearing a precordial stethescope and I still won't use them on adults. There are better monitors (for me), I just prefer not to use precordials....

1. Beginning of day--machine check, suction, circuit check O2 calibration, check all monitors-Especially CO2, Laryngoscope check, airway devices ETT check, drugs checked and drawn, IV ready especially for the kiddos. 2. Versed in holding area 3. In...

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Has anyone heard of this new "JCAHO sentinal event alert" regarding recall? As the department chief, does this mean I have to buy the BIS or PSA monitor. Is there a way to get around the issue without having to spend the $$$$ and comprising care? ...

Better the MI happened during your case then using his new woody

Try starting up your own locum agency for anesthesia providers. We pay the companies big $$ for provider services. :angryfire

You and I think alike, but again thats whats great about our job--we can do what we want By the way are we ever going to get droperidol off the list and back on our carts

I have one even better for you. I was a military ICU nurse. I transferred over to the U.S. Public Health Service . We are a branch of the uniformed Services with all the benefits etc.. (Remember the C Everett Koop in his uniform-with a beard haha...

Just my 2 cents. Turn off the poison gas and use more narcotics..You do not need a lot of inhalational agent/Nitrous for amnesia. Try using high narcotics (7-10 mics/kg of Fentanyl) even for a 30 minute case. You will be surprised at how quickly a...