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As a CRNA, sometimes I send patients to ICU with NGTs in. If surgery was abdominal in nature (upper/lower/even GU surgeries) and not laparoscopic, I always have the surgeon physically check that my NGT is in appropriate postion and then I chart it on the anesthesia record. This may be something that your CRNAs do also and you may not know to look at the anesthesia record for this information.

Just be sure, during your interview, be able to answer the question, "Why would you shadow an anesthesiologist when you want to be a CRNA?" You do understand, don't you, why you would need a good answer for this?

Protect yourself, file a report with the police. Your place of employment obviously does not value you as much as you think. Good luck and stay safe.

I did not gift until I was out of the hospital. I too, would not have accepted the money at that time.

I have had 2 surgeries and I'm sorry, I feel it's my right to gift those who gave me excellent care during those difficult times. I don't feel it's unprofessional at all to accept a gift and who's to know if you gifted them or not unless they tell? Now, if you tell your patients you want something from them, then that's totally unacceptable. btw...every single one that took care of me accepted the gift.

Here, let me google that for you ACLS Drugs

I would not have been surprised at all, given the current "anti-union" attitudes in politics lately. Teachers, firefighters and now nurses are being criticizised by those who think "we" get too much. If you don't believe it, google Wisconsin/Ohio state union laws.

Our Hospital charges 1000.00 per dose! I'm a CRNA and we've started to use it occasionally as a pre-emptive analgesic. Works well.

I believe he would have, and he did state the patient was a "no male CNA" patient.

In the 19 years I've been practicing anesthesia, I've never "hurried the surgeon along." I am not a surgeon and cannot and will not tell them how to do their job and they do not tell me how to do my anesthetic. We provide anesthesia for as long as necessary. We certainly communicate a patient's status to the surgeon and if that makes them finish sooner rather than later, that's the surgeon's decision, not ours.

Steve, You should probably get the PD's name right in your post, it's right at the end of her response to you.....Monika Feeney, CRNA, MS: not Dr. Freeley.

I ask them what they liked to be called. As a CRNA, when waking up a patient, hearing the name they usually go by makes it easier. My pet peeve is when a collegue walks up to an obviously elderly patient and says, "Hey young man or hey young lady" I'm so and so....It makes me cringe and I want to smack them.

Rapid Sequence induction is giving an hypnotic such as Pentothal, Propofol, Etomidate, Ketamine, Brevital followed immediately with Succinylcholine or a large dose of a non-depolarizer (Rocuronium is the most common). Cricoid pressure is sometimes but not always done and no ventilation of the patient is done until the endotracheal tube is in correct position. Curare is no longer produced in the US. Modified RSI is a misnomer and just means that cricoid is used while ventilation is given with an ambu bag.

Etomidate's duration of action is much shorter than 20-30 min. It is actually 3-10 minutes. Sedation should be quickly started after intubation of a critically ill patient. The OP has a right to be concerned.

I'm confused, are they not teaching you in practicum how to do this assessment? Do you have a physical assessment book? Have you not practiced the questions to ask and the physical aspects seen in the assessment of the breast/thorax? Do they give you no information but expect you to be tested on it?

It's sold at the AANA bookstore. http://www.aana.com/books.aspx

I know you want constructive advise, but I have to say...what an unsupporting jerk. Ask him how is it his business what you make? Ask him, has he had a life in his hands today? Then I'd tell him to take a hike.

Loveanesthesia has the best response to the OP and I totally agree with using alternate sources of study along with the Valley review.

Anesthesia Abstracts Earn 24 CEUs/year IPGE Anesthesia meetings Northwest Anesthesia Seminars Encore Symposiums Nurse Anesthesia Faculty Associates Seminars Coast to Coast Current Reviews

No offense, but it's "perfusionist". Ok that over with, I work with them in the OR and it's a good field. However, the potential for less invasive procedures on the heart in the near future may drop the demand for perfusionists. Cardiac surgeons are finding some of their business taken by Cardiologists who are doing more cardiac stent procedures etc... Good luck with whatever you decide.

Cheese is actually very good for you....in moderation.

Maybe your friend requested the doctor to write this order b/c they don't want a lot of visitors and they don't want to be the ones to limit their friends. The doctor takes the hit for the patient.

Jessica, this statement of yours alone shows me that you still have a little more research to do regarding the role of a CRNA. Who do you think "designates the anesthetic given"? Keep researching our profession, you'll see what I mean, soon.

Two different settings....what did you like in nursing school? Did you like taking care of adult patients? Do you like the current unit? Do you like caring for sick babies? Then if so, I'd stay put and continue on. Good luck.

Good luck to you.