jwk

jwk

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All Content by jwk

  1. Can a RN with no certification in anesthesia administer tumescent anesthesia?

    jwk replied to sleepy1010's topic in Certified Registered Nurse Anesthetist, CRNA

    Thanks for making my point. I've done anesthesia for liposuction cases since the procedure was developed more than 3 decades ago. Most go well - but I've also seen the overly aggressive high-volume...

  2. Can a RN with no certification in anesthesia administer tumescent anesthesia?

    jwk replied to sleepy1010's topic in Certified Registered Nurse Anesthetist, CRNA

    Sorry liponurse - the translation for your post is "lazy surgeon, more interested in money than patient safety". It doesn't matter how rare complications are in your hands. It only takes one and...

  3. Do crnas deserve that much salary?

    jwk replied to jasy's topic in Certified Registered Nurse Anesthetist, CRNA

    You know as much about AA's as Jasy appears to know about CRNA's, which is

  4. Saline injection vs saline irrigation why do they say don't injection irrigation c

    jwk replied to PJAAA's topic in Certified Registered Nurse Anesthetist, CRNA

    Of course it's sterile. And this isn't exactly rocket science chemistry. Many years ago when I ran a cellsaver service, we wanted to use the larger 3L bags to rinse the red blood cells which were...

  5. Does it bother CRNA's that MDA's get so much more...?

    jwk replied to ICU, RN, BSN, B.S.'s topic in Certified Registered Nurse Anesthetist, CRNA

    My large group has never been subsidized. I know quite a few anesthesiologists what work in rural areas, despite the fact that CRNA's are subsidized by the federal government in critical access...

  6. ET tube questions

    jwk replied to Thedevinestman's topic in Critical Care

    This C-collar thing seems to be a common paramedic thing, but it really doesn't do anything to secure a tube. You will not find a single patient in the ICU or OR with c-collar on to keep a tube from...

  7. Providence hospital 'let's go' of 68 crna's sounds fishy

    jwk replied to chopwood carrywater's topic in Certified Registered Nurse Anesthetist, CRNA

    My guess is there is a whole other side to this story that has not been talked about - what led the hospital to this point that they decided to move the anesthesia contract to a private company? I'll...

  8. CRNA Practice in SE Florida

    jwk replied to mchsstudent2's topic in Student Registered Nurse Anesthetist

    A $10k difference is nothing, considering there is no state income tax in Florida and the cost of living, for the most part, is substantially less than NY. That being said - the main complaint for...

  9. Suggamadex passes FDA

    jwk replied to twozer0's topic in Certified Registered Nurse Anesthetist, CRNA

    The main question in the US will be the cost. If it's cost-prohibitive, which it's rumored to be, it won't get much

  10. How often do you do nerve blocks and PA Cath insertions?

    jwk replied to Bluebolt's topic in Certified Registered Nurse Anesthetist, CRNA

    I'm sorry - there is no such thing as a rural hospital with 200 beds in Georgia. There is no such thing as a rural hospital in Georgia doing hearts, etc. Any hospital within an hour of Atlanta is IN...

  11. CRNA and patient death

    jwk replied to heatherisbetter's topic in Certified Registered Nurse Anesthetist, CRNA

    Like the others indicated - death from anesthesia is extremely rare. Perioperative death due to the patient's presenting condition are much more likely, though also uncommon. Trauma, ruptured...

  12. Best "fast-track" advice for an older career changer.

    jwk replied to guest897350's topic in Student Registered Nurse Anesthetist

    Scary thought. :)Ever hear that old saying about nurses eating their young? You're seeing a classic example in this thread. You're not even a nurse yet, and you're firmly established in a...

  13. Internal jugular IV

    jwk replied to maloneys's topic in Critical Care

    Although it's just semantics...an IJ catheter is, by definition, a central venous catheter, whether it's with a 3 inch 18ga catheter or a 9FR introducer and everything in between. Treat it as such....

  14. UK to USA conversion

    jwk replied to LJW12's topic in Student Registered Nurse Anesthetist

    Correct me if I'm wrong, but there is no such thing as a CRNA in the UK. As I recall there are "anesthesia nurses" but their roll is pretty

  15. The Lazy, Lackadaisical MDAs

    jwk replied to TheNextCRNA's topic in Student Registered Nurse Anesthetist

    "Pre-nursing" and you're worried about CRNA vs MD compensation?

  16. Methegine and migraines

    jwk replied to Trisaratops's topic in Ob/Gyn

    I think the OP is talking about -triptans, not tristans. Probably the most well known is sumatriptan, or Imitrex. Methergine is an ergot alkaloid, some of which are indeed used in the treatment of...

  17. What it's like to wake up during surgery

    jwk replied to NRSKarenRN's topic in Certified Registered Nurse Anesthetist, CRNA

    So no propofol, benzo, or any other type of drug was given? The fact that he might use dilaudid for every induction isn't a problem, unless that is the ONLY drug he is using at induction - unless...

  18. STAT C-Section, Local anesthesia only.

    jwk replied to AngelaLyons's topic in Operating Room

    Look at it from a different perspective - any hospital that doesn't have anesthesia services in-house 24/7 shouldn't be doing OB. You're not dealing in reality here. There are tiny hospitals all over...

  19. STAT C-Section, Local anesthesia only.

    jwk replied to AngelaLyons's topic in Operating Room

    I don't disagree, but in some hospitals, particularly smaller ones, that's not possible. EVERY OB doc should know how to do, or at least start, a C-Section under local. It isn't fun for anyone...

  20. What it's like to wake up during surgery

    jwk replied to NRSKarenRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Sorry, hit the wrong button too quickly.As already noted by two of us, nobody induces anesthesia with Dilaudid. There's more to your story. Patients don't have a "tolerance" to anesthesia. Some...

  21. What it's like to wake up during surgery

    jwk replied to NRSKarenRN's topic in Certified Registered Nurse Anesthetist, CRNA

    ??? Induced with dilaudid? Hmm, I don't think

  22. IV Vanco Question

    jwk replied to mhy12784's topic in Operating Room

    In a perfect and total fantasy world, surgeons would be on time, cases wouldn't get delayed for slow surgeons or emergencies, and we could start antibiotics at the exact appropriate time for every...

  23. IV Vanco Question

    jwk replied to mhy12784's topic in Operating Room

    Not sure where the problem is here. Would it perhaps be better if the vanco was started earlier? Maybe, although I'll bet you'd be hard pressed to find data that says an hour or so prior to incision...

  24. How much do you make?

    jwk replied to Topher53's topic in Certified Registered Nurse Anesthetist, CRNA

    Seriously?

  25. ME results in Joan Rivers

    jwk replied to Nurseboy1's topic in Certified Registered Nurse Anesthetist, CRNA

    But they have yet to release a statement saying that an anesthesiologist was present for the Joan Rivers case, and they certainly don't say they use an anesthesiologist for EVERY case. I thought they...