jwk

jwk

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All Content by jwk

  1. Scope of Practice

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

    Remember - you can freely subsitute AANA for ASA in the sentence above and still be 100%

  2. Fluid Warmer

    jwk replied to joeb1's topic in Ob/Gyn

    Yep - real brilliant idea. There's really no good reason to be providing pre-heated IV fluids to anesthesia. We have fluid warmers specifically for that purpose if we need them. For the short time...

  3. Epidural management in RN scope of practice?

    jwk replied to Selke's topic in Ob/Gyn

    Our L&D nurses attach the epidural pumps to the catheter, program and start the pumps per anesthesia orders, and call if there's a problem. It's just not that big a deal. These are low...

  4. Scope of Practice

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

    There's far more to pain management than sticking a needle in someone's back. To compare it to laser hair removal (performed by office staff, not the physician) is an amazing oversimplification of...

  5. Circulating Nurse... Stay in Room or Move between Rooms?

    jwk replied to deweydecimal13501's topic in Operating Room

    Make sure she's not thinking that maybe one circulator can cover two rooms at one

  6. Legal/Ethical

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

    No, there's nothing from a LEGAL standpoint that says you can't do it. It's pretty much just a stupid thing to

  7. Help with job search

    jwk replied to goof1552's topic in Certified Registered Nurse Anesthetist, CRNA

    I'll tell this to anyone looking for anesthesia jobs - MD, AA, CRNA, student or grad. Gaswork.com and monster.com are NOT the "normal avenues". That's taking the lazy way out. You're looking for...

  8. Scope of Practice

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

    Oops - I guess they

  9. Is the AA profession gaining ground?

    jwk replied to Alpha13's topic in Certified Registered Nurse Anesthetist, CRNA

    All AA's work in ACT practices. Services in my group are all billed as medical direction, so we satisfy the TEFRA requirements on each case. Some groups may bill as supervision instead of medical...

  10. Is the AA profession gaining ground?

    jwk replied to Alpha13's topic in Certified Registered Nurse Anesthetist, CRNA

    The comment in bold tells all - you really don't know about AA's. Easy lap choles for the AA's while the CRNA's do "a ton of interesting work"? Give me a break. AA's administer anesthesia for all...

  11. Scope of Practice

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

    Does the military allow their CRNA's do practice chronic pain

  12. Let's talk about... spinals

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

    I'm not a fan of deep sedation for spinals or epidurals, and definitely wouldn't be in the situation you describe with limited or no real help. No argument with a little versed and/or fentanyl, but I...

  13. Scope of Practice

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

    Yes it

  14. Scope of Practice

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

    I need research to show that CNM's don't do C-Sections? And I asked a question - I haven't raised an argument that I need to support. The question, one more time, is at what point does something...

  15. Scope of Practice

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

    Sidestepping again - that's why I gave the example that CNM's don't do C-Sections. So you see no difference between an MD who has a fellowship in pain management and a CRNA that's attended a weekend...

  16. Scope of Practice

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

    You sidestepped that so I'll ask it again - not trying to be a pain, just want to understand where you're coming from. Is there a point, somewhere, where procedures done by a CRNA (or NP or CNM, etc.)...

  17. Scope of Practice

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

    At SOME point, don't SOME things cross the line from nursing to medicine? My guess is a lot of state BON's are simply taking it upon themselves (or being pushed by various nursing organizations such...

  18. Scope of Practice

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

    Scope of practice for CRNA's, strictly speaking, is determined by state law and/or regulations of state nursing boards. The interesting disagreements now are where the nursing boards attempt to go...

  19. Legal/Ethical

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

    Bad idea all around. And though not illegal, most hospitals will have expressed written policies about treating members of your

  20. precordial stethescope

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

    You can also use a straight catheter, preferably unused. Trim the proximal end to fit your ear canal, cut the distal end and attach an IV extension set to it. Comes in handy when you've lost your...

  21. Did Anyone See Larry King Last Night?

    jwk replied to IsseyM's topic in Operating Room

    .....

  22. Is the AA profession gaining ground?

    jwk replied to Alpha13's topic in Certified Registered Nurse Anesthetist, CRNA

    No, he just didn't make the choice you think he should

  23. Room air general

    jwk replied to willti1's topic in Certified Registered Nurse Anesthetist, CRNA

    There's a small group of proponents (Downs et al) of doing sedation cases without supplemental O2, reasoning that providing supplemental O2 gives a false sense of security and masks signs of...

  24. Is the AA profession gaining ground?

    jwk replied to Alpha13's topic in Certified Registered Nurse Anesthetist, CRNA

    ditto

  25. time as intern and orientation count as ICU experience?

    jwk replied to jenj1928's topic in Student Registered Nurse Anesthetist

    I know a number of recent new grad CRNA's who finished nursing school in May, 2004, immediately started working in an ICU setting, applied to anesthesia school in a few months, were accepted with the...