jwk

jwk

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All Content by jwk

  1. Phenergan and HBO treatment..

    jwk replied to rn29306's topic in Certified Registered Nurse Anesthetist, CRNA

    I wonder if they limit patients for HBO therapy who dring Coke and coffee, both loaded with caffeine, which of course lowers the seizure threshold, and is often used in ECT's to "enhance" the seizures...

  2. Phenergan and HBO treatment..

    jwk replied to rn29306's topic in Certified Registered Nurse Anesthetist, CRNA

    In that same table, it lists drugs that could be a contraindication to HBO. Phenergan is not listed. I took a HBO course about 15-20 years ago - that was back when we still used a LOT of phenergan...

  3. The Physics of Anesthesia

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

    Let's remember that ACLS and PALS are most useful for people who don't manage ACLS and PALS patients very often, although obviously they're good overall guidelines. The people who DO treat this kind...

  4. Non anesthesia provider providing anesthesia

    jwk replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    From Happy Days... Richie Cunningham - "But dad - all I had were little itty bitty glasses of beer." Howard Cunningham - "How many glasses did you have Rich?" Richie -

  5. The Physics of Anesthesia

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

    You kill me with your stats. You better be able to do 99.9% of this stuff in your head in the OR. Your patient's condition will continue to deteriorate while you're looking things up in your PDA (hope...

  6. The Physics of Anesthesia

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

    :yelclap:

  7. Propofol

    jwk replied to czipp's topic in Gastroenterology

    Clueless on so many different levels. You want to use propofol, in an ED, for a procedure that may "save the life of a patient that is terrified of a painful procedure". Right. There is NO...

  8. decadron as antiemetic

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

    I think the late complications are more of a concern (AVN, etc.) It's not used as the sole antiemetic in our practice. When surgeon's request it (the only time we give it) it's usually in combination...

  9. Non anesthesia provider providing anesthesia

    jwk replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Down here we call 'em Big

  10. States with AAs

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

    The states in which AAs work by a license, regulation, and/or certification are: Alabama Florida Georgia Kentucky Missouri New Mexico (university hospital settings) Ohio South Carolina Vermont...

  11. Policies for distance from hospital when on call.

    jwk replied to max04's topic in Certified Registered Nurse Anesthetist, CRNA

    Our policy is 30 minutes, but we already have people in-house 24/7, so it's not quite so critical. It all depends on the situation. I know a CRNA who covers several counties in south Georgia - he's...

  12. Non anesthesia provider providing anesthesia

    jwk replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Mike, why don't you just remain a flight nurse? Really. You know all there is to know about ER and flight nursing, by your own admission. Why on earth are you going to anesthesia school? You're...

  13. Non anesthesia provider providing anesthesia

    jwk replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    it's not a question of "getting too close to your arena". it's a question of what's safest for the patient. the measure we often use is that a practitioner must be able to manage a patient one...

  14. Lidocaine prior to IV start?

    jwk replied to WVUturtle514's topic in Certified Registered Nurse Anesthetist, CRNA

    Pretty much all routine IV's are catheters. Very few people use butterflies any more, and even those are available as a

  15. Non anesthesia provider providing anesthesia

    jwk replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Mike - again, you just don't know what you don't know. Your "experience" is limited to the ER and flight nursing. Granted, flight nurses get a lot more experience than ER nurses. But anesthesia...

  16. Contracted Grp vs Hospital employee

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

    Absolutely correct. You have to look at the big picture, the WHOLE picture. Benefits can make a huge difference in an overall package. Groups are much more likely to have significantly better...

  17. Lidocaine prior to IV start?

    jwk replied to WVUturtle514's topic in Certified Registered Nurse Anesthetist, CRNA

    Actually it's a pretty common practice in most of the facilities I've been in. All of our pre-op nurses use subQ lidocaine. Do you really want to root around with a 14 or 16 ga needle on someone? With...

  18. Non anesthesia provider providing anesthesia

    jwk replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Remember that in many states, it is illegal for RN's to administer propofol except to intubated patients on the vent. Mike, you just don't get it. (OMG, deepZ and I are agreeing here). Look at this...

  19. Is the AA profession gaining ground?

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

    sure you are. And of course student nurse anesthetists referring to themselves as "Residents" is perfectly acceptable. I make very sure my patients understand exactly who I am - but nurse anesthesia...

  20. Is the AA profession gaining ground?

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

    Every dictionary I've looked in defines "anesthetist" as one who administers anesthetics. In Great Britain and Canada (and of course within the Harvard system) anesthesiologists are referred to as...

  21. Is the AA profession gaining ground?

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

    I think about 1000 or so, but entering a rapid growth

  22. Is the AA profession gaining ground?

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

    Believe what you want, I could care less.The AAAA website has no commercial links at all. There are exactly four links - I'm sure you've seen them - all of which relate directly to medical...

  23. Is the AA profession gaining ground?

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

    The anesthesiaassistant.com website is a commercial website with no affiliatin with AA's or the AAAA. COMMERCIAL is the key word. Every one of those links to manufacturer and employment agency...

  24. Question on Lidocaine Toxicity via Local

    jwk replied to Joshua21's topic in Certified Registered Nurse Anesthetist, CRNA

    Part of the problem is that there is limited if any reimbursement for anesthesia professional services for pacemakers and AICD's, partcularly from Medicare. A similar problem is creeping in for...

  25. Is the AA profession gaining ground?

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

    Ah, Savannah, that explains a lot. We had plenty of their refugees years ago when they were employees of a private group. Now they're all hospital employees. I'm not sure how the PACU / CRNA / AA...