jwk

jwk

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All Content by jwk

  1. Tips for IJ placement

    jwk replied to bwt02's topic in Certified Registered Nurse Anesthetist, CRNA

    I agree - you need to learn how to use them since they're the new hot toy at the moment, but you shouldn't learn to depend on them. That goes for lots of things really. I occasionally turn off the...

  2. California MDA lawsuit over CRNA scope of practice

    jwk replied to Sheri257's topic in Certified Registered Nurse Anesthetist, CRNA

    I don't know - I'm not saying they did or didn't, just that it appears that that is the basis of the

  3. California MDA lawsuit over CRNA scope of practice

    jwk replied to Sheri257's topic in Certified Registered Nurse Anesthetist, CRNA

    In reading the filing, I get the impression they've sidestepped the debate about supervision and pain management, and have objected to the way these changes were done. Either there was no authority...

  4. How many of your patients didnt survive anesthesia?

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

    The average stats quoted are usually in the neighborhood of one anesthetic-related death in 250,000. Although it's a common concern in many patients, death from anesthesia is a very rare event. Death...

  5. Padding devices to prevent skin breakdown

    jwk replied to Tucwebb's topic in Operating Room

    Foam works fine for most things. And most of the time, you're padding more to prevent nerve injury than you are to prevent skin

  6. Aspiration after hernia surgery?

    jwk replied to Mommy TeleRN's topic in Operating Room

    Three weeks post-op, it is definitely NOT gas - it's fluid. He's essentially formed a

  7. Difference Between RNFA and Surg. PA?

    jwk replied to saltydad's topic in Operating Room

    So much for not starting a turf battle.Am I missing something? RNFA's are just that - assistants in surgery. There are non-RN CSA's and CFA's doing the exact same thing. PA's take care of patients...

  8. LOCAL for C/S?????

    jwk replied to RaeT,RN's topic in Ob/Gyn

    It's also possible (not fun) to do a C-Section under local (and I mean JUST local), and every OB and hospital that does C-Sections should understand that it is a viable option. If you don't have an...

  9. Applying Oxygen when O2sat is 99% on RA

    jwk replied to SC RN's topic in Ob/Gyn

    Think more about PaO2 and less about

  10. Clinical Question

    jwk replied to rn4cicu's topic in Certified Registered Nurse Anesthetist, CRNA

    Kiddies are obviously different. The OP was noticing that everyone gives similar dosages all the

  11. Perioperative nursing in Hysteroscopies

    jwk replied to DRSRN1948's topic in Operating Room

    Sales reps told us sufenta was just "a little more potent than fentanyl". Hey sales rep, why isn't my patient awake yet? I only gave them 2cc of sufenta!!! Sales reps are there for one reason, and...

  12. SRNA and Future CRNA employment

    jwk replied to soliant12's topic in Student Registered Nurse Anesthetist

    If you have an idea of where you want to live, start with that and start making phone calls. There are tons of jobs out there. Most groups/hospitals dont' advertise that much. Do the

  13. Clinical Question

    jwk replied to rn4cicu's topic in Certified Registered Nurse Anesthetist, CRNA

    You can dilute your drugs so you can give exact dosages. But do you really want to try and give 63mg of Lidocaine, 117mg of propofol, 85.3mg of Sux and 146 mcg of fentanyl? That's the difference...

  14. cell saver and ebl

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

    There are a number of hospitals that promote themselves as having "bloodless surgery". IMHO it's more of a marketing gimmick, and the only difference I've seen is a lot more bovie. Also, be aware...

  15. PA's Practicing Anesthesia

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

    Rather than start this whole thing up again... Do a search on this board for Anesthesiologist Assistant. You'll find more info than you want to know, and if that's not enough, PM me and I can fill...

  16. Perioperative nursing in Hysteroscopies

    jwk replied to DRSRN1948's topic in Operating Room

    All good points.You'll rarely get equal I/O's BUT you darn well better be recording them and KEEPING UP throughout the case. Hanging multiple bags during the case and trying to figure I/O's at the...

  17. cell saver and ebl

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

    First - any "estimate" you receive from your cellsaver tech is a GUESS at best. YOU need to be the judge of EBL, not the tech, not the circulator, not the surgeon. In general, 2-3x the volume of...

  18. Tuition reimbursement with first CRNA job.

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

    Graduated from there 25 years ago, but have never worked there. Academics is definitely not my thing. I know that's a common perk with some universities, but I have no idea if that's the case with...

  19. propofol

    jwk replied to popbob's topic in Emergency

    And you understand nimbex is an NMB only, right? They still need something else for sedation. No one has argued against propofol for ventilated patients. It's an entirely different issue ( or...

  20. ? For those who do C-Sections often

    jwk replied to kbclary4's topic in Ob/Gyn

    We now insist that all dads sit down during epidural placement, after that well-publicized incident of the dad who died from his head injury when he passed out and hit the floor. We also insist that...

  21. ? For those who do C-Sections often

    jwk replied to kbclary4's topic in Ob/Gyn

    Oh it doesn't happen too often, but trust me, it DOES

  22. Tuition reimbursement with first CRNA job.

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

    These arrangements are a double-edged sword for both parties - employer and employee. The main problem for both is WHAT IF IT DOESN'T WORK OUT?We often offer signing bonuses and tuition reimbursement...

  23. Post-op pain!

    jwk replied to epiphany's topic in Ob/Gyn

    IMHO - less than ideal all around. Being released 36 hours postop from a C/S necessitated by HELLP syndrome? Did you sign out AMA or did they actually release you and let you go? That's truly...

  24. Post-op pain!

    jwk replied to epiphany's topic in Ob/Gyn

    1) Why were you not in the ICU?2) Never heard of a Nubain PCA. 3) For the previous post, if they have that much trouble finding a PCA, perhaps they shouldn't be using them. 4) I'm guessing these...

  25. Post-op pain!

    jwk replied to epiphany's topic in Ob/Gyn

    99% of our CS patients keep their epidurals and get PCEA postop for 24-48 hours. We have standing orders for breakthrough pain. Your docs actions don't make sense. If there was a question of...