jwk

jwk

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All Content by jwk

  1. Propofol

    jwk replied to czipp's topic in Gastroenterology

    You provide a classic example of not knowing what you don't know. Really? What's a small incremental dose? 5? 10? 20? And if you are just giving narcs and benzos, and then sending them home in...

  2. OB CRNA Hours

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

    You never give up to get your digs in. The OP posed a question and I answered it. Why do you have a problem with that, and why do you never miss a chance to flame AA's? We only have 100 total...

  3. OB CRNA Hours

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

    It really depends on the size of your anesthesia department and your OB volume. For smaller facilities, 24 hours on is not that unusual, with the day off after call. But not all places can afford to...

  4. Clinical Doctorate in Anesthsia

    jwk replied to Lambert5883's topic in Certified Registered Nurse Anesthetist, CRNA

    The states??? You mean national and state nursing organizations. "The state", for the most part, could care

  5. difference between Nurse Anesthetist and anesthesiologist

    jwk replied to lpnstudentin2010's topic in Student Registered Nurse Anesthetist

    Lizz, as with deepz, we don't agree on much, but this one is dead on. Like the old saying - money talks, BS walks. It applies in most things. Lighten up a little, will

  6. Clinical Doctorate in Anesthsia

    jwk replied to Lambert5883's topic in Certified Registered Nurse Anesthetist, CRNA

    Just remember that scope of practice is determined by individual states, NOT nursing schools and nursing organizations. Maybe it's that way in NY, but it's not in most other states. And at least for...

  7. difference between Nurse Anesthetist and anesthesiologist

    jwk replied to lpnstudentin2010's topic in Student Registered Nurse Anesthetist

    You'd do it for less than a floor nurse

  8. difference between Nurse Anesthetist and anesthesiologist

    jwk replied to lpnstudentin2010's topic in Student Registered Nurse Anesthetist

    So you're telling me there are NO CRNA's out there making $300k? And ALL of you/them are in it ONLY because they love taking care of patients and can't imagine doing anything else, and would do it...

  9. CRNAs in Florida to require anesthesiologist supervision

    jwk replied to Tony35NYC's topic in Certified Registered Nurse Anesthetist, CRNA

    What's up in Florida is that legislators realized they were flat-out lied to by the nurse anesthesia lobbying forces during the years it took to get AA legislation passed. Much of the material...

  10. CRNA independent states

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

    Glad you liked it - wait till the opt-in's start - you'll like that even

  11. CRNA independent states

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

    I'll be the first to admit I'm no expert on Medicare payments. I think this applies when the hospital is paying the CRNA, not the CRNA doing direct billing. Hospitals get reimbursed based on their...

  12. CRNA independent states

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

    MD's don't get the same financial incentives through Medicare for small hospitals that CRNA's do. If the hospital does less than 800 cases a year, some of the professional anesthesia services can be...

  13. CRNA independent states

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

    It will be interesting to see what happens when a state opts back

  14. CRNAs in Florida to require anesthesiologist supervision

    jwk replied to Tony35NYC's topic in Certified Registered Nurse Anesthetist, CRNA

    You think those are top-secret email addresses or something, only available on

  15. Important Srna Background Check Question

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

    Ah, that's a little more complete story, and not near as worrisome. Any time you have a wreck like that (hit a ditch, hit a mailbox, whatever) the assumption is that you have lost control of your...

  16. Important Srna Background Check Question

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

    Depending on the state - reckless drivng might be just a ticket, but leaving the scene (especially if there were injuries involved) might actually involve criminal charges. The first is not a big...

  17. CRNAs in Florida to require anesthesiologist supervision

    jwk replied to Tony35NYC's topic in Certified Registered Nurse Anesthetist, CRNA

  18. CRNAs in Florida to require anesthesiologist supervision

    jwk replied to Tony35NYC's topic in Certified Registered Nurse Anesthetist, CRNA

    Hmmmmm, I think an attorney would tell you that signing one's name on a chart DOES imply involvement, whether momentarily, or from the lounge, or if they're just there for induction, or whatever. If...

  19. CRNAs in Florida to require anesthesiologist supervision

    jwk replied to Tony35NYC's topic in Certified Registered Nurse Anesthetist, CRNA

    65% of all anesthetics are also delivered in a facility where there are anesthesiologists. It is pure propaganda to state that 65% of all anesthetics are given by CRNA's with no MDA involvement...

  20. Group vs Hospital - Which is the best employer?

    jwk posted a topic in Certified Registered Nurse Anesthetist, CRNA

    Leaving aside our professional differences for a change... Do you think it is better working as a hospital employee or as the employee of an anesthesia group with MD's and anesthetists? I've always...

  21. Age limit for CRNA job?

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

    There is a 60 year old CRNA in my department that still does 100 hrs OT a month (her choice). There are several others in their late 50's or early 60's, but most of them aren't taking call any more....

  22. Hospital Primarily Using MDA's Instead of CRNA's?

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

    Remember that most MD's are NOT hospital employees - they're independent members of the staff. CRNA's can be independent, part of an all-CRNA group, a mixed group of MD's and anesthetists, OR...

  23. Is it SAFE to be the scrub AND assistant to the surgeon during c-sections?

    jwk replied to mfshirk's topic in Ob/Gyn

    .

  24. Is it SAFE to be the scrub AND assistant to the surgeon during c-sections?

    jwk replied to mfshirk's topic in Ob/Gyn

    Just curious why you would ever need a 2nd or 3rd assistant (unless it's a teaching hospital). Twins, triplets, quads, it's still a single

  25. Anesthetic for Bone Marrow Harvest

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

    We have an active BMT service, so we do a fair number of bone marrow harvests. Choice of technique isn't that critical. The biggest thing to remember is that they're drawing off up to a liter of bone...