jwk

jwk

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All Content by jwk

  1. Patient with awareness

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

    Loisane - you

  2. Patient with awareness

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

    If this happened to you in the last few months, you should have been dealt with in a much better way than you have been. Whether we agree with JCAHO on this issue or not (many of us don't for a...

  3. Patient with awareness

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

    Carol Weihrer (spelled correctly now) makes a living off her story about anesthesia awareness. The piece you cut and pasted into your post was verbatim from her website, whether you know it or not....

  4. Patient with awareness

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

    Mana - You may have hit a nerve (unintentionally) but I don't think you've offended anyone. Obviously there was a problem. The cause is unknown. It's obvious that you have contacted someone at the...

  5. Patient with awareness

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

    No offense DutchGirl, but cutting and pasting this piece from Carol Wieher's website will not earn you any points here. Do you think we haven't seen it before? It adds nothing to the discussion,...

  6. Propofol

    jwk replied to czipp's topic in Gastroenterology

    Me? Invade?

  7. Procedural Sedation in the ICU

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

    If you have actually read these threads (you claim you have) then you would know it's not a turf battle. It's a rare anesthesia department that can't EMERGENTLY attend to an ICU intubation. There's a...

  8. MAC and pts with reflux

    jwk replied to charles-thor's topic in Certified Registered Nurse Anesthetist, CRNA

    A true MAC doesn't involve loss of airway reflexes, so in theory, it should be OK for patients such as this. However, once you loose protective airway reflexes, you have crossed into the realm of a...

  9. Procedural Sedation in the ICU

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

    I'd call that a general

  10. Amidate and Propofol for MAC?

    jwk replied to athomas91's topic in Certified Registered Nurse Anesthetist, CRNA

    We are rarely called for ER intubations. I can only assume they're probably using Versed for sedation, or nothing. All I can tell you is that the policy is in place and it is

  11. Procedural Sedation in the ICU

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

    Funny - I just posted our policy on another thread... The hospital policy here is that no one but anesthesia providers (MDA, CRNA, or AA) may give Propofol, Ketamine, Amidate, Pentothal, or Brevital...

  12. Amidate and Propofol for MAC?

    jwk replied to athomas91's topic in Certified Registered Nurse Anesthetist, CRNA

    Interesting how different people do things differently. Propofol / Amidate makes no real sense to me. I personally see no advantage, unless you're just wanting to see the difference in techniques. We...

  13. Carotid Endarterectomy

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

    I've done them under general for many years, but I recently started working with a surgeon who does all of his under local with moderate sedation. He talks to the patient periodically during the case...

  14. "When Anesthesia Fails" on Discovery Health Channel

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

    And this is where your argument falls apart. Cost MUST be a consideration in all we do. You are not a medical professional. If you were, you would have a better understanding of this issue....

  15. Propofol

    jwk replied to czipp's topic in Gastroenterology

    It's always a safety issue. Cases with the black snake aren't exactly a significant part of my

  16. "When Anesthesia Fails" on Discovery Health Channel

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

    it's all one big long thread dating back to 2003. no one is forcing you to read it. this is the first time i've actually seen a reference to www.anesthesiaawareness.com. although i don't doubt this...

  17. "When Anesthesia Fails" on Discovery Health Channel

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

    Do a search and you'll find more than you want to know about both BIS and awareness in anesthesia (including looking back on this

  18. accepting money for CRNA school

    jwk replied to jeff150's topic in Certified Registered Nurse Anesthetist, CRNA

    Here's a view from the employee and employer sides: I think the biggest downside for individuals is what if the place you get the big bonus from really sucks (or the town sucks) and you're locked into...

  19. accepting money for CRNA school

    jwk replied to jeff150's topic in Certified Registered Nurse Anesthetist, CRNA

    It's entirely supply and demand. Simple

  20. Ethical issue paper

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

    Gee, I'd love to see a copy of

  21. Barriers to CRNA practice

    jwk replied to mafia93's topic in Certified Registered Nurse Anesthetist, CRNA

    It's never a state policy. I know of no state which prohibits anesthetists from performing regional anesthesia or placing central lines. It's either hospital policy or individual group policy, but...

  22. Barriers to CRNA practice

    jwk replied to mafia93's topic in Certified Registered Nurse Anesthetist, CRNA

    Can I join in this discussion? (sorry, couldn't resist)

  23. ETOH abuse and MAC

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

    I think her eyelids are the least of her problems :cheers:

  24. Considering a tubal...

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

    I re-read the post - I see the conversation and where I was mistaken. Of course it does seem like a strange conversation to have post-op. Was this a post-op quiz? However - she claims to be a...

  25. Considering a tubal...

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

    1) You had a post PARTUM tubal ligation. These are done in the hospital before the mom goes home. They are easier from the standpoint that the tubes are much higher in the abdomen and easier to get to...