jwk

jwk

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All Content by jwk

  1. Considering a tubal...

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

    It takes an EXTREMELY motivated patient to even attempt this. Insufflating with CO2 is very uncomfortable. Most patients simply would not tolerate it, regardless of how much they think they can. On...

  2. Considering a tubal...

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

    I've seen one local laparoscopy for a tubal. It was a lousy experience for all involved - patient and staff. Go with the general. Of course no one has pointed out the other really obvious option -...

  3. CRNA Induction Sequence List

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

    :yelclap::yelclap::yelclap::yelclap::yelclap:

  4. CRNA Induction Sequence List

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

    Give me a break:angryfire Can you not have a civil discussion without turning this into an AA vs CRNA thread? (there are plenty of those around, including a current one - do a search) It's a...

  5. CRNA Induction Sequence List

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

    Using that logic, EVERY PATIENT should have an A-Line, PA Cath, foley with automated urine output monitor, BIS (even though it's worthless), full 12-lead EKG monitoring throughout the case....I'm sure...

  6. CRNA Induction Sequence List

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

    I didn't say that I disagreed with you about stethoscopes. I simply questioned whether Mass General, or any other single learning institution, sets "the standard" for everyone else. They don't. I...

  7. CRNA Induction Sequence List

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

    I wasn't aware Mass General set the standards for the

  8. What is up with CRNA/AA/MDA politics.

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

    So "maybe" 5 out of 6? And let's get real - the memorizing of test questions goes on with CRNA's, MD's, biology students, nursing students, psychology students, yada yada yada. Don't pretend it only...

  9. Frequency of awareness

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

    I agree with you 100%.Will there still be awareness? Sure. Trauma cases and those pesky little stat C-Sections where the baby and/or mom are crashing. Virtually every other case of awareness,...

  10. What is up with CRNA/AA/MDA politics.

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

    I'd still like to see where that stat comes from. And if an anesthesia resident only does one, how many does a CRNA do? And where does that stat come from? The number of general C-Sections done is...

  11. Frequency of awareness

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

    Actually that particular show has been broadcast numerous

  12. Frequency of awareness

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

    It's a shame that JCAHO has, IMHO, become an organization that exists simply to keep existing. I fully realize there need to be standards in all professions, but JCAHO has gone so far overboard in so...

  13. What is up with CRNA/AA/MDA politics.

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

    Obviously it wouldn't make sense if everyone passed. That would mean the exam is far too easy. I wonder what the cumulative pass rate is after the 2nd or 3rd attempt? I know a fair number of docs...

  14. What is up with CRNA/AA/MDA politics.

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

    Interesting - virtually every anesthesiologist I know in the northern part of Georgia (probably >100) are board certified or fairly new out of residency and board eligible. If they are not on that...

  15. Frequency of awareness

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

    It doesn't even happen that often. At 38,000 procedures a year at my hospital, that means I should see 38 cases a year, or about 3-4 a month. It simply doesn't happen. A letter to the editor in an...

  16. Frequency of awareness

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

    If you're not aware of the policy, you will be shortly. JCAHO, in it's infinite wisdom, sent out a "sentinel alert" a few months ago regarding the "crisis" in awareness in anesthesia. No such crisis...

  17. Acls Online

    jwk replied to DARLENEDAVIS's topic in Cardiac

    I think there are plenty who can benefit from the online courses. My group, anesthesia, comes to mind immediately. We deal with cardiorespiratory physiology and pharmacology constantly, and...

  18. Orientation for new CRNAs

    jwk replied to TennRN2004's topic in Certified Registered Nurse Anesthetist, CRNA

    I can give you a little management perspective. Although we expect all our anesthetists to be able to function well in their positions from day one, there's not a chance that we would turn them loose...

  19. texas malpractice issues?

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

    Hmmmm, I'm not sure a personal liability umbrella policy would help you in a medical malpractice claim. Is there such a policy that would cover

  20. Propofol

    jwk replied to czipp's topic in Gastroenterology

    Note that the (many of whom are anesthesiologists) came after the critical care doc reference, not the ER doc. I'll invite you do the the same - make sure your ego doesn't get in the way of patient...

  21. What is up with CRNA/AA/MDA politics.

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

    ok - try again

  22. Propofol

    jwk replied to czipp's topic in Gastroenterology

    Puhleeeeeeeeeze..... I was referring to the GI docs, most of whom CANNOT handle an airway. ER and critical care docs (many of whom are anesthesiologists) certainly

  23. Propofol

    jwk replied to czipp's topic in Gastroenterology

    ABSOLUTELY CORRECT IF THEY CAN'T MANAGE THE AIRWAY - and trust me, most of them can't. You're not serious are you? We deal with critically ill patients every day. We use the skills and physiology...

  24. What is up with CRNA/AA/MDA politics.

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

    I was going to stay out of it past my first post, but the thread took a different direction than the OP.I don't know - I still think they're students, working on a degree, even though it is an...

  25. What is up with CRNA/AA/MDA politics.

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

    And there you have it, already stated many posts back. They don't want to be referred to as students.Sorry, that's what anesthetists in training are, whether they be SRNA or AA-S. They are still...