jwk

jwk

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All Content by jwk

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

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

    Well said on both

  2. do crna's have prescriptiion benefits?

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

    I don't think you need one in most states. You're not really prescribing per

  3. do crna's have prescriptiion benefits?

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

    Depends entirely on state

  4. Should OR RN's be ACLS/PALS certified?

    jwk replied to sharann's topic in Operating Room

    Why is it nuts? There are plenty of hospitals where it is NOT required for OR

  5. Regionals after graduation

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

    You must see a WHOLE lot of complications from central lines, since this is not your first post about the potential for chest tubes and pneumothoraces. Let's remember that WHERE you place a central...

  6. Regionals after graduation

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

    OMG, deepz, we agree again. It doesn't depend on the state, or even rural vs urban. It's entirely up to the individual practice/hospital as to what privileges and clinical practices they will allow...

  7. Own uniforms or hospital scrubs?

    jwk replied to irehc's topic in Ob/Gyn

    Mmmmmmmmmmmmm, you're kidding, right? You think the floors in the hospital / OR are really any different than your average sidewalk / parking lot / shopping mall / lawn ? Hell, in theory they should...

  8. Own uniforms or hospital scrubs?

    jwk replied to irehc's topic in Ob/Gyn

    Then why not just wear jeans and a golf shirt into the OR? That's what I wear TO work every day before I change into scrubs. What's the difference between that and wearing scrubs that you've worn in...

  9. Propofol

    jwk replied to czipp's topic in Gastroenterology

    It's downplayed because you simply can't learn airway management in a 30 minute lecture and 30 min teaching station in an ACLS class. The reason you will find anesthetists so passionate about this...

  10. Own uniforms or hospital scrubs?

    jwk replied to irehc's topic in Ob/Gyn

    It's unacceptable (from an infection control standpoint) to wear scrubs in from home, and then into the OR - that includes

  11. Epidurals: to Dose, or Not to Dose?

    jwk replied to 4Blessings's topic in Ob/Gyn

    Here's how our hospital does it. All patients with labor epidurals are placed on a constant epidural infusion with Ropivicaine via syringe pump (no bag to run dry and pump air in). We have...

  12. Epidurals: to Dose, or Not to Dose?

    jwk replied to 4Blessings's topic in Ob/Gyn

    Anesthesia needs to be in-house if they have epidurals in place. Otherwise there is no such requirement. There's a lot of smaller rural hospitals that really shouldn't be doing labor and delivery,...

  13. Why would an anesthesia provider do this?

    jwk replied to AmiK25's topic in Certified Registered Nurse Anesthetist, CRNA

    According to the manufacturer, "Xigris should be administered via a dedicated intravenous line or a dedicated lumen of a multilumen central venous

  14. Be-littling CRNA's

    jwk replied to forane2001's topic in Certified Registered Nurse Anesthetist, CRNA

    Ah, stevierae, we're both getting old. I still think Red Man's Syndrome is slang, but obviously it's mentioned in several different print sources, so I stand corrected. I only heard about it in the...

  15. Be-littling CRNA's

    jwk replied to forane2001's topic in Certified Registered Nurse Anesthetist, CRNA

    Could be because "Red Man's Syndrome" is just a slang term someone has come up with. I doubt you'll find it in a medical dictionary or

  16. Be-littling CRNA's

    jwk replied to forane2001's topic in Certified Registered Nurse Anesthetist, CRNA

    I was just giving you an example of conflicting guidelines and standards. Obviously, the GI docs and nurses will trot out their "experts" in a lawsuit someday soon, showing that "their standards"...

  17. Why would an anesthesia provider do this?

    jwk replied to AmiK25's topic in Certified Registered Nurse Anesthetist, CRNA

    There's only so many lines you can run through one vein. Perhaps they expected some significant volume shifts and felt they needed big lumens. It's not necessary to have a separate lumen for every...

  18. Be-littling CRNA's

    jwk replied to forane2001's topic in Certified Registered Nurse Anesthetist, CRNA

    We're all patient advocates. That's not what I equate with being "in charge".Let me tell you my problem with AORN standards. Although AORN would like to think they apply to every person in the OR,...

  19. Be-littling CRNA's

    jwk replied to forane2001's topic in Certified Registered Nurse Anesthetist, CRNA

    Hmmmmmmmmmm, let me ponder that statement.............. :) Nope, sorry, but I'll respectfully disagree. The circulator is responsible for his or her actions, and possibly the scrub tech. Although they...

  20. EMT-P Question

    jwk replied to MikeyBSN's topic in Emergency

    Am I missing something here? Did I say this? Why are you trying to stir up an argument where there doesn't need to be one? I don't have a bone to pick with nurses, but it sure seems like you have...

  21. EMT-P Question

    jwk replied to MikeyBSN's topic in Emergency

    nope

  22. EMT-P Question

    jwk replied to MikeyBSN's topic in Emergency

    bonemarrowrn makes a good point about this being an apples and oranges kind of thing. Although physiology and pharmacology are the same for everyone, the technical skills involved don't always cross...

  23. EMT-P Question

    jwk replied to MikeyBSN's topic in Emergency

    Actually, if you read the terms of service, it is open to all, not just

  24. suturing information required

    jwk replied to barrabird's topic in Emergency

    Perhaps on a state by state basis. As a blanket statement, that is incorrect. I know plenty of RN's who

  25. suturing information required

    jwk replied to barrabird's topic in Emergency

    Those are certification requirements, not