jwk

jwk

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All Content by jwk

  1. suturing information required

    jwk replied to barrabird's topic in Emergency

    Please, let's not pretend that suturing is rocket science either. There are countless CST's and surgical assistants (some licensed, some not depending on the state) that function as first assistants...

  2. JCAHO and Recall

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

    You need to actually read the material from JCAHO before you panic. There is no requirement to purchase

  3. ER nurses compared to EMT's

    jwk replied to Dinith88's topic in Emergency

    Remember that there is a big difference between an EMT and a paramedic. EMT=basic skills and limited independent judgment. Paramedic=advanced skills and more independent judgment. A basic EMT gets...

  4. EXtra compensation for mandatory inhouse call for salaried crna?

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

    I fully understand how CRNA's are paid. My point is, that as "professionals", they are generally exempt from any government-mandated overtime requirement. If someone is paid a salary, there is no...

  5. EXtra compensation for mandatory inhouse call for salaried crna?

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

    Aren't CRNA's considered "professionals" and therefore exempt from any government required OT

  6. Left alone in OR

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

    Even at hospitals where the MD's PARTICIPATE in the induction and emergence, most of them don't actually DO IT. Do your CRNA's literally stand off to the side while the MD intubates and

  7. black light for bowel cases

    jwk replied to mcmike55's topic in Operating Room

    Fluoroscein dye is a neat trick. We used to use it for determining if flaps were being perfused (free flaps or pedicle flaps). It's the same dye used in the little paper strips you touch to the eye...

  8. Confidentiality

    jwk replied to sharann's topic in Operating Room

    Referring to a patient as "Dr. Smith's patient" doesn't help much if there are three of Dr. Smith's patients in PACU at the same time. That's just an error waiting to happen. You have to make sure...

  9. CRNA's & malpractice insurance

    jwk replied to kachoo414's topic in Certified Registered Nurse Anesthetist, CRNA

    Anesthetists definitely need malpractice insurance whenever they're working. Who provides that insurance should be clear up front. If the anesthetist is an employee of a group or hospital, the...

  10. Med Errors

    jwk replied to UM Review RN's topic in Patient Medications

    Trust me, we were shocked/amazed this happened as well. More surprising is that it happened with an experienced RN. He/she just totally brain-farted. And this was before propofol was released, so...

  11. Healthy 22 y/o mom with DNR

    jwk replied to cabbage patch rn's topic in General Nursing

    In general, there shouldn't be DNR's in the OR, BUT it needs to be spelled out in a hospital policy. It's not as simple as having an "understanding", or that "everyone knows this". There should be a...

  12. Med Errors

    jwk replied to UM Review RN's topic in Patient Medications

    I was in the OR when one of our surgeon's got a frantic call from a nurse in the ICU - somehow, a nurse had given the patient 30cc of Maalox IV. (Yes, you read it right - IV.) The surgeon looked at...

  13. Zofran for morphine-induced itching?

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

    That's probably why we're not using it as well. Our pharmacy staff deals with most of the drug reps now. Half the time they never make it past their door. Benadryl is a lot cheaper than Zofran - I...

  14. Hospital Contracts for Students

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

    It's a very common recruiting tool. There are several threads on this forum about the pro's and con's of tuition reimbursement and sign-on bonuses with contractual

  15. Anesthesia in toddler

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

    That's what I get for not doing kids anymore - the world just passes me

  16. Zofran for morphine-induced itching?

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

    We do THOUSANDS of post op epidurals a year. Zofran doesn't enter into the picture for

  17. Anesthesia in toddler

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

    Anesthesia is easy in kids - they go to sleep quickly and wake up quickly. Airway management is usually very easy. Mask or LMA are fine.Your surgeon may consider a penile block while he's asleep....

  18. Why aren't we unionized?

    jwk replied to leslieanne's topic in General Nursing

    MD's are not in a union. The AMA is not a union. It has similarities, but that's all. If the AMA is a union, then so is the ANA. The argument is absurd on it's

  19. copper kettle equation

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

    Wasn't there an old rough estimate technique using vernitrols? Something along the lines of using a 5 liter fresh gas flow with ethrane, and 3 liter flow with halothane (or was it the other way...

  20. Awake intubation question

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

    Jeez guys, get a

  21. Why aren't we unionized?

    jwk replied to leslieanne's topic in General Nursing

    So evaluations are worthless, and good or bad nurses are paid the same? That's a crock. And you're so blinded by your union that you ignore the real world. Our hospital doles out plenty of raises...

  22. Awake intubation question

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

    I think "on the floor", we wouldn't be giving sux. It's not on our code carts, and we wouldn't be carrying it with us. If we respond to a code or similar emegent situation on a nursing floor, we're...

  23. Awake intubation question

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

    I'm curious if you ever use sux. I work with a couple of docs who don't like it on ANY patient for ANY reason, in the OR, ICU or wherever. After 25 years, I still think overall it's one of the...

  24. Awake intubation question

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

    Very closely related to

  25. Awake intubation question

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

    1) Interesting how different practices do things differently. During a near-code, it is often not necessary to use any muscle relaxants for intubation. A full code doesn't require any. However, I will...