jwk

jwk

Member

  • Content

    1,102

  • Visitors

    10,198

  • Followers

    0

  • Likes

    4

All Content by jwk

  1. Question about Hypothermia

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

  2. complications of conscious sedation

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

    1) I agree she needs to be evaluated immediately. 2) Not sure why anyone would give ketamine for sedation for a colonscopy. There are far better ways of doing

  3. Shoe Suggestions and Earpiece Thoughts.....

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

    Thanks for clarifying that for everyone - wouldn't want them to forget about me.:) AA or CRNA (or MDA), last time I checked, all of us wore shoes, and most use earpieces at one time or

  4. Shoe Suggestions and Earpiece Thoughts.....

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

    Interesting that someone that does not do anesthesia feels qualified to call something stupid that is considered a standard of care in many

  5. Blood transfusions

    jwk replied to Lulu_camel's topic in Operating Room

    Because in the OR, that is entirely anesthesia's responsibility. All administration of fluids, blood, drugs (except locally infiltrated anesthetics) etc. in the OR should be done by anesthesia. It...

  6. ? re: A-line policy

    jwk replied to smithh's topic in MICU, SICU

    It might be faster but you'll get rid of more bubbles doing it slowly without the high

  7. ? re: A-line policy

    jwk replied to smithh's topic in MICU, SICU

    Just flush the tubing using the valve - make sure you flush all the "joints" and stopcocks. It also helps flushing by gravity flow instead of doing it after pressurizing the bag. What are you...

  8. Ketamine for dressing changes

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

    If they have delirium, yes, it will be on emergence. A little versed along with the ketamine goes a long way towards preventing this. It also helps if they wake up in a quiet, calm environment....

  9. Propofol

    jwk replied to czipp's topic in Gastroenterology

    We're not worried about the drug - we're worried about people like you giving

  10. Propofol

    jwk replied to czipp's topic in Gastroenterology

    Your own statements show you for what you are. You don't care what state law says. You're going to do whatever the hell you want to do because you know everything there is to know. You really don't...

  11. Propofol

    jwk replied to czipp's topic in Gastroenterology

    Does the concept of what is legal and is not legal ever enter your mind? Apparently not. That is so far outside any LPN's scope of practice it's ridiculous. So what if the doc is standing there?...

  12. Propofol

    jwk replied to czipp's topic in Gastroenterology

    You can always tell when someone doesn't know what they don't know - it's by the number of "certifications" and licensure abbreviations they put after their name to make it seem impressive. Did you...

  13. Propofol

    jwk replied to czipp's topic in Gastroenterology

    well, i only made it to the middle of this thread before i had to make my first response. why on earth would lpn's be allowed to give conscious sedation? in the majority of states, they can't even...

  14. GI Diprivan thread

    jwk replied to rn29306's topic in Certified Registered Nurse Anesthetist, CRNA

    Oh I gotta check this

  15. RN or Anesthesia responsibility?

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

    If they're not personally doing the anesthesia evaluation, they could be guilty of fraud, an especially nasty problem if dealing with Medicare. If the anesthesiologist is doing the case or if they are...

  16. Shoe Suggestions and Earpiece Thoughts.....

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

    We actually did the same thing with the tubing connector end of the foley - cut off the distal end of the catheter and hook it to tubing connected to your

  17. Shoe Suggestions and Earpiece Thoughts.....

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

    And we did 5 hour mask cases because we were told it "built character". What a crock! It wasn't the best thing for the patient, but hey, who were we to argue with our instructor when we were lowly...

  18. Anyone using Nitronox in OB?

    jwk replied to Tess RNC's topic in Ob/Gyn

    50%N20/O2 does not equal "completely conscious". I've had this same combination for dental work - it definitely takes the edge off, and I wasn't unconscious, but I sure wasn't fully alert either. I...

  19. Anyone using Nitronox in OB?

    jwk replied to Tess RNC's topic in Ob/Gyn

    Unless it's a closed system (which it isn't) N20 is released into the room either from the mask itself or when the patient exhales. It may not make you "high", but that's not the point. It's the...

  20. Anyone using Nitronox in OB?

    jwk replied to Tess RNC's topic in Ob/Gyn

    And how do you scavenge the waste anesthetic

  21. Epidurals and hypotension

    jwk replied to reprise's topic in Ob/Gyn

    I get the impression you are in the UK - if that's true, it may be that things are done differently there. Most patients in the US would already be in L&D for their labor. Regardless, if she...

  22. Epidurals and hypotension

    jwk replied to reprise's topic in Ob/Gyn

    Any reliable CRNA or MD would probably refuse to offer you an elective general anesthetic for a C-Section. C/S is one of the few operations where a regional anesthetic is clearly the proper way to go....

  23. Less than optimum anesthesia?

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

    I don't see any reference to burns - we do lots of daily debridements on people with necrotizing fasciitis, often on vents because they're so septic. I agree that I probably would have given narcotics...

  24. MAC help

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

    "MAC-hours" used to be an important concept many years ago with a lovely little inhalatoin agent called Penthrane. It was a wonderful agent for limited circumstances, OB in particular - there was...

  25. Less than optimum anesthesia?

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

    Incident reports are rarely used to actually improve anything. In most institutions, they are either a CYA thing, or from a "supervisor" who is rarely if ever involved in hands-on patient care and has...