jwk

jwk

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All Content by jwk

  1. Less than optimum anesthesia?

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

    Amen.The incident report in this case was inappropriate. If it stated anything besides the facts (opinions for example, which I would suspect it did) then it was even more inappropriate. And the...

  2. Combitubes and curiosity

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

    I'm old enough to remember the old EOA's (esophageal obturator airways). The tube was much more rigid, and one reason they were eventually abandoned was because of a fairly significant incidence of...

  3. Etomidate

    jwk replied to LadyBugLass's topic in CCU, Coronary, Cardiac

    We don't use much propofol for cardioversions. Often 30-40mg is enough in a fair number of our patients. I start with 20, wait about 30sec, then give 10mg every 15-30sec until they start "batting...

  4. Interesting Case

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

    I thought BIS wasn't good for TIVA cases. Haven't used it much to begin with since I don't believe in it (of course that's another

  5. Interesting Case

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

    GASP - But then what good is the BIS?

  6. Interesting Case

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

    The pacemaker issue doesn't bother me all that much. The type and why it's there are the main things I'd want to know. Depending on what it is it may need to be re-programmed preop/postop, and have a...

  7. Interesting Case

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

    Actually, I'd hope they're not sitting - most of these can be done

  8. Combitubes and curiosity

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

    Emergency or pre-hospital device only in my book. Wouldn't use it for any kind of routine

  9. New BUSH Overtime TakeBack Law

    jwk replied to alatta58's topic in Activism, Healthcare

    I didn't miss the point. There is an appalling lack of work ethic in many areas of the country. And my point all along is that all of this has been, particularly with respect to nursing, that...

  10. New BUSH Overtime TakeBack Law

    jwk replied to alatta58's topic in Activism, Healthcare

    I'm not talking about sweatshops. And I'm not talking about reducing conditions to 3rd world standards. Some people don't realize how good they've got it. The work ethic in this country is horrible...

  11. Etomidate

    jwk replied to LadyBugLass's topic in CCU, Coronary, Cardiac

    How much are you giving? Do you have problems with the muscle twitching with the doses you're using? And why not just use propofol? It's superb for

  12. Nurses, Will you work OT for straight pay?

    jwk replied to klondike's topic in General Nursing

    Nursing shortage, nursing shortage, nursing shortage, nursing

  13. ACLS and PALS online courses - important

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

    it wasn't all of them - just a couple that got flustered. i find that docs in general do poorly on these types of standardized courses. they already think they know it all, and don't want to take...

  14. lets discuss extubation

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

    What you're describing is called

  15. ACLS and PALS online courses - important

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

    I think the main problem would be if your employer/facility specifies the AHA ACLS or PALS courses. Mine does, so I'll have to go through the motions. Fortunately for us, we just do the written test...

  16. Nurses, Will you work OT for straight pay?

    jwk replied to klondike's topic in General Nursing

    Amen

  17. Etomidate

    jwk replied to LadyBugLass's topic in CCU, Coronary, Cardiac

    Etomidate is intended for induction of anesthesia, NOT conscious

  18. Nurses, Will you work OT for straight pay?

    jwk replied to klondike's topic in General Nursing

    Totally incorrect. Federal law DOES NOT PROHIBIT overtime.Anyone here lost their overtime since...

  19. New BUSH Overtime TakeBack Law

    jwk replied to alatta58's topic in Activism, Healthcare

    You haven't lost anything! You haven't been robbed of anything. And he's not settling. He understands what work is. He has to feed his family. He obviously prefers to do that instead of whine and...

  20. New BUSH Overtime TakeBack Law

    jwk replied to alatta58's topic in Activism, Healthcare

    It's typical among people who are used to actually WORKING for a living and not used to having things handed to them. It's a very refreshing attitude, and it's a shame that YOU can't see it for that....

  21. lets discuss extubation

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

    Am I missing something? Diprivan prior to extubation? Makes little sense to me. Someone enlighten me. I think this was discussed on another thread with an overall negative

  22. New overtime law "myths and facts" Yes, hourly RNs are affected

    jwk replied to Hellllllo Nurse's topic in Activism, Healthcare

    Do you think this rule change materialized out of nowhere 2 days ago? This has been coming for many many months. If hospitals were going to make changes, they already would have announced them to go...

  23. New Overtime Rules

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

    You are mistaken. Again - as PROFESSIONAL EMPLOYEES, CRNA's and AA's are generally considered to be EXEMPT, and have been all along. I'm not talking about RN's, LPN's, nurses aides, or any other...

  24. New Overtime Rules

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

    Not really. I think as professional employees, anesthetists have been exempt from these provisions for a long time. I don't think that groups were REQUIRED to pay us OT as a matter of law. It's...

  25. New Overtime Rules

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

    I think in the end, groups that employ anesthetists have to meet a market demand for a total compensation package. The supply is much less than the demand in many places. Those that don't meet that...