jwk

jwk

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All Content by jwk

  1. Is it possible to titrate paralytics?

    jwk replied to Diprivan/Vented's topic in Certified Registered Nurse Anesthetist, CRNA

    I'm sorry - did I say in any of this in my post? It takes positive pressure to ventilate someone on an LMA if they're not breathing spontaneously. Common sense would tell you that you could use the...

  2. Is it possible to titrate paralytics?

    jwk replied to Diprivan/Vented's topic in Certified Registered Nurse Anesthetist, CRNA

    Dangerous road to go down - I don't care what the LMA sales rep tells you about what they do in England. We have had patients aspirate with LMA's in place. We have had patients bite the LMA tube in...

  3. Washington, D.C. CRNAS

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

    No, actually what you said was I didn't say anything about loving the nurse-bashing comments. The comments, contained in the same message, were the ones supporting AA's, made by someone who is...

  4. Type of anesthesia used during tubal ligation?

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

    I doubt anyone would even offer you anything besides a general for the reasons already stated. We tried doing a few laparoscopic tubal ligations using epidural, and even did one LOCAL laparoscopy....

  5. Washington, D.C. CRNAS

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

    Not every doc or AA is arrogant. You should re-read some of your own posts. As you might imagine, I absolutely LOVE CNM's

  6. Here's what AAs really think of CRNAs

    jwk replied to Athlein1's topic in Certified Registered Nurse Anesthetist, CRNA

    I can probably guess which hospital you're talking about (or narrow it down to 2 or 3). But it seems as though tuition reimbursement / signon bonuses are becoming the norm. That's one of the...

  7. Here's what AAs really think of CRNAs

    jwk replied to Athlein1's topic in Certified Registered Nurse Anesthetist, CRNA

    It's a free market - you can go anywhere you want. Isn't that the biggest advantage to being a CRNA? You'll find if you check again that salaries keep rising, as well as sign-on incentives. Many of...

  8. Pregnant

    jwk replied to Heather R.N.'s topic in Certified Registered Nurse Anesthetist, CRNA

    Fortunately we have good gas scavenging systems now. They were pretty rare 20 years ago. We have pregnant anesthetists and anesthesiologists all the time in our large department. They do fine....

  9. Washington, D.C. CRNAS

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

    Funny, there's plenty of nurses and CRNA's "interloping" on the doctor's forums as well. I've never asked them to quit posting there. And we've hardly taken over this BB. I think I've identified...

  10. Washington, D.C. CRNAS

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

    Ah yes, but lizz opened the door by mentioning AA's. I just couldn't help

  11. Here's what AAs really think of CRNAs

    jwk replied to Athlein1's topic in Certified Registered Nurse Anesthetist, CRNA

    deepz and gaspassah - just making sure you were still around

  12. Washington, D.C. CRNAS

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

    Requiring additional education is a smokescreen for limiting AA practice. Yes, there are AA's in Washington, DC, working alongside CRNA's every

  13. Here's what AAs really think of CRNAs

    jwk replied to Athlein1's topic in Certified Registered Nurse Anesthetist, CRNA

    Do you really want to start this up again?Have nurses ever been paid directly for putting in foleys or hanging blood? Nope. So what does that do for your comment that "YOU should always be paid for...

  14. pediatric practice

    jwk replied to user69's topic in Certified Registered Nurse Anesthetist, CRNA

    True, but I think it's the anesthetists doing the vast majority of the cases - I don't think the docs do too many, although there are more anesthesia residents at Egleston. I think you've got to...

  15. Opinions regarding induction with parents

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

    Premedication with Versed would have made this so much

  16. Opinions regarding induction with parents

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

    I've tried to make clear that all of this is my personal opinion. And of course I understand that it makes the parents feel better. Why wouldn't it? Curious- did your child get premedicated?...

  17. Opinions regarding induction with parents

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

    Again, my point is being reinforced. It helps the parents, not the kids. I guarantee you, 19 years ago, your son probably didn't get a pre-med. And most kids, once you get them out of sight of the...

  18. Opinions regarding induction with parents

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

    That only reinforces my opinion that its the PARENTS issue. WE are the

  19. pediatric practice

    jwk replied to user69's topic in Certified Registered Nurse Anesthetist, CRNA

    Funny how things are different in different areas. The two pediatric hospitals here depend heavily on their CRNA / AA staff for all types of procedures, including open hearts, neuro, craniofacial...

  20. Opinions regarding induction with parents

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

    Full-time paid staff members to orient parents for two minutes of induction time in the OR? That sounds like an expensive luxury for these cost-cutting times. And although I don't do many peds...

  21. Opinions regarding induction with parents

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

    As stated in the other thread - I prefer parents NOT to come to the OR with their child. It's much more for the parent's peace of mind than the child. Parents can be a distraction from taking care...

  22. pediatric practice

    jwk replied to user69's topic in Certified Registered Nurse Anesthetist, CRNA

    I'll respectfully disagree about keeping parents around during induction of anesthesia. I've done it both ways, with and without parents. I think the key is adequate premedication. Having the...

  23. Is It Possible to Feel Surgical Procedure

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

    Having memories of procedures after having only sedation is an entirely different thing than awareness under general anesthesia. Awareness during sedation is not considered cause for concern -...

  24. CRNAs once again defamed...

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

    Someone correct me if I'm wrong on my recollection about this: 1 - I thought an MDA provided the anesthetic for this particular case. It was a "high profile patient", and I think I remember reading...

  25. The usefullness of MONOSCOPES

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

    BINGO, you win the prize (whatever that is). At 37, you're not an old fart like me :) - did you actually use one, because I don't think I've seen one in close to 20 years. You can probably find them...