jwk

jwk

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All Content by jwk

  1. The usefullness of MONOSCOPES

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

    OK, today's trivia question What is a Ploss

  2. Questions about contracts

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

    That would be one of the highest $ amounts I've heard of. From an employer's standpoint, that would be a big chunk to give someone up front, or even at the rate of a couple thousand $ a month,...

  3. Is It Possible to Feel Surgical Procedure

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

    Thanks for the literature review. In my experience, there is a higher incidence of retrograde amnesia with Versed than there is Valium. We have far fewer complaints when Valium is used. As I said...

  4. Is It Possible to Feel Surgical Procedure

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

    Please understand that this is a VERY RARE event. Much of this "problem" is stirred up by the manufacturers of "awareness monitors" in order to sell more of their product. Their sales tactics and...

  5. Is It Possible to Feel Surgical Procedure

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

    Our hospital / anesthesia group does 17,000 (yes, seventeen thousand) deliveries a year, roughly 25-30% of those are C-Sections.SAB or epidural in a patient with extensive spinal instrumentation is...

  6. Laryngospasm question

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

    Amen to extubating at the right time. Extubate deep, or awake - the "in between" is where you'll get into trouble. IMHO, sux is still a great drug - a small dose breaks laryngospasm QUICKLY as...

  7. Using same syringes all day

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

    12 hours in the ICU when spiking the big vials directly for infusion - 6 hours when drawn up into a syringe, which is the norm in the

  8. MD referring to CRNA as 'support staff'

    jwk replied to kestrel1121's topic in Certified Registered Nurse Anesthetist, CRNA

    Leaving aside the fact that I think the MDA was wrong in this case... IMHO, professionals should NEVER do such a thing in front of a patient or their family. Those discussions should be done...

  9. Gooding Institute

    jwk replied to RNMOMof2's topic in Certified Registered Nurse Anesthetist, CRNA

    We vacation at Panama City Beach every year - it's just a few miles from the hospital - there's plenty to do, especially in the

  10. Gooding Institute

    jwk replied to RNMOMof2's topic in Certified Registered Nurse Anesthetist, CRNA

    We vacation at Panama City Beach every year - it's just a few miles from the hospital - there's plenty to do, especially in the

  11. Can someone explain this to me: Changing out various airway tubes.

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

    An LMA is what you routinely use in the OR. A Fas-Trach LMA has a permanent bend in it with a metal handle. It's designed for difficult airways, and comes with a special ET tube and "pusher" that...

  12. Can someone explain this to me: Changing out various airway tubes.

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

    An LMA is what you routinely use in the OR. A Fas-Trach LMA has a permanent bend in it with a metal handle. It's designed for difficult airways, and comes with a special ET tube and "pusher" that...

  13. my laptop, in hindsight

    jwk replied to alansmith52's topic in Certified Registered Nurse Anesthetist, CRNA

    The Dell is a PocketPC OS instead of PalmOS. Sony has discontinued or is getting ready to stop making Clie', if I remember

  14. my laptop, in hindsight

    jwk replied to alansmith52's topic in Certified Registered Nurse Anesthetist, CRNA

    The Dell is a PocketPC OS instead of PalmOS. Sony has discontinued or is getting ready to stop making Clie', if I remember

  15. Software

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

    I like the Pocket PC format personally, but obviously I'm in the minority. I use spreadsheets constantly at work, and the ability to download those directly from our network into my PDA is a great...

  16. Software

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

    I like the Pocket PC format personally, but obviously I'm in the minority. I use spreadsheets constantly at work, and the ability to download those directly from our network into my PDA is a great...

  17. CRNA lifestyle

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

    Your original question showed a lot of immaturity as I said. You did more than make a "comment" about money - it was your entire initial post. Your continuing swipes at others offering constructive...

  18. Using same syringes all day

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

    25-30 years ago, there was no AIDS to worry about. Hepatitis was around, but wasn't thought to be a big concern. I know some old ENT surgeons who did tonsillectomies without gloves their entire...

  19. CRNA lifestyle

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

    Congrats on going to college and hopefully becoming a CRNA. However, I'll stand by my previous post that your question, at least the way it is phrased "What kind of cars do you drive getting a fat...

  20. CRNA lifestyle

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

    Strange post - a little immature attitude to

  21. Using same syringes all day

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

    I don't think EVERY anesthesia provider does this, and I'll bet almost none do it now. That being said, I can tell you it was very common 20+ years ago in many facilities around the

  22. Accident Scenes: Do You Always Offer Assistance?

    jwk replied to VivaLasViejas's topic in General Nursing

    The last time I did this was after a Georgia Tech football game. An elderly lady went down on the sidewalk about two blocks from the stadium - full arrest. From the spectators leaving the stadium,...

  23. Accident Scenes: Do You Always Offer Assistance?

    jwk replied to VivaLasViejas's topic in General Nursing

    1) There is no legal obligation to stop and render aid. There may be a moral obligation in some people's mind. Yes, I stop on occasion. 2) Rescue breathing is being phased out of "civilian" CPR...

  24. CRNA malpractice costs

    jwk replied to FLCRNA2B's topic in Certified Registered Nurse Anesthetist, CRNA

    That's interesting - why would a CRNA pay more than an

  25. New Grad interested in CRNA

    jwk replied to TennRN2004's topic in Certified Registered Nurse Anesthetist, CRNA

    So the requirement from a NATIONAL standpoint is one year as an RN with no NATIONAL requirement for critical care