aquaphone

Oh, believe me, I'm willing to move, and I'm willing to drop more money. I would move ANYWHERE in the states tomorrow if it meant getting another shot. I'm even considering going outside the U.S. if I have to. As for the money, it's an investment in the future. Besides, doing what you love to do is priceless. I'd take a pay cut to practice anesthesia again. I dream of the day I'll step back into the OR. I can't go into the details of why I chose to withdraw; the most I can offer is my original post. I appreciate your vote of confidence that I will be accepted into another program. If you have any suggestions as to where I should apply or how I can make myself more competitive, I welcome them. Thank you very much.

Thank you, I appreciate the support. I will make it happen. It's just a matter of where and when.

Thank you for responding. I had heard that Akron has taken students from other programs... never a first hand account. How did you hear about that? I see you are from Ohio....

It's a complicated situation, so to simplify I'll say I withdrew because there were interpersonal problems between my program director and myself, as well as some others. It was not an academic, clinical performance, or patient safety issue. My clinical evaluations from my preceptors were overwhelmingly positive, and I was in good academic standing. Believe it or not, many people liked me and enjoyed working with me; at least they made me feel that way. I really was "value added" to the team. I loved coming to clinical every day. I certainly share responsibility for what happened. Had I handled things differently and stayed under the radar, I would have graduated. However, I made mistakes, and I paid the price. It took a while, but I've come to the point where I'm okay with that, and now I am moving forward. As per your advice, I will start calling schools this week. I've logged hundreds of hours in the OR, so I don't know if shadowing would be necessary. I have already obtained letters of recommendation from the preceptors who supervised my cases as an SRNA, so I feel positive about that. Thank you for your feedback and advice. Are you a CRNA yourself? You seem to know a lot about the programs and how they work.

Hello everyone, I attended an anesthesia program and a significant amount of clinical before withdrawing in good academic standing. To put it mildly, things did not end amicably between myself and my program director, so a recommendation is out of the question. I am now reapplying to CRNA programs. I'm wondering if anyone knows of a program that has a track record of accepting and graduating students who were in the same predicament as myself. I have a colleague who graduated from a fully accredited program in Puerto Rico. In his class there were several students who had been forced to leave other programs for various reasons. Besides Puerto Rico, does anyone know of CRNA programs that have accepted applicants like me? Thank you in advance for your constructive feedback.

Sorry, I don't believe a word of this story.

Yeah, the 10mL of air was from a test question. Guess it was a trick question, lol.

The AHA changed the guidelines. It is no longer recommended to give Atropine for asystole or slow PEA. Atropine is now only given for bradycardia.

Dr. Najeeb has an excellent series of cardiac lectures. And lectures on just about everything else, for that matter. http://drnajeeblectures.com/

Wow. Thanks for sharing, I had no idea!

That's interesting about the PICC line placement. I've seen plenty of central lines placed, but I've never personally seen a PICC line placed. In my unit (MICU/SICU) the patients would always go off the unit for PICC placement. So I'm amazed at what you're saying; you really do use ECG as the only confirmation for PICC line? Have you actually been able to observe the procedure? How does it work?

What specialty are you interested in? What are your long term goals?

Thanks, all very good points.

Yeah, I think you're right... the 10mL of air sounds like it could be extremely detrimental to the patient's health, to put it mildly. And I like your analysis of the ECG method. I've seen CVP catheters go all over the place as well. Good point about the pneumothorax. Thanks for the input.

As far as ECG confirmation of a CVP catheter? I've certainly never seen the catheter confirmed that way, and I wouldn't want to rely on such a method. But apparently they were doing it at one time. As for air bubbles, well, we still do that. But not 10mL of air, that seems dangerous. I think I've injected maybe 1mL of air mixed/agitated with 10mL NS to create bubbles used in ultrasound. That was to look for abnormalities in cardiac function though. Never heard of that being used to confirm a central line though.