heartICU

heartICU

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All Content by heartICU

  1. hypercalcemia question

    There is more to it than this, but here is a somewhat simplified explanation. (While I will just talk about cardiac muscle, it can also be applied to skeletal muscle, for the most part). There is a...
  2. We have a couple of each, and you are right - the color one is pretty
  3. We have a couple of them. Like the GlideScope, some providers feel comfortable enough with the Bullard to call for it first instead of a FOB when dealing with a difficult airway. It is pretty cool to...
  4. We have a separate month for a block rotation where we get to do all the upper and lower extremity blocks. We have two months of ortho and two months of OB so spinals and epidurals are not a problem....
  5. Student AANA Memberships?

    You can only be a student (associate member) if you are currently enrolled in a program. Your program director usually passes out the applications in the first week of school. It is $20 for the...
  6. Yoga, I am a student at a large midwest program, and we have three or four glidescopes, and use them often in anyone who looks to be a difficult airway. Many clinicians have gotten so comfortable...
  7. mixing meds?

    I have never mixed etomidate with anything, but we routinely mix either alfentanil or remifentanil in a 50cc syringe with propofol. The prop-alfenta mix works well for outpatient stuff, especially...
  8. ICU Psychosis ?????

    ICU psychosis also can be caused from the stimulating environment of the ICU. These patients hear alarms, beeps, buzzers, etc, 24 hours a day. People are constantly talking, and they are constantly...
  9. Not to incite an argument here, but how do you know it works? The problem I have with the BIS is that there is no second way to check its accuracy. For example, if I believe the EKG is reading an...
  10. 100%
  11. ever miss it?

    I really enjoyed bedside nursing too - but after you start anesthesia school, you don't realize what you have been missing. My decision is validated every time I go back and work a PRN shift in the...
  12. youngest SRNA

    I applied when I was 23 and began the program at
  13. We don't
  14. The gas laws will help. Another important thing is enhancing critical thinking skills - a lot of classes in undergrad will not apply directly to nurse anesthesia, but will provide a way of thinking...
  15. question about nursing specialties

    Neuro ICU or Neuroscience stepdown would probably include
  16. Nurses Will Eat Anything

    One nurse where I used to work brought in brownies. One of the other nurses grabbed one, took a big bite, and then she said (and I am not making this up) "Aren't they good? I made them with my breast...
  17. Clinical Quiz

    I agree with deepz - I think it was the plastic overwrap on the C02 absorbent. Had that happen in our OR once, but the CRNA caught it before
  18. I would apply to both, and if you only get into the smaller ICU, take that job and work there for a few years. Then make an attempt to get into the bigger ICUs. As a general rule of thumb, sicker...
  19. I would leave the tube in. If they look strong, they might be strong, but if they look weak, they definitely
  20. to sedate or not to sedate...

    Ok for those of you whose patients are not sedated, what are the circumstances of the situation? Is the patient wide awake, are they in respiratory distress, respiratory arrest? I am guessing they are...
  21. Cleveland Clinic salary?

    I sent you a
  22. How does one become ACLS or CRNA certified...

    Check your local comunity college. Many will offer it
  23. RN intubation in ED?

    Be careful here. Taking ACLS and receiving the card does not "allow" you to intubate. Intubation on a dummy in a one day class and intubating an emergency in the ER are two very different things. They...
  24. Rn/md

    You can always do RNFA. First assists are part of the surgical team - they harvest vein grafts for cardiac bypass, etc. Might be what you are looking for (combination of surgery and