rn29306

rn29306

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All Content by rn29306

  1. Realization

    Ditto here. I think that was the second realization, slightly behind pharmacology. Intubation is essentially easy or perhaps medium difficulty for most healthy patients on average, after about the...
  2. OR Narcotic Waste

    We sign out a "box and bag" everyday or when we need more supplies and the "box" is exhausted. Box = tackle box with most needed OR drugs. Bag = paralytics. Narcs are obtained on a per-patient basis...
  3. OR Narcotic Waste

    Our in-house OR pharmacy accounts for the waste that we return from
  4. Realization

    I can think back to the day when I realized this also. I was, and I'm sure most people on this board are or were, one of the most progressive nurses on my old unit, always doing stuff to further my...
  5. Vasoactive drugs

    While certainly not encouraging this practice, I have seen it used in the downtown Altanta hospitals just as you described - for DTs. The hospital had strict policies about infusion rates and had a...
  6. Ultimately you and you alone have to decide if "the juice is worth the squeeze".... Anesthesia is the best decision I have ever made but it has come at a fairly high personal sacrifice, my family to...
  7. Im in the dumps

    While grades are important, it is not the complete package. The complete package is your grades + your background + many other factors, not including your attitude and outlook that becomes readily...
  8. Ketamine is still an anesthetic drug. I guess if you insist on using a GA drug in your ED, ketamine is one of the safest to be
  9. That is the problem with general anesthetics. You are not anesthesia-trained, nor are you anesthesia-educated so why are you giving anesthesia and apnea-inducing drugs? Forget institution-based...
  10. If you bothered to read the postings, you would see that some RNs here are talking about giving GA drugs for CS, something that romazicon or narcan will not touch...Nuff said. I hope this dawned on...
  11. You may be taught ABCs, but nurses are not taught airway management. Unfortunately, there is simply nothing further from the truth. Speaking of reversals.... What's the reversal for Ketamine? What's...
  12. This is a public forum. You have your opinions, I have mine. I'll post whatever I want BTW. Staff RNs giving general anesthetics for CS to unintubated pts is beyond your scope of practice, like it or...
  13. I re-read my post. I said RNs pushing paralytics for intubation was comparable as pushing propofol for CS. No one ever said anything about giving paralytics for CS. READ THE
  14. Do you honestly think you are "qualified" to push paralytics? What in your education has taught you to assume airway control and maintenance? That's right, nothing. 5 minutes at the airway station for...
  15. 10:06 here in Tennessee, watching Discovery Channel, probably Impact: Stories of Survival or something like that. (yeah, I know, Friday night and watching solo TV, living on the edge here guys.....)...
  16. Ask the physicians that you work closely with to give a rec for you. Your nurse manager is almost a requirement for most schools. Unfortunately some ICUs and RNs in general start hating on those...
  17. new here.

    Hoop is right. Many programs are indeed different. Mine was one of the clinical-oriented he mentioned. No fluffy get-to-know you questions....All scenario based, "what would you do" situations, and...
  18. Those ECTs are pretty fun to do. Our PhD director said we absolutely "had to be hands off" during the shocking phase. Ain't true. ECT doesn't shock the provider. IV + mask + pliable mouthpiece with...
  19. Will have a buck 20 in the hole for out-of-state tuition and cost of living by the time I'm finished next August. The sky isn't descending and I ain't seen Chicken Little making any local...
  20. Yup.
  21. Mivacron and RSI

    This is only my opinion, however small it may be, but mivacron sux quite literally. Who in their right mind would use this as RSI, you might as well not even call it RSI. Onset too long and S/E are...
  22. Mivacron and RSI

    We call it "movacron" for patient usually assisting you in intubating by reaching for the tube or scope or "mivacrap" (enough said) at our
  23. The post I was responding to concerned the Dean of Nursing (he's the CRNA I was talking about) for the university's School of Nursing, not the program director for the anesthesia
  24. He used to be our program dir before he
  25. I sincerely agree with your post. I wish we could move on to clinical scenarios instead of the