All Content by Cook26
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Dukes Post Graduate Certificate in Cardiology
I looked on that page and they also have other certificates in endocrinology, ortho, and others. Tuition is $1700/credit hour so that certificate is gonna cost you about $15,000
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I am an FNP-BC, but think I am interested in becoming a CRNA
Being a CRNA is not supposed to be a high stress situation, although it does happen. It's a very controlled environment. Also, CRNA school doesn't give you any credit really for being a FNP beyond the college of nursing classes you may not have to take. You will be enrolled for 3 years and have to do many thousands of hours of clinical, and are generally not allowed to work while doing so. If you like the ER and already have a FNP degree, why don't you just work as a NP in emergency medicine? You can get an acute care post-masters with a couple of classes and 500 clinical hours. This would allow you to work ER and take care of all patients. It is a much shorter road and seems closer to the idea of what you want to do.
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GFR 150
Actually ~90 is considered normal function, depending on age of course. If you're around 60, you already have declining function. The GFR is a calculation based on other numbers, not something that is measured specifically.
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ACLS Certification
According to Einthoven, the Dutch guy who invented it, it's a "K". The German translation is Elektro-kardiographie, the Greek is kardio. It was not invented here in America.
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ACLS Certification
You know that either way is correct?
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New Grad Neuro ICU Position
Get this: http://apps.aann.org/Store/ProductDetails.aspx?productId=1152 The most comprehensive book on neuro nursing you can get. It is written by the association for neuroscience nursing. It has more than you will ever need to know. This group are also the ones who formulate and administer the CNRN and SCRN certification tests, and the info comes from this book. I used it to study and pass for certification when I worked in the neuro ICU.
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Doctors rip VA plan that would give some nurses more authority
The statement was made by the ASA to stifle CRNA independence. Nurses have been administering anesthesia for over 100 years. I am an anesthesia student currently. I will graduate with more than 4000 practice hours. Today I was in the OR at 5am until 4pm, had class for 4 hours and just got home to study and make plans for my cases tomorrow.
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Is this a lot of clinical hours?
My anesthesia program has about 4000 clinical hours, so it's all relative depending on what you are talking about. You weren't specific as to what type of program.
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Private practice as a CRNA
There are CRNA owned practices where there are no MDAs involved whatsoever.
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CRNA vs NP ???
DNP vs MSN in anesthesia is the educational degree. It has nothing to do with obtaining your license as a CRNA. Either way, you are still a CRNA, and there is no current pay difference between the two.
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Do crnas deserve that much salary?
If you look back further in October of 2010 there's a posted stating she's a BSN Student and 14 months later is the post you quoted where she is a CRNA trying to get an endorsement in Texas???
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Do crnas deserve that much salary?
I have never seen any CRNA in any job "just assist and do paperwork", so I honestly can't take any of that seriously. The OP obviously has no idea what goes into the job or what the knowledge base necessary to function is.
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Do crnas deserve that much salary?
You have a very flawed understanding of what CRNAs actually do. If that is truly the role in Houston, I am glad I am not there.
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Insight on Dilaudid?
Glucagon will reverse the spasms if you ever need to take opioids. It is a smooth muscle relaxant. It is given very often during ercp to relax the sphincter for insertion of the scope
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Insight on Dilaudid?
Dilaudid is probably closer to 8 times as strong, not 5. Morphine is the standard opioid against which all others are measured. An easy way to remember is make everything a factor of 10: Demerol 1/10 Morphine 1 Dilaudid 10x Fentanyl 100x There are other drugs (remifentanil, sufenta, etc) but those won't be used in the floor hospital setting.
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CRRT and mobility
The hospital I worked at when I was a bedside nurse did walking ECMO. Didn't seem very safe to have a centrally cannulated patient up and moving around when one slip could mean exsanguination. As far as I know there haven't been any mortality issues, but it still seems crazy as hell.
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Why or why not CRNA?
The path to CRNA is around 10 years. It takes a lot of work to get there. When I started nursing school, my class had around 100 people. I would guess 30+ of those said they were going to nursing school to be CRNAs. Out of all those people, I am the only person who actually went through with it. It is doable, but nearly the same amount of time to be an anesthesiologist (10 vs 12). All CRNA schools are moving to doctoral schemas by 2022, so you will have at least 3 years of CRNA school by the time you can get it. It is worth the time in my opinion, but there are much easier ways to make six figures.
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I can't wear an N95 resp. mask= No airborne iso patients?!
You can wear a papr hood if your hospital has them. I have a beard and was disqualified from any mask test. When I worked in the ICU I always had to wear the hood.
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how to stay warm in the OR?
Anesthesia isn't sterile unless you're putting in a line or doing regional. Where I'm at they have approved jackets that we had to purchase with the department logo and your name if you wanted it. If you didn't want one, there are paper jackets you can wear.
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Help with a dosage calculation
They are correct through the entire thing, there is however one more step. The 112.5ml is the daily dose. Divide by two and you have the correct answer. There are multiple ways to get to the correct answer.
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Best of both worlds?
Preop nurses start IVs. I have never once seen a nurse in the OR start one.
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help, which job do I pick??? CRNA vs. NP/RNFA
I would consider going back as a CRNA to add the NP because I can do a post-masters certificate with relative ease. There isn't that same "shortcut" for CRNA school, and I don't think if I was a NP I would go through the 2.5-3 years necessary for anesthesia. And there are many CRNAs who make very good money with excellent hours. I used to work at a hospital where nearly the entire CRNA staff worked M-F days. There was a large resident program and they picked up nights, weekends, and call.
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I give up on this math problem
I believe your drop factor should be 10 drops/mL not per min. That should help you to solve
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Atrial pacing above 100 to increase CO/MAP
You can get a cardiac output and stroke volume variation from a flotrac/vigileo with just an A line. You don't need a swan to get titratable hemodynamic measurements.
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No pump, no drip rates - OR
I am not sure how the nurses give fluid when anesthesia is not involved in the case because I am not there. I am a nurse anesthesia student and I can tell you that there are fluid calculations constantly being done in my head. Deficit calculations from being NPO, blood loss, evaporative/insensible loss, blood pressure regulation, comorbidities, etc. There is no drip rate order because I decide how much fluid my patient needs. I know if I'm ahead or behind and if the patient needs more or less. It has to do more with the administration over time than it does a specific drip rate.