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CVL placement landmarks?
As a CRNA, I place numerous central lines. I prefer to cannulate the right I/J (decreased risk for PTX). Landmarks I use: Left hand middle finger where the clavicle heads meet, left thumb at the inferior right ear. I palpate the carotid artery with my left index finger. Finder needle is inserted at the level of the cricoid at the internal border of the lateral sternocleidomastoid muscle toward the ipsilateral nipple Hope that helps (i tried to just answer the question being asked)
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Not trying to stir up bad ideas, but......
CRNAs may be able to intubate a person and save a life while NPs may recognize an early case of meningitis and save a life. Both are necessary and have merit. Some CRNAs have as much as 2 years of training after their RN: Many NPs have the same. I don't think you realize the education involved in becoming a nurse anesthetist. Intubating, placing arterial lines, central lines, PA catheters, and nerve blocks are just many some of skills we are trained in. Yes, we also develop an expertise in an airway as well. However, as part of the 24-36 months of training, in addition to nursing school and at least one year of critical care (totaling up to 7 years), we are also highly educated on pathophysiology and recognize the deletrious effects of anesthesia on patients with comorbidities. Many times it is the CRNA, a graduate nurse (AKA advanced practitioner), who has to cancel cases because the CRNA recognized the risk outweighs the benefit of surgery and requires the patient further diagnostic testing, consults, or additional tx in order to tolerate the effects of anesthesia. My point.....the nurse anesthestist is not only trained in delivering anesthesia, the CRNA is also well educated on recognizing pathologic states. Furthermore, there are pain fellowships that are available for CRNA's in which they receive additional training in procedures and have the ability to request perscriptive authority
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CRNA School and Family
I am in my first year, and I'll be honest......it's exhausting. Partying utilizes less energy! But remember, you can make anything happen, especially with a supportive wife. I attend classes 4 days a week, 12 hours total. But....I am reading all the time. I spend at least 16+ hours studying. It is very important that you don't bury yourself in studies. My program encourages time for yourself, whether it be with friends, family, significant other, etc. It keeps you sane. Life doesn't end, but it sure changes alot. Go for it!! It'll be worth the hard work you put into it!
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Baylor
Out of curiosity, why didn't you apply to UT-Houston? It's ranked higher than all the other schools in Texas? Regardless, good luck to you, I was just curious.
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PACU for experience and lower GPA
[The CRNA school in Houston and I've heard is also true in Dallas accepts PACU experience for the ICU requirement. I'm in my second semester at UT-Houston. Our program does not accept PACU experience in place of ICU. I have both SICU/MICU and PACU experience in Level I trauma hospitals. The applications are much more competitive. Develop critical thinking skills by working in an ICU. Good luck!
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Katrina's Effect on CRNA programs in LA
My prayers go out to all those who lost homes, possessions, and loved ones. How did the hurricane affect CRNA programs? I understand that the Tulane anesthesia residents will be moving to UT Houston for residency. Will any CRNA students move as well?
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UT-Houston
Actually I do. I will be taking stats and Theory this summer (starts May 23). Call Bill Stewart in the admissions office and he will set you up. I'd love to have a fellow student in my class!
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UT-Houston
Hola! Anyone here attending UT-Houston CRNA program this fall? I'd love to meet my classmates!