offlabel

offlabel

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All Content by offlabel

  1. Dead wood

    offlabel replied to Gampopa's topic in Emergency

    Yeah, that's a thing in the ER. In the end, if the manager won't do anything, and I don't doubt that she wouldn't, the only thing left is to freeze this person out to the extent that you can, ie, no...

  2. Advice for first CRNA job

    offlabel replied to N_u_r_s_e's topic in Certified Registered Nurse Anesthetist, CRNA

    All depends on the level of support/backup that is available where you choose to work. That is just a matter of asking and seeing when you interview. It also rules out any indy/solo positions. You can...

  3. Fluid Irrigation quesitons

    offlabel replied to Norfin's topic in Operating Room

    What's the purpose of the question? TURP can use 3-6 liters and an inguinal hernia 25 mls. Shoulder arthroscopy/some kind of repair can be several liters. You're an OR nurse asking or something

  4. How serious is it if an employee accessed my personal and medical information without permission?

    offlabel replied to Nurse Beth's topic in Career Advice Column

    If this had happened at my hospital, the person(s) responsible would lose their IT access and would effectively lose their job as they would have no way to access medical records. Would take about...

  5. Am I too old to become a CRNA?  I start school this fall.  I am 59 yrs old

    offlabel replied to Nurse Beth's topic in Career Advice Column

    Think you answered your own

  6. Paediatric blood transfusion

    offlabel replied to RN4798's topic in PICU, Pediatric

    Lots of ways to do this and as long as the basic principles are observed, it doesn't matter how you do it. Obviously, the blood needs to go through a filter whether that is before it goes into a...

  7. Digital Warrant OK?

    offlabel replied to DDER's topic in Emergency

    Why do you want to protect someone that has killed or injured

  8. Help! Needles Make Me Faint

    offlabel replied to TaylorRN1221's topic in First Year After Licensure

    Really common problem...you're in your own head. Eat and hydrate before work. When it starts to happen, acknowledge whats going on, that it's happened before and that it's fine. It's a stress reaction...

  9. Can atrial fibrillation cause cardiogenic shock?

    offlabel replied to Hacker's topic in CCU, Coronary, Cardiac

    Thanks for the story...doesn't really apply to this conversation, but just a point of order, you weren't 'dead' as that is permanent. Full arrest for 52 minutes? That's very

  10. Male nurses

    offlabel replied to Lavi2343's topic in General Nursing

    Is this still a

  11. Forced to Assist in C-Sections

    offlabel replied to Promacta's topic in Nursing Career

    I can do a hysterectomy, but I can't do a c-section...that's not

  12. Forced to Assist in C-Sections

    offlabel replied to Promacta's topic in Nursing Career

    Just a question for some context...are the scrubs OB scrubs? Or are they main OR scrubs...either way, they're the ones that matter because they're the ones that are actually doing the work of...

  13. Forced to Assist in C-Sections

    offlabel replied to Promacta's topic in Nursing Career

    Sounds like the two options are quit or get fired (or just get competent, it's not rocket

  14. Forced to Assist in C-Sections

    offlabel replied to Promacta's topic in Nursing Career

    Who circulates when you're not on call? I suspect dual role L and D nurses that have less training and experience in OR nursing than you do in C-Sections. If they do it, you can certainly do it. This...

  15. Why don't CRNAs have prescriptive authority like NPs?

    offlabel replied to matthewandrew's topic in Certified Registered Nurse Anesthetist, CRNA

    You're missing a pretty big point here. General advanced practice training is pretty much across the board but I'd argue nurse anesthesia programs are head and shoulders above any NP training program...

  16. Why don't CRNAs have prescriptive authority like NPs?

    offlabel replied to matthewandrew's topic in Certified Registered Nurse Anesthetist, CRNA

    I can't think of a reason why an anesthesiologist would ordinarily prescribe Augmentin or an anti fungal agent except maybe for his kid or his neighbor who asked him for something. I guarantee you...

  17. Do you need to inject air into a vial of medicine each time the vial is used or just the first time the vial is used?

    offlabel replied to Nurse Beth's topic in Career Advice Column

    The smaller the vial, the less important it is and the smaller the volume of the desired dose, the less important it is....and it is not necessary if a glass ampule is the source of the...

  18. RN wants to work in aviation but NOT as a flight nurse

    offlabel replied to Nurse2bJacks's topic in General Nursing

    There are medical companion traveler jobs that private folks just hire out someone with medical training. It's just what it sounds like, but you're hanging out with a person with one type of medical...

  19. Strange symptoms after flushing PICC....suspect arterial placement?

    offlabel replied to UnbrokenRN09's topic in Infusion, Intravenous

    If a PICC line were arterial, the arm would blanch white with excruciating pain with anything other than a few cc's of saline flush. The resulting arteriospasm with medication could quite possibly...

  20. Which would you choose

    offlabel replied to hopefulnurse18's topic in Certified Registered Nurse Anesthetist, CRNA

    Like I said, less than 2 years, firm, don't

  21. Which would you choose

    offlabel replied to hopefulnurse18's topic in Certified Registered Nurse Anesthetist, CRNA

    Not having ECMO won't hurt you, but an ECMO managing unit is an indicator of generally higher acuity patients which will help you. But if you stay for less than 2 years, you won't derive the benefit...

  22. CRNA - insights and/or experiences

    offlabel replied to CardiacNursing's topic in Student Registered Nurse Anesthetist

    PM me with questions if you'd

  23. CRNAs Should Not be Allowed to Practice Independently - One Anesthesiologist’s Opinion

    offlabel replied to tnbutterfly - Mary's topic in Certified Registered Nurse Anesthetist, CRNA

    Very similar experience...both then and now....the irony is that my starting salary was 62,500 and now, its what? Averaging 200-250K? Way more if new grads drop right into locums. Our group can't...

  24. CRNAs Should Not be Allowed to Practice Independently - One Anesthesiologist’s Opinion

    offlabel replied to tnbutterfly - Mary's topic in Certified Registered Nurse Anesthetist, CRNA

    Right..so we're back to the thinly veiled contempt of the AANA for CRNA's that don't practice in indy settings...The sneering doesn't go unnoticed and I have to wonder if the rhetoric and dues paying...

  25. CRNAs Should Not be Allowed to Practice Independently - One Anesthesiologist’s Opinion

    offlabel replied to tnbutterfly - Mary's topic in Certified Registered Nurse Anesthetist, CRNA

    I'd pick an experienced CRNA, of course. Just like you would choose the experienced AA but won't say. And independent models don't mean a thing if a meaningful number of the cases are not 3's and 4's...