offlabel

offlabel

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All Content by offlabel

  1. Medically Induced Trauma Support Services

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

    Like an unexpected death on the table? No. Such a rare event would garner little support for the effort required to generate a "policy" where I am. The risk management attorneys alone would be enough...

  2. Gonzaga University/Sacred Heart Medical Center CRNA Program 2019

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

    Were these scenarios going to be provided to the candidates by the adcom for the candidate's pre-consideration? 'Cause if not, you've crossed a pretty significant ethical line. Say it ain't

  3. Esmolol and Norepi

    offlabel replied to Cvepo's topic in Critical Care

    Esmolol is a selective beta 1 antagonist. NE is an alpha 1, beta 1 and beta 2 agonist, so the esmolol mitigates the potential bump in HR of NE and just slows the heart down, as you're clearly aware....

  4. IV FLUID BOLUS

    offlabel replied to RNSAINT41's topic in Pediatric

    Fill the burette with 100 mls and let it rip. Free flow or pump to

  5. Experienced CRNA...ask me anything

    offlabel replied to 06crna's topic in Certified Registered Nurse Anesthetist, CRNA

    I don't think there is anything wrong with that as long as the patient is expertly cared for. Those things are perfectly legitimate motivations. Doesn't mean the person that values those things is a...

  6. Omnicell vs Pyxis

    offlabel replied to dianearc's topic in General Nursing

    I think most of us still call the omnicell the pyxis or vice versa. Kind of like calling the copier machine the Xerox

  7. Experienced CRNA...ask me anything

    offlabel replied to 06crna's topic in Certified Registered Nurse Anesthetist, CRNA

    Those pejoratives are all yours...not a single one is mine and never implied any either. Locums are paid what they are because they endure the hardships of travel and fill a serious need. I don't...

  8. Lidocaine w/ Epi SQ injections post sheath removal

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

    If what you say is true of the collective cognitive ability of your "management", it's a wonder that your hospital is still open for business. Unless of course, their job is making RN's job more...

  9. Med school drop out, now a CRNA. Ask me anything...

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

    "Most" people in any profession are not

  10. Epi Question (new to school nursing)

    offlabel replied to Back2workRN's topic in School

    Whatever condition that would contradict epinephrine in the setting of anaphylaxis (there is no such contraindication, btw) would itself be made insignificant by a precipitous and present life...

  11. Do Not Resuscitate Order for suicidal patient

    offlabel replied to mep726's topic in Activism, Healthcare

    Sounds like you've done your homework, you just need to process what you found out, form an opinion and write it down. And a DNR is always suspended if a patient is undergoing surgery and anesthesia....

  12. Do Not Resuscitate Order for suicidal patient

    offlabel replied to mep726's topic in Activism, Healthcare

    A DNR is not a mandate to participate in someone's suicide and it needs to be established by a person not under duress or distress, psychological or otherwise. The futile nature of the surgery is...

  13. Lidocaine w/ Epi SQ injections post sheath removal

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

    Our RN's/techs inject local on every sheath removal, not only ones that meet some criteria (like oozing). If you just attach it to sheath removal and not make it dependent on some condition, it'll be...

  14. Not sure how to handle this situation with recent interview

    offlabel replied to Southpawdown's topic in General Nursing

    Confusion in a hospital HR department is about as common as rain in Seattle. Just go with it. Eventually, they figure it

  15. Weaning/extubating vented patients

    offlabel replied to JBMmom's topic in Critical Care

    For younger, agitated or alcoholics, Precedex is a much better sedation for weaning than diprivan. You don't even need to turn it all the way off for

  16. Futile ressusitation

    offlabel replied to amzyRN's topic in Emergency

    Odds are, more walked out of the hospital than you are aware

  17. Do FNP's really make 80k to 90k a year?

    offlabel replied to mariposabella's topic in Nurse Practitioners, NP

    That isn't a specialty, that's an insurance scheme, like Kaiser or

  18. Lidocaine w/ Epi SQ injections post sheath removal

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

    So, what's the question, exactly? I'm missing

  19. Pagan in a Catholic Hospital...

    offlabel replied to Kaelsdream's topic in Spirituality, Religion

    If you were a Christian speaking rudely to a person of another faith that way, you bet I'd call you out. But on a practical note, you identify Christian privilege in this country. For better or for...

  20. Pagan in a Catholic Hospital...

    offlabel replied to Kaelsdream's topic in Spirituality, Religion

    I think knowing your audience and adjusting your tack accordingly would go a long way in making you more comfortable talking about faith to non-believers. Atheists tend to base their non belief in...

  21. Pagan in a Catholic Hospital...

    offlabel replied to Kaelsdream's topic in Spirituality, Religion

    With all due respect, I don't think NurseCard was trying to convince you of anything other than to give some insight into why some Christians do what they do. You come across a little toxic here in...

  22. Pagan in a Catholic Hospital...

    offlabel replied to Kaelsdream's topic in Spirituality, Religion

    I never really read those from the perspective of someone that has no interest, once told, in the message in the Gospels. I see the point, but I would take those passages as internal "memos" to...

  23. Pagan in a Catholic Hospital...

    offlabel replied to Kaelsdream's topic in Spirituality, Religion

    Whoa....time out...You're correct in that I'm a Christian, and to my discredit, I responded on an intellectual level to a conversation that is, at it turns out, a spiritual one. That is my bad and I...

  24. Pagan in a Catholic Hospital...

    offlabel replied to Kaelsdream's topic in Spirituality, Religion

    Vetpharmtech said: "I couldn't agree with you more. Unfortunately, many Christians love to show non-Christians their deity's love. I find this assumption insulting because it presumes that everyone on...

  25. Why such a push to get more men into nursing?

    offlabel replied to RomaniGypsy's topic in Men in Nursing

    One advantage for employers is that, by and large, men don't take the primary responsibility of taking care of kids as much as women do. Rightly or not, when a kid has to stay home or get picked up or...