offlabel

offlabel

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All Content by offlabel

  1. The lid has been blown off of CRNA training...if your are under 30 and childless...do it. If not there are nursing jobs that will remunerate handsomely in the long run. Same goes for medical school,...
  2. Chill out..you fainted because you "get it". Morons don't faint because they have no idea what they are witnessing....you do. Congratulations...you have a fantastic career ahead of you...feel sorry...
  3. All Things CRNA

    Your Mom will be your best resource here as an MDA. All of the politics and antagonism will be mitigated as a result of her wanting the best for you as your mother. Ask her for honest answers and...
  4. Lung Transplants

    Awesome response, I mean that sincerely. Thank you. I took you for a gen x snow flake which your are obviously not. Point of order, I did not use an "umlaut". "Scare quotes" would be more...
  5. Help Solve OR Burn Mystery!!

    Lights aren't directed at the axillae during cardiac surgery. What about BP cuffs? Re-useable? Processed with
  6. Help Solve OR Burn Mystery!!

    Reminds me of when the ICU wrote up my anesthesia group for "tape burns" on patient's faces when they were the ones ripping it off to extubate or switch from our tape to their Velcro tube
  7. Lung Transplants

    I don't believe "mean" or "hate" has any kind of context here. Advice that is heeded or not, valuable or not, isn't a question of morals or virtue. Calling something "mean" and "hate"ful that you...
  8. Lung Transplants

    An SRNA will never do enough lung transplants (if they even get into a room at all) to do anything more than tasky skills you'd do on any other case. Certainly not enough to be able to "do" one. Lots...
  9. Help Solve OR Burn Mystery!!

    Is there a common pattern and size? If it's really a burn, it isn't occurring in the OR if they're at least one day post op. I'd start looking at the
  10. Bradycardia vs Tachycardia

    As a practical matter, I'd rather treat too slow than too fast. Less to think about, differential list is shorter, overall easier to treat
  11. Help getting in OR

    As a busy ward nurse, you have a lot of contact and interaction with patients and their families. As an OR nurse, you will have none of that. You will be an umpire of sorts, seeing to the adherence of...
  12. Is it possible for a nurse to become a doctor?

    Medicine and nursing are not even in the same galaxy. The nursing education establishment has seen to that. Any similarities between APRNs and medical doctors comes from deliberate and intentional...
  13. Is it possible for a nurse to become a doctor?

    RN's become doctors not infrequently. I know a couple. They are an interesting bunch though. On the surface they seem to play down any deferential status, but they seem to be consistently among the...
  14. Nurse Residency Program

    can we stop calling supplemental nursing training "residency"? That term is a ACGME designation for doctors. Using it implies that nursing needs a "doctor" term because nurses lack credibility. It's...
  15. Cricoid Pressure

    Which is why, when designing your EMR or anesthesia forms (or re-ordering them), you don't include the cricoid pressure box at
  16. Agree with the sentiment re:quality of paramedic, but the OP is pursuing a career as a flight nurse, and will presumably, be hired as one, not a flight paramedic. The paramedic cert will add to the...
  17. Sicu in a hospital without a trauma center

    Non-trauma surgical patients can be every bit as challenging as trauma patients. If a post surgical patient is sick enough to be in the ICU (maybe 1-10% of surgical patients) he is pretty sick. Trauma...
  18. Cricoid Pressure

    Now that you have your answer, OP, you can ask your preceptor for convincing evidence that CP prevents aspiration on induction of
  19. Amiodarone help!

    ACLS are guidelines...If a doc (or APRN in states like mine) wants to deviate from them, that falls under their
  20. Struggling to be a Christian Nurse

    She didn't lose her job because she couldn't separate her Christianity from her work, she lost it for precisely the opposite reason. Would that more Christians would integrate their faith into their...
  21. never in 30 years did I ever "feel" as though my license were "on the line". If one were to "feel" that way, it would be to that person's benefit to examine his or her place in patient
  22. Clinical question?

    A Code 3 ambulance means nothing...any ER will have a standing "set up" for any emergency that rolls or walks in. What matters is the assessment. Any experienced ER nurse will run out of fingers...
  23. chest tubes

    You should think of these tubes as "pleural tubes", because "chest tubes" can mean different things. So, the answer is in the term "water seal". There is a column of water between the collection...
  24. Gave up DNP

    APRN for 23 years, but I am involved in clinical instruction. I'm able to lecture at the university level with my MS, but not run a program. Certainly no need to have a DNP for clinical practice....
  25. Dirt bike camp

    I only have experience with chain saw juggling