offlabel

offlabel

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All Content by offlabel

  1. Leaving ICU with a bag of Levophed

    offlabel replied to emb92250's topic in Hospice, Palliative

    How much Levophed? Why is he on that? Would he even survive the

  2. Are any of you CRNAs concerned about the potential for automated Anesthesia?

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

    To a certain extent, anesthesia has already become relatively automated. Time was the CRNA had a finger on the temporal pulse, did manual BP's and poured anesthetic out of a can onto a gauze frame...

  3. Need input! Whats your experience with critical thinking?

    offlabel replied to gromit1084's topic in Critical Care

    The nursing model of education does not lend itself to "critical thinking". It is a reactive, wait for orders, check the orders mentality that is bound to care by policy. That isn't always a bad thing...

  4. Active Duty CRNA v Guard , HPSP, and Autonomy

    offlabel replied to silvrsnoflake's topic in Government, Military

    Big difference in "autonomy" in the civilian world and "stateside" military facilities. Military patient population is largely young and fit and not having the "big three" type procedures (vascular,...

  5. Best choice for emergent desaturation in COPD

    offlabel replied to CraftyKitten's topic in Medical-Surgical

    Hand ventilate with wall O2, call code blue, have charge RN check code

  6. Nitro tubing for Nitroglycerin and propofol

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

    Never heard of using nitro tubing for propofol. Do for

  7. This is becoming boring

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

    3 years isn't a long time at all and saying anesthesia is boring in the same breath as saying you like Endo anesthesia is kind of like saying baseball is boring but you like watching paint dry. Not...

  8. Disposable Bronchoscopes

    offlabel replied to Overtime Mom's topic in Critical Care

    Compared to FOB's I really don't like them. Any debris, secretion or blood in the airway and you most times have to come out and clean the lense. Real FOB's that isn't necessarily true. Also the image...

  9. Question about change in Coumadin dose

    offlabel replied to Debhil50's topic in Patient Medications

    Ahhh...punishing "errors"....and people wonder why nursing is in the state it is and why advanced practice is such draw for people that possess the chops to leave the bedside. Carry

  10. Trump Admin Will Protect Health Workers Who Refuse Services On Religious Grounds

    offlabel replied to herring_RN's topic in U.S. Politics's Talk Politics

    Johns Hopkins I think was the only place that was doing that kind of procedure in the late 70's. They stopped because they were not seeing the psychological results they were hoping for as I remember....

  11. COPD and O2

    offlabel replied to Dcsobe's topic in Pulmonary

    So, as an RT, could you explain for us the physiologic reason "retainers" don't do well with "too much" oxygen? Maybe if the RN's understood that they wouldn't drive you nuts. Also, could you explain...

  12. School Shooter Contingency Plans

    offlabel replied to heynurse1996's topic in School

    Shoot back? Kinda cracking wise...kinda

  13. Preventable Medical Error 3rd leading cause of death

    offlabel replied to guest7/31/17's topic in Activism, Healthcare

    If we can put aside the hysteria for a moment and consider the rest of the story...

  14. Trump Admin Will Protect Health Workers Who Refuse Services On Religious Grounds

    offlabel replied to herring_RN's topic in U.S. Politics's Talk Politics

    Expressing ethical objections to participation in gender reassignment procedures does not mean an individual is mean, bigoted or hateful. It doesn't even have to be religious. It is an intellectual...

  15. Trump Admin Will Protect Health Workers Who Refuse Services On Religious Grounds

    offlabel replied to herring_RN's topic in U.S. Politics's Talk Politics

    I suppose it depends on who is doing the "pestering". But you're right, forcing that person to perform that procedure would be illegal and

  16. Paced and Vtach

    offlabel replied to FWRNCA's topic in Cardiac

    As always...it depends. "Runs" of v-tach shouldn't be ignored unless it is some known baseline for the patient that does not cause instability and is not due to some correctable problem like a...

  17. CARE PLAN HELP

    offlabel replied to Mmathieson07's topic in Nursing Student Assistance

    Plan of care: Norwood Procedure.

  18. Trump Admin Will Protect Health Workers Who Refuse Services On Religious Grounds

    offlabel replied to herring_RN's topic in U.S. Politics's Talk Politics

    When anyone cites a religious objection to anything, the burden is on that individual to actually demonstrate that their religion actually holds that particular position, and has held it as a commonly...

  19. Trump Admin Will Protect Health Workers Who Refuse Services On Religious Grounds

    offlabel replied to herring_RN's topic in U.S. Politics's Talk Politics

    Well conscience rights and religious rights can be distinct entities and it's why these clauses, at least on some statutory levels, are written to accommodate the more vague "conscience" opt out. They...

  20. AF RVR + levophed

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

    If the MAP fell with the Cardizem, you'd just turn up the NE. But if the HR came down, it might all just even out. Odd concern...as far as the amiodarone goes, I wonder if there was a concern about a...

  21. Avoiding versed?

    offlabel posted a topic in Certified Registered Nurse Anesthetist, CRNA

    I've been backing way off of versed for most patients over 50-55 years old. I'm finding that they wake up far more quickly and are more "clear". Other advantages too.... Anyone

  22. AF RVR + levophed

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

    Cardizem...am I missing

  23. Fox News calls CNA a nurse

    offlabel replied to Emergent's topic in Nursing News

    Well....glad we cleared that up...kind of funny how folks get pushed out of shape and question the integrity of news outlets when they have the "inside" knowledge of their own particular profession,...

  24. Experienced CRNA...ask me anything

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

    Not to hard to live better than a grad student with even a modest salary. I don't live like a Saudi prince, but I'm free to pursue my leisure interests pretty freely while meeting my family...

  25. Pacemaker and irregularity?

    offlabel replied to brdavis17's topic in CCU, Coronary, Cardiac

    Rate control meds don't permanently cure afib. They just decrease the amount of electricity that makes it to the ventricles from the atria. Extra "beats" aren't necessarily a concern with pacemakers....