offlabel

offlabel

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All Content by offlabel

  1. 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...

  2. 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...

  3. 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

  4. 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...

  5. CRNA - insights and/or experiences

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

    PM me with questions if you'd

  6. 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...

  7. 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...

  8. 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...

  9. 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

    Learning the culture of critical care, the 'chain of command', savy as to how to get things done, ie, maybe interacting with lab, BB, pharmacy etc...it's more intense and sustained in a CC area than...

  10. 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

    So what is it? Is experience worth something or isn't it? Gotta choose one or the other or the narrative unravels pretty

  11. 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

    AA's can't practice independently because it's against the law, not because they lack the ability...your defense of the narrative is impressive...and the contradictions come fast and furious...most...

  12. 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

    They hire new grads that are as close to a sure thing as they can. But the field is limited and by no means universal...that's the point. Of all the SRNA's I've helped train since our group started 12...

  13. 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

    By that logic, using a survey from CRNA's in independent practice to demonstrate that supervision is not needed is silly too...Using surveys to determine policy is silly. Using anecdotes, broad...

  14. 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

    This statement demonstrates my point. The condescending attitude that is tacitly endorsed by the AANA. CRNA's that work in ACT settings are somehow less relevant and not practicing at the 'top of...

  15. 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

    Yeah, I don't disagree. I was looking at a reddit thread and someone asked how much folk's ICU experience impacted their anesthesia job...Mine did tremendously, but I did liver transplant, tons of...

  16. 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

    Every single point, besides our ICU requirement, is a broad generalization. Out of the 141 accredited CRNA programs in the US, there is no way anyone could make the claim that the training is as...

  17. 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

    Same can be said for AA's? PA's are now rattling their cages for more (if not complete) independent practice and it's not outside the realm of possibility that AA's could try it as well down the road....

  18. 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

    Professionals wouldn't be able to look at conversations on clinical topics and determine their level of sophistication and relivancy? That would be pretty weak if

  19. 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

    Again, devil's advocate...look at the clinical discussions in anesthesia professional forums. How do you rate the quality and sophistication of one v. the other? Not a randomized DB study, but for...

  20. 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

    Now we're getting into the weeds...the fight in CC isn't who 'gets' to do it, rather who will do it because 'I don't want to'....CRNA's do L and D all day, every day by ourselves. Appendices, gall...

  21. 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

    Playing devils advocate here...how do you answer the objection that care teams most usually operate in higher complexity, tertiary settings so it's not apples to

  22. I want a future where all nurses have science degrees and are not mean girls

    offlabel replied to RitzyCinnamonRoll's topic in Crusty Old Bats's Chatter

    Salami

  23. I want a future where all nurses have science degrees and are not mean girls

    offlabel replied to RitzyCinnamonRoll's topic in Crusty Old Bats's Chatter

    Well, for starters, a philosophy 101 course is based on millennia of vetted human intellectual capital and critical thought and gender studies have developed out of ideologies that haven't been around...

  24. I want a future where all nurses have science degrees and are not mean girls

    offlabel replied to RitzyCinnamonRoll's topic in Crusty Old Bats's Chatter

    Not understanding something doesn't mean it's ignorant. Common mistake, and it really just demonstrates the point....so, there's

  25. I want a future where all nurses have science degrees and are not mean girls

    offlabel replied to RitzyCinnamonRoll's topic in Crusty Old Bats's Chatter

    Should have started worrying when Philosophy 101 was replaced by Gender Inclusive Studies for required core