offlabel

offlabel

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All Content by offlabel

  1. 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...

  2. 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

  3. 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...

  4. 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...

  5. 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...

  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

    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...

  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

    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...

  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

    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...

  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

    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....

  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

    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

  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

    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...

  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

    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...

  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

    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

  14. 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

  15. 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...

  16. 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

  17. 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

  18. Post doctoral CRNA certification programs?

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

    The 'DNP' has nothing meaningful to add to the core anesthesia specific coursework, I.e., it is entirely conceivable that work done to that end in another nursing emphasis could look identical to that...

  19. High acuity Neuro ICU

    offlabel replied to anesthegia's topic in Neuro Intensive Care, ICU

    If that isn't clear enough...can't help

  20. High acuity Neuro ICU

    offlabel replied to anesthegia's topic in Neuro Intensive Care, ICU

    Her comment should scare you a little. You have a manager that has no idea what the actual, practical day to day bedside practice differences are in a neuro ICU for level I and II trauma...

  21. Fluid Management During shortage

    offlabel replied to MCHRN13's topic in Operating Room

    And when all else fails, use common

  22. Help! Masking Wound Smells?

    offlabel replied to seeConnienurse's topic in Wound, Ostomy, Continence

    Peppermint oil seems to be popular. I'd be surprised if the clinic doesn't have something like that already. She'll get used to it, but in the meantime just tell her to breath through her mouth when...

  23. Post doctoral CRNA certification programs?

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

    That would assume that the accrediting body for nurse anesthesia training, the NBCRNA, which is basically a front for the AANA, was indifferent to the content of it's DNP requirements which service a...

  24. Students who have diarrheal issues in their clothes

    offlabel replied to SKSmith's topic in School

    'Liability' has been used for all kinds of ways to avoid exerting any effort at all. Now it seems as Covid is being used in the same way. And if risk of Covid exposure/transmission is a concern in...

  25. New grad job dilemma

    offlabel replied to Sunnyking12's topic in Nurse Practitioners, NP

    ...and the