offlabel

offlabel

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All Content by offlabel

  1. Pacemaker and irregularity?

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

    It's possible for a patient to have an irregular rhythm with a pacemaker, but unusual. One scenario I can think of is if there is afib with an A-V conduction blockade to one degree or another and...

  2. Experienced CRNA...ask me anything

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

    About 7

  3. Experienced CRNA...ask me anything

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

    1. Yes 2. The self aggrandizement of some (probably the minority) that fuels the political scene, both anesthesiologists and CRNA's. 3. I'm a millionaire with at least 10 years to go. 4. Not planning...

  4. Would you pray with a student?

    offlabel replied to smudges.blips's topic in School

    To Jesus, yes. Ra,

  5. Jack of all trades nurse

    offlabel replied to al3x117's topic in General Nursing

    Seeing and doing "everything" is mutually exclusive of not specializing in anything. Many specialties require significant time and commitment to have any meaningful experience. As mentioned above, a...

  6. Pressors in Surgery Center?!

    offlabel replied to Jen04 nurse's topic in General Nursing

    If you're starting a pressor on a patient with sepsis in an outpatient surgical center PACU, by definition, you've missed

  7. How in the name of God will I write my titles

    offlabel replied to MrsBelle's topic in Doctoral Nursing Degrees

    Of all of the PhD surgeons I've worked with, aside from publishing papers, only one used that title on everything from his lab coat to his locker. Funny you should ask, because I wasn't even thinking...

  8. Please help! ACLS :/

    offlabel replied to jessica1993's topic in General Nursing

    Uninterrupted, early and effective chest compressions is what ultimately saves people that can be

  9. Therapeutic Gossip

    offlabel replied to Davey Do's topic in General Nursing

    Meanwhile, while all of this belly button gazing is going on, someone's reputation is trashed by someone who, if they possessed the discipline, could have just chosen to keep their mouth shut. I think...

  10. Why NP instead of MD, DO, or PA?

    offlabel replied to Loux's topic in Student Nurse Practitioner

    The differences between becoming an advanced practice nurse and applying to, being accepted to medical school and then completing a residency and (nowadays, frequently) a fellowship are not, as the...

  11. How in the name of God will I write my titles

    offlabel replied to MrsBelle's topic in Doctoral Nursing Degrees

    Highest level of cert for your current role, i.e. Joe Smith, FNP. Or Mary Fox, CRNA. Anything more makes you look like a tool to your medical colleagues. But some folks don't mind looking like tools....

  12. Therapeutic Gossip

    offlabel replied to Davey Do's topic in General Nursing

    Great examples of rationalization of self gratification through gratuitous judgementalism. It's all justified until someone has the unmitigated gall to gratify themselves at our expense. Then it...

  13. Disappointed

    offlabel replied to CardiacDork's topic in Advanced Practice

    What about the poor patients? Don't they

  14. Does Death Have A Smell?

    offlabel replied to AngelfireRN's topic in General Nursing

    Short decomposition, death does not have a smell. The things that cause death

  15. Unethical nursing behaviour (OR)

    offlabel replied to callmetarah's topic in General Nursing

    After 4 hours of surgery under GA without a foley and enough IV fluid, patients can very well be incontinent of urine by the end of the case. Urinary retention after spinal anesthesia is very common,...

  16. Meperidine (Demerol) or Morphine for pancreatitis patients?

    offlabel replied to Shell120's topic in Pain Management

    But the glucagon is given after the narcotic so you might be treating something other than sphincter pain and it magically "resolves" after the glucagon. And everyone says "it was Oddi

  17. Meperidine (Demerol) or Morphine for pancreatitis patients?

    offlabel replied to Shell120's topic in Pain Management

    Typical BS question written by nurses so far removed from clinical reality they wouldn't know the diff b/t pancreatic dysfunction and gall bag dysfunction. Give morphine, for the purposes of this dumb...

  18. Do Nurse Practitioners get drug tested?

    offlabel replied to Emergent's topic in General Nursing

    Contract anesthesia provider here...the hospital tried to make our group submit to random u/a but we said "get bent" (our legal counsel, anyway) and they backed down. Now the agreement is for probable...

  19. clinical instructor versus didactic instructor pay

    offlabel replied to poopylala's topic in Nursing Educators, Faculty

    That's the difference between advanced practice and nursing. There is a greater degree of professionalism where a sense of obligation rather than a carrot on a stick is enough to want to advance the...

  20. What is the funniest thing a doctor has said to you?

    offlabel replied to jodispamodi's topic in Nursing Humor

    Funniest or stupidest? Either way, it was "I'll have your job for that!" He doesn't work at my hospital anymore and I still do,

  21. Best computer for CRNA school?

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

    Like most "either or" choices in anesthesia...it doesn't matter. Kinda like a DNP. Just get

  22. OHSU CRNA 2018

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

    OHSU SRNA's are usually in their late 20's, early 30's, meaningful CC experience or very extensive emergency experience and have have significant or meaningful life experience (military, overseas...

  23. clinical instructor versus didactic instructor pay

    offlabel replied to poopylala's topic in Nursing Educators, Faculty

    As an advanced practice clinical instructor, I get exactly 0 dollars, but I do get the privilege of ensuring that the individuals that replace me are as competent as I

  24. Patient awareness on end of life morphine gtt

    offlabel replied to babygrace1's topic in Pain Management

    Ughhhhh....for your loss, as a parent, I grieve with you. The answer to your question is yes...it is possible. But the nature of narcotics is that the recipients don't process discomfort despite being...

  25. Surgical attire

    offlabel replied to Rnrand's topic in Ambulatory Care, Clinic

    I bet they'd let Grizzly Adams, beard and all, into the OR as a patient without all of that AORN BS. And that's without a mask. Why is that? Just for fun, watch a video of a surgical procedure in the...