offlabel

offlabel

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All Content by offlabel

  1. Is getting your DNP worth it?

    offlabel replied to brookeg30's topic in Doctoral Nursing Degrees

    If a good deal is what you're after, a DNP has nothing to do with it. My partner has a BSN and certificate in anesthesia, works 20-30 hours a week and has 15 weeks a year off and takes >200K. And...

  2. General, Spinal, blocks, oh my 411 please

    offlabel replied to tsm007's topic in Certified Registered Nurse Anesthetist, CRNA

    Well, that's the thing...what is in the "cocktail" determines the length of the block. Knowing this can help anticipate a window for when the patient will begin to hurt. Plain bupivacaine These are...

  3. Any truth to this story?

    offlabel replied to Faster's topic in Nursing News

    I specifically remember the same thing happening at a trauma center where I worked. The patient was dead and lying in the trauma room for transport to the morgue. He had died from a sudden and total...

  4. General, Spinal, blocks, oh my 411 please

    offlabel replied to tsm007's topic in Certified Registered Nurse Anesthetist, CRNA

    Very generally if a peripheral n. block is going to be used by the surgeon for post op analgesia, it is for a knee procedure (i.e. ACL, TKA) and it is most usually done with a spinal or general...

  5. General, Spinal, blocks, oh my 411 please

    offlabel replied to tsm007's topic in Certified Registered Nurse Anesthetist, CRNA

    https://www.youtube.com/watch?v=aiW_rQRKpnwAn adductor canal

  6. Police Barred from Contact with Utah Hospital Nurses after Appalling Arrest

    offlabel replied to tnbutterfly - Mary's topic in Nursing News

    This is paternalistic and unprofessional. The suggestion that nurses are unable to cope with the stress of dealing with other emergency professionals as a result of this one isolated rogue event is...

  7. It's not my job to pray with you.

    offlabel replied to kickatthedark's topic in Spirituality, Religion

    When I was a PICU nurse, I took care of an incredibly developmentally advanced 2.5 year old in renal failure on the transplant list. It was around 2 in the morning and she was awake and scared and...

  8. Suicide Policy

    offlabel replied to janetpa's topic in School

    Not

  9. Plavix Washout

    offlabel replied to guest2117's topic in CCU, Coronary, Cardiac

    Absolutely correct. And therein lies the distinction. The "washout" of volatile anesthetics occurs from turning off the vaporizer, turning up the oxygen flow thereby "washing out" the gas. It involves...

  10. Plavix Washout

    offlabel replied to guest2117's topic in CCU, Coronary, Cardiac

    We hold Plavix, Coumadin, DTI's and XAI's for elective surgery. I've just never heard the term. It isn't used much, as you say, because it inaccurately implies some external process (wash out), and...

  11. tips and tricks for difficult IV starts?

    offlabel replied to amzyRN's topic in Emergency

    The closer the tip of the catheter is to the point at which it entered the vessel, the sooner the IV will fail. Your u/s guided IV failure rate is because the veins that are being accessed are too...

  12. tips and tricks for difficult IV starts?

    offlabel replied to amzyRN's topic in Emergency

    Ultrasound

  13. Plavix Washout

    offlabel replied to guest2117's topic in CCU, Coronary, Cardiac

    I work in cardiothoracic surgery and I've never heard that term

  14. Support Planned Parenthood Today!

    offlabel replied to elkpark's topic in Activism, Healthcare

    She was letting people die of cancer? As to CA screeing (and womens health too for that matter) Medicaid clinics, county health clinics and free medical clinics dwarf what PP does in that regard. It...

  15. Best books/resources to keep in your office

    offlabel replied to elizabell's topic in Advanced Practice

    Google.

  16. Experienced CRNA...ask me anything

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

    A young musician was on his way to a show in New York City and got lost. There was a cab waiting at the curb so he went up to the open passenger window to ask the cabbie directions. "Could you tell me...

  17. ECMO: Most Advanced ICU Technology?

    offlabel replied to CVVH's topic in Critical Care

    Well, ECMO is too "advanced" for the ICU RNs where I work...the perfusionists run

  18. ECMO: Most Advanced ICU Technology?

    offlabel replied to CVVH's topic in Critical Care

    You can say that the only patients sicker than ECMO patients are dying and can't be helped by

  19. Video RN screaming, dragged into police car d/t refused blood draw on unconscious patient!

    offlabel replied to SummitRN's topic in General Nursing

    Because interfering with a LEO in the commission of his duty because of a real or perceived mistake is a felony. Hospital security were correct in allowing the detective to make his arrest. As it is,...

  20. Do I Measure Up? CRNA Application

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

    An online FNP program? Graduate degree? Sounds like you're on track to finishing that? If you're far enough invested, that'd be a good idea. The anesthesia students I've come in contact with...

  21. CRNA vs AA?

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

    Any non physician anesthetists, whether individually or corporately, one day realize they don't need to have their hand held by a doctor to do anesthesia. CRNA's knew that very early on and AA's are...

  22. An amazing CULT-ure: Crossfit...Good or bad?

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

    A cross-fitter walked into a bar...How do I know? He told

  23. CVVHDF for clearing Lactic Acid

    offlabel replied to MICURN5280's topic in Critical Care

    MD ordered Lactated ringers for fluid boluses. Ive heard it both ways its ok to give in lactic acidosis its eventually converted to bicarb w normal liver fxn. And its NOT okay to give in lactic...

  24. Hemiplegia after BP reduction

    offlabel replied to zzyzx's topic in Emergency

    The choice of agent is important too. Routine practice decades ago was SL nicardipine for severe or symptomatic HTN. What the OP describes would happen not infrequently sometimes due to an occult...

  25. IABP Alternative

    offlabel replied to HeliKel's topic in Critical Care

    Start some dobutamine then some vasopressin to counteract the drop in SVR then NE to add some inotrope in the presence of the rise in afterload then add some epi because the CO will probably fall from...