offlabel

offlabel

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All Content by offlabel

  1. Opinions on ACT model?

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

    Direction or

  2. Swan-Ganz Usage

    offlabel replied to Cvepo's topic in Critical Care

    I'd argue that the co-morbidities would need to be more than "some". Remember that "some" co-morbidities go away with a competent repair. Now, if your surgeons are just

  3. Swan-Ganz Usage

    offlabel replied to Cvepo's topic in Critical Care

    I'm not interested in surveys as they have nothing to do with 30, 60, 360 day (whatever) morbidity and mortality. Neither should any APRN be. The modifier "certain patients" indicates agreement with...

  4. Opinions on ACT model?

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

    Which type of ACT

  5. First Lidocaine gtt

    offlabel replied to Catticus11's topic in CCU, Coronary, Cardiac

    You probably "auto-corrected" lithium for lidocaine, I'm guessing, and if by 7 you mean a lidocaine serum level of 7 mcg/ml, you'd expect to see symptoms of lidocaine toxicity. Therapeutic range runs...

  6. If you became CRNA for the money did you end up......

    offlabel replied to paramedic-RN's topic in Certified Registered Nurse Anesthetist, CRNA

    Yeah.... no.... not the way it

  7. Swan-Ganz Usage

    offlabel replied to Cvepo's topic in Critical Care

    Sure there are, but at the end of the day, the outcomes are no different without pa catheters in those situations. If a patient only "needs" a pa catheter for 12 hours, he never really needed

  8. Swan-Ganz Usage

    offlabel replied to Cvepo's topic in Critical Care

    This kind of makes the point. There is no problem that a PA catheter will be useful for that will go away within 12 hours of admission to the unit. Begs the question of why they're placing them at...

  9. If you became CRNA for the money did you end up......

    offlabel replied to paramedic-RN's topic in Certified Registered Nurse Anesthetist, CRNA

    How does this

  10. If you became CRNA for the money did you end up......

    offlabel replied to paramedic-RN's topic in Certified Registered Nurse Anesthetist, CRNA

    I don't fit into that category, and please don't think I'm trying to be a tool, because I'm not. That said, I know plenty of CRNA's that did go into it just for the money and they're to a person lousy...

  11. Delayed Sternal Closure?

    offlabel replied to TX911's topic in CCU, Coronary, Cardiac

    Your chest is the equivalent of a baseball signed by Cy Young and Honus

  12. Job hunting...

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

    This^^^. Find out the names of the department chief, the president of the physician group that contracts with the hospital and the chief CRNA and send all of them a cover letter and a CV. Avoid "HR"...

  13. What can still happen while a person is braindead?

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

    You want to know if a few of your several deceased family members this year that were declared brain dead can have an erection? Moderators, call your

  14. Camp nursing?

    offlabel replied to iansmom's topic in Camp

    Getting kids their meds, especially antidepressants/antipsychotics, can be like herding cats. If they don't come to you, you need to find them. Stuff like that. Being prepared and trained to deal with...

  15. Role of Epinephrine in ACLS

    offlabel replied to Catticus11's topic in CCU, Coronary, Cardiac

    We have both in our OmniCell (Pyxis

  16. Role of Epinephrine in ACLS

    offlabel replied to Catticus11's topic in CCU, Coronary, Cardiac

    It was more dumbing down of the guidelines than refrigeration. Mine is just in the

  17. Role of Epinephrine in ACLS

    offlabel replied to Catticus11's topic in CCU, Coronary, Cardiac

    Taking vasopressin out of the guidelines was dumb. I'm glad I don't need to use the

  18. Swan-Ganz Usage

    offlabel replied to Cvepo's topic in Critical Care

    Data derived from PA catheters, unless used for a specific purpose such as PHTN don't improve outcomes, introduce another level of risk and are inferior to other indices of volume responsiveness such...

  19. Your impression of a nurse working on an ambulance

    offlabel replied to ClayH's topic in General Nursing

    Ambulance crews don't get a lot of respect no matter who they are. They are safe targets for people that are targets of someone else. If you derive satisfaction from deference from other medical...

  20. are you guys exhausted after your shift?

    offlabel replied to _zoubisoubisou_'s topic in Psychiatric

    A 12 hour shift is exhausting, but if you enjoy what you do, it shouldn't be incapacitating. Just to make sure you've covered all of your bases, you ought to rule out some sleep disorder like OSA that...

  21. Flotrac Sensor

    offlabel replied to Catticus11's topic in MICU, SICU

    The anesthesia department might know a thing or two about trauma...that there is an "us v. them culture" in your program doesn't bode well for patients there. Excellent trauma care is a...

  22. What do you sign?

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

    When I actually used to use a pen, last name only. With epic, the system just stamps me Offlabel Nurse

  23. 1099 vs w2

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

    Just my retirement and family med/dent coverage is nearly 50K/year. That doesn't include Social Security, malpractice insurance, disability insurance or life insurance. Nor does it include federal or...

  24. Biochemistry requirement through UC Berkeley

    offlabel replied to Critcarern91's topic in Student Registered Nurse Anesthetist

    Did it (115). Brutal course. Definitely a weed out class. If you're motivated and smart, you can do it. General organic is good background for the pharm classes. If I had to pick one it'd be gen'l...

  25. Flagged FBI Report

    offlabel replied to Cami28's topic in Licensure: Criminal History

    If your PD telling you not to worry doesn't help, how will anonymous responses from the