offlabel

offlabel

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All Content by offlabel

  1. Job Advice

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

    You're already over your head. 280K what? 1099? W-2? Retirement? Pension? Buy in for a partnership? Paid time off? Post call days? Profit sharing? These are basic questions and reducing a decision...

  2. Anesthesia consent

    offlabel replied to NewORnurse12's topic in Operating Room

    When the patient signs the consent, the implication is that it is informed consent which means the questions, if any, are answered. Again, As long as the anesthesia provider documented on the record,...

  3. DNP vs MD/DO

    offlabel replied to DrZaphod's topic in Doctoral Nursing Degrees

    If this is the training where you are, there's a problem with the training. Whether it is the endoscopists that are too heavy handed or the anesthesia department is. With a skilled endoscopist, there...

  4. DNP vs MD/DO

    offlabel replied to DrZaphod's topic in Doctoral Nursing Degrees

    Outcome studies...what does that mean? I really don't have the interest in wading through stacks of papers because I really don't care that much, but for those that do...do the "outcomes" vary with...

  5. Anesthesia consent

    offlabel replied to NewORnurse12's topic in Operating Room

    The patient signed the consent (not that that would probably make a difference in the end, either) and the CRNA on the record was the one that got the consent and gave the sedation if there was a...

  6. Jehovah's Witness and Blood Refusal in OR

    offlabel replied to sugarik13's topic in Operating Room

    They're going to need that community after they've had their stroke. But that's their call. The best we can do is be very sure they understand the

  7. Jehovah's Witness and Blood Refusal in OR

    offlabel replied to sugarik13's topic in Operating Room

    I'm always very clear and specific about exactly what the patient will and won't accept, ie, albumin, ffp, cell saver etc. It does vary from time to time. What I'm also very clear about is that death...

  8. Crushing nitro on right side STEMI!

    offlabel replied to Banana nut's topic in General Nursing

    Good point, as usual...you're really a credit to this site... anyway... STEMI is such a misnomer and leads to confusion. RCA ischemia can lead to profound ST elevation in the anterior leads (as well...

  9. Crushing nitro on right side STEMI!

    offlabel replied to Banana nut's topic in General Nursing

    Here's why NTG is not a good idea when the RV is ischemic from RCA occlusion. Perfusion from the aortic root down the RCA occurs over systole and diastole (unlike the left main where it is only...

  10. Anesthesia

    offlabel replied to Scub73's topic in Operating Room

    It's a maneuver called Sellick's maneuver or just "cricoid pressure". But very few people do it the way it is "supposed" to be done, it makes intubation harder and more dangerous and there is no...

  11. Anesthesia for CPR

    offlabel replied to Rinto's topic in Critical Care

    Not that common for this to happen and to have a "protocol" for something like that seems dicey to me. I'd be more concerned that the concern would be more getting the patient sedated than being sure...

  12. Brave or just stupid?

    offlabel replied to Polly Peptide's topic in Nurse Practitioners, NP

    "Oh the places you go" "Congratulations! Today is your day Your off to grate places your off and away You have brains in your head You have feet in your shoes You can steer yourself In any...

  13. Is it customary where you work to recheck BPs manually?

    offlabel replied to klone's topic in General Nursing

    I don't know if it's policy anywhere, but it is common sense to recheck it on the same arm, different arm, etc. I don't see a manual cuff being any more accurate than an automatic one as they're...

  14. Moderate (Concious) Sedation by RT?

    offlabel replied to OkieICU_RN's topic in MICU, SICU

    Having an RN give sedation is no guarantee of safety either. It's up to the practitioner that is ordering the sedation to be sure that the person actually giving the medicine is competent, whomever...

  15. Circulator Presence on Induction?

    offlabel replied to Dielsh's topic in Operating Room

    I had the anesthesia aide in the room becasue I anticipated a difficult airway, which I mentioned during the timeout. During induction I may need someone to make a phone call or act as an additional...

  16. Fidget Spinners

    offlabel replied to MHDNURSE's topic in School

    My kid has one for

  17. Brave or just stupid?

    offlabel replied to Polly Peptide's topic in Nurse Practitioners, NP

    I'm an APRN myself, so it's not as if I'm crowing about it, but no, I'm not insinuating PA training is better, I'm stating it directly. I work with both PA's and NP's and as unpopular as it sounds,...

  18. Brave or just stupid?

    offlabel replied to Polly Peptide's topic in Nurse Practitioners, NP

    I think the idea of the advanced practice nurse is predicated on the experience that nurses bring being taken to the next level. The paradigm falls apart if that backround is lacking. Otherwise you...

  19. Insulin/Hypoglycemia question...

    offlabel replied to Philly85's topic in General Nursing

    Philly85, this is a great, insightful question. Good job. The answer has to do with the way the central nervous system utilizes glucose. It isn't dependent on insulin like other tissues are (muscle,...

  20. CCU at a Specialty Hospital

    offlabel replied to 200joules's topic in Student Registered Nurse Anesthetist

    Is this a post surgical ICU? Then yes, do that. BTW, you can be competitive at some programs if you have a

  21. My Mom passed away. Did I do the right thing?

    offlabel replied to LovingMom1's topic in General Nursing

    It is a rare privilege to care for your mom to the point of death. So few of us get that. You returned to her the unconditional love she gave to you as a child right up to the point of her death. Do...

  22. Religious Dilemma?

    offlabel replied to Avid reader's topic in Spirituality, Religion

  23. Chloraprep reuse for IV insertion

    offlabel replied to TXAZRNED2017's topic in Infectious Disease

    There are many single use procedural trays that are just not used that way at all in day to day practice. Contents (needles) in central line trays, epidurals, arterial line trays etc are not thrown...

  24. Religious Dilemma?

    offlabel replied to Avid reader's topic in Spirituality, Religion

    So the only intolerance is toward Muslims and whomever doesn't watch Fox or didn't vote for DJT? Spare me. Ignorance knows no bounds. I've been physically attacked by patients for having white skin,...

  25. Religious Dilemma?

    offlabel replied to Avid reader's topic in Spirituality, Religion

    Muslim, white boy, gay, just a girl, Christian....people don't change their stripes because they get sick and come to the hospital. The point here is what? Be a professional, set firm limits and do...