offlabel

offlabel

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All Content by offlabel

  1. PICU patient returning or going straight to PICU versus PACU

    offlabel replied to debberslnc's topic in PICU, Pediatric

    Ordinarily, an extubated adult that is headed for the ICU is better off going to the PACU because that's where anesthesia is. Emergencies and returns to the OR are a lot easier handled when...

  2. How much was your student loan total after graduating CRNA school?

    offlabel replied to reach4dstars's topic in Certified Registered Nurse Anesthetist, CRNA

    17,000....wife worked 3/4 time. I got a stipend that paid for rent. Modest savings. Didn't go to a school that cost

  3. ACNP Transition to CRNA

    offlabel replied to CCNP-FL's topic in Student Registered Nurse Anesthetist

    You'd be a real rock star...hope you do

  4. Nurse opinions on "Birth Rape"

    offlabel replied to EKUGRAD's topic in Ob/Gyn

    Why is emergency during childbirth a special situation? Emergency surgery carries the risk of awareness and recall under anesthesia, and that has never been labeled as "rape". It entails great...

  5. How much a CRNA really makes ?

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

    [quote name= I was making more as a nurse in Wisconsin.CRNAs are doomed from now on.[/quote] Well, at least the ones in Florida. Can't say it's really surprising. I'd

  6. Emergency Titration Protocol ?

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

    Sounds like a code. 44/20 with a HR = PEA (not guessing you could've found a pulse with that, especially on ECMO) You didn't say A-V or VV, but it doesn't really matter. Should have something on hand...

  7. All CRNA Schools website promoting AAs

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

    This lacks any indicator of insight into the anesthesia world at all. Would that it was as simple as "pushing propofol". As to the second line, the vast majority of AA's would recoil in horror at...

  8. Calcium Chloride vs Calcium Gluconate

    offlabel replied to Manurse715's topic in CCU, Coronary, Cardiac

    Except when all you have is a peripheral

  9. What is your favorite brand of IV catheter?

    offlabel replied to agilemidwife's topic in Emergency

    good old fashioned Angio-Cath. Best there ever

  10. Staff resistant to change - why?

    offlabel replied to Kim2020's topic in Patient, Colleague Relations

    Where the change has no basis in science whatsoever, where it is applicable to very specific circumstances but it enforced broadly and without discretion, where the group responsible for the change is...

  11. Understanding different gtts for sedation: Propofol vs Precedex vs Versed vs Fentanyl, etc

    offlabel replied to Catticus11's topic in Critical Care

    Not nearly expensive as being intubated in the

  12. PACU words of wisdom.

    offlabel replied to beachlove's topic in PACU

    I'll chime in. Things to avoid: Giving more oxygen to a post anesthesia patient who's O2 sat is falling. Putting intraoperative blood pressure into the context of the PACU setting (they're...

  13. Fluid Resuscitation for Renal Failure/CHF

    offlabel replied to FazzDazzle's topic in Critical Care

    What "broad screening tools" do they specifically refer to? Mind sending a link along? I find it interesting that they assume that an ultrasound machine with people to stand around and man it are...

  14. Fluid Resuscitation for Renal Failure/CHF

    offlabel replied to FazzDazzle's topic in Critical Care

    It doesn't have to be guess work at all. Dynamic assessment of fluid responsiveness has received a lot of attention in the last decade and have really increased our understanding of how to decide when...

  15. Lidocaine infusion for pain

    offlabel replied to nurse2033's topic in Emergency

    Yes, the issue is prescription narcotic use, but the vast, and I mean vast, majority of the "problem" prescriptions are not written from the ER. It's PCP's from this or that clinic or office. To...

  16. so... i assisted in a code today... BUT

    offlabel replied to sickonXmas's topic in Patient, Colleague Relations

    Just a thought that may or may not apply here... a code in a patient care area is most usually a very crowded affair, as in, a circus. I have never ever seen one without enough people, to the...

  17. New Grad Fellowship OR program 3 year contract vs tele job no contract

    offlabel replied to SAS2016's topic in Operating Room

    So, they (disingenuously and inaccurately) use the term "fellowship" as a way to make a three year binding contract look like you're getting something special, when in fact, they are. That they do...

  18. Lidocaine infusion for pain

    offlabel replied to nurse2033's topic in Emergency

    I think the nitrous makes less sense than the lidocaine. The goal is to move the patient along asap, but the nitrous is gone as soon as the mask is removed. You'd just have to start all over. What is...

  19. New Grad Fellowship OR program 3 year contract vs tele job no contract

    offlabel replied to SAS2016's topic in Operating Room

    What is a fellowship for a new grad RN? An orientation followed by a job? What does "fellowship" mean

  20. Patient's family in denial

    offlabel replied to standardprecautions's topic in General Nursing

    Saying that someone is in denial implies that they are being irrational on some level and might be dismissive of their perception of the situation. Is it denial or have they never seen someone die...

  21. Lidocaine infusion for pain

    offlabel replied to nurse2033's topic in Emergency

    It's an adjunct to a multi-modal approach to pain management. For acute pain, IV lidocaine is about as useful as giving the patient soothing music thru head phones. Now, if you add IV Tylenol,...

  22. when is the best time to do ECG for dialysis patient

    offlabel replied to uae808's topic in Dialysis, Renal, Urology

    OK, fair enough...that's a good an opinion as any, but still, is it going to make so much of a difference that progressive diseased would be missed? Lead placement could muddy things as much. I just...

  23. when is the best time to do ECG for dialysis patient

    offlabel replied to uae808's topic in Dialysis, Renal, Urology

    1. Which is why EKG's are only one piece of the exam. 2. The probably knew it wasn't an MI before they got the troponin back because the K comes back sooner. dialysis patient complaining of CP and...

  24. when is the best time to do ECG for dialysis patient

    offlabel replied to uae808's topic in Dialysis, Renal, Urology

    So, after dialysis the patients commonly measured electrolytes will be normal, in other words. And before dialysis they won't be. So get the EKG before dialysis? To not avoid electrolyte disturbance...

  25. Case Review: 77 y.o. with acute respiratory failure previously discharged with PNA

    offlabel replied to Catticus11's topic in Critical Care

    Isn't EBUS more for lymph node biopsy? Lung tissue biopsy usually a wedge of distal lung