offlabel

offlabel

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All Content by offlabel

  1. Helping patients kill themselves

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

    The European model of Euthanasia/assisted suicide is being defined primarily in the Netherlands, Switzerland and Belgium. There are others, but these are the big three, I think. There are provisions...

  2. Define this

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

    Is it necessary to qualify and validate every statement in a conversation with a reference to a paper? I think that, in advanced practice anyway, there should be the assumption that those things have...

  3. Define this

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

    About induction agents for cardiac anesthesia? What it has stated for the last 25 years at least about induction of anyone, which is that, on balance, there is no single best way to do a GA. There...

  4. Define this

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

    But for cardiac specific cases..."narcotic" inductions have been kind of the gold standard. I agree with the target HR/BP, but that's a good goal for almost any GA induction, especially of 3's and...

  5. Helping patients kill themselves

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

    1. Want an abortion? Ask someone else to help...don't force me. 2.Want to commit suicide? Knock yourself out...don't make me participate. 3. As for "choice", when someone has to change jobs because...

  6. Helping patients kill themselves

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

    The problem is that there are those in positions of great influence that conflate practitioners unwillingness to participate with a threat to a legal option. The reasoning goes that as long as there...

  7. Helping patients kill themselves

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

    Glad you feel that way...hope you're the one that will make that policy, but I'm going to guess you won't be. BTW, for anesthesia providers unwilling to provide abortion procedures in many health...

  8. Helping patients kill themselves

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

    Allowing to die and bringing about death are very different things. As to the "don't impose your values" canard on those that have an ethical objection to euthanasia and abortion, I'd ask the same of...

  9. America, party of 2

    offlabel replied to Cwoods's topic in U.S. Politics's Talk Politics

    Then why did you cry? I think that all of the handwringing (and rioting) is because folks don't understand what powers a POTUS has and does not have. He can cause inconveniences and annoyances, but...

  10. America, party of 2

    offlabel replied to Cwoods's topic in U.S. Politics's Talk Politics

    Well, way more Russians speak English than the other way

  11. Need experience/training with IVs

    offlabel replied to runner502's topic in Infusion, Intravenous

    If you are currently employed at a hospital with a pre-op holding area, talk to the nurse manager and very politely ask if you could come in on your days off to start IV's for patients coming to the...

  12. CNS to CRNA - Thoughts?

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

    Run, don't walk to the best school you can

  13. Graduate level Nursing Theory and Research courses

    offlabel replied to CICU848's topic in Student Registered Nurse Anesthetist

    Check with Wake Forest...they do some online

  14. Parents in the operating room

    offlabel replied to dimanzella's topic in General Nursing

    Parents coming to the OR for routine elective stuff in children's hospitals is pretty routine these days. Not in small part because of "Child Life" services or departments. The child life specialists...

  15. Thoughts of an ER Tech

    offlabel replied to vregino36's topic in Emergency

    Only one RN acts this way (probably not just to techs) and everyone gets a scolding? I'll bet the nurses there have a list of do's and don't's

  16. Adult Cardiac or Children's Cardiac

    offlabel replied to jsy16's topic in Cardiac

    The intensity of your learning environment will be higher in the peds cardiac ICU. You'll learn a lot in a relatively short period of time. But...there will be very little cross over to adult cardiac...

  17. Albumin administration rate and IV tubing

    offlabel replied to arms's topic in Medical-Surgical

    Albumin is not considered a banked blood product, rather, in most places, it comes from pharmacy. Admission consent covers it just like it covers any other medicine or IV. The patient is consenting to...

  18. Help RE: IABP

    offlabel replied to nurs1ng's topic in CCU, Coronary, Cardiac

    The terms "root line" and "arterial line" are sometimes used synonymously. The very tip of the balloon catheter has a hole in it and that is where the pressure is measured. Patients very often have a...

  19. Should I become a certified registered nurse anesthetist?

    offlabel replied to kyle.lee's topic in Student Registered Nurse Anesthetist

    Why

  20. Help RE: IABP

    offlabel replied to nurs1ng's topic in CCU, Coronary, Cardiac

    The tip of the catheter (the "root" line) should be about 1 cm distal to the left subclavian artery. That is most easily established by echo cardiogram, not sure what other folks do. You transduce...

  21. Foley Cath Insertion

    offlabel replied to sammiesmom's topic in Critical Care

    Especially when it, as a federal bureaucracy, makes broad swathe proclamations about ubiquitous devices employed in an infinite number of applications. Wonder what they'd say about shoving a foley up...

  22. Asthma Project

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

    Here's a start...some people give a pre-operative neb (albuterol) to patients with asthma without any signs or symptoms just because. A whack of a steroid is probably more effective for avoiding a...

  23. Psychiatric Nurse to Firefighter and ER Nurse

    offlabel replied to Seeing Myself Out's topic in Emergency

    I've always felt that psychiatric practice gives great skills for everyday living. I still draw on some of my psych stuff from my BSN and that was nearly 30 years ago, the fact that most of my...

  24. What do you dislike about being a CRNA

    offlabel replied to RescueNinja123's topic in Student Registered Nurse Anesthetist

    The question is to CRNA's....shouldn't it go into the CRNA forum? OP...extremely high job satisfaction in anesthesia....one of the highest in the medical

  25. Ultrasound Guided IV insertions

    offlabel replied to pluckyduck's topic in Emergency

    It's just a matter of putting a nursing policy in place that gets cleared through all of the usual channels. If the docs don't think it's worth it, it won't happen, but I'd guess they'd want it for...