offlabel

offlabel

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All Content by offlabel

  1. CVOR vs CVICU

    offlabel replied to bauern5513's topic in Critical Care

    Just curious...why expect ectopy after grafting part of the

  2. New NP: Nervous, need resources and advice!

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

    Ahhhh....got it. A troll:roflmao: Had me there for a

  3. New NP: Nervous, need resources and advice!

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

    Will you not need to run things by a more experienced and trained provider for a few months until you get your "sea

  4. Foley Cath Insertion

    offlabel replied to sammiesmom's topic in Critical Care

    Nah...in this case, the physician thought the guy needed a foley when he was awake, and that would only become more urgent intubated and ventilated. If he accepts medical care by his admission...

  5. Foley Cath Insertion

    offlabel replied to sammiesmom's topic in Critical Care

    It sure as heck does. In fact, you're now obligated to place a Foley in that scenario. You've taken away every independent function the patient has by sedating, mechanically ventilating and maybe even...

  6. Foley Cath Insertion

    offlabel replied to sammiesmom's topic in Critical Care

    Just wait until the patient is obtunded and intubated and then do it. Can't refuse it

  7. Sugamadex and Pregnancy

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

    It works. Nice for fixing a sloppy anesthetic or a surprise ending. Not that much more expensive where I am as neostigmine has mysteriously become more expensive. As far as patients on OC's, don't...

  8. Precepting Med-Surg Nurse to ED

    offlabel replied to Lev's topic in Emergency

    Blood cultures are sterile. Are you not supposed to fill them before filling unsterile

  9. Ultrasound Guided IV insertions

    offlabel replied to pluckyduck's topic in Emergency

    I don't know what HCAHP or USGPIV are, but I know that using lidocaine for any IV in an awake patient is humane, very safe and a good idea. RN's use it on our labor and delivery units, and all of our...

  10. Clinical issues?

    offlabel posted a topic in Student Registered Nurse Anesthetist

    This board and the NA.org board has become a bulletin board for anesthesia training programs. There has got to be some clinical questions and dilemmas that folks face in their training that they may...

  11. Clinical issues?

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

    Confusing... you said she gave an anesthetic dose of propofol, but then you said she turned the vaporizer on while preoxygenating. We preox patients while still awake. She turned the des on while the...

  12. Ultrasound Guided IV insertions

    offlabel replied to pluckyduck's topic in Emergency

    You took the course and have been successful... don't sweat it. You've gone past the 'honeymoon' phase and now it's real. Dry patches are common. Watch other people doing it or YouTube a couple. Also,...

  13. CVOR vs CVICU

    offlabel replied to bauern5513's topic in Critical Care

    I can understand the ICU wanting height and weight, drips and non routine devices so that they can be fully prepared. But giving the full history and report risks the very real probability of...

  14. To run infusion with CVP or not... That tis the question..

    offlabel replied to kmarieCCRN's topic in Critical Care

    So, running drips when actually measuring a pressure? Obviously, the pressure you see will be affected to one degree or another by the continuous infusion, but if you want an accurate number, just...

  15. OHSU CRNA program for 2017

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

    From what I've seen of their recent graduates (I have no professional or material interests in OHSU's program, BTW) they come with a greater than average professional backround in terms of clinical...

  16. OHSU CRNA program for 2017

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

    The farthest you travel is to Boise for 6 to 12 weeks. The rest of the time is spent between there and Portland and I think maybe UW in Seattle...not sure about that. Very competitive program with...

  17. Clinical issues?

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

    Yes, there is, and there are folks that use it and promote it, but I can tell you that I've never met anyone that uses u/s for that with any regularity at all. Not being able to palpate landmarks is...

  18. Central line compatibility

    offlabel replied to mfarmer88's topic in Critical Care

    Were that me, I'd demand that they write up the error and make sure that they knew that the director of pharmacy, my medical director and the medical director of the ICU would get copies and get a...

  19. The Decline of Physicians: Do we really need them anymore in Primary Care?

    offlabel replied to AAC.271's topic in Nurse Practitioners, NP

    With all due respect, all of that experience having that effect depends entirely on the intellect and work ethic of the provider. I say this as an advanced practice nurse. While there are plenty of...

  20. The Decline of Physicians: Do we really need them anymore in Primary Care?

    offlabel replied to AAC.271's topic in Nurse Practitioners, NP

    Makes me wonder what the orthopedic surgeon would have said if the NP had said the very same

  21. Avoiding versed?

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

    Me too...Most of my patients need an a line for induction, so I do use some fentanyl for sedation for that. Also, the nature of the cases that I do is pretty anxiogenic, so I pretty much give...

  22. How hard is CRNA programs vs NP programs?

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

    The two are not really comparable. Anesthesia training is for a very specific and specialized job. It comes after very specialized and specific nursing practice in critical care. Not too many...

  23. Not all heros wear capes

    offlabel replied to kidzcare's topic in School

    Oh be nice...I know you can, I've seen

  24. The Decline of Physicians: Do we really need them anymore in Primary Care?

    offlabel replied to AAC.271's topic in Nurse Practitioners, NP

    Law schools have not had the discipline that medical schools have shown. The quality of law school applicant, with the exception of top tier schools like Stanford, Duke, Harvard etc. has fallen off...

  25. Reason for IV fluids

    offlabel replied to Matt8700's topic in Emergency

    Normosol is the same stuff as Plasmalyte and the sooner NS is abandoned the better, IMHO...LR is OK for one or two liters, but after that, or better yet from the get go....Plasmalyte/Normosol In my CT...