offlabel

offlabel

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All Content by offlabel

  1. Can a RN with no certification in anesthesia administer tumescent anesthesia?

    offlabel replied to sleepy1010's topic in Certified Registered Nurse Anesthetist, CRNA

    Really? ICU nurses have way more to go wrong than this...don't know if you've ever seen this, but it's a very blunt trochar at zero to 10 degrees ( or thereabouts) to the abdominal fascia. Anyone is...

  2. Insulin for type 2?

    offlabel replied to jessimee's topic in Diabetes, Endocrine Nursing

    You are asking all of the right questions... you have a bright future... good on ya...exogenous intraoperative insulin works fine on these patients. Anesthetists give what works, whether that is 5 or...

  3. Concept of anesthesia

    offlabel replied to Lindsy01's topic in Student Registered Nurse Anesthetist

    It's YOUR concept of anesthesia ...we can't help

  4. How woud you treat this patient...

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

    The point here, I think, is to stop this patient from dying so that you can do all of those other tests.... we're talking about 15 minute intervals here. O2, IV, NTG, morphine, move

  5. How woud you treat this patient...

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

    Agree with above post, I'd add

  6. Tumescent solution

    offlabel replied to Joshualive2's topic in Certified Registered Nurse Anesthetist, CRNA

    Any routine iv lidocaine I give doesn't exceed 1mg/kg (that is when I'm treating propofol stinging or coughing on the tube, not ventricular arrhythmias). The elimination half-life is about 100 minutes...

  7. Paramedics in the hospital setting

    offlabel replied to Ellekat2's topic in Rural

    Hah!.... never? Ever hear of a flight nurse, sonny? How 'bout a nurse anesthetist. Better wipe that nose, kiddo,... seems to be a bit

  8. Nurse and MD relationships in the ED

    offlabel replied to amzyRN's topic in Emergency

    I knew of a very cute set of twins from an ER doc/ER RN couple...they then got married. I think they got along

  9. Medical errors the 3rd leading cause of death??

    offlabel replied to ShaneTeam's topic in Nursing News

    I think you're disagreeing with me, but you're proving my point . Did you read their definition of an error? By it, a patient can actually benefit and still his care will qualify as an error. I'm...

  10. Medical errors the 3rd leading cause of death??

    offlabel replied to ShaneTeam's topic in Nursing News

    This is horsesh.. agitation propaganda ahead of some agenda fueled policy push. There was a paper that came out in 2003 that named American physicians as the 3rd (funny coincidence, huh?) leading...

  11. Loved the OR...best career options?

    offlabel replied to bakingem's topic in General Nursing

    Well, here's the deal...I've always said that if a runny nosed 25 year old surgical resident can take out my grandma's appendix, a motivated new grad nurse can certainly be very successful in the ICU....

  12. What is the drug of choice in your area?

    offlabel replied to Momma1RN's topic in Emergency

    Hands down...alcohol. The most deadly

  13. Do crnas deserve that much salary?

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

    Part of the problem with conversations like this is the definitions of the terms that are thrown around. Anymore, in our culture, the word "deserve" seems to be synonymous with "has a right to", and...

  14. Why do nurses.....

    offlabel posted a topic in General Nursing

    Why do nurses, with each degree, leave them on behind their last degree? So, hi, I'm Offlabel, RN, CCRN, AA, BSN, MSN, DPN. Why isn't it just Offlabel, RN? Or CNM? or NP? or CRNA? I know that's the...

  15. Do crnas deserve that much salary?

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

    Could not agree more, and I don't doubt your students are trained well... but we both know that varies across the

  16. Do crnas deserve that much salary?

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

    Well....just at what point are they competent for that or competent oversight by another CRNA? 2 months? A year? When? That's what difference it

  17. Do crnas deserve that much salary?

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

    While I agree that the OP is breathtakingly naïve about how the anesthesia business works, this statement is demonstrably not true. Some are that capable, but many if not most are not. Most CRNA's...

  18. Why do nurses.....

    offlabel replied to offlabel's topic in General Nursing

    I guesss that's my point. They don't have to. And for a skilled, heavy hitter RN APN, administrator or bedside nurse to let those things go unspoken speaks far more than the credentials ever could....

  19. Loved the OR...best career options?

    offlabel replied to bakingem's topic in General Nursing

    Sounds like you're on the right path so far. Only one year for an accelerated BSN, clinicals and all? Wow...that is accelerated. If anesthesia is you advanced practice choice, make a direct line to an...

  20. Why do nurses.....

    offlabel replied to offlabel's topic in General Nursing

    You got a great attitude! I guess I don't, but at least it makes for a lively

  21. Why do nurses.....

    offlabel replied to offlabel's topic in General Nursing

    This..... it's my opinion that when "Director of Cardiothoracic Care" is followed by Joe Smith, BSN, RN, MSN DNP, CCRN" etc...it looks dumb but it also implies a separation from the RN at the bedside...

  22. Home births gone wrong

    offlabel replied to MNNICU, RN's topic in NICU, Neonatal

    What does the fact that it was a Catholic hospital have to do with it? Catholics don't take a position on breast feeding one way or another. I work at a secular hospital and the militant breast...

  23. What are your favorite types of surgeries or procedures to work on?

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

    Any case I get paid

  24. TNCC 7th Edition is a Soup Sandwich!

    offlabel replied to bodhisattvya's topic in Emergency

    Foley's are not benign. A UTI can be more dangerous in lots of patients than most "trauma" that rolls thru the

  25. Renal Failure Patients who are prescribed drugs to tx HTN or HF

    offlabel replied to BSN_Studnt's topic in General Students

    I think it's more of question of knowing medical management of HTN and or heart failure that is caused by the kidney disease, not which drugs are OK with kidney disease. They're trying to...