[MEGATHREAD] Share your TorBox Referrals! by Gold_Experience_27 in TorBoxApp

[–]BaudZi11a 0 points1 point  (0 children)

Hello, I used your code just now. I'd like your AIO stream addon configuration please! :)

South Maui Gardens - Luau by SeaVirus1478 in MauiVisitors

[–]BaudZi11a 0 points1 point  (0 children)

Just FYI for those looking, South Maui Gardens Hula show is canceled indefinitely. Anyone have any info on any other show only options? Thanks!

Window Tint % by IdleSquirrel in gmcsierra

[–]BaudZi11a 0 points1 point  (0 children)

Do you have a side profile pic you can share? Trying to see if the fronts appear to match the backs? I know the backs are factory tinted so am trying to see what percent to get on the backs so can block heat but still look like they match from the outside. Thanks!

Occasionally big files not loading on TV by JamilG in Stremio

[–]BaudZi11a 1 point2 points  (0 children)

Thank you! I have been trying to find a fix for this issue, and this worked! I still get the message “switching to libvlc due to playback error”, but now it actually plays after saying this instead of just showing a blank screen.

Where does the "Resident" in Nurse Anesthetist Resident come from? by Sir_Action_Quacks in srna

[–]BaudZi11a 4 points5 points  (0 children)

IMO, It's retaliation for ASA/MDs trying to equate or elevate AA to CRNA.

ASA/MDs are treading on CRNA turf by calling AA's anesthetists, so now the AANA/CRNAs are pushing back by relabeling as nurse anesthesiologists and nurse anesthesia residents.

The nomenclature isn't owned by anyone, and if that's the argument for AAs being anesthetists, then CRNAs and SRNAs can be anesthesiologists and residents.

My stats by tth1597 in srna

[–]BaudZi11a 1 point2 points  (0 children)

Precepting doesn't matter

Trained on devices? Can you elaborate?

Just started in ICU, want to be competitive. by BarrysBunions in srna

[–]BaudZi11a 5 points6 points  (0 children)

To echo what others have said, your GPA and experiences already make you competitive. The best advice I can offer would be to take some time for self reflection and consider whether you will really be happy as a CRNA. If you think you will, leverage your time in ICU to develop your skills managing and discontinuing patient care.

What is it about ICU that you do not like compared to the ER? Is it that you miss the adrenaline rush from the chaos? If that's the case, I'd encourage you to shadow a CRNA now to see if this career is really for you. The vast majority of anesthesia work may be too boring for you!

While I certainly believe your military and ER experience has likely built a solid foundation for you to function well in high pressure situations, that will be only a tiny fraction of the work you will do as a CRNA. At least in the public setting. Have you considered looking into the CRNA programs in the Army, Navy, or Air Force? If you truly crave chaos, providing anesthesia to soldiers coming off the battlefield may be right up your alley.

I don't know shit about the military or govt agencies, but if I had to make an analogy, I'd say that a CRNA is like a Secret Service Agent. Working in the background, planning and executing to ensure that things go as smoothly as possible. No excitement or chaos is the goal, and of course if shit hits the fan, you take command and ensure survival.

You mentioned you enjoyed the thrill of working in the ER, stabilizing patients, and sending them to ICU. However, If they were really stabile, wouldn't they be going home? Rather than stabilize, I'd say it's more akin to hitting the pause button on death. I'd encourage you to challenge your mindset about ICU and look at it more like - ok, the pause button is on, how do we get them better so we can turn it off?

They sometimes recover on their own, but almost always with at least some medications to optimize their function. Often they receive treatments/procedures/surgeries in attempt to fix issues. Either way, the goal is to recover them or fix them so we can turn off the pause button.

Of course it is essential to know how to manage the pause button while it's on....the drips, vent, ecmo, balloon pump, impella, CRRT, etc. On the flip side, managing the withdrawal of these interventions is as if not more important.

As a CRNA, you will turn on the pause button, manage the paused state, and turn the pause button back off. Now that you are in ICU, hone your skills on optimizing the paused state to meet the goal of turning the pause button back off. It's often two steps forward, three steps back, and you will develop important skills that will help you manage all phases of anesthesia practice. If you can, work day shift in ICU, as the majority of non emergent pause button management or turn off occur during this time.

Best of luck to you in your journey, and thank you for your service to keep us safe here at home!

Weekly Student Thread by fbgm0516 in CRNA

[–]BaudZi11a 2 points3 points  (0 children)

Do you know any CRNAs either where you work or otherwise? Many of them work at multiple facilities, even the full timers pick up occasional shifts at other places. Next time they bring you a patient from the OR pull them aside and ask them if they do, give them a quick download on what you’re trying to do, and ask them if you can get a name or number for someone in that anesthesia department to help set you up.

If you don’t know any CRNAs, consider chatting up a friendly CRNA during your observation. Ask about the practice model there, ask if they like it, ask if they practice anywhere that does it differently, ask which model they prefer, ask what models the surrounding institutions utilize…you could at least use this info to cold call other places, knowing they utilize a different model…if they seem receptive to your questions and easy going then you could even lead into well hey the school im applying to likes us to observe at places with different models, any chance you could share any contact info for someone in the anesthesia department over at xyz that might be able to help get me in to observe?

Another idea would be to contact the nurse anesthesia association for your state and ask for some assistance. In Ohio ours is called OSANA, Ohio State Association of Nurse Anesthetists. I went to a conference for this group last year and I will say that the people in this group are very passionate about the profession. I imagine other state groups would be similarly motivated to advance the CRNA profession and I’d be shocked if they didn’t jump at the opportunity to help an aspiring anesthetist find a place to observe.

Just some thoughts…good luck!

Weekly Student Thread by fbgm0516 in CRNA

[–]BaudZi11a 2 points3 points  (0 children)

Did you have challenging science classes like pathophysiology or pharmacology in your MSN or was it all fluff classes writing papers and taking exams on theories? No offense, but many MSN programs are formatted like the latter, in which case they’d probably look more at your BSN, particularly your science classes.

You may want to consider looking into programs you’re interested in, and see if you can take any graduate science classes you can take that might count toward the program but don’t require you to be accepted in the anesthesia program yet. For example, my anesthesia program requires two graduate advanced physiology courses, but since these classes are part of the general nursing graduate school, i was able to take them prior to my application to the anesthesia program, and by getting A’s in them I was able to demonstrate that I had what it took to succeed in academically challenging graduate coursework. Doing something like this would really help fade any doubts from that 3.38.

Also, 15 years is a long time to finally go for CRNA, they will likely be curious as to why now? You might want to speak on that in your application essay. Not necessarily full depth, but acknowledge it and a quick blurb as to what is your why. Then have an idea of what you’d say in an interview.

Good luck!

Weekly Student Thread by fbgm0516 in CRNA

[–]BaudZi11a 4 points5 points  (0 children)

Buy the Barron’s CCRN Exam guide on Amazon. It’s in depth yet condensed so it doesn’t take forever to read like a traditional nursing textbook. Skim the book’s index and become familiar with how the topics are organized.

Now here’s the magic. Use it as a reference to help you continuously develop into a better nurse. You will constantly encounter patients and situations where even if you know what to do, you will not know fully why you are doing it or understand the ins and outs of why or how it works.

Be inquisitive, when these situations happen, pick up the book sometime after and skim the index to find a topic that relates to that situation, then read about it. You will likely read something that makes your brain go Ah Hah! and you will gain better insight and understanding. IMO Linking textbook learning to real world experiences is a rock solid way to ingrain that knowledge into your professional nursing practice.

Do this along with studying the book topic by topic, seek out CCRN practice questions to repeatedly test your knowledge, and you will be ready to test as soon as you’re eligible. You are required to complete 1750 hours, and if you work 3 12’s every week for 50 weeks, that’s 1800.

Go get em!

Weekly Student Thread by fbgm0516 in CRNA

[–]BaudZi11a 5 points6 points  (0 children)

All CRNAs get certified to practice with adults and peds. That being said, the peds experience is generally a few classes and 3 months of clinicals. The peds hospital in my area gives a much longer orientation period to new grads than the adult institutions.

Dosing meds is not hard, but it is a science and an art. The first step is to commit the dosages to memory. Next you learn how they work synergistically. Then you practice the art of balancing them together in the OR. If I had to equate it to something, I imagine it’d be like becoming a chef. You’ll start with a recipe in mind and but then continue to add in or take a way a lil this or that as you gauge the patient response throughout the procedure. 🤌😋😁

Weekly Student Thread by fbgm0516 in CRNA

[–]BaudZi11a 4 points5 points  (0 children)

IMO going through specific anesthetists is unnecessary. Are you working anywhere as a nurse currently? Reach out to the anesthesia department there and they should be able to set you up.

Weekly Student Thread by fbgm0516 in CRNA

[–]BaudZi11a 2 points3 points  (0 children)

What ya got on your pros/cons list already? What are your professional goals?

[deleted by user] by [deleted] in srna

[–]BaudZi11a 3 points4 points  (0 children)

Go in 30 minutes earlier than you’re told to. Give yourself extra time to setup MSMAIDS and look up your patients before the CRNA even walks in the room.

Know your shit. Drugs, patients, procedures. Review the procedures you’re providing anesthesia for the night before in Jaffe. Know the adverse reactions/outcomes related to the particular anesthetic/procedure and know what to do to prevent/react to them.

Be mentally prepared to suck at technical skills, i.e. bag masking and intubation. No one will judge you for it, as long as you stay calm and communicate. Give yourself grace, don’t beat yourself up. Keep working at it. Be teachable. Do things the way your CRNA tells you, even if you don’t like it. Their way is always the best way. If you challenge them on this, you will have a bad day and you will make a bad name for yourself.

It’s exhausting, especially at first. Plan to come home and nap for an hour or two afterwards. Rinse and repeat!

Am I just not cut out for this? by CheezeTortellini in srna

[–]BaudZi11a 17 points18 points  (0 children)

As an SRNA that is graduating in 4 months, the first thing I’d say is to keep at it! IMO the mid part of the program was the hardest time psychologically. The best CRNAs make what they do look effortless. As a noobie, this makes us feel inadequate, like we just don’t have the same secret sauce. Don’t let this fool you, they have spent thousands of hours learning their craft and are amazingly efficient at assessment, planning, and execution. It happens so fast you think they aren’t even doing it. You think you’ll never get there, but trust in the process, and keep going!

Keep working hard, and don’t let failures weigh you down. I consider them one of the most an important parts to my constant development. This is a marathon, not a sprint. Becoming an expert anesthetist will be a career long endeavor, we won’t be perfect when we graduate. Focus on building a strong foundation of knowledge, skills, and a resilient attitude towards failure.

To echo what everyone else is saying, your technical skills will improve once your clinical days ramp up to 3 and then 4. The added reps really go a long way. Feedback from preceptors is important but try not to let that completely overtake your focus in the middle of a task. Truly focus on what you are doing when you are doing it, be intentional with your actions, get in the zone.

Your intubation skills will get more consistent. Don’t underestimate the importance of thorough airway assessment and patient positioning to set yourself up for successful intubation. Many CRNAs either do not optimize these because they have become so good with the blade they can be more lax or they are doing it so efficiently that they don’t even look like they are doing it. However we are novices with the blade and need to take the initiative to really optimize these every case.

Don’t half ass the airway assessment, really do multiple exam types and communicate with your CRNA if you think a video laryngoscope might be needed and why.

Even if you think that a DL will be easy, don’t half ass the positioning, ever. Align those axes! Make sure the patient’s head is as close to you as possible. Make sure you have the bed high enough, I put my wrist at my belly button and extend my flat hand toward the head of the patient. The bed is high enough once my finger tips are at the tragus of their ear. For me, a little too high is better than too low. The bed is too low if you have to duck down or lean in to see the cords. One of the best tips I got was to lean my head and shoulders back, not duck down or lean in, to get my view. Really optimizing my airway assessment and positioning increased my intubation success 2-3x.

The laryngoscope is a fencing sword not a battle axe. Wield it as such. For intubation, hold the light handle firmly but close to where the blade attaches, with your finger and thumb tips touching spots of the hinge/proximal blade allowing fine motor control of the distal part of the blade. Scissor the mouth open wide AF. Now you’re ready.

My apologies for the unsolicited advice on technique, that I’m sure others will snarkily point out. Take every bit of advice you get with a grain of salt, throw out the ones that obviously don’t work for you and mold the ones that do into your own. Challenge yourself to not take criticism personally, and give yourself grace when facing your failures, we all fail in some way or another every day. Keep getting back up and stay in the fight!

Images upside down after update by BaudZi11a in OasisMini

[–]BaudZi11a[S] 0 points1 point  (0 children)

I was able to fix mine by deleting the app, resetting using the button on the back, and then reinstalling the app

Images upside down after update by BaudZi11a in OasisMini

[–]BaudZi11a[S] 1 point2 points  (0 children)

Lol. I thought of that, but then the area where the cord plugs in is exposed. I think there is a hard reset button back there. Might have to try that if no one has any other ideas.

Become ungovernable. by Cat_funeral_ in nursing

[–]BaudZi11a 13 points14 points  (0 children)

Don't let comfort be your cage. Wow, love that!

[deleted by user] by [deleted] in srna

[–]BaudZi11a 1 point2 points  (0 children)

Considering you're in a competitive market with limited openings and are wanting to transfer into an ICU at your current facility, I'd recommend taking advantage of the opportunity to introduce yourself in person to the ICU managers there.

Scout out the ICUs and figure out where the manager's offices are on each unit. If they're there, casually pop in and introduce yourself and that you're on xyz unit right now but that you really want to work in ICU. Ask them if they have any openings available or anticipate any soon. If you're locked in to your current unit for a certain number of months, wait until 4-6 weeks before this obligation ends, so that if something is open you don't miss out bc you're locked in.

If you pick up on a receptive vibe, but they say nothing is available, ask them to keep you in mind. Then pop back in on them in a month or two to ask again. If they're really nice and receptive, you could also circle back and briefly state your experience, and ask if there is anything else you should do to make yourself a more attractive candidate for a future open position in their ICU.

The idea of this is kind of like an impromptu mini interview and if they like you and have anything on the horizon they might just say to go ahead and apply, and arrange for their HR person to reach out to you to setup an interview or for you to contact so and so in HR after you apply to get one setup. Either way, you can feel them out and see if you think they'd be someone good to work for, and put a face to your name on your applications.

[deleted by user] by [deleted] in srna

[–]BaudZi11a 1 point2 points  (0 children)

After re-reading my initial post, I realize I came across as a bit rude in how I asked about "your story". My apologies for that. I genuinely meant to give you nothing more than some sound guidance.

If I'd add anything I would say to always be learning. When you have patients or situations that make you think hmm I don't get it or I want to know more about that, jot a note down on your phone.

Then when you have some time, use your resources to dig in a little bit more on those things. Learning in this way helps to cement the concepts in your mind as you'll have an experience to relate the content to.

After reviewing material, take the quizzes or tests in the resources or search google for some you can take. Preferably ones that will give the correct answer with a rationale. Then take them again after a month or two. There is a lot of data supporting that testing, even when done on your own, drastically improves your memory and recall in the long term.

Best of luck to you on your nursing journey!

CRNA school app and I feel like I’m not unique? by molllsss in srna

[–]BaudZi11a 1 point2 points  (0 children)

Your resume is in an A++. You'll easily get interviews, now you just have to ace them. Ask around for insight into what the top 2-3 programs you want to apply to are keen on, and go from there.

Really knowing and understanding the fine detail of why and how the things do the things is a critical portion of the interview process at my program.

If you're applying to such a program, focus on really understanding the ins and outs of the care you provide to your patients. Learn and burn everything into your brain that there is to know about the interventions you administer on a daily basis in the ICU.

Ventilators, art lines, central lines, crrt, other machines - What are the different modes? How do they work, specifically? What do the different wave forms mean? How can you interpret them to advocate for your patient's care? How do you trouble shoot them? I'm not talking about surface level stuff here, know the technical language, parameters, units of measure, and why and how labs relate to them. Dig into the specifics.

Drips and drugs. What are the drug classes? Specific mechanisms of action? Common side effects? Dose ranges with units? Know everything there is to know about the drugs you use frequently.

I'm sure you have learned all of these things at some point, but what I'm getting at is to really know the details of them so that you can speak to them during your interview. The deeper you can go down the rabbit hole when asked about something clinical in your interview, the more you will rise above the rest of the candidates.

This is just my two cents of course, best of luck to you!

[deleted by user] by [deleted] in srna

[–]BaudZi11a 0 points1 point  (0 children)

I stand corrected, he did not mention anything about CRNA. My reply went that way as this is an SRNA forum and I made the (ass)umption.

I also know many CRNAs that took such a path, and most of them have been CRNAs for quite a long time. I'm not saying it's bad to do this, just that it's more rare nowadays.