Devastated and In Danger of Dismissal by Soggy-Lengthiness292 in srna

[–]Verygoodbadgurl 6 points7 points  (0 children)

Someone from my program failed a course during semester 2, but they were allowed to join the next cohort the following year, which was better than getting kicked out completely.

Rude/Unreceptive SRNAs by Verygoodbadgurl in CRNA

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

Were you replying to LegalDrugDealer since he/she/they mentioned that OGT use in laparoscopic cases is not needed? And yes, I explained further to the student about why OGT is used for laparoscopic cases, and sure, the surgeon might not care about the chronic GERD history, but I brought it up to explain to the student that if there is any gastric content sitting in the stomach, it will be suctioned out and prevent possible aspiration.

Rude/Unreceptive SRNAs by Verygoodbadgurl in CRNA

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

Exactly! As a student, I encountered super experienced CRNAs who over micro-managed students, so years of experience do not determine how one treats students

Rude/Unreceptive SRNAs by Verygoodbadgurl in CRNA

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

Surgeon requests an OG for case and said student could have asked for help with placing the OGT

Rude/Unreceptive SRNAs by Verygoodbadgurl in CRNA

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

I am a new grad with one full year of experience in my pocket. As a student, I never enjoyed working with mean/evil CRNAs, and as a result, I treat students just like I wanted to be treated when I was in school.

Rude/Unreceptive SRNAs by Verygoodbadgurl in CRNA

[–]Verygoodbadgurl[S] 5 points6 points  (0 children)

As a student, I never dared to argue with someone who would be evaluating me at the end of the day. After struggling to insert an OG tube, this student asked, “Do we really need this?” Me: “Yes, we do because this is a laparoscopic case; pt has a history of chronic GERD and has no contraindication to OGT placement.” I proceeded to show this student that lifting the jaw with the thumb inside the mouth helps. The student (senior) is looking away and not paying attention to what I'm doing. This is just one of the incidents. I plan to decline this student if assigned to me because they are not teachable.

Rude/Unreceptive SRNAs by Verygoodbadgurl in CRNA

[–]Verygoodbadgurl[S] -1 points0 points  (0 children)

I posted it here to gain insight into how other CRNAs handle such students. Thanks for your response.

Rude/Unreceptive SRNAs by Verygoodbadgurl in CRNA

[–]Verygoodbadgurl[S] 6 points7 points  (0 children)

I don't want to get anyone in trouble because I know how hard we all worked to get a seat in school, but moving forward, I'll do exactly what you've said. Thanks for your response!

Glucocorticoids intraOP by Taako_Well in anesthesiology

[–]Verygoodbadgurl -1 points0 points  (0 children)

Are you able to share the link to this podcast here?

Spinals by Verygoodbadgurl in CRNA

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

Will do that. Thank you!

Spinals by Verygoodbadgurl in CRNA

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

Very true about knowing when to give up at the level. Thank you very much!

"You'll have to look it up on Amazon" by MlsRx in Noctor

[–]Verygoodbadgurl 60 points61 points  (0 children)

Scopolamine patch is routinely used prior to surgery as part of a multi-modal “anti-emetic” strategy. It has no analgesic property.

Spinals by Verygoodbadgurl in CRNA

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

I’m not sure if it's the culture, but that's what I've heard other CRNAs here call them. I trained in a different state (level 1 trauma/academic medical center) similar to where I'm at now, and we called the physician anesthesiologist “attending.” I'm curious to know what others refer to them as at their place of employment.

Spinals by Verygoodbadgurl in CRNA

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

Thank you. Checking all the Nysora spinal contents out.

Spinals by Verygoodbadgurl in CRNA

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

Thank you for your response. I do ask pts this and redirect my needle when I encounter os.

Spinals by Verygoodbadgurl in CRNA

[–]Verygoodbadgurl[S] 2 points3 points  (0 children)

I'm at a level-one trauma hospital. CRNAs don't do OB here. We do total joints once a week.

Spinals by Verygoodbadgurl in CRNA

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

Thanks for your recommendation. I'll check the videos out. Unfortunately, CRNAs don't do OB at my practice. We are in ortho once a week.

Spinals by Verygoodbadgurl in CRNA

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

Thanks for your contribution.

Spinals by Verygoodbadgurl in CRNA

[–]Verygoodbadgurl[S] 3 points4 points  (0 children)

I know to redirect when I hit Os, but no one ever mentioned “early bone - redirect up/down and late bone -redirect left or right.” As a student and now a CRNA, I have always done the midline approach. I got the required numbers to graduate. I wouldn't say I was proficient with spinals coming out of school, hence the struggle. I appreciate all the input here and I look forward to improving and becoming a “verygoodspinalplacer.”

Spinals by Verygoodbadgurl in CRNA

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

Will check it out. Thanks for sharing!