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Nursing, Anesthesia, and other Random Nonsense

@sterileapparel

BSN, RN, CCRN, SRNA
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lovelyardie

DNDNFNEKSD

I lost followers because I said it was sick for a full grown adult to pose naked in a picture with a TEN YEAR OLD CHILD

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medic981

If you follow me and you believe it is okay for an adult to pose naked in photographs with a 10 year old, please get help.

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When ICU refused an admission after 3 consults, and an hour later they code

This happened to me once. When I charged, I would charge a step down unit and the ICU. Called a rapid response with a step down nurse on a patient looking shitty. Was told there was no reason to move him for just a feeling. I said “Tough tootsies, I have a bed and he’s going to the ICU” Homeboy coded and died 30 minutes later.

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Sorry for the radio silence recently. School has been hella busy. I promise to post more sometime!

On another note, I’m having surgery on Monday on my wrist that a patient broke a year ago. Prayers appreciated.

Whew that surgery was a bitch.

The CRNA told me every detail of her anesthetic plan. Also showed me anatomy while doing the infraclavicular nerve block. Too bad the 100mcg of fentanyl and 3mg of versed made me remember only like 5% of it.

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Sorry for the radio silence recently. School has been hella busy. I promise to post more sometime!

On another note, I’m having surgery on Monday on my wrist that a patient broke a year ago. Prayers appreciated.

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Hi!! How's it going? I was wondering if you had any interview tips for CRNA school. I just had my first interview and I'm going back for another next month. Pretty intense

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Hey!

You’re definitely right, it’s pretty intense! My interview format was really different than most schools (I don’t want to divulge because it’s cheating and can give away my identity). I did not interview at other places yet I’ve heard plenty of stories. Some places are really chill and just ask you a few basic questions. Those schools sometimes already know who they want. Anesthesia is a very political field unfortunately. Other schools try to drill you with questions on purpose to see when you break, especially with clinical based questions. I really don’t recommend schools that do this.

My 2 best pieces of advice:

1. They asked you to interview for a reason. Your skills are worth something and interesting. If you run into other candidates bragging about themselves to intimidate you, just ignore them. This happened to me and it got into my head in the weeks awaiting my decision letter. Just remember that they can get anyone with a pulse with critical care experience. You’re there to show them what makes you YOU and what sets you apart. I mentioned how I was on the code team for my large, well known hospital, but I also mentioned things like how I have 2 dogs that are my world and that I was a rock climbing instructor before bedside nursing.

2. You are interviewing the school too. They should be trying to show you that they are a good fit for you. If a school just ushers you into a room, drills you with questions, and then tells you to leave, that isn’t going to be a healthy environment to spend the next few years at. Anesthesia school is really hard, and a toxic environment isn’t going to make it any better. At the end of the day, just make sure the school you pick creates well-rounded, competent graduates. My school had an info session with an overview of the program by the director as well as a meet and greet with students and faculty. They mentioned all of the support systems and resources for students. A good way to see this is a schools attrition rate. Low attrition rate, low support for students. Once I got admission to my school, I cancelled all my other interviews because I knew this was the fit! So far, I’m really happy with going with this school!

Hope this helps. Feel free to DM me with any specific questions. Good luck!

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kylermartyn

Skilled nursing facilities aren’t the top of anyone’s list for creative interventions, or vast personal improvement, or challenging work dynamics, or interesting patient cases…they’re really the leftovers of the profession, because they’re the leftovers of rehab. The patients who were too elderly, too debilitated, or too slow-progressing to stay in inpatient rehab. Too sick to get better in acute care. Too weak or too lacking in local support to live at home with home health services. They’re often lonely, and dull, and repetitive.

None of that means that people don’t get better. They aren’t useless. People make great gains. People sometimes just need time, and time is something that there’s a lot of in a SNF. And while it’s not where I want to be forever, it’s perfect for right now. And every time I go in to work I find myself looking for new creative challenges…pushing myself to be better…seeking a challenge…loving the patients that I have.

If people in a skilled nursing facility aren’t “the least of these”, then I don’t know who is. I am loving my people, my Jesus, every day.

Today Jesus was an elderly Latina woman with gnarled hands, virtually no vision left, mild dementia, general debility. She had only been in the facility for a matter of hours. She was frightened and alone—her family had to go home for the night, and she had forgotten why they left her. She was writing herself unintelligible notes on a napkin. She wrote my name when I told it to her. I brought her some paper so she could keep writing notes if she wanted to.

Today Jesus wanted to take a shower. She hadn’t been allowed to at the hospital. She had various lines in her veins for various medications. She had difficulty with mobility and couldn’t get herself into the shower. I told her we had all the time in the world. We inched our way into the shower. We painstakingly managed to get her undressed. I taped plastic bags over all the tubing and lines. I found her some nice shampoo and conditioner instead of the hospital-grade 3-in-1 soap pump installed on the wall. The warm water was too hot for her skin and she asked me to turn it down. 

Patients who’ve been there for days, weeks, they’re used to aides—aides who have to shower dozens of patients, who have strict time limits to adhere to. I am a therapist. I answer to myself; my lateness only inconveniences me, not the other patients. She didn’t know that most of my patients think they need to scrub themselves down in a matter of 5 minutes. I didn’t have to coax her into taking her time. 

She luxuriated in lukewarm water for nearly an hour. I didn’t mind. I mopped up the water she was spraying on the floor because she couldn’t see where it was going. I didn’t mind.

She asked me for help.

I washed her feet.

I washed Jesus’ feet today in the dingy beige shower of the skilled nursing facility where I just took a job because we need to save money as fast as we can, and I thought, this is exactly where I’m supposed to be.

This is what “Doing God’s Work” looks like.

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I’m done working as a full time nurse.

After more than 5 years as a CTSICU nurse, I’m on to bigger and better things. Anesthesia school starts in a week and I’m going to spend every minute I have with my husband and our new 8 week old puppy.

I’ve learned so much. And I want to learn more. And I’m going to eat a lot of shit in this program. But I’m going to be helping people. And I won’t leave work at the end of the day and go home and drink to forget my patients pain on days where I fail them.

Today, I feel satisfied. I’m excited for the road ahead.

Goodbye CCRN, and hello SRNA.

Remember this feeling when you’re in over your head in school. I’m always here for you. Go get em!

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lurkdusoleil

I am done with anti-medicine nuts who are like “God gave us all we need in nature” yup he sure did. wtf do you think scientists use to make their medicines? where do you think they got all those chemicals. they didn’t summon them from the void. we haven’t outsourced to alien planets. everything came from this earth. we just tweaked them into something more effective. taking a long walk in the woods and chewing on plants never made me feel less like dying but taking prozac sure fucking did.

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orriculum

when people are like “medicine has all those NASTY CHEMICALS” it makes me genuinely concerned that they dont know herbalism is literally those same ‘nasty’ chemicals, just less precise/concentrated/helpful

I mean...we could all live to the ripe old age of “died in childbirth” without medicine. Sounds like a great idea to me.

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Hey there. As I've followed you I realized you work on a CVICU. I actually just got a job on a CVICU and I a bit nervous and excited and many other emotions. What advice do you have for a baby ICU nurse going into a CVICU? Thanks for any help. :)

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Hey! Welcome to CVICU nursing! CVICU is crazy and intense. Ask plenty of questions! Find some trustworthy mentors on your unit to ask these questions, because unfortunately some nurses aren’t big on helping newbies. It’s like drinking from a fire hose for the first 6 months. You will be looking up a lot of stuff such as drugs and policies for some time, but you will remember it one day. Also, trust your gut. Even if you’re new, you know when something isn’t right. You fine tune this skill the longer you are a nurse, but I sometimes ignored what my “nursey senses” were trying to tell me, just because I was new. Nurblr will always be here to answer questions and offer support. Good luck!

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“LISTEN, you better talk to the Doc about this patient. She’s in high Fowler’s on 10 liters of O2 and still can barely breathe. Get this patient off my labor floor!!”

— Labor nurse

And then the ICU nurses hear that the patient is pregnant, and they say “Get this patient out of my unit!” (Just kidding, we have delivered the sweetest babes in the unit before, but pregnant patients give me the heebie jeebies because I have no clue what’s going on down there!)

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