Currently enjoying our electricity while we still have it. Hoping #hurricanebarry continues to weaken and everyone in its path stays safe.
Still managed to join JC and @windi.attales for a great workout this morning. Full body week 9 from @kelseywells#pwrathome was no joke ! It had tons of variation and I felt the burn everywhere 🙌🔥😱. Checking in with all of you doing this challenge- how did your week go? Are you ladies gearing up for #SWEATNATION ?
Lastly super quick and easy meal prep added to IG stories for anyone interested. (Rotisserie chicken, brown rice, squash, and asparagus. I will also be packing my favorite BBQ sauce with this #minimealprep)
Posted at: 2019-06-24 18:00:04
As I enter into my CA-2/PGY-3, year I can’t help but reflect on the tremendous growth I endured in the last 12 months. This time last year I was a bright-eyed & bushy-tailed seasoned intern ready to embark on my anesthesia journey. There was so much I didn’t come to appreciate in anesthesia until I was the one doing it all! The growth at the beginning of CA-1 is exponential. Working with the incoming CA-1s I realize just how much I’ve learned & how far I’ve come, but seeing the CA-3s graduate, I also recognize there’s so much more to learn. Regardless of preparation, it’s going to be a difficult transition, but within 6 months you’ll be feeling much more comfortable. Here are my tips:
•Read, Read, Read! At the start I relied heavily on Stoelting's, Jaffe, Stanford Guide, OpenAnesthesia, & our department briefs. •Everyone progresses at a different rate but eventually everyone catches up to one another, try not to compare yourself to colleagues. •Call for help early. Once you’re on your own in the OR you feel a whole new level of responsibility. If an issue arises it’s better to call for help early while trying to trouble shoot than waiting until you’ve failed multiple attempts to try & resolve the issue. Always have a page ready to send to you attending so you can alert them at the click of a button.
•Write down things you did well that day & things you missed or need to improve on. This will help guide your focus. Ask your attending for feedback at the end of each day!
•Be organized & prepared. For each case be ready to treat any complication that could arise. Have your Vaso-active meds ready & in reach, you’ll never regret being over-prepared, but you will regret being unprepared. Have a system for organizing things, it will make things easier when sh** hits the fan.
•The first few months are the hardest, everyone tries to teach you a new way of doing the same thing, you’ll fail at IVs, Intubations, A-lines, etc. Your skills & knowledge will flourish with time. Be patient. 🙏🏽Best of luck new CA-1s, you’re going to fly 🦋 To the incoming interns🐛, I promise it’s well worth the wait😄 “The days are long but the years are short”
Posted at: 2019-05-09 15:20:24
If you are a MOM, a NURSE, or maybe even both: We Celebrate You🙌
𝐇𝐀𝐏𝐏𝐘 𝐍𝐔𝐑𝐒𝐄’𝐒 𝗪𝐄𝐄𝐊 & 𝐇𝐀𝐏𝐏𝐘 𝐌𝐎𝐓𝐇𝐄𝐑’𝐒 𝐃𝐀𝐘 💗
Make sure you all take some time to celebrate this weekend. Our number one goal with this account is not only to motivate you guys, but to show you that life is all about a healthy BALANCE. You can be successful, and be a mom, and still invest time for yourself. And when you do all those around you will be better off for it. We all know what happens if “Momma ain’t happy” 😜. Have an amazing weekend babes, you all deserve it. And we would like to give an extra special𝘛𝘏𝘈𝘕𝘒 𝘠𝘖𝘜 to all of our incredible nurses out there. We understand the sacrifices that you all make! Keep doing what you do & don’t forget to make time for yourself too👊 #balance#nursesweek#mothersday#balancingfit2019
Posted at: 2019-07-14 12:54:42
Listen I would love nothing more than to read science out of a stack of Encyclopedia Britannica’s & just soak in the history of medicine but WE HAVE EVOLVED & with technological progress comes cutting edge learning. We exist in a time where there are 1 million ways to kill a person & 5 million ways to bring them back to life again. I am all about learning for good instead of learning for a test, but the adjunct of technology makes healthcare safer for ALL parties involved. Why would I manually calculate a medication dosage without confirming it on a calculator? Why would I take a guess on a drug instead of looking up evidence based info? And why would I try to put a tube in a human without watching it on YouTube first...💀😭💉 I love hearing stories about the previous generations experiences with healthcare...but I don’t enjoy feeling dismissed over how nursing is practiced today. Embrace the evolution of technology & science; the only way to stay safe is to stay relevant. ❤️💋💊
#nurselife #nursesofinstagram #icunurse#scrublife#nursehumor #nurseproblems #nursingschool#nursingstudent#nursesonja #nursesdayoff #icuproblems#nurse#babeswhohustle#nursesdoitbetter #ohshitialmostkilledyou#srna#srnalife #crnaschool#residency#nursesbelike
This was me 3 years ago today. That may sound like a long time, but I still feel my injury physically and emotionally every single day. 3 years ago I went on a hike that changed my life. For those of you that don’t know this chapter of my story, I lost my footing and fell off a cliff hiking. I was air lifted to the hospital I worked at, and underwent multiple surgeries, spent 6 months in a wheelchair, had to relearn how to walk, and had numerous complications that delayed my healing, and hope. ⠀
This was the darkest time in my entire life. I learned who my true friends were. I learned to appreciate things we take for granted that we don’t even realize. Things like stepping into the shower and bathing yourself, driving to work, getting dressed. You don’t realize how amazing that is until it is taken away from you. ⠀
I was able to put myself in my patients’ shoes. I felt the feeling of helplessness. I was a total care patient. This experience gave me a true empathetic edge as a nurse when I care for my patients. I really DO know when I say, I know. ⠀
3 years later and I still say no to hikes. I have chronic pain and wear a brace to work. I play it safe when friends want to be adventurous. And I get embarrassed when I have to take the elevator when everyone else takes the stairs.⠀
Because of this day 3 years ago, I am grateful for the little things. I live life to the fullest. I appreciate good friendships, and I have become a more understanding nurse. I started my blog out of boredom when I couldn’t walk. And I am so glad I went for it, because it has given me so many opportunities to connect and network with amazing people. It connected me with YOU who’s reading this. And that makes me happy. I am alive, and life is good. ⠀
If you’re interested in a more detailed post about my hiking accident, link is in my bio. 🖤
Posted at: 2019-06-09 14:49:51
When the resident finally takes boards and starts practicing solo... ok nice and easy everyone, this benign lipoma won’t cut itself out.
@malenursemindset had to share this one!!! 🔥🔥🔥
You might see a lot of junk or memorabilia but i see something different. I see my years of hard work and studying. Some where in between working full time - some times two jobs, externships, studying and clinicals - I was also being a mother, working hard at buying my first car and house. I fought some hard battles. There’s been blood sweat and LOTS of tears to earn these badges so i could be a better healthcare provider. I’m so blessed to be working my dream job, taking care of veterans and finally feeling I belong. Thank you everyone for supporting me on this journey the last ten years! And if you know me, I’m not done dreaming, growing, or learning. Ten years ago my goals seemed unrealistic, but that doesn’t stop me from being excited to see where my plans take me for the next ten years!
#cna#srna#healthcare#cst#surgicaltechnologist #surgicaltech#surgery#rn#scrub#md#medicine #surgeon#emt#ems#army#nationalguard#trauma#medic#vet#va#stcatharine#wku#derby#norton#baptist#uk#student#rnstudent #nursing
Posted at: 2019-07-17 22:07:56
Hey Y’all!👋🏻I’ve done it! I passed the GRE! ..and by passed, I mean I scored higher than the bare minimum required for CRNA school acceptance. I don’t know about you, but the last time I covered any material regarding algebra, geometry, or trig was .. more than 15 years ago!👵🏻 I used the Princeton Review ‘Cracking the GRE Premium’ book, and am more than happy to share the parts that helped me out the most. ✨First of all.. PLAN! Use your planner (or smart phone) to block away dedicated time to study for the GRE. I recommend doing no more than an hour at a time, and squeeze in at least one test a week! Spread out the material so that you don’t get overwhelmed trying to cram in two weeks. ✨Strategy! Finish the easy questions first! The nice thing about the GRE is that you can answer the questions in any order you prefer, and there is no penalty for the questions you answer incorrectly. You only get points for questions answered correctly. ✨Process of Elimination! Instead of searching for the right answer, start off looking for the wrong answers. This may improve your odds significantly especially if you end up guessing. ✨Be Suspicious! These GRE test makers are pretty sneaky and like to distract you with choices that look correct but are not. ✨Look for Clues! Regarding the ‘Fill in the Blank’ portion… look for clues and transition words. “Who or what is the blank describing?” “What clues provide insight?” Use the clues to come up with your own word/description that fits in the blank, then compare your description/word with the answer choices. ✨As for the math.. the GRE/ETS website provides a Khan Academy review guide. I searched the web for “GRE Khan Academy Review” and found the study guide.
I hope these tips will help you out! Good luck on the exam, It was a painful experience but definitely doable. Was your GRE experience better? Do y’all have any tips for doing well on the GRE? Please Share! :)
#RN#BSN#CRNA#prenursing#medschool#studygram #FOAMed#criticalcare#nursing#nurse#futureCRNA#srna#CRNAschool #anesthetist#anesthesia#anesthesiologist#residnet#residentlife#success#study#learning#health#medicine#gre
Nery Castillo triunfando como siempre. Ganó la Copa dela UEFA (Europa League actualmente) en el 2009 con el Shakhtar Donetsk.
Jugó al lado de Willian Borges, Fernandinho, Darijo Srna y Luiz Adriano.
Al equipo ucraniano llegó luego de haber conseguido 7 veces la Liga de Grecia con el Olympiacos. Costó €20 millones, lo que lo convertía, hasta ese momento, en el mexicano más caro de la historia.
Posted at: 2019-07-17 19:55:26
The follow up to my last post... some people have better control of their temper than others. Myself not included 😆
A little update from my crossfit competition this weekend! @meg.wood17 and I came in 1st place in the women's scaled division! We got to compete with some amazing, strong women and the event was just as great as I expected. We did 4 tough workouts and my legs are still recovering 😅. Can't wait until the Coal Clash 4 @crossfitcoal 🏋️♀️
Get ready for presentation after presentation when you start CRNA school ..
Posted at: 2019-07-17 15:24:08
What really does the EMG tell us on our BIS monitor. EMG stands for electromyogram and I use it as an indication of my patient’s level of relaxation or paralysis. Typically elevated EMG will increase your BIS reading and can look like the patient is getting light on anesthesia . With the administration of 20 mg of Rocuronium (Paralytic agent) and adjusting nothing else, you can observe the EMG drop in real time. Confirming with a Train of four device, the patient did have 4/4 twitches. This could still mean 75% paralysis or enough muscle tone to make a reduction more difficult. Hopefully this is helpful to someone. #rocuronium#rocuroniumbromide #paralyzingagent#bismonitor#electromyogram#crna#anesthesia#nurseanesthetist#anesthetist#srna#srna
Posted at: 2019-07-17 15:00:50
I still have bite marks in my tongue from school... there is a difference of being a strict preceptor with the intention of facilitating learning and educating. And then there are those who are just angry and are assholes just to be assholes. Don’t be an asshole! Students, just hold your tongue, it ain’t worth losing your shit over. You’ll be equals soon enough, and in some cases even the boss one day!
Posted at: 2019-07-17 14:24:03
Even a field of flowers 🌻 is not without it’s share of bees 🐝 Nevertheless, they are still a sight to behold...
Rarely does an opportunity to experience something good, come without having to take a risk, or endure some challenges. Unfortunately, a lot of people see the “bees” & choose not to stop & smell the flowers 💐 But bees serve a purpose; they are necessary to the pollination & reproduction of the very plants & flowers we enjoy.
The same is true for you. You are necessary to fulfill a purpose in a way that only you can! Don’t pass up opportunities to be creative, expand your horizon, grow, or change for the fear of what might happen if you sit amongst the bees 🐝 chances are higher, that they’ll just continue to do their work, if you just continue to do yours & you’ll come out unscathed.
Now, don’t go looking for bees! 🧐 But don’t avoid them either. Go on & shoot your shot, take your chance, make your mark, because the bees aren’t going anywhere... 📸 by @nurse_jeazy_srna
Meet our #CRNAspotlight and current AANA President Garry Brydges, PhD, DNP, MBA, CRNA, ACNP-BC, FAAN ✨
For me, the greatest characteristic about being a CRNA is the privilege of people allowing me to take care of them in the most vulnerable moment of their life.
My advice to both SRNAs and CRNAs is never be the weakest link on the healthcare delivery team. Our longevity as a profession is predicated on our dedication to patient care anywhere and anytime – CRNAs are not shift workers, SRNAs and CRNAs must apply their talent beyond the OR, inclusive of hospital committees, administration, the community, state and national organizations.
I wanted to become a CRNA to challenge myself professionally and intellectually. The training of a CRNA is one of the most difficult (both didactically and clinically) endeavors in any healthcare discipline.
The most rewarding part of my job starts with the privilege to care for patients, but also provide a service for our surgical colleagues, mentor SRNAs and CRNAs, and network with other healthcare disciplines across the healthcare continuum.
The most memorable experience of mine as a CRNAs was caring for a dear friend (CRNA) of ours with a rare liver cancer. Approximately 10 years later, they are living a full life. The reward, as a CRNA, to witness the results of our work.
My hope for the future of SRNAs and CRNAs is to never take our profession for granted. We should never be perceived as an employee that sits on a chair squeezing a bag and waiting to clock-out on-time. SRNAs and CRNAs must mirror the surgeon’s commitment to patient care delivery. You MUST be viewed as the most important team member.
I want patients to know I, like all CRNAs, will be with the patient from start to finish in my care. Also, we will follow up after surgery in the hospital and at discharge where possible.
The best piece of advice I have received in my career is that “you are only as good as your last anesthetic”, which forces you to be meticulous, vigilant, and always attentive to the patient, the surgeon, and the surgical procedure itself at all times.
Moyamoya is Japanese for “puff of smoke”. It’s a rare disease that causes damage to vessels and decreased blood flow to the brain. It presents on angiogram, usually narrowed at the ICA or nearby sections of the anterior and middle cerebral arteries resulting in swollen collateral vessels that look like a “puff of smoke”-hence the name.
Ever seen an ECIC bypass? Pretty gnarly. It blows me away how complex the vasculature of the brain is. I had to sit down and draw out the arteries here to really comprehend the surgery. An ECIC bypass is where the surgeon takes a branch (usually superficial temporal) and bypasses the diseased artery: going directly from external carotid (usually) to a branch of the internal carotid artery (usually cerebral artery). This re route avoids the slow down, and puts cerebral perfusion back on track and (perhaps most important) prevents the high high HIGH risk of future strokes.
Gotta love being an ICU float nurse- we see it all. Shout out to my charge for teaching me about this.
#nurse#nurselife #rn#nursing#nursingschool #crna#srna#nurselife #anesthesia#medicine#anesthesiology#np#pa#icu#er#crnaschool #futurecrna#crnalife #srnatocrna
Posted at: 2019-07-17 01:18:30
So ask me what to do when you’re reaching for the stars?
Posted at: 2019-07-17 01:02:14
Here’s a blurry, non-Instagram worthy selfie of my LAST first day at a new clinical site (as an SRNA). This is it. I literally have 8, no excuse me- 7 shifts left. All I can say to everyone here that has followed my journey, is THANK YOU. I have put one foot in front of the other for nearly 3 years. Many of you have been here from the beginning. Rooting for me. Jamming to my early morning @clubclinical sessions. My car chats about my cases. Laughing st things that I don’t even intend to be funny. From the bottom of my heart, thanks for rocking with me. While I’m not sure where this page is headed, I know that this community is pretty awesome 🤘🏾Where are my day ones?!?
You’ll be too much for some people.
Those aren’t your people.😘💁🏻♀️
shop my living room products by following me on the @liketoknow.it app 📲
Of course my spirit animal would have to be anesthesia related. 🦒 🦓 🦔...
Seriously though, I absolutely love to use ketamine in many different types of anesthetics. It provides a good amount of amnesia without depressing respiratory drive. Whenever I’m administering I will use versed/robinul in combination. Also works well for pain control in those patients who are chronic narcotic users. Who else is a fan of ketamine? Share your thoughts below 👇
Posted at: 2019-07-16 18:58:12
We are on day 16 of the Journal with Grace challenge! Who’s still hanging in there with me? 🙋🏾♀️ Who’s fallen off for a few days? 🙋🏾♀️ (No judgment, here friends!)
Today I want to prompt you regardless of where you are, to consider the 3 most impactful moments of your life (positive or negative) & why? What did it show you, teach you, pull out of you? How did you grow from there? Was there a specific person involved? Do they know how they impacted you; if not, would you tell them? Why/why not?
I hope you all are getting something out of this experience. I am enjoying sharing it with you!
What do you see? What do you see? See anything? What about now?
It’s pink!! Idk...
Posted at: 2019-07-15 18:31:56
Almost died of heat stroke, but had a magical day at @waltdisneyworld nonetheless 😂🤷🏻♀️☀️ So fun going with past nursing coworkers, and eating our way through all of the parks 🙃🍴(I always HAVE to get a churro and dole whip 🍦) Its been so nice to recharge on these days off, so I’ll be energized for my shifts coming up this week. Having nurse buddies outside of the hospital is soooo important! Nobody understands what we do quite like other nurses, and I think it helps all of our #mentalhealth so much to talk about the stressors of work, laugh/cry about it, then move on. What do you guys do with your nursing friends to stay sane? 🤪
Who else has this feeling on Monday’s? .
Although I had a fun filled weekend packed with activity, I can’t help but to feel a little sluggish when Monday morning rolls around. Luckily, I have chosen to work in a field that allows me to switch up my shift work to whatever suits my current needs. When my son was young and needed me around more, I was able to be there for him. I chose to work 8 hour shifts. Now, my situation is a little different. I can work longer days and have time off during the week. That’s one of the best things about having a career in nursing. The flexibility has been a blessing. I do think that whatever shift I choose to work during the week, I will always be dreaming about Friday! What do you like best about working in healthcare?