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For those who have been struggling with staying se For those who have been struggling with staying serious about COVID, wearing a mask, limiting gatherings, then this is for you. I’ve seen this trending, and it’s to show awareness of how COVID has affected so many people. 
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I’ve talked to lots of my coworkers, and we can all agree that it’s hard for people to believe in something unless they have been affected by it. The goal of this post is to visually represent everyone that has been affected by this virus.
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Post the hearts that relate to you:
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❤️ Lost a loved one or friend to COVID.
🧡 Know someone who has lost a loved one or friend to COVID. 
💛 Have taken care of a patient with COVID.
💚 Have personally suffered from COVID. 
💙 Have a loved one or friend who has suffered from COVID.
💜 Have been an essential worker on the frontlines of this pandemic.
🤍 Have had a loved one, friend, or personally lost a job due to COVID. 
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Here’s mine: 🧡💛💙💜🤍
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What’s yours? Comment below and share, or repost to see how your followers have been impacted too. 💕
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#frontliners #frontliners #nurseonduty #crnaschool #srna #srnalife #anesthesiaschool #nurseanesthesia #nursingschoolprobs #wearfigs #awesomehumans #frontlineheroes #frontlines #frontlineworker #essentialworker #covidicu #nursesofig #nursesareheroes
Santa Klogs are comin’ to town 🎅🏼 Comment Santa Klogs are comin’ to town 🎅🏼

Comment if you’re working > 8 hours/day?

> 3 shifts a week?

> You’ve developed back problems from working bedside?

Haven’t worn Klogs in a few years and definitely forgot how comfortable they are. Perfect for these COVID days - wipeable, anti-microbial, non-slip. These shoes are great for all of you awesome healthcare providers working long hours and need the extra arch support for better posture. @zappos offers 365-day returns on these shoes and tons of other styles too 👟👠👢

Check out my latest blog post for the full review!

#sponsored #zappos #zapposxklogs #klogsfootwear #walkwithus @zappos @klogsfootwear
💙🚨CODE BLUE 🚨💙
Do you remember your H’s & T’s?

🚨A PEA Arrest stands for Pulseless Electrical Activity. If the patient is on a monitor, you can see electrical activity on their EKG. But, if you feel for a pulse they’re pulseless. This can sometimes last a couple of minutes before they flatline. 

🚨This is really important to catch early. If I know my patient is circling the drain and I’m expecting a code... my fingers are feeling for a pulse nonstop, even if I see a normal EKG on the monitor. You want to catch them in cardiac arrest ASAP for the best outcome, and start compressions the second you lose a pulse, not wait for the monitor to show you. 

🚨Even if you’re not in the ICU with a monitor, if your patient codes it is still so important to run through possible causes of the code. These are your H’s & T’s!

🚨Codes are chaos, we all know this. It’s so easy to let the adrenaline kick in and be the first to grab the meds or start compressions. OBVI this is important but don’t get too caught up in the process that you forget to assess what caused the code in the first place. You can do compressions on an acidotic patient all night long, and they’re not gonna come back unless you treat the cause of that acidosis (push an amp of bicarb, treat the K etc). 

🚨It’s extremely important for the code team to communicate. Be the one to shout out possible causes and run through them with others. All of the interventions listed in this diagram can be life saving ✨

#acls #codeblue #icunursing #futurecrna #nursingeducation #criticalcarenurse #nursingschoolprobs #srnalife #srnaproblems #srnatocrna
HOW TO REMEMBER DRUG CLASSES BY SUFFIX 💊 ⠀⠀ HOW TO REMEMBER DRUG CLASSES BY SUFFIX 💊
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🩸Anticoagulant: -arin
ex. heparin, warfarin
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🤧Antihistamine: -ine
ex. diphenhydramine (Benadryl), loratadine (Claritin)
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🤢Antiemetic: -azine
ex. promethazine (Phenergan)
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💥Antiulcer: -tidine
ex. famotidine (Pepcid), ranitidine (Zantac)
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✖️Proton Pump Inhibitors (✖️gastric acid): -prazole
ex. lansoprozole (Prevacid), omeprazole (Prilosec)
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🦠Antiviral: -vir
ex. acyclovir
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🧫 Antibiotics:
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Aminoglycoside: -mycin
ex. vancomycin
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Fluoroquinolones: -floxaxin
ex. ciprofloxacin
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Tetracyclines: -cycline
ex. doxycycline, tetracycline
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😞Antidepressants/Anti-anxiety
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Tricyclic: -triptyline
ex. amitiptyline (Elavil)
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SSRIs: -pram/-ine
ex. citalopram (Celexa), ecitalopram (Lexapro)
 fluoxetine (Prozac), sertraline (Zoloft)
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🗃 SAVE for reference & SHARE with your friends!
Feeling very thankful this year. 🦃 ⁣ I am tha Feeling very thankful this year. 🦃
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I am thankful for all of you here. Not only for following along my crazy journey, but for all you have done this year on the frontlines. We couldn’t have gotten through this year without eachother. Through the literal sweat, blood, and so many tears that were shed from COVID-19. 
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We needed eachother this year, and I am so grateful:
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For the people who physically worked together to manually prone so many
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For the respiratory therapists working tirelessly, changing vent settings and pulling ABGs nonstop.
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For the doctors who kept up on the evolution of an ever-changing virus, to make sure care was the most up to date.
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For the students who had to keep so mentally strong to adapt to a different way of learning, and still so eager so they too, can be on the frontlines 
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For those of you who had to hold the phone bedside, as family members said goodbye to their loved one for the last time over FaceTime. 
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And then having to go home and still be a support to your families. 
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Like everyone has said, this Thanksgiving is in fact different. While lots of us get to be incredibly thankful to be alive and celebrate our blessings, there are a lot of you wondering why a loved one has been taken from you this year, and this thanksgiving is really hard. 
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If you have lost someone special this year, drop their name below, so everyone who sees this post can pause and send you lots of positive energy for your difficult holiday 💘
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I wish you all a very happy Thanksgiving. Be safe, and keep on smiling the best you can 😌🍁
HOW TO BE THAT NURSE THAT EVERYONE WANTS REPORT FR HOW TO BE THAT NURSE THAT EVERYONE WANTS REPORT FROM 📋🩺👩🏻‍⚕️
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• Be PREPARED. Don’t be that nurse that’s scrambling in a panic when you see the next shift walking in - because YOU didn’t have time management. Obvi this is putting those crazy shifts aside, but if it’s a typical patient assignment, get your shift together (see what I did there 😜).
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•Your rooms better be spotless & ready for the next nurse. This includes:
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•Grabbing supplies for the day/nightshift nurse and put them in the room. 
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•If there’s a foley empty it, chart it right at end of your shift. While you’re giving report it will start on the hour, & you can tell them whatever’s in there now is theirs to chart for this hour. 
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•Making sure their medications are available. If needing to come from pharmacy, that can take time to request & receive.
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•If they’re on a critical drip (pressors, etc) have a backup bag in the room ready to hang. You’re about to get a major eye roll if the nurse you’re giving report to walks in to start their shift, the pressor bag runs dry, patient gets hypotensive, & there’s no backup bag in the room. Just, no. 
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•If they’re on sedation and you see it running low before report, grab the extra bottle of propofol etc. Again, eye roll comin’ for ya if you’re giving report and your patient starts waking up. You interrupt report to go in the room and up your sedation. Then your sedation runs dry, so you have to go get a new bottle/syringe, double-nurse verify it like no.
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• Wiping down the counters, clean up clutter. If there’s patient-specific hygiene products in there, go grab a wash basin & organize it all in one spot. If there’s wound dressing supplies stocked in there, again, put it in a separate basin. I can’t stand lined up clutter. 
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What do you guys do to prepare your room? I ran out of space 😅
WHAT SHOULD BE HELD FOR SURGERY? 😷 ⠀⠀⠀⠀ WHAT SHOULD BE HELD FOR SURGERY? 😷
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🩸Anticoagulants
-Plavix & Coumadin d/c 5-7 days before
-Low molecular weight heparin 💉 d/c 12 hrs before
-IV heparin d/c 6 hours before
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🧄 3 G’s
-Garlic, Ginkgo, & Ginseng ⬆️ bleeding risk. D/c a week before
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🍬 Oral hypoglycemics
-All you need is a long-acting hypoglycemic to cause life-threatening hypoglycemia in the OR, which can go unrecognized under anesthesia. These patients will be managed via insulin drip to be more carefully titrated & blood sugars checked every hour. 
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💧Diuretics 
-The patient will have already been NPO for some time, we don’t want to make them even more dehydrated for possible hemodynamic instability.
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DO NOT HOLD:
🫀 Beta Blockers
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-You’re probably thinking well, I wouldn’t want to give a BB before surgery, & drop their HR/BP. But for patients on a daily BB, it is especially important for them to take their medication to prevent possible MI or even acute heart failure in the OR. Why? 
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Their body’s beta receptors are “up-regulated.” 
AKA: their body is “used to” the drug being in their system regularly. When this happens longer term, their receptors are not as... receptive? 😉 This is the reason why people have to “up their dose” when they’ve been on the same med for awhile. So if you were to abruptly stop a beta blocker.. you wouldn’t be blocking those sympathetic beta receptors. You could have a HUGE “fight or flight” response. 👎🏼 That, combined with painful surgery and a tube in your throat, puts the pt at extreme risk for heart attack. These patients were already susceptible to MI at baseline...that’s why they were on a beta blocker 😬
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💊 Patients on opioids should continue to take them. By holding them for chronic users, think about how much harder pain mgmt will be post-op. ☹️
A simple explanation of the mechanics of breathing A simple explanation of the mechanics of breathing 🌬
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In a healthy person, our drive to breathe is based off of the amount of carbon dioxide in our blood. We have these lil things called chemoreceptors that sit in the carotid artery. 
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These chemoreceptors are basically takin’ ABGs nonstop, and constantly taking those samples of blood to titrate breathing to effect. 🩸
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An increase in carbon dioxide is sensed by the chemoreceptors, and they tell the body to take a breath. Remember that taking a breath in means exhaling a breath out. That breath out is exhaling the Co2 that came from gas exchange at the alveoli (swappin’ oxygen from the air for the “waste” in our body) that was building up. 🗑
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But why is Co2 “waste” and where does that even come from? Obvi we need oxygen to live but why is that? The body uses the oxygen we breathe in to actually break down the sugar(carbs) we eat. 🍞 Say whaaaat? Ya. Breaking down that sugar = energy that we need to basically exist. So. When that sugar is broken down by oxygen, Co2 is produced. 
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High levels of this waste product leads to a million different problems as you know. Some side effects include respiratory acidosis, tachycardia, dizziness, seizures, and loss of consciousness ☠️
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Phew! Now take a deep breath and let me know if this was helpful! 😃
I was told by my clinical instructor that I wouldn I was told by my clinical instructor that I wouldn’t make it in the ICU as a new grad. 

I ended up getting hired before I graduated. I was one of 3, out of over 800 applicants. 

When I was applying to take the NCLEX, my ATT (approval to test) date was delayed due to my school submitting it late. I had landed my dream job, and I couldn’t start if I didn’t get my license in time. I emailed the assistant dean asking if there was anything I could do. She replied with, “maybe this job wasn’t meant for you.” 

Her and I had been bumping heads since I began the program. She didn’t like me. I challenged her, and I stood up to her when everyone else was too afraid to. My nursing program was one of a punitive environment - my teachers had their years of experience. Now it was our turn to be mentally broken down like they were as a new nurse. It was a breeding ground for future nurse bullies - I opposed it, and I opposed her. 

So I ended up being able to test in time (no help from her btw), I passed, and began my new grad ICU job. 

Years later, on the same unit, I saw her visiting her mom who had just had surgery. She saw me standing in the hallway. And I smiled at her, said nothing, and I walked away. 

Don’t EVER let anyone tell you that you can’t.
Never realized how Italian I was until someone rec Never realized how Italian I was until someone recorded my hand gestures 😂 teach with enthusiasm right? 🤓🇮🇹
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Sassy Anesthesia

pink stethoscope and black marble macbook case
Nursing

How to get into CRNA School: Basic Admission Requirements

August 17, 2020August 26, 2020

Let’s start out with the basics of CRNA school. I get a lot of questions regarding requirements and career pathways to become a CRNA (in the U.S.). Below you’ll find education requirements, what’s considered “critical care experience” and exceptions to that, info on GPA and GRE, types of CRNA programs and if you scroll to the bottom, I’ve listed out CRNA programs by city, state, and degree type. Let’s get started.

 

Education Requirements

(from the AANA, individual school requirements subject to change):

  • A Bachelors degree or higher in nursing
  • A clean, unencumbered nursing license in the U.S.
  • BLS/ACLS
  • CCRN highly recommended, my post on why this is important here. How I studied here.
  • A minimum of one year full-time work experience, or its part-time equivalent, as a registered nurse in a critical care setting within the United States, its territories, or a U.S. military hospital outside of the United States. The average experience of RNs entering nurse anesthesia educational programs is 2.9 years.

“Critical Care” Experience

Another question I get asked often is what qualifies as “critical care experience”? Here’s a list. Again, this may vary on individual programs, so it’s important to check out individual requirements for your schools of interest). In general, and overall, this means an Intensive Care Unit.

  • SICU (Surgical ICU)
  • MICU (Medical ICU)
  • CICU (Cardiac ICU)
  • CVICU, CTICU (Cardiovascular/Cardiothoracic ICU)
  • CCU (Coronary Care Unit)
  • Neuro ICU
  • TICU (Trauma ICU)

Exceptions?

While these departments are accepted in some programs, I do believe it will make your admission more difficult, as it will be a very steep learning curve while in the program. Majority of CRNA school is adult-focused. Does that mean there’s no pediatric CRNAs? Of course not. Everyone in the program will learn pediatric/neonatal anesthesia. I just add this on because there are so. many. applicants. that will have more generalized ICU experience than you and that might filter you out. But, if you kick ass on your interview or your resume is phenomenal, its possible. Here’s that list.

  • Emergency Department
  • Pediatric & Neonatal ICU (PICU/NICU)
  • Burn Unit

Departments that basically filter you out:

  • Operating Room
  • Post-Anesthesia Care Unit (PACU)
  • Step-down “ICUs”
  • Progressive Care Units (PCU)
  • Telemetry
  • Medical-Surgical
  • Obstetrics
  • Labor & Delivery
  • Basically anything else not listed above

I will also add on, that I’ve heard statistics showing that those SRNAs (student registered nurse anesthetists) that did not have an ICU background, were more likely to fail boards.

 

pink stethoscope and black marble macbook case

 

 

GPA

You need a 3.0 right off the bat. The market is too competitive, if you’ve got less than this you’re going to need to retake some classes. The recommendation is >3.5, at least. I know a lot of schools (mine included) filters out applicants based off of GPA before anything else has even been looked at on the application. Now, this GPA “standard” reeeally varies school to school. I’ve heard of schools that majority have extremely high GPAs like 3.8 and above. Others are ok with lower. I would research your specific school of interest, they typically have specific requirements on their application page.

So. With that said.

I had a 3.5. GASP. I’ve never been one of those “school people” that thrives on straight A’s or loves studying. Would I like that? Of course. But to me, clinical has always been the determinant of success. I hate memorizing with no application, I learn nothing. You can memorize shit all day to get those straight A’s but could be terrible bedside. But I digress this has nothing to do with anything we’re talking about HA.

NOW. Did I get in just because of that GPA? ABSOLUTELY NOT. I believe my resume spoke louder than numbers and got me that interview. I’ve been a resume junkie for yearsssss and have perfected my resume to be well-rounded and unique. I’ve gotten every job I’ve applied for, and I attribute that to having a kickass resume and great interview skills. Click on those links if you’re interested in learning more about that.

Back to GPA. There’s this really cool GPA calculator to calculate what grades you need to get in additional classes to raise your current GPA.

A future post is coming in regards to what I did specifically to make my resume speak louder than GPA in regards to CRNA school.

GRE

I’m gonna keep this part short and simple because my CRNA school did not require taking the GRE. Typically, it is recommended you get a score of 300 or better. If you’re curious, scroll down and I’ve listed CRNA schools by state. I’ve linked each of their CRNA program pages so you can check specifically what those schools require. You’re welcome.

Prereqs

This is going to vary entirely by school, so scroll down and find the link to your program of interest for their specific requirements in this regard. In super, super, superrrrr general terms most will require chemistry, anatomy/physiology, statistics.

Shadowing a CRNA

Some programs require this, some don’t. Will it boost your resume? Absolutely.

Letters of Rec or Personal Statement

Search for specific program requirements below.

pink stethoscope on pink mac keyboard marble

 

Two Types of CRNA Programs (as of now)

Masters or Doctorate Level.

A Masters Program is typically around 27-30 months, a little over two years. HOWEVER, there will be an upcoming transition requiring all CRNA schools to be Doctorate level to maintain accreditation. Doctorate nurse anesthesia programs take around 36 months or 3 years to complete.

Need more info? I recommend joining this awesome CRNA Prep Academy where you have TONS of amazing access on how to prepare yourself when its time to apply. You can also book me for a personal resume review. Check it out!

CRNA Schools By State

There are currently no CRNA schools in the following states:

Alaska
Delaware
Hawaii
Idaho
Indiana
Montana
Nevada
New Hampshire
New Mexico
Oklahoma
Vermont
Wyoming(dated August, 2020)

Alabama (2)

Samford University
Birmingham, AL
MSN

University of Alabama at Birmingham
Birmingham, AL
DNP

Arizona (2)

Midwestern University
Glendale, AZ
MSN & DNP

University of Arizona
Tucson, AZ
DNP

Arkansas (1)

Arkansas State University
Jonesboro, AR
DNP

California (5)

California State University Fullerton
Fullerton, CA
DNP

Loma Linda University
Loma Linda, CA
DNP

National University
Fresno, CA
DNP

Samuel Merritt University
Oakland, CA
MSN

University of Southern California (USC)
Los Angeles, CA
DNP

Connecticut (4)

Fairfield University
Bridgeport, CT
DNP

Central Connecticut State University
Hartford, CT
DNP

Quinnipiac University
Hamden, CT
DNP

Yale University – New Haven Hospital
New Haven, CT
DNP

Florida (9)

Adventist University of Health Sciences
Orlando, FL
DNP

Barry University
Hollywood, FL
DNP

Florida Gulf Coast University
Fort Myers, FL
DNP

Florida International University
Miami, FL
DNP

Florida State University
Panama City, FL
MSN

Keiser University
Naples, FL
MSN & DNP
 
University of Miami
Coral Gables, FL
DNP
 
University of North Florida
Jacksonville, FL
DNP
 
University of South Florida
Tampa, FL
DNP

 

Georgia (2)

Emory University
Atlanta, GA
DNP
 
Augusta University
Augusta, GA
DNP

 

Illinois (5)

Millikin University
Decatur, IL
DNP

Northshore University
Evanston, IL
DNP

Rosalind Franklin University
North Chicago, IL
DNAP

Rush University
Chicago, IL
DNP

Southern Illinois University
Edwardsville, IL
DNP

Indiana (2)

Marian University
Indianapolis, IN
DNP

University of Saint Francis
Fort Wayne, IN
DNP

Iowa (1)

Iowa University
Iowa City IA
DNP

Kansas (2)

University of Kansas
Kansas City, KS
DNP

Newman University
Wichita, KS
MSN

Kentucky (2)

Murray State University
Madisonville, KY
DNP

Northern Kentucky University
Highland Heights, KY
DNP

Louisiana (2)

Franciscan Missionaries of Our Lady University
Baton Rouge, LA
DNP

Louisiana State University
New Orleans, LA
DNP

Maine (1)

University of New England
Portland, ME
MSN

Maryland (2)

Uniformed Services University
Bethesda, MD
DNP

University of Maryland
Baltimore, MD
DNP

Massachusetts (2)

Boston College
Boston, MA
MSN
 
Northeastern University
Boston, MA
Post-master’s certificate
 

Michigan (5)

Michigan State University
East Lansing, MI
MSN

Oakland University Beaumont
Royal Oak, MI
DNP

The University of Michigan Flint
Flint, MI
DNP

University of Detroit Mercy
Detroit, MI
MSN

Wayne State University
Detroit, MI
MSN

Minnesota (4)

Mayo School of Health Sciences
Rochester, MN
DNP

Minneapolis School of Anesthesia
St. Louis Park, MN
Final MSN cohort will matriculate Fall, 2021
 
St. Mary’s University of Minnesota
Minneapolis, MN
MSN
 
University of Minnesota
Minneapolis, MN
DNP
 

Mississippi (1)

University of Southern Mississippi
Hattiesburg, MS
DNP

Missouri (4)

Goldfarb School of Nursing at Barners-Jewish College
St. Louis, MO
MSN
 
Missouri State University
Springfield, MO
DNP
 
Truman Medical Center School of Nurse Anesthesia
Kansas City MO
DNP
 
Webster University
St. Louis, MO
DNP

Nebraska (2)

Bryan College of Health Sciences
Lincoln, NE
DNP

Clarkson College
Omaha, NE
MSN

New Jersey (2)

Our Lady of Lourdes
Camden, NJ
MSN

Rutgers School of Nursing
Newark, NJ
DNP

New York (3)

Albany Medical College
Albany, NY
MSN

Columbia University
New York, NY
MS

State University of New York at Buffalo
Buffalo, NY
DNP

North Carolina (7)

Duke University
Durham, NC
DNP

East Carolina University
Greenville, NC
MSN

Raleigh School of Nurse Anesthesia
Raleigh, NC
DNP

University of North Carolina Greensboro

Greensboro, NC

DNP
 
University of North Carolina Charlotte
Charlotte, NC
MSN
 
Wake Forest Baptist Health

Winston-Salem, NC
MSN

 
Western Carolina University
Asheville, NC
MSN

North Dakota (1)

University of North Dakota
Grand Forks, ND
DNP

Ohio (7)

Cleveland Clinic School of Anesthesia – Case Western Reserve University
Cleveland, OH
MSN

Frances Payne Bolton
Cleveland, Ohio
MSN

Lourdes University
Sylvania, OH
MSN

Otterbein University – OhioHealth Grant Medical Center
Westerville, OH
DNP
 
St. Elizabeth Health Center & Youngstown State University
Youngstown OH
DNP

The University of Akron
Akron, OH
MS
 
University of Cincinnati
Cincinnati, OH
DNP

Oregon (1)

Oregon Health and Science University
Portland, OR
MSN or DNP

Pennsylvania (12)

Bloomsburg University of Pennsylvania – Geisinger Health
Danville, PA
MSN
 
Cedar Crest College
Allentown, PA
DNP

Drexel University
Philadelphia, PA
MSN

Excella Health – Saint Vincent College
Latrobe, PA
DNP

La Salle University – Einstein Medical Center
Norristown, PA
DNP

La Roche College
Pittsburgh, PA
MSN

Thomas Jefferson University
Philadelphia, PA
DNP

University of Scranton
Scranton, PA
MSN

University of Pennsylvania
Philadelphia, PA
DNP

University of Pittsburgh
Pittsburgh, PA
DNP

Villanova University – Crozer Chester Medical Center
Springfield, PA
DNP

York College of Pennsylvania & WellSpan Health
York, PA
DNP
 

Rhode Island (1)

St. Joseph Hospital School of Anesthesia for Nurses
North Providence, RI
MSN

South Carolina (2)

Medical University of South Carolina
Charleston, SC
DNP

University of South Carolina
Columbia, SC
MSN

South Dakota (1)

Mount Marty College
Sioux Falls, SD
DNP

Tennessee (6)

Lincoln Memorial University
Harrogate, TN
MSN

Middle Tennessee School of Anesthesia
Madison, TN
DNP

University of Tennessee
Knoxville, TN
MSN

University of Tennessee Chattanooga – Erlanger Health
Chattanooga, TN
MSN

University of Tennessee Health Science Center
Memphis, TN
DNP

Union University
Jackson, TN
DNP

Texas (5)

Baylor College
Houston, TX
DNP

Texas Christian University
Fort Worth, TX
DNP

Texas Wesleyan University
Forth Worth, TX
MSN & DNP

University of Texas at Houston Health Science Center
Houston, TX
DNP

US Army Graduate Program in Anesthesia Nursing – Northeastern University
San Antonio, TX
DNP

Utah (1)

Westminster College
Salt Lake City, UT
MSN

Virginia (2)

Virginia Commonwealth University
Richmond, VA
DNP

Old Dominion University
Virginia Beach, VA
DNP

Washington (1)

Providence Sacred Heart Medical Center – Gonzaga University
Spokane, WA
DNP

Washington D.C. (1)

Georgetown University
Washington, DC
DNP

Wisconsin (3)

Franciscan Healthcare School of Anesthesia – Mayo Clinic Health System
La Crosse, WI
DNP
 
Marquette University
Milwaukee, WI
DNP
 
University of Wisconsin-Oshkosh
Oshkosh, WI
DNP

 

Questions or comments? Drop em below. I wish you luck on your CRNA journey!

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Hi, I'm Marissa.

I'm a first year SRNA. Here you can find some education & motivation, along with a touch of sass to keep you sane in a difficult but rewarding career path. Thank you for stopping by!
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For those who have been struggling with staying se For those who have been struggling with staying serious about COVID, wearing a mask, limiting gatherings, then this is for you. I’ve seen this trending, and it’s to show awareness of how COVID has affected so many people. 
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❤️ Lost a loved one or friend to COVID.
🧡 Know someone who has lost a loved one or friend to COVID. 
💛 Have taken care of a patient with COVID.
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Do you remember your H’s & T’s?

🚨A PEA Arrest stands for Pulseless Electrical Activity. If the patient is on a monitor, you can see electrical activity on their EKG. But, if you feel for a pulse they’re pulseless. This can sometimes last a couple of minutes before they flatline. 

🚨This is really important to catch early. If I know my patient is circling the drain and I’m expecting a code... my fingers are feeling for a pulse nonstop, even if I see a normal EKG on the monitor. You want to catch them in cardiac arrest ASAP for the best outcome, and start compressions the second you lose a pulse, not wait for the monitor to show you. 

🚨Even if you’re not in the ICU with a monitor, if your patient codes it is still so important to run through possible causes of the code. These are your H’s & T’s!

🚨Codes are chaos, we all know this. It’s so easy to let the adrenaline kick in and be the first to grab the meds or start compressions. OBVI this is important but don’t get too caught up in the process that you forget to assess what caused the code in the first place. You can do compressions on an acidotic patient all night long, and they’re not gonna come back unless you treat the cause of that acidosis (push an amp of bicarb, treat the K etc). 

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🩸Anticoagulant: -arin
ex. heparin, warfarin
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🤧Antihistamine: -ine
ex. diphenhydramine (Benadryl), loratadine (Claritin)
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🤢Antiemetic: -azine
ex. promethazine (Phenergan)
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💥Antiulcer: -tidine
ex. famotidine (Pepcid), ranitidine (Zantac)
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✖️Proton Pump Inhibitors (✖️gastric acid): -prazole
ex. lansoprozole (Prevacid), omeprazole (Prilosec)
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🦠Antiviral: -vir
ex. acyclovir
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🧫 Antibiotics:
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Aminoglycoside: -mycin
ex. vancomycin
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Fluoroquinolones: -floxaxin
ex. ciprofloxacin
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Tetracyclines: -cycline
ex. doxycycline, tetracycline
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😞Antidepressants/Anti-anxiety
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Tricyclic: -triptyline
ex. amitiptyline (Elavil)
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SSRIs: -pram/-ine
ex. citalopram (Celexa), ecitalopram (Lexapro)
 fluoxetine (Prozac), sertraline (Zoloft)
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