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There was a day at clinical way back when I was in There was a day at clinical way back when I was in nursing school 10 years ago. It’s funny how some of the simplest of conversations you remember forever. 

My preceptor asked me how I liked my coffee, and scared and passive little me mumbled “oh, however…”

She looked at me and told me, “Always know what you want. So how do you like your coffee?”

Black I said. 

Always know what you want. ☕️

#nursingschoolproblems #crnaschool #srna #anesthesiaschool #anesthesia #nursingschoolprobs #futurenurse #futurenurses #registerednurse #registerednurses #bsnrn #icunurse #icunurses #nurseanesthesia #nurseanesthetist
Precedex Education! 💉⁣ We love precedex in th Precedex Education! 💉⁣
We love precedex in the OR, but I didn’t so much in the ICU 😂 ⁣
Who’s a fan and who’s not?⁣ & save this post for reference!
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#crnaschool #anesthesia #anesthesiaeducation #icunursing #icu #icunurse #icurn #crna #srna #srnalife #srnaprobs #futurecrna #nurseanesthetist #nurseanesthesiologist #anesthesiology #nursingschooleducation #nursingeducation⁣
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Another quarter down only ONE MORE to go 😀 3 mo Another quarter down only ONE MORE to go 😀
3 more months until graduation!! 🎓👩🏻‍🎓
⠀⠀⠀⠀⠀⠀⠀⠀⠀
⏰ 2,200 hours of clinical experience down and some more to go BUT
⠀⠀⠀⠀⠀⠀⠀⠀⠀
The countdown begins 🎉
⠀⠀⠀⠀⠀⠀⠀⠀⠀
#crna #srna #srnalife #srnaproblems #nurseanesthesia #nurseanesthetist #nurseanesthesiologist #anesthesiology #nurseanesthesiology #futurecrna #srnatocrna #nurseblog #icurn #crnaweek #nurseanesthesia #crna #crnaschool #srnatocrna #nurseanesthetists
I highly do not recommend tag-teaming a case with I highly do not recommend tag-teaming a case with your friend cause you will end up dying from laughter at each other the entire time. 🫀💉 @ed.tee 
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#crnaschool #arewedoneyet #futurecrna #futurecrnas #srna #srnalife #srnaprobs #srnaproblems #nurseanesthesia #nursesweek2022 #nursesweek #anesthesia #aneathesiaschool #nurseanesthetist #nurseanesthesiologist #operatingroom #scrublife
PROPOFOL FACTS🤍😴💤 Did you know the last 2 PROPOFOL FACTS🤍😴💤
Did you know the last 2 slides? 🤓
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Don’t forget to save this for later!
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#propofol #milkofamnesia #anesthesia #anesthesialife #crnaschool #srna #srnalife #srnaprobs #srnatocrna #futurecrna #icunursing #icunurse #icunurses
Nurse Anesthetist loaaaaadingggggg… ⠀⠀⠀⠀ Nurse Anesthetist loaaaaadingggggg…
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4.5 months til’ the title!! 🎓
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#futurecrna #crna #nurseanesthetist #anesthesiaschool #nurseanesthesiologists #nurseanesthesiologist #srnalife #srnatocrna
I thought I’d be all coordinated and wear this c I thought I’d be all coordinated and wear this cap for dental cases, then the OR nurse asked me if there were butt cracks on my cap & now I’ll never unsee it 😂 🍑 looks like this is my new endo cap 💩

#crnaschool #srna #srnalife #scrubcap #scrubcaps #mallampati #futurecrna #anesthesia #anesthesiaschool #icunurse #gastrointestinal #dentalanesthesia
I’ve been seeing so many versions of what happen I’ve been seeing so many versions of what happened with #radondavaught that me & my roommate found the official court documents & photo evidence for those who are interested in what happened in the words of RaDonda herself. In general, don’t ever trust what comments you read on social media, & read the facts before forming your opinion, regardless of what stance you take. This is an unfortunate circumstance for everyone involved & I am so SO ready for the nursing profession to start to feel passionate and empowered again. 😕 Swipe to read, what do you guys think?
Let’s talk about blood transfusion! 🩸⁣ ⁣ Let’s talk about blood transfusion! 🩸⁣
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𝐩𝐑𝐁𝐂𝐬 ⁣
🔴 Transfusing 1 unit of pRBCs raises Hgb ~ 1g/dL & Hct by 2-3%. This provides a good estimate of where you should be at without drawing labs.⁣
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🔴 There are 𝘢𝘥𝘥𝘪𝘵𝘪𝘷𝘦𝘴 that increase the shelf-life of blood. ⁣
- 𝐂𝐢𝐭𝐫𝐚𝐭𝐞: anticoagulant. You don’t want your blood clotting in the bag! It inhibits calcium. Keep this in mind if giving multiple units, could lead to hypocalcemia. ⁣
- 𝐃𝐞𝐱𝐭𝐫𝐨𝐬𝐞: substrate for glycolysis for energy (ATP). This prevents the RBC from using the oxygen they’re transporting to the tissues. ⁣
- 𝐏𝐡𝐨𝐬𝐩𝐡𝐚𝐭𝐞: a buffer that prevents acidosis⁣
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🔴 Although these additives are great to prolong banked blood, they also come with consequences the longer the blood sits there. ⁣
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𝐑𝐢𝐬𝐤𝐬 include:⁣
- ↓ 𝐩𝐇 = ↑ lactic acid = bad⁣
- ↑ 𝐊 (keep in mind for renal fail pts). Hyperkalemia can result from an impaired RBC cell membrane that happens with stored blood, causing K to leak out. ⁣
- ↓ 𝟐,𝟑 𝐃𝐏𝐆 = ↓O2 release to the tissues. Which is the whole point of RBCs right. To deliver oxygen to the body. This is why with ECMO patients we used to ask blood bank for our blood to be <10 days old, to get the max benefit for these sick hypoxic patients. ⁣
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🔴What does 𝘭𝘦𝘶𝘬𝘰𝘳𝘦𝘥𝘶𝘤𝘵𝘪𝘰𝘯 mean? You’ll see this a lot on your blood bags. Leuko = WBC, reduced. This reduces/removes WBCs from pRBCs. This decreases the risk of febrile transfusion reactions & other adverse effects. ⁣
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💾 Save this post for reference! Want more posts like this? Let me know in the comments 👇🏼
It was a cool day. I remember the first time an an It was a cool day. I remember the first time an anesthesiologist went to intubate and he let me peek at the vocal cords when I was 15. I fell in love with anesthesia that day. 

Early on in clinical, I would think of that moment sometimes & wonder how he was able to do that so gracefully. I remember being so overwhelmed with intubating - how was he able to keep that perfect view for so long and so casually? I felt like I had seconds before I would lose my view and struggle to find it again. I felt like that would never be me and that I was a failure. 

I remember being asked by preceptors to explain each step of what I was doing during induction, and how my mind would literally black out cause I was trying so hard to focus on the tasks. How could they expect me to say everything out loud and the rationale plus answer their questions during such a critical moment? 

Today there were 2 nursing students shadowing in the OR, & my preceptor told me to explain everything I was doing & then I did. And when I went to intubate I got my view & asked them both if they wanted to see & then they did. And idk if I’m emotional because I’ve had 3 hours of sleep or cause that was just kinda cool because I finally felt competent enough to do what that MD did 15 years ago but yeah it was a good day.

Sassy Anesthesia

North America / Travel

Maui, Hawaii Travel Guide

February 6, 2017April 4, 2017


Maui truly has a special place in my heart as my family owns a timeshare there, and we’ve been going every year since I was 10. It feels like my home away from home every time I’m there. It’s the perfect Hawaiian island and the best in my opinion, because it’s an even mixture of town and nature. I’ve been to Oahu and Kauai as well, and they are both more extreme versions of town and nature respectively. Maui has been said to be the best family island, with lots of activities for all ages. Our timeshare is in Kaanapali, so I will be focusing mostly on that area and the town of Lahaina, with island excursion options as well, such as the volcano Haleakala, and the road to Hana.


Westin Maui ocean resort villas Kaanapali

What to do in Maui:

1. Snorkel/snuba/scuba: The waters here have an absolutely amazing underwater world for you to enjoy. The best part is, you can do it for cheap. We usually rent snorkel gear from Boss Frogs for $6/day and you can snorkel right in front of all the Kaanapali resorts. Black Rock is a popular spot, and you can view people diving from the top, or try it yourself (it’s awesome!). There’s tons of tropical fish you’ll see including the state fish the Humuhumunukunukuapua’a. There’s also sea turtles that roam close to shore! If you’re interested in doing a day trip, try checking out Molokini, a volcanic crater, halfway submerged in the ocean. There’s lots of boat tours you can do that typically provide the gear, and lunch is served on the boat. I went with Pride of Maui, and it was awesome. They served a light breakfast, took us to Molokini AND Turtle Town, and provided BBQ lunch with an open bar. There’s also a slide on the boat! If you register online, it’s $99/adult, $68/kids.



2. Go to a Luau: Now this is something I definitely don’t do every year because they’re expensive, but if you’ve never been to Hawaii, it’s a must! Luaus will typically have a buffet dinner, followed by live Hawaiian entertainment, although this varies with different luaus. It is good to know that not all luaus will have the fire show, as this is technically a Polynesian tradition, not Hawaiian. The only luau that sticks to its Hawaiian roots is The Old Lahaina Luau. I’ve done this Luau a couple times and it’s really great. The food and service is amazing and there’s an open bar. But, this is also one of the most expensive luaus, with adults at $120/ticket, and kids $78/ticket. If you’re looking for a more affordable Luau, The Royal Lahaina Luau has tickets for $76 per adult, and for each adult ticket, you get a free children’s ticket.

3. The Road to Hana: This is another day trip. Plan to leave early so you don’t get stuck in traffic or behind tour buses later in the day. Hana is an isolated town located at the eastern side of Maui. To get there, you take Hana highway, a 52 mile winding road that takes you through green lush forests, along the cliffs of the ocean, and offers different stops to take hikes throughout your drive. I would suggest purchasing a guide to do this, whether it’s written or audio, as some of the stops are easy to miss. We bought a cd that told us what to look for at each mile marker which was very helpful, and I know there’s apps now too that can do this based off of GPS. Wear hiking or water shoes, as the trails can get muddy. Wear a bathing suit and bring a towel, as a lot of the stops are hikes to waterfalls and pools you can swim in. Don’t leave valuables in the car. The stops are an easy place for break ins and there’s signs there to remind you. Stop at some of the snack shacks and try the banana bread! It is sooo tasty. Lastly, fill your gas tank full! There are no gas stations from Paia to Hana.

This was a really rainy day, so the water was pretty muddy.


4. Haleakala Volcano at Sunrise: This is another very popular tourist destination and for good reason. Being above the clouds and watching the sun rise is a spiritual experience. You have the option to drive yourself, or book a tour bus to pick you up at your hotel. We booked the tour so we wouldn’t have to drive half asleep as they pick you up around 3am. Our tour included breakfast after sunrise which was great. Bring a jacket and blankets! It is COLD up there even during the summer as it’s 10,000 feet above sea level.


5. Whale watching: If you are whale obsessed like me, then Maui is the perfect place to see them! Whale season in Maui is from November – May. I like booking with Pacific Whale Foundation as a portion of their proceeds go towards ocean and whale conservation. When I went, we saw a LOT of humpback whales. It was amazing!

6. Front Street in Lahaina: A short drive from Kaanapali, Lahaina has tons of restaurant and shopping options for clothing, fine jewelry, and souviniers. A few of my favorite restaurants here would have to be Jimmy Buffet’s Cheeseburger in Paradise, Cool Cat Cafe, and if you’re a Fleetwood Mac fan, Mick Fleetwood’s restaurant-Fleetwood’s on Front St. Don’t miss the huge banyan tree here as well!

Lahaina Maui front street
7. Nakalele Blowhole: Take a short hike to see this popular spot. Be careful on your way down, and don’t get too close to the blowhole as there have been fatalities here.

A few of my other favorite restaurants:

  • Aloha Mixed Plate: If you want an authentic Hawaiian plate lunch, this place is great! Lots of varieties of meats with mac salad and rice!
  • Merrimans in Kapalua: This place has gorgeous views for lunch as you’re pretty much surrounded by ocean. A quick drive from Kaanapali.
  • Duke’s: American food with an oceanfront view, can be a long wait for dinner.
  • Hula Grill: Located in Whaler’s village, another oceanfront view with a variety of meal options. Don’t forget to try the hula pie!
Merrimans kapalua maui Hawaii
Merrimans in Kapalua

There’s so much more to do in Maui, but some of the best days are just spent relaxing on the beach with a Mai Tai! Like I said, this travel guide focuses on staying in the Kaanapali area. In September, I will be mixing it up a bit and staying in Wailea for the first time for a friend’s wedding, can’t wait!

Kaanapali beach Maui

Questions? Leave me a comment!

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3 comments on “Maui, Hawaii Travel Guide”

  1. Perfect Places To Visit
    June 16, 2017 at 3:10 pm

    I love it when people come together and share opinions, great blog, keep it up.

    Reply
  2. Shannon
    February 7, 2017 at 12:07 am

    You gave me all of these tips just before my honeymoon, and I’m so glad you did! We had a blast! I LOVE Maui!

    Reply
  3. A Hearty Nomad
    February 6, 2017 at 10:25 pm

    Your pics are great I hope to get there one day!!!!! Thanks for sharing

    Reply

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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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There was a day at clinical way back when I was in There was a day at clinical way back when I was in nursing school 10 years ago. It’s funny how some of the simplest of conversations you remember forever. 

My preceptor asked me how I liked my coffee, and scared and passive little me mumbled “oh, however…”

She looked at me and told me, “Always know what you want. So how do you like your coffee?”

Black I said. 

Always know what you want. ☕️

#nursingschoolproblems #crnaschool #srna #anesthesiaschool #anesthesia #nursingschoolprobs #futurenurse #futurenurses #registerednurse #registerednurses #bsnrn #icunurse #icunurses #nurseanesthesia #nurseanesthetist
Precedex Education! 💉⁣ We love precedex in th Precedex Education! 💉⁣
We love precedex in the OR, but I didn’t so much in the ICU 😂 ⁣
Who’s a fan and who’s not?⁣ & save this post for reference!
⁣
⁣
⁣
⁣
#crnaschool #anesthesia #anesthesiaeducation #icunursing #icu #icunurse #icurn #crna #srna #srnalife #srnaprobs #futurecrna #nurseanesthetist #nurseanesthesiologist #anesthesiology #nursingschooleducation #nursingeducation⁣
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⁣
⁣
Another quarter down only ONE MORE to go 😀 3 mo Another quarter down only ONE MORE to go 😀
3 more months until graduation!! 🎓👩🏻‍🎓
⠀⠀⠀⠀⠀⠀⠀⠀⠀
⏰ 2,200 hours of clinical experience down and some more to go BUT
⠀⠀⠀⠀⠀⠀⠀⠀⠀
The countdown begins 🎉
⠀⠀⠀⠀⠀⠀⠀⠀⠀
#crna #srna #srnalife #srnaproblems #nurseanesthesia #nurseanesthetist #nurseanesthesiologist #anesthesiology #nurseanesthesiology #futurecrna #srnatocrna #nurseblog #icurn #crnaweek #nurseanesthesia #crna #crnaschool #srnatocrna #nurseanesthetists
I highly do not recommend tag-teaming a case with I highly do not recommend tag-teaming a case with your friend cause you will end up dying from laughter at each other the entire time. 🫀💉 @ed.tee 
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#crnaschool #arewedoneyet #futurecrna #futurecrnas #srna #srnalife #srnaprobs #srnaproblems #nurseanesthesia #nursesweek2022 #nursesweek #anesthesia #aneathesiaschool #nurseanesthetist #nurseanesthesiologist #operatingroom #scrublife
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