A day in the life of Anesthesia: Certified Registered Nurse Anesthetist

cheers to a day in the life of a crna [Music] the essentials for my lunch bag creamer for my second cup of coffee my breakfast smoothie and let's not appropriate our celsius most important what's up guys good morning i'm on my way to work um so i just wanted to give you guys a quick rundown and kind of show y'all what it's like a day in the life um as a crna so for those of you that don't know crna stands for certified registered nurse anesthetist so before i went to grad school for um anesthesia i was an icu nurse um loved it loved it loved it but i just knew i wanted to um practice anesthesia actually it was in nursing school when i decided that so anyway so i am officially now uh an anesthetist i put you to sleep keep you nice and comfy um wake you up comfy and yeah just overall take care of you during surgery um my scoop of practice covers everything anesthesia related i work at a small community hospital i love it because i love regional anesthesia i love everything hands-on so um when i get there from the start to finish my patients are mine i pre-op them i assess them i go over their medical history their previous anesthetics and i determine what is the best anesthesia plan for them um there are so many different kinds of anesthesia plans that people don't realize you have general anesthesia you have spinal anesthesia epidural anesthesia you have regional and you also have what we call twilight anesthesia and a lot of it can be confusing and i would definitely love to do like a q and a sometime and just give you guys like a general um knowledge what to expect when you or a loved one are going to get anesthesia but today i'm going away the beautiful thing about my job is i live about a minute away so i'm already there i'm pulling in the driveway i get here around 6 45 between 6 5 and 7 um go in and get changed and check out my cases my assignments it i get the assignment the day before but we kind of i'm just work together going and everyone just kind of works together and fix the case so um we will see what i'm doing today i'm excited to bring you guys along [Music] day let's see what it's got for me all right so i'm here gonna get set up here in the middle of my room we got a pretty busy day so i'm just gonna grab a jacket real quick i've got my jacket and i would just like to say i got the world shorter scrubs today the walk of the draw i'm gonna go ahead and uh [Music] i'm just waiting now for the surgeon to get here see the patient and then we'll be ready to rock so i have got all my meds ready i've got my machine all ready to rock i like to have it all checked make sure i have my suction good to go my ambu bag my backup tanks my machine running properly i'm just doing a mac today so i'm just using nasal cannula in the monitors but i will have my ventilator ready in case i need to backup use it so i usually like just have a airway on hand and a um lma just in case so you never the thing about anesthesia is to be prepared for what you don't know what's going to happen because 90 times it goes as you plan and the other time it just really doesn't so the key is to be prepared prepare prepared and yeah so um like i said i'm doing a beer block today so beer boxer not super common anymore but we do them a ton here for all of our carpal tunnel releases and any hand surgery so first thing i can't talk about is the beer block that i'm doing today so this is the type of anesthesia where we put a tourniquet on your lower forearm about here i wrap your arm accumulate all the blood out and then tighten your forearm tourniquet and then you have an iv in your hand and i answer all vocal anesthetic because that tourniquet is tight that open acidic stays right up in here and she's able to do surgery on the hand without having to do a deep um general anesthesia which is super awesome the last anesthesia we can give you is just better for your body overall so um everyone does it a little different i'm doing a lower form tourniquet so i'm going to use a 2 liter cane which is a higher concentration than other um blocks but because i'm doing it in the lower form i don't have to use as much concentration and then i'm also doing total [Music] okay am on my way up to the floor i have an inpatient okay so whenever we have patients that are in the hospital i'm going to go to the floor so i'm going to go up there we are about three cases in i have about three more to go two cup coffees in on a smoothie okay my day is officially over well for now i shift for the day so every day i love this job so much because every day it varies so i'm i'm at a smaller community hospital so we don't do a ton of trauma and got in there a little before seven worked until i got off around one so um i'm gonna go home hang out with my kiddo get some stuff done around the house go work out and then i'm on call starting at six tonight i love being on call which is like so opposite than a lot of crna's a lot of syrians hate me on call but it's a great way for me to i'm still getting my hours in work full time um i get to see you guys see some like unique stuff on so i'll get called into the er to do central lines to do um you know epidural statsy sections so you just get to do a lot of more interesting stuff being on call i'm i do kind of love being unquote a smaller hospital because you don't get called in as much i will say so um somebody's just pulling in so yeah so i'll be on call starting at six and then all through the night and then i'm on the call shift tomorrow so that just means i'm i'll be on call again until tomorrow night so yeah so i'm gonna go home enjoy some time with my fam see you later so i'm just leaving the hospital i was on call last night got called in around four for a emergent c-section jumped out of bed thrown a pair of pants from the hospital things like like two minutes away so i was able to get there in about four minutes after i got called i'm ran in threw on some scrubs ran to the or the patient was already on the table um they were hooking up to the monitor so i real quick pulled up a couple drugs got my airway turned on my ventilator so usually when i go into the or i set up all my drugs nicely go through my whole ventilator do a vent check thankfully the the emergent room they have all ready to rock and ready to go so i go in and um about two minutes after that i get the patient off to sleep i think it took about two minutes after that for the docs to get scrubbed come in and cut and get the baby out so all in all it took about eight minutes total for getting in the room getting the patient hooked up and getting him to sleep and getting that baby out thankfully mom and baby are both doing really good um the mom was laboring and the fetal heart rate just started dropping started dropping and the baby was in distress the baby was positioned in a way that the doctor could not assist the mom in delivery so they had to do an emergency section thankfully medicine is just incredible what we can do now especially um with c-sections and um you know the outcome is often we can help both mom and baby do well and recover well which is a miracle to me so it's awesome to be a part of that i love it even though it's 4 a.m get up in the middle of the night it's just um it's such a rewarding job and keeps you on your toes so yeah welcome to a day in the life of a crna and just what that looks like and i'm just excited for you guys to come along and see a piece of it um got called in last night for the emergency section so thankfully i was able to come home um get like an hour and a half hour of sleep and now i'm going to get ready and go back in for my [Music] all right i'm get dressed and ready to go all right days like today when i was up at 4am going back into work um usually end up being sweats tease and tennis day so cheers all right guys just got back to the hospital after my night of call so i came in last night for an emergency section um here's a little bit of difference between a small town and a big town hospital and you have to be very proficient when you do you have to really um be able to practice independently and do well with just what you have so when i got here it was the surgeon well the ob doc and the er doc and a paramedic usually go into or for a c-section and there's a scrub tech a circulator multiple people helping um you have the neonatal nurses you have the patient nurses the anesthesia so high walking and it's like they're hooking the patient up to the monitor they're getting ready to go so i had about two minutes i drew a couple drugs i got an airway i got a blood pressure really quick and as i was doing that the surgeons went out and started scrubbing no scrub attack no circulator like um got that baby out thankfully both mom and baby are really healthy doing really good um yeah so then at that point it's just kind of because it's such a fast process the doc works to get the hemorrhaging under control i work to stabilize the patient and now i've got to think about i um recovery okay what can i do to help this mom recover with such a traumatic experience they have to worry about knowledge and vomiting you're going to have severe like just a lot of pain c-sections are not a dainty little surgery so i would think about pain i think about you know all that stuff and then also i just hope she responds wealth anesthesia because i have no health history as far as that goes so i decided to do what we call a tap block a bilateral tap block so you have a big incision in your lower abdomen and so i did a regional anesthetic technique while she was still asleep i use an ultrasound and find there's a sheath of nerves a lot that um travel down either side of your abdomen underneath your um internal external obliques so i find an ultrasound i go down and find those that sheath of nerves and i just soak it really good with a look like an and the goal for that is when they wake up their pain isn't so severe because of the incision now that pain is going to eventually calm but the beauty of a block is it helps with when they wake up they can slowly over you know everything varies maybe like 12 to 14 hours that pain slowly comes back and we can help them manage it so i'm gonna go in now um get ready for the day thankfully my partner covered the first get my cake first case for me so i got to go home and get like an hour and a half of sleep and make some coffee and just get some um just get cleaned up for the day so yeah until next time welcome to a day in the live crne all right so i am in the colonoscopy egd room today we're doing a bunch of different scopes and egds on colonoscopies where they go up the rectum area look for it could be a screening it could be a biopsy to diagnose something without bleeding stuff like that and then also egds to go down esophagus and same thing it could be screening it could be um you have something going on that they have to check out so um what i do is i come in here i've already done my machine check i go and make sure it's my suction's hooked up i'm for these we just get some monitors put a little oxygen in i pull up some basic drugs and it's a pretty light anesthetic what i call just your twilight anesthesia and i like being in here because i don't have to wear my silly hat and it's a free show so i like to come in here i've already interviewed my patient went over everything explained everything went over his allergies so for colonoscopies i really just have to keep them nice and comfy so i just use um purpleball and lidocaine um if i do um hdd i'll use sometimes these little fentanyl to um want the gag reflex which obviously people thought that something going on your throat it's a big scope it can um cause you guys so but today just using some purple ball and then just some lidocaine propofol is a wonderful drug it keeps you nice and comfy it actually helps with some feeling nausea nauseous afterwards it has anti-ometic effects um but sometimes it can really burn when it pushes your iv so we use i try to um give some lidocaine right when the patient comes in and let that kind of sit in the iv for a minute or two before we get you off to sleep um and honestly for whatever reason sometimes it doesn't affect everybody so i pull up my drugs and i get my monitors ready and that's about it um being in this room is not bad at all and i enjoy really enjoy the people i work with everyone's super kind and we just have a good day of work i think it's super important to enjoy what you do enjoy your environment and i know that's not on the case with all my colleagues in in other places and so i'm just super thankful that i have that and um i really enjoy coming to work i never i never wake up thinking geez i have to go to work today and it's just i really like it so this is what my looks like i hooked this part up to the patient i've got my lidocaine in my purple and some people hook up their profile just to a pump to titrate it i like to just do it by feel it just um i have got some place where i just watch the patient's respirations and their heart rate and they both are sure everything and i will give them doses based on how they're doing so every day is a little different but for the most part i come in and i get changed my scrubs i check the board make sure nothing's changed if you are the call person they'll call us and tell us that there's been a change made otherwise look at the board go to the pre-op area grab a grab a chart read through the health history make sure that they've been approved by anesthesia for surgery i'll go see the patient go for their health history go over the previous anesthetics any issues they talk about their allergies and uh if they've never had anesthesia before just what to expect i am a huge huge proponent of everything regional anesthesia so if you or a loved one are ever in a position you're like i've got to get the surgery done i know regionals an option with the person giving me my anesthesia doesn't really want to do it that is always just know that you should always have the right to you know what's the most appropriate for that case i'll have people come in and i'll say i highly recommend a spinal for this and they say absolutely not i have zero tolerance for needles do not poke me with a needle i absolutely refuse and at the end of the day it's their anesthetic it's their choice it's their body we do what the patient wants you know we can recommend we can talk about the benefits and the risks and everything involved but then today you know i want to be an advocate for my patient so after i go over all that we sign a consent and then i get my room ready some crnas are big into like having all of your emergent drugs pulled up um i don't do that i i know where my emergency drugs are in the drawer and um i'll have a couple extra syringes ready in case i need those but um a lot of times a lot of drugs can be wasted if in my opinion if you do that so yeah and then i get ready for my patient and then after the surgeon seen them and the nurses have seen them they bring them back and we get going every day it's fun every patient's different based on their history um and i just just the whole continuity of care for me you have to really think through each specific patient and um yeah so i love that about my job it keeps me sharp i have to have critical thinking and there's no cookie cutter and anesthesia you have to it's every case is patient specific and um yeah that's what i love i just feel like every day i come in and it's different even though it's very similar so i was once told 95 percent of the time giving unc is just like mostly back chill job ever but that five percent where you push a medication and your patient's heart stops or you um you go to put an airway in and your patient starts vocal cords are fastening and you can't get them to breathe and they turn purple and their sides dropped in zero you know or close to zero those are that five percent that makes up for the 95 where life's good and easy and we're good at this so it is a high-risk career it is um stressful at times but thankfully we've all been trying to respond um with level heads and respond well make good decisions and split seconds of time so a few reasons why i love my job and uh so currently just waiting for my next case to come up and then i'll be done for the day so until then thanks for hanging out with me guys all right officially done it's my first 24 hours 24 more to go i've got my celsius to bring me some life cuz i'm tired but that's okay no worries got up to my case this morning i've been working all day and i'm gonna go home i'm gonna run to the gym i'm gonna pump it and then go home work on the projects it's beautiful now we're gonna enjoy this day and hopefully you don't get called in but we'll see you never know good morning and welcome to a day in the life of a crna um heading into work and i was the call person last night did not get called in last night so i will take it and uh man i try to when i'm the call person for the day get there i'm first and get there before everyone else so i live a little earlier than other days yeah so just on my way now and excited to bring you guys with me for a day in the live with the crm [Music] [Music] [Music] okay so done almost done with the end of my 48 hour call shift um so today was pretty busy came in i think i did a total of six cases today myself which is pretty busy for a small hospital like this we had um one of our orthopedic surgeons was doing a bunch of carpal tunnel and different type of tendon releases and then she had an orif of the um a radial bone which just shattered multiple places so i'm for that was my last one i did so there are like i said before there's lots of different ways to do anesthesia and to keep a patient sedated and keep them comfortable and we are big proponents of regional anesthesia as much as we can so i did a superclavicular regional anesthetic before the surgery and then i bring them back into the or just put a little profile drip up i'm and the patient stays breathing on their own and um he did super super good super comfortable i did give him a little bit of fentanyl versus before the block just to get him uncomfortable overall i just i really love my job and i just want to encourage anybody out there that is even considering looking into anesthesia and becoming a certified registered nurse anesthetist go for it you will not be sorry school's long it's hard it's a huge commitment but at the end of the day you know it's important to do what you love and to go into work every day and just love it i can honestly say so far i've just loved it i also think it's important to really figure out what you want new job for me i wanted a job where i could do regional anesthesia i wanted a job where i could be autonomous and um be in charge of my patients from start to finish and so that meant i had to look for a smaller hospital i'm not in as big of a hospital just fine because i still get a ton of experience i get to do a ton of regionals finals epidurals big general cases um so i feel like i'm really able to grow in areas that i wouldn't otherwise be able to grow at in a really big hospital you know it was important to me as being a mom that my hours weren't such to where it's gone all the time you know i live one minute from home there are days that i get off at like noon or even 11 sometimes and i'm just close in case they need me so at the end of the day um it's such an awesome career you can kind of tailor it to what you need no matter how long your day is it's always better with the selfies [Music] you

Channel: The Wild Fam

Views: 126,643

Rating: 4.874939 out of 5

Keywords: Day in the life of anesthesia, Crna, Anesthetist, Anesthesiologist, Anesthesiology, Preparing for anesthesia, General anesthesia, Local anesthesia, Regional anesthesia, How does anesthesia work, How to become an anesthesiologist, Operating room, Nurse Anesthetist, Registered nurse, Registered advanced nurse practitioner, Day in the life of an anesthesiologist, Day in the life of an Anesthetist, Crna school, Preparing for sedation, Working mom, Working full time, On call, OR

Id: HP_br91hx4I

Length: 25min 53sec (1553 seconds)

Published: Mon Apr 05 2021