2026-01-05 – Weekly CRNA News : Add-on case strategies shared

Last week, our community delved into a variety of topics that sparked insightful discussions and shared experiences. The ongoing challenge of handling unexpected add-on cases was a popular subject, as many shared tips for staying prepared. Members also explored the integration of technology in practice, specifically the influence of EPIC systems on workflow and decision-making. Additionally, the community considered practical approaches to safer outpatient procedures for patients with Obstructive Sleep Apnea (OSA).


This Week’s Hot Topics

The add-on fairy strikes at 0659
Handling last-minute cases is a universal challenge. This thread offers a peek into how colleagues manage the unpredictability.
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I now dream in EPIC hard stops
The influence of EPIC on daily operations can’t be overstated. This discussion covers how these systems affect your workflow and patient safety.
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Quantitative NMB monitors that actually change behavior
Are new monitoring technologies truly changing practice? This thread explores their real-world impact.
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OSA outpatients: safer, smoother plans
Outpatient procedures for OSA patients require careful planning. Discover strategies for improving safety and efficiency.
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CE that measurably lowers error rates
Continuing education is vital, but does it really reduce errors? This discussion examines CE’s tangible benefits.
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Max lidocaine dose: IBW or TBW
The debate on dosing based on ideal vs. total body weight continues. See where your peers stand on this issue.
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Pre-induction checks you never skip
What steps are absolutely essential before induction? Share and learn from your colleagues’ practices.
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CRNA billing modifiers pop quiz
Test your knowledge with this fun and informative quiz on billing modifiers.
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Syringe labels vs. a 0700 start
Discussing the importance of labeling in high-pressure environments and early starts.
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Are these anesthesia efficiency numbers reasonable
Analyzing efficiency metrics can be revealing. Are the numbers you’re seeing typical?
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Looking forward to another week of engaging discussions and shared learning. Until next time, keep supporting one another in your vital work.

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And i keep a small β€œadd-on bin” with airway sizes, a bougie, and extra IVs, and in Epic I fire a.ADDON smartphrase that pulls allergies, last labs, and ASA so we can move fast. If it’s truly emergent, bin first and chart later, but I keep a printed checklist for Epic downtime and always confirm ED labs crossed. As we say, β€œno surprises after lunch,” even when the surprise rolls in at 4:59.

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I’ve had the best luck timing humane raccoon evictions right at β€œdusk”: install the one‑way door, place an insulated reunion box just below the entry in case kits appear, and record a quick sweep with the body cam you mentioned to confirm no young are left. Works fast and keeps stress low, but if temps dip under about 45Β°F I hold the full seal or add a heat pack so no one gets chilled.

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In Epic, I use an β€˜Add-on RSI’ favorite order panel that drops in weight-based propofol/roc, type & screen, POC pregnancy test, and PACU multimodal PRNs, then I ping our β€˜OR Add-On’ Secure Chat group (@charge, @pharmacy, @RT) so everyone moves at once. If pharmacy’s slammed after 1700, I switch to the backup prefilled RSI kit and reconcile the MAR in PACU.

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If you’re eyeing the remote ones, treat them like concert tickets β€” set alerts and apply fast. When I picked up a remote chart‑review side gig, I only got callbacks after adding concrete metrics (case volume, software used) and a tight 3‑line cover note; some remote posts are 1099 or lower pay, so ask early. Quick scan link for tech roles: https://jobs.avma.org.

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