BALTIMORE, MD – Nurse anesthetist Megan Poole, a veteran CRNA at Johns Hopkins University, set a new record on Tuesday morning by taking a break while already on a break from her case. The 46-year-old had smoothly induced anesthesia on a 70-year-old patient for placement of a prosthetic heart valve, when her colleague, Jim Wilson, arrived to give her a planned lunch break. After the standard brief signout procedure, Poole left the operating room and moved to the Anesthesia Lounge adjacent to the Hopkins ORs.

After 10 minutes had passed, anesthesia resident Kevin Balmer appeared in the lounge and informed Poole that he was told to give her a lunch break. “I was a bit surprised, initially,” said Poole, “but I wasn’t going to let a golden opportunity slip through my grasp.” Thinking quickly, Poole began to signout her cafeteria lunch to Balmer, informing him that she was eating a 15-minute-old sandwich with no known medical problems.
“I didn’t think he would buy it at first,” she stated. “But he’s a first-year resident and I think he was scared to stop me? I told him that the induction of my lunch went smoothly and that my French fries had been hemodynamically stable. He just kept writing stuff down on his clipboard.” After finishing her signout, Poole left Balmer in the lounge to supervise her tray of cooling food. She then left the hospital, walking to the Starbucks across the street to enjoy a cappuccino before returning.
“When I got back, my food had gotten cold, so Kevin had wrapped my sandwich in a Bair Hugger and put an infant warmer over my fries. He said that my lunch had otherwise been quite stable. I was dying but I kept a straight face.” Poole thanked Balmer for the break, finished her lunch, and returned to OR 17 to resume her cardiac case.
She told Wilson of her achievement, and word spread like wildfire through the Anesthesia Department. “Amazing. Simply amazing,” said Dr. Linda Walker, the supervising cardiac anesthesiologist. “I’ve been trying to crack the break-stacking dilemma since I was a fellow, but to no avail. Then Megan just swoops in and nails it.”
Michael Dorn, the chief CRNA at Hopkins, was equally impressed saying, “We’ve all been trying to make it to Starbucks on break for years, but never had sufficient time. Who knew that the key would be a confused resident?”
Poole herself is looking forward to attempting the feat again. At press time, Hopkins was considering simply assigning an anesthesia resident to the OR Lounge full-time to facilitate continuous break-stacking for docs and CRNAs, and Walker had submitted the case as an oral abstract for the ASA Annual Meeting. “I think we are ushering in a new era in anesthesia breaks,” said Dorn. “I can almost taste the peppermint mocha.”
Shawna…. Nightshift…
Shawna…. Nightshift…
Shawna…. Nightshift…
Shawna…. Nightshift…
Shawna…. Nightshift…
Shawna…. Nightshift…
Shawna…. Nightshift…
Shawna…. Nightshift…
Shawna…. Nightshift…
Shawna…. Nightshift…
No way she’s 46…….
Alecia Curry ;)
Oh, I’m right on top of that Rose
Oh, I’m right on top of that Rose
Hahahaha this is great!
Ha Melissa Lynch Moses- that’s hilarious! I might try this.. ;)
Vicente Behrens
Mia Carlisle this made me think of you!
Kelly Barton Montgomery, have you tried this yet??
Too funny!
1st rule of CRNA club- find the coffee machine. 2nd rule of CRNA club- find the lounge. 3rd rule of CRNA club- never talk about CRNA club.
Nsg assistants at my hospital have this perfected! They should teach a course in Break within Break 101 – A primer for healthcare professionals
That story is hilarious, we need more first year residents at my place just for laughs. We also need a Starbucks.
Bahahahah it’s all about thinking on your toes…. I will use this.
Lmao!!!!
Fred Simpkins
What do you think Jason Buszta?
Gotta have my Starbucks
Lindy, ha!
Amazing, would love to implement this at my institution as Starbucks is almost 2 blocks
Away
I think you missed the point john chauss!
This has a layer of truth to it. I work with people like this. They also get angry if you don’t relieve them 30 minutes before their shift ends, too.
Lau Yie Hui
Ryan this has your name written all over it
Or you just need a break! I don’t know what that is!
I need to take up a outdoor hobby like smoking so im not on my unit during break and getting asked questions about things relevant to my job while off the clock
Mario will love this!
Mario will love this!
Hailey Keene
Natalie Grable, life goals.
Are we sure they are not describing an attending?
You’re not . A doctor are you? Kidding lol
Ppl realize this isnt a real/factual site right?? “Gomer” a term from a book called ‘The house of God’… I suggest it to anyone who can appreciate this satirical type of humor…
I am becoming anesthetized just by looking at her.
“Informing him that she was eating a 15 minute old sandwich with no known medical problems” lmao
GOMERBLOG you slay me
Craig Noobe
Lol
Polly Wetzel Zelaya you need some residents!
Pure Genius!!!!!
Ahahaha. Thoughts Tobyn Derby-Talbot?
Grant Jordan Corey Isaak
I had one of those days today.
Lol! Darcie Angel.
Can I just say that I have worked 64 hours this week because we are so short staffed….
Can I just say that I have worked 64 hours this week because we are so short staffed….
Naomi Matthews
Naomi Matthews
Janassa Kapadia Opichka
Janassa Kapadia Opichka
Hahaha. Genius Danielle Major Galasso
Hahaha. Genius Danielle Major Galasso
Heather Devaney
Heather Devaney
Don Stanley
Don Stanley
Cerisa Forrest check this out
Cerisa Forrest check this out
Great!
Great!
Lol Charlie Johnson
Lol Charlie Johnson
Sarah Barker Serafini this made me think of your husband lol
Sarah Barker Serafini this made me think of your husband lol
I’m sorry, what’s a break?
Gina Taylor Willaford
Marilyn Anne Shaw :)
Nicole Shirariver
Emma Cappello teeeheeeheee
Haha! Amazing! Simply amazing!
Hahahaha
OK, I’m confused. What’s a “Break”?
Tyler Wilhelm
Andrea Burrier
Good for her.
Lol!
Dan Sehrt
Lol…Cathy Brett Kinsey
Hahahaha
Lara Roman Dickinson
Lindsay Rothrock, Amy Amy Olayer Rega, Sabrina Marie,
Lillie Manon
Vipul Saparia
Marissa Stromberg
It’s like inception. In a break within a break, minutes last hours.
Kristin Weatherley and Sarah Donnelly – we must master this technique at the VA!
Funny Gomerblog….however there is unfortunately no Starbucks within walking distance of Hopkins.
Lynae Christensen Tonika Harris- Lyons
This is pretty much the only reason I want to become a CRNA.
Break-stacking: It’s a stealthy maneuver.
Lora Ann Cullipher???? Lol!
Rob Kent
Hahahahahaha
Katie Logan Farley
Hahaha!
Jeffrey Kramer
Joey Embanato, where’s my stacked break??
Britney Loveless Kiger
As a CRNA who’s not exactly mastered the break-stacking technique, I find this article quite informative. And, to make it to a Starbucks on break is indeed a feat.
So funny
Never trust a ‘Nurse ‘…
Robert Wong
Cassie Weigman