@The Duck Knows
Why labetalol, I wonder?
The only thing that EMR can do better, at least at my shop is recording vitals correctly. Everything else I still need to do by clicking or typing. If everything goes well, no problem. If it’s a difficult case and I am constantly “fixing” something; it can be frustrating and time consuming to fix the chart so all the events line up. I still need to put the disclaimer that not all the events are entered at “real time” AND still be questioned for a “precise” timeline.
Also the preop and postop notes are now all done by macros. Some of my partners will just click through everything without changing pre populated answers. At least on paper, if “I”didn’t physically check, I wouldn’t mark it. I am of the mindset, if I didn’t check it, I’d rather leave it blank. With clicking through Marcos, seen plenty of edentulous patients with full sets of “normal” teeth 3 months ago.
That was one part I didn’t quite get. I’ve given two vials of narcan, once. I’ve given 2 vials Flumazenil, once on the floor, when the patient received Ativan instead of shorter acting versed. It does call into his credibility a little.
I’ve worked with some senior anesthesiologists. They do “panic” more than young guns; however, this whole episode is more about judgement and cover up than the immediate treatment.
I can still see it happening, airway happens. But I hope with an anesthesiologist, hopefully, they can go head to head with Kim and not delay care. Also recognize if you cool the patient, especially for someone who is 18, maybe there would have been some meaningful recovery. 6 hours later, you’re pretty much done, on top of lying to ED to delay management even more.
Cannot comment on anything else, but this said Dr. Richmond is a CRNA, probably holds a DNP. I don’t think addressing him as a doctor at a nursing board meeting is appropriate.
Secondly, I don’t know the composition of the rest of their board, but I don’t believe they’re all CRNAs. Something just doesn’t sit right with this situation of nurses having a board meeting about a “doctor” while passing judgement. (Is he a doctor or a nurse? Is he practitioner of medicine or nursing anesthesia?)
Lastly, it appears to be the second death in the dental office for this CRNA. It’s hard on anyone to be a part of it. Myself may also feel sympathy, after the first. Shlt happens. We are humans. a second meeting, within a year, under very similar circumstances. Doesn’t bode well for Richmond.
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