CRNA's running codes

[catnipper]

I was really considering anesthesiology but my interest has taken a new direction. Today kinda put the cherry in the martini or the icing on the cake, so to speak. A patient with underlying pulmonary disease coded, the dude's O2sats were so low, his blood on ABG was black chocolate. Anyway, 'anesthesiology' was called to intubate the patient. I was expecting an anesthesiology resident, but low-and-behold a male CRNA dashed in with his big red bag and tubed the guy.

CRNAs are doing epidurals, doing emergent intubations in the wards, etc. etc., if you guys don't see the eminent loss in job security you are being clouded by the dollar signs. It's a great field, but it's in the process of being taken over. This has been a concern for decades, but it's now that CRNA's scope and automomy is increasing.

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[toughlife]

I was really considering anesthesiology but my interest has taken a new direction. Today kinda put the cherry in the martini or the icing on the cake, so to speak. A patient with underlying pulmonary disease coded, the dude's O2sats were so low, his blood on ABG was black chocolate. Anyway, 'anesthesiology' was called to intubate the patient. I was expecting an anesthesiology resident, but low-and-behold a male CRNA dashed in with his big red bag and tubed the guy.

CRNAs are doing epidurals, doing emergent intubations in the wards, etc. etc., if you guys don't see the eminent loss in job security you are being clouded by the dollar signs. It's a great field, but it's in the process of being taken over. This has been a concern for decades, but it's now that CRNA's scope and automomy is increasing.

ok this is your first post so I'll go easy on you. So the NA tubed the coding patient. That's good.

did the NA stand there and assign tasks to everyone during the code? If no, then they didn't run the code. They just intubated the patient.

 

[catnipper]

ok this is your first post. And no I am not switching specialties.

Yes, it's my first post. I've enjoyed browsing this forum for now over a couple months but never had anything to add or ask. Take what I say with a grain of salt. I just didn't know CRNAs did emergent airways on the wards. I didn't know they did epidurals unti recently either.

 

[toughlife]

Yes, it's my first post. I've enjoyed browsing this forum for now over a couple months but never had anything to add or ask. Take what I say with a grain of salt. I just didn't know CRNAs did emergent airways on the wards. I didn't know they did epidurals unti recently either.

OK. It depends on the hospital. In some they do and at some residents do them.

 

[cloud9]

I was really considering anesthesiology but my interest has taken a new direction. Today kinda put the cherry in the martini or the icing on the cake, so to speak. A patient with underlying pulmonary disease coded, the dude's O2sats were so low, his blood on ABG was black chocolate. Anyway, 'anesthesiology' was called to intubate the patient. I was expecting an anesthesiology resident, but low-and-behold a male CRNA dashed in with his big red bag and tubed the guy.

CRNAs are doing epidurals, doing emergent intubations in the wards, etc. etc., if you guys don't see the eminent loss in job security you are being clouded by the dollar signs. It's a great field, but it's in the process of being taken over. This has been a concern for decades, but it's now that CRNA's scope and automomy is increasing.

Are you kidding? I have never heard of any of this before. I had to google CRNA to see what it was about. This beats all I ever heard. Sounds like I am choosing the wrong occupation and better get out while I still can. This CRNA guy with his big red bag sounds like the consummate bad-a$$, the epitome in fact.

Sure am glad you are here to share your expertise and spell these things out for us poor fools. Much obliged.

 

[powermd]

Sticking a tube in someone is a procedure any well trained monkey can do. Judging whether or not a patient *should* be tubed, well, that decision usually falls on a physician. Let me ask you this? Who consulted anesthesiology for emergent tube placement? Was it a physician, or a nurse? Were there any physician present at the code? Or did the nurses all get together and decide to take care of this one by themselves and let the intern-on-call get his sleep?

 

[leopold stotch]

Are you kidding? I have never heard of any of this before. I had to google CRNA to see what it was about. This beats all I ever heard. Sounds like I am choosing the wrong occupation and better get out while I still can. This CRNA guy with his big red bag sounds like the consummate bad-a$$, the epitome in fact.

Sure am glad you are here to share your expertise and spell these things out for us poor fools. Much obliged.

yeah, they really have it all. some CRNAs are "rather beautiful and warm." my plan is to marry a CRNA, then quit.

thanks for the economical update, good luck on your shelf exams.

 

[usnavdoc]

Yes, it's my first post. I've enjoyed browsing this forum for now over a couple months but never had anything to add or ask. Take what I say with a grain of salt. I just didn't know CRNAs did emergent airways on the wards. I didn't know they did epidurals unti recently either.

Look taking care of an emergent airway is not a big deal. Whoever is carrying the pager is gonna respond. This really has no bearing on the realm of private practice. There is always gonna be a need for anesthesiologists. In every specialty there is competition amongst different specialists(ENT vs OMFS) and mid-level providers(FP vs NP), dont base your specialty choice on this factor alone.

 

[catnipper]

Are you kidding? I have never heard of any of this before. I had to google CRNA to see what it was about. This beats all I ever heard. Sounds like I am choosing the wrong occupation and better get out while I still can. This CRNA guy with his big red bag sounds like the consummate bad-a$$, the epitome in fact.

Sure am glad you are here to share your expertise and spell these things out for us poor fools. Much obliged.

Aren't you a little sarcastic can of worms.

 

[catnipper]

yeah, they really have it all. some CRNAs are fine pieces of ass too. my plan is to marry a CRNA, then quit.

thanks for the economical update, good luck on your shelf exams.

considering alot of the crnas are male, i would reckon that you are either a female or a homosexual male in referring to the crna's "fine piece of a$$".

 

[bullard]

Still not worried about my job prospects.

 

[nitecap]

Hey it was prob best for the pt that an anesthesia provider CRNA or not manage the airway. No offense but you want someone that manages airways everyday to manage the airway vs. other fields cardio, IM, FP.

Have you really ever seen an IM, FP guy run a code, its a joke. Panic and indecisiveness to see the least. For those that didnt know that CRNA's handled code WELCOME TO THE REAL WORLD. At many community hospitals even where anesthesia is normally delivered with anesthesia care teams both MD's/CRNA's the CRNA is in house call while the MD is at home and comes in if they do a case. The case can be started by the CRNA.

I would rather a Anesthesiologist, CRNA, or AA manage my airway b/f I would let just about anyone else besides maybe ENT. Thats just how it is, sorry IM/FP/Cardio and all these other guys with no experience just arnt competent many times in their ability to manage airways and usually will gladly let a CRNA manage that aspect of the care. As well it is in a CRNA's scope of practice to use any means possible to keep that pt alive, especially when no other person is around and barking orders. In other words when the IM or cargiologist or even surgeon is at home asleep and he gets that call that his pt is coding and down and its gonna take him 20min to get there and no other house MD staff with any experience in these situations is around the CRNA will run the show until adequate coverage arives. Does this mean any MD no. This means administering drugs, ordering drips, xrays, intubating,adjusting vent settings, needle decompression of a pneumo ect ect. When I was a RN student in clinicals witnessed a pt that coded while derm was in the room. the Derm guy freaked out was running down the hall for help. MD doesnt = I can do anything.

An EMT/paramedic can tube a person, push drugs in the field and most have no college degree at all.

Its time to wake up guys and realize that when it comes to patient safety and care you guys are not the end all be all. I would rather an experienced and seasoned AA/CRNA manage my airway than most anesthesia residents despite your fancy title and inflated ego. In these situations its experience that counts. Hum do i want the Anesthesia resident with 3000 intubations under their belt or the experienced CRNA with 10,000.

 

[nitecap]

I was really considering anesthesiology but my interest has taken a new direction. Today kinda put the cherry in the martini or the icing on the cake, so to speak. A patient with underlying pulmonary disease coded, the dude's O2sats were so low, his blood on ABG was black chocolate. Anyway, 'anesthesiology' was called to intubate the patient. I was expecting an anesthesiology resident, but low-and-behold a male CRNA dashed in with his big red bag and tubed the guy.

CRNAs are doing epidurals, doing emergent intubations in the wards, etc. etc., if you guys don't see the eminent loss in job security you are being clouded by the dollar signs. It's a great field, but it's in the process of being taken over. This has been a concern for decades, but it's now that CRNA's scope and automomy is increasing.

Catnip have you ever even been in a hospital and seen a pt. CRNA's have been intubating pts on wards and placing regional anesthetics for a long while now. Try redbull, it may wake you up.

 

[toughlife]

yeah, they really have it all. some CRNAs are fine pieces of ass too. my plan is to marry a CRNA, then quit.

thanks for the economical update, good luck on your shelf exams.

For real? where at?

 

[rn29306]

Sticking a tube in someone is a procedure any well trained monkey can do. Judging whether or not a patient *should* be tubed, well, that decision usually falls on a physician. Let me ask you this? Who consulted anesthesiology for emergent tube placement? Was it a physician, or a nurse? Were there any physician present at the code? Or did the nurses all get together and decide to take care of this one by themselves and let the intern-on-call get his sleep?

Wait until you see a SRNA intubate in a room full of residents and physicians.

That always goes over real well.

 

[leopold stotch]

considering alot of the crnas are male, i would reckon that you are either a female or a homosexual male in referring to the crna's "fine piece of a$$".

about 60% of all nurse anesthetists are female, as supported in the following ASA newsletter:

http://www.asahq.org/Newsletters/2003/04_03/ventilations04_03.html

i am flattered by your targeted interest in my sexuality, however. but i am neither a pedophile, nor gay. therefore, i am not interested.

good luck with your career decision. do not underestimate the power of your med school career counselor to help you with this task. i am certain that your complex analysis of supply-and-demand economics will lead you to the speciality with the largest profit margin and job security. and continue to use unfounded gay jokes to keep the enemy abreast.

Its time to wake up guys and realize that when it comes to patient safety and care you guys are not the end all be all. I would rather an experienced and seasoned AA/CRNA manage my airway than most anesthesia residents despite your fancy title and inflated ego. In these situations its experience that counts. Hum do i want the Anesthesia resident with 3000 intubations under their belt or the experienced CRNA with 10,000.

personally...blah blah blah

 

[toughlife]

Wait until you see a SRNA intubate in a room full of residents and physicians.

That always goes over real well.

Does something unique and magical happen?

 

[catnipper]

about 60% of all nurse anesthetists are female, as supported in the following ASA newsletter:

http://www.asahq.org/Newsletters/2003/04_03/ventilations04_03.html

personally...i prefer the soft-silky hands, the gentle voice, the pink stethoscope, and the cherry-blossom scent of the CRNA for when i get intubated.

sounds like sexual harrasment to me. just curious if you plan to sexually harrass these 'pieces of ass' while on the job and if you're gonna recommend they wear pink stethoscopes.

 

[leopold stotch]

sounds like sexual harrasment to me. just curious if you plan to sexually harrass these 'pieces of ass' while on the job and if you're gonna recommend they wear pink stethoscopes.

no. i keep my sarcastic thoughts, especially the ones i don't truly believe, and childhood nurse fantasies to myself or anonymously on the web. thanks for your fake, self-serving concern. did you have an ethics class today?

but since some people are more sensitive, i will remove these offending comments. your such a buzzkill dude.

 

[jetproppilot]

I was really considering anesthesiology but my interest has taken a new direction. Today kinda put the cherry in the martini or the icing on the cake, so to speak. A patient with underlying pulmonary disease coded, the dude's O2sats were so low, his blood on ABG was black chocolate. Anyway, 'anesthesiology' was called to intubate the patient. I was expecting an anesthesiology resident, but low-and-behold a male CRNA dashed in with his big red bag and tubed the guy.

CRNAs are doing epidurals, doing emergent intubations in the wards, etc. etc., if you guys don't see the eminent loss in job security you are being clouded by the dollar signs. It's a great field, but it's in the process of being taken over. This has been a concern for decades, but it's now that CRNA's scope and automomy is increasing.

Geez. Another AANA troll.

Venty, please close this thread and call for security to escort this morsel of fecal material outta here.

 

[tkim]

Venty no esta aqui. Pero, yo soy. Cerrado.