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I couldn't find a thread directly related to this topic. Is there a clearly defined role that is published somewhere? It seems like some of the variation is institution or state dependent.
agree with you wholeheartedly; in my shop (Childrens Hospital) where I'm at most 2:1 and usually 1:1 , why do my colleagues let them put in A-lines and neuraxial (caudals, lumbar and thoracic epidural) and peripheral nerve blocks? I don't know! But it's more the norm and i'm an outsider and considered a poor team player for not letting them do anything. Those of us who put the patient safety first are relegated to MRI and other unappealing locations. The message is clear and loud at our shop. Aside from anesthetist satisfaction , what is the point of letting them do these procedures if you are right there. I have a hard time sitting back watching them flog a child...I think it's wrong to have someone more experienced sit back and not perform the procedure. Residents and fellows are a different situation, as they are training and they are the future. Even then, I have clear limits and step in, but what is the point with letting anesthetists do these procedures when you are right there? Please let me know how this is best for patient safety and our profession?CRNA's should not be doing regional when docs are in the practice. WTF. No US regional and no Echo.
Neuraxial may be an exception. Labor epidurals maybe but I don't like it.
A-lines maybe but what's the doc doing?? Step the fu.ck up and stop letting the fox guard the hen house. No central lines. I advocate keeping virtually all procedures to the docs. Yes, procedures can be taught to just about anyone, but I believe in a strong separation of duties.
This has been discussed ad nauseam.
agree with you wholeheartedly; in my shop (Childrens Hospital) where I'm at most 2:1 and usually 1:1 , why do my colleagues let them put in A-lines and neuraxial (caudals, lumbar and thoracic epidural) and peripheral nerve blocks? I don't know! But it's more the norm and i'm an outsider and considered a poor team player for not letting them do anything. Those of us who put the patient safety first are relegated to MRI and other unappealing locations. The message is clear and loud at our shop. Aside from anesthetist satisfaction , what is the point of letting them do these procedures if you are right there. I have a hard time sitting back watching them flog a child...I think it's wrong to have someone more experienced sit back and not perform the procedure. Residents and fellows are a different situation, as they are training and they are the future. Even then, I have clear limits and step in, but what is the point with letting anesthetists do these procedures when you are right there? Please let me know how this is best for patient safety and our profession?