NC Supreme Court rules CRNA can be held responsible for case outcome

[WholeLottaGame7]

Had a study person come into my room to chew me out the other day for not getting labs when I started the patient's IV even though this scolding was the very first time I heard about the study. Apparently the plastic bag with tubes was stapled to the back of their chart (which I did not pick up because their signed anesthesia consent was already on top of it) and the holding nurse (who I never saw) gestured to them and said "here, these" (not that those words would have conveyed "get labs" since I didn't know about the study, but also s/he certainly didn't say them to me).

"Here's a tourniquet and a butterfly, knock yourself out..."

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[DocMcCoy]

The problem is 99.9% of anesthesia is really not that difficult and it doesn’t matter who does the case most patients do just fine

Surgery isn’t fkg rocket science either.

 

[IlDestriero]

Had a study person come into my room to chew me out the other day for not getting labs when I started the patient's IV even though this scolding was the very first time I heard about the study. Apparently the plastic bag with tubes was stapled to the back of their chart (which I did not pick up because their signed anesthesia consent was already on top of it) and the holding nurse (who I never saw) gestured to them and said "here, these" (not that those words would have conveyed "get labs" since I didn't know about the study, but also s/he certainly didn't say them to me).

Study person chewing you out, in your OR? GTFOH.
We support their research as a courtesy.
“Draw it yourself and get out. We can talk about your failure to notify me this patient was in a study later.”
✌️

 

[dantt]

Surgery isn’t fkg rocket science either.

The other common idiom is "its not brain surgery" but I guess it wouldn't illustrate the point here 😅

 

[IMGASMD]

The other common idiom is "its not brain surgery" but I guess it wouldn't illustrate the point here

My attending used to say “I can teach a monkey how to intubate…”

“… but I cannot teach him why…”

Manual tasks can be taught, I certainly hope brain surgeons who trained for 15 years can tell me why. (Doing my aana math here…..)

 

[nimbus]

Had a study person come into my room to chew me out the other day for not getting labs when I started the patient's IV even though this scolding was the very first time I heard about the study. Apparently the plastic bag with tubes was stapled to the back of their chart (which I did not pick up because their signed anesthesia consent was already on top of it) and the holding nurse (who I never saw) gestured to them and said "here, these" (not that those words would have conveyed "get labs" since I didn't know about the study, but also s/he certainly didn't say them to me).

You start IVs?

And what’s a chart?

 

[coffeebythelake]

Had a study person come into my room to chew me out the other day for not getting labs when I started the patient's IV even though this scolding was the very first time I heard about the study. Apparently the plastic bag with tubes was stapled to the back of their chart (which I did not pick up because their signed anesthesia consent was already on top of it) and the holding nurse (who I never saw) gestured to them and said "here, these" (not that those words would have conveyed "get labs" since I didn't know about the study, but also s/he certainly didn't say them to me).

I would speak with whoever is running the study because this sounds ridiculous

 

[james775]

Absolutely. Kids get admitted to the hospital and they get IVs placed magically without anesthesia. I think we go overboard with masking the kids down first.

I once had a nurse write a formal complaint about me because I put in an IV in the OR on a kid pre induction…. The kid had received versed and has trisomy 21 with a low grade congenital cardiac defect. This speaks to the cultural defect where it’s expected that everyone needs a mask induction first.

The serving of kids is especially crazy with my pediatric attendings. Like I understand getting an Iv isn’t the greatest but I’m positive a 7 year old can get an IV without general anesthesia. My parents would have been completely fine if I needed surgery and the anesthesiologist was like “it’s much safer to do the IV now”

 

[anesussy]

The serving of kids is especially crazy with my pediatric attendings. Like I understand getting an Iv isn’t the greatest but I’m positive a 7 year old can get an IV without general anesthesia. My parents would have been completely fine if I needed surgery and the anesthesiologist was like “it’s much safer to do the IV now”

Waiting until after induction to do the first IV feels like a skydiver waiting until after they've jumped off the helicopter to see if their parachute works.

 

[abolt18]

Waiting until after induction to do the first IV feels like a skydiver waiting until after they've jumped off the helicopter to see if their parachute works.

More like, waiting till they've jumped out before they PUT ON the parachute.

 

[IMGASMD]

More like, waiting till they've jumped out before they PUT ON the parachute.

Wait until you see some dummy orthopod who can’t wait….. he’s asleep, can’t we just start?!
Fuk no!

 

[jwk]

Wait until you see some dummy orthopod who can’t wait….. he’s asleep, can’t we just start?!
Fuk no!

We've got a GI guy inserting scopes before the propofol is even drawn up. Uh, remind me why I'm here?

 

[wholeheartedly]

We've got a GI guy inserting scopes before the propofol is even drawn up. Uh, remind me why I'm here?

Mine pretty much did that to me. Pushed the med, waited 5 seconds, put scope down my throat while I gagged hard on it. I saw him maneuver the scope for and felt some of biopsies. Then I was finally out. Sucked big time.

He also did the informed consent while literally talking like an auctioneer.