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Are you Ok w/ a Nurse (CRNA) putting you to sleep/ running the code if your heart stops?
Posted on 3/20/24 at 2:12 pm
Posted on 3/20/24 at 2:12 pm
Spin off of NP thread....
When you have surgery do you request an anesthesiologist or are you ok with the CRNA performing the anesthesia?
With the lack of Anesthesiologists, CRNAs (certified registered nurse anesthetist) have become a mainstay in most hospitals to fill the gap. Like NPs, their education is a fraction of MDs, most are 3yrs, some as little as 2yrs programs beyond RN.
They are required to have a supervising physician but that MD does not have to be an anesthesiologist, could be any MD, legally could be a Dermatologist for example. Most larger hospitals are required to have an anesthesiologist present in house, but they are likely supervising multiple OR suites with multiple CRNAs.
If the patient codes on the table it is the CRNA that is running the code, handling the blood, etc
I think they certainly have their place with the right supervision.
When you have surgery do you request an anesthesiologist or are you ok with the CRNA performing the anesthesia?
With the lack of Anesthesiologists, CRNAs (certified registered nurse anesthetist) have become a mainstay in most hospitals to fill the gap. Like NPs, their education is a fraction of MDs, most are 3yrs, some as little as 2yrs programs beyond RN.
They are required to have a supervising physician but that MD does not have to be an anesthesiologist, could be any MD, legally could be a Dermatologist for example. Most larger hospitals are required to have an anesthesiologist present in house, but they are likely supervising multiple OR suites with multiple CRNAs.
If the patient codes on the table it is the CRNA that is running the code, handling the blood, etc
I think they certainly have their place with the right supervision.
This post was edited on 3/20/24 at 2:18 pm
20
Posted on 3/20/24 at 2:16 pm to Dragula
Like you said, most larger hospitals have an Anesthesiologist in the OR make rounds during cases. They don’t actually sit in on the case unless it’s absolutely needed. The CRNA’s are the ones that setup and monitor the machine during the case. The Dr just sticks his head in every so often to check on things.
This post was edited on 3/20/24 at 2:17 pm
Posted on 3/20/24 at 2:23 pm to Dragula
After my last interaction with a PA (I'm sure that's not the same thing), I'm good. She walked in and said, "wow you have cirrhosis". Come to find out I have definitely have a fatty liver, but I'm not game over or anything like she was saying. My primary doctor (MD) looked at my results along with my ultrasound and set things straight. Now to stop drinking!
I guess as it pertains to your actual question, I would trust the vast majority of medical professionals to deal with me if I'm dying. Restart my shite and lets go. Diagnosing and other things like that? No thanks, let me see a doctor.
I guess as it pertains to your actual question, I would trust the vast majority of medical professionals to deal with me if I'm dying. Restart my shite and lets go. Diagnosing and other things like that? No thanks, let me see a doctor.
Posted on 3/20/24 at 2:31 pm to Dragula
If the head right.
Posted on 3/20/24 at 2:32 pm to Dragula
idgaf
Posted on 3/20/24 at 2:35 pm to Dragula
The nurses I work with are like playing roulette. Some yes, some absolutely not.
Posted on 3/20/24 at 2:35 pm to Dragula
How hot is the female nurse?
Posted on 3/20/24 at 2:37 pm to Dragula
I’m totally ok with a CRNA. but I also have hand picked the CRNA’s who’ve put me to sleep for surgeries I’ve had and those for my children.
Posted on 3/20/24 at 2:40 pm to Dragula
Did my residency at LSUHSC. Over the years have worked at 3 east coast hospitals and one in P’cola and can tell you that 95% of surgical anesthesia is delivered by CRNA’s and would definitely want them running the codes as opposed to the attendings I’ve dealt with. There’s an old saying in academic hospitals, “those that can do, those that can’t teach”
Posted on 3/20/24 at 2:42 pm to Dragula
The anesthesiologist was training a person to do epidurals when I had #5
That trainee messed up
Then I had to get a blood patch. I had headaches for days. The doctors thought I had a stroke too. It was a mess.
So in that case I’d like the anesthesiologist.
That trainee messed up
Then I had to get a blood patch. I had headaches for days. The doctors thought I had a stroke too. It was a mess.
So in that case I’d like the anesthesiologist.
Posted on 3/20/24 at 2:44 pm to GreenRockTiger
quote:
That trainee messed up Then I had to get a blood patch. I had headaches for days. The doctors thought I had a stroke too. It was a mess.
Those are the WORST headaches.
Posted on 3/20/24 at 2:48 pm to Dragula
My wife is a CRNA, so yes.
No pics
No pics
Posted on 3/20/24 at 2:50 pm to Dragula
Is this an AI nurse or a muggle nurse?
Posted on 3/20/24 at 3:12 pm to tigernurse
quote:the only time I’ve said ‘10’ when asked what my pain was on a scale from 1–10. Contractions weren’t that bad
Those are the WORST headaches.
Posted on 3/20/24 at 3:15 pm to Dragula
CRNAs have been putting most people to sleep for decades.
The only requirement for most hospitals is that they meet three basic requirements;
1) that an MD anesthesiologist has signed off on the drug protocol for that patient
2) that the MD Anesthesiologist is in the hospital building while the surgery is in place
3) that the MD Anesthesiologist has no more than 4 surgeries going at one time
Everything else is done by a CRNA
The only requirement for most hospitals is that they meet three basic requirements;
1) that an MD anesthesiologist has signed off on the drug protocol for that patient
2) that the MD Anesthesiologist is in the hospital building while the surgery is in place
3) that the MD Anesthesiologist has no more than 4 surgeries going at one time
Everything else is done by a CRNA
Posted on 3/20/24 at 3:19 pm to Dragula
Who you think coding folks at 3am in the med surf unit? A nurse and some hospitalist
Posted on 3/20/24 at 3:29 pm to Dragula
Sure why not? AI is gonna be in charge of that stuff soon anyways.
Posted on 3/20/24 at 3:40 pm to Dragula
Yes, the only thing that pisses me off about the anesthesia situation is that hospitals should only assign providers who are within your insurance network to provide your anesthesia. It's BS that you don't get to choose that provider, but can get stuck with someone who isn't your network.
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