I work in a short stay unit. I also do the preop phone calls and interview patients prior to surgery. We do a lot of peds patients for a dental service. We have three anesthesiologists, only one of whom pre medicates the kids. We just went thru a big mess about three months ago where she decided to premedicate the kids, so we developed standards and a protocol. She agreed to this. Meant she had to see the kids and do a history and physical on each kid before we could medicate them. Now we have a new charge nurse and the anesthesiologist went to her and is demanding that we change everything. This charge nurse is very soft spoken, quiet and CAVED. So now our kids are coming in 4 hours before surgery so the anesthesiologist can see them. These kids are NPO after midnight, then subjected to being in the hospital for day surgery for an 8-10 hour day. I think this is unreasonable. When I approached the charge nurse she said
"well, we have to try it." I was shocked. She also said "when we get enough complaints from patients, maybe she will change her mind (the anesthesiologist)." The charge nurse is also hoping that the other two anesthesiologists will begin premedicating the kids, too. I really doubt that will happen. But
who is the patient
advocate here? My objection is not heard. The other staff don't seem to have a problem with this.
What would you do?
When I make the phone calls to the parents of the peds patients the parents have a fit to have to bring in their child 1-1/2 hours early. Now I have to tell them to bring their child in 4 hours early.
I would like to find out how other hospitals do this. Or should I shut my mouth? This makes me very frustrated.