CRNA accused of sexual misconduct

[subee]

I have been asked advise by MDA how to handle a CRNA accused recently of groping a lightly sedated patient's breasts. The same accusation happened ten years ago but the charges were deemed groundless and the patient dropped the case. However, he has now had to change work sites. Even though I'm female I tell my non-general patients that I'm going to remove their EKG pads and apologize for the intrusion - to put the patient as ease as well as to protect myself. How should this person's department handle this problem?

[rn29306]

I have also seen a guy drift off in the middle of telling a joke, and wake up and finish it right where he left off, including the punch line. What a hoot!

My previous EMS Director of Operations in Atlanta (very talented Paramedic, CCEMT-P certified) had a procedure done, was induced with propofol and much to the delight of the anesthesia staff, and I'm sure helped along with some versed, started instructing the MDA and CRNA on the sequence of steps to perform intubation. He went unconscious mid-process and upon awakening, finished the sequence supposedly without missing a beat. Gotta love the minimal neuro hangover effects. Oh lord, don't let the GI nurses see this, they'll have a hayday....

[rn29306]

I've heard that sub-induction doses of propofol, and esp during MAC cases, produces very intense and vivid dreams, and have had patients even go so far as to describe these dreams as "warm". I would imagine that this occurrence, and the stimulation by the colonoscopy itself could very much produce what must seem like sexual stimulation. You never know what sexual preferences a patient likes or has taken part of in the past and I'm sure that would influence the perception of the procedure. I am honestly saying this without being sarcastic or derogatory at all.

We sleep peds cancer patients for intrathecal methotrexate (sp?) with propofol under VERY heavy MAC and most of these peds actually look forward to the propofol and are excited about it due to the dreams they have during the sedation.

So who knows?

[Kiwi, BSN, RN]

this has turned out to be a very interesting thread.