Originally posted by yoga crna
Write back when you are a CRNA and we will discuss this again.
So I guess I missed the part about this board and its discussions being exclusive to nurse anesthetists only. I will refer to the policy.
Evidence based practice is a fancy way of saying what we have been doing for years. I read about anesthesia daily, search medline for relevant information, understand the concept of peer-reviewed journals, while realizing that a lot of people publishing have not seen the inside of an operating room in years.
I agree that evidence-based practice is a fancy way of saying what we have been doing for years, but my point is that there are a few people out there who have not been doing this for years, like myself, who would like to know that what we do for our patients is in fact scientifically proven to be the BEST thing to do.
One example: saline instillation into ET tubes prior to suctioning. As recently as 3 years ago I was taught NOT to do this by my professors, but was instructed to do it by many experienced nurses. Who knew it would increase pneumonia rates? Who cares, even? We are achieving more effective suctioning, right? WRONG! And how did we get this through our heads? From an evidence-based study published in Heart & Lung.
I know I am going against current thinking, but as long as I practice, I want to always be able to use my clinical judgement.
If you refer back to my previous post, you may note that I am not debating the the value of clinical judgement. You too can use clinical judgement harmoniously with policy.