MD referring to CRNA as 'support staff' - page 3

I know this is a sensitive topic to all. My question refers to how would all of you handle this situation that actually occurred in a pt's room preop. I am most interested in how NOT to overreact... Read More

  1. by   stevierae
    Quote from forane2001
    yes dixie di. if you are ever named in a lawsuit see where the buck stops!!! Crna's are delivering anesthesia. with or without an MDA around. I have a friend that works in a hospital with 3 crnas and 1 mda. each anesthesia provider runs his own room!!. So the idea that CRNA's cant' do anything without MDA is BS. So to all out there that believe CRNA's cant perform--get over yourself.
    Exactly. I did a travel assignment at Kaiser Oakland, and I've done travel assignments in more than one rural hospital. At Kaiser Oakland, the CRNAs are independent practitioners--PERIOD. The anesthesiologists have their OWN rooms--CRNAs are EQUALS, not "support staff." it's just as likely that an anesthesiologist would ask advice of a CRNA as it is that a CRNA would consult with an anesthesiolgist. And, at some of the rural trauma centers at which I worked, there WERE no anesthesiologists--just CRNAs.

    Oh--and even at medical centers that have both types of anesthesia provider; where anesthesiologists are "supervising" CRNAs during the day--see how quickly they vanish at 5 o'clock and on the weekends, especially when there are OB epidurals to be done well into the wee hours...
    Last edit by stevierae on Jul 31, '04
  2. by   London88
    Dixie

    Just a little FYI about the surgeon viewing anesthesia as support staff. I do not know if you have worked in the OR environment, but are you aware that anesthesia can cancel sugery if they do not believe the patient is fit for surgery, and the only way the surgeon can overcome this is to declare the surgery an emergency and document it as such. Point being made is that the anesthesia provider is not support staff wether it be a CRNA or MDA and that both providers can put surgery on hold when necessary.
  3. by   saskrn
    Quote from kestrel1121
    I know this is a sensitive topic to all. My question refers to how would all of you handle this situation that actually occurred in a pt's room preop. I am most interested in how NOT to overreact but to correct the impression left on the pt and family by the MD. What happened:

    Pt being prepped somewhat 'emergently electively'. Pt and family present. OR crew, CRNA providing anesthesia for pt and MDA in room all together reviewing procedure, prepping to roll to OR. pt daughter (distressed and acting inappropriate by flirting with all males present in room) at one point made the mistake of referring to the CRNA as 'Doctor'. CRNA politely corrected pt daughter by giving a short explanation of his role/title to daughter.I dont remember exactly what he said but it was basically 'I'm a nurse anesthetist and I'll be giving your dad the anesthesia to get him to sleep for surgery'. SHortly later, daughter again referred to CRNA as 'doctor' (she was most likely not processing any info given due to the stress). Here the MD stepped in and corrected the daughter by stating (direct quote)

    Oh, he is not the doctor, he is just one of our support staff.

    The CRNA did not say anything about this. I was a lot annoyed and began wondering if the CRNA is 'support staff' how does she (the MDA) view nurses etc she works with??How would all of you have responded to assert your role and also not ruffle the MD's feathers?? Not trying to be inflammatory just want diplomatic responses!
    My husband, who is also an RN, often says that the CRNA's he has met seem to have forgotten that they are still RN's....
  4. by   sonessrna
    Quote from deepz
    Dixie, and those docs Dixie refers to, would seem to be stuck in the era about 1950 when medical care functioned like a wheel that revolved around the physician. Nowadays we put the emphasis where it belongs: with the patient at the center of it all. And all of us -- docs, CRNAs, other nurses and staff -- we are all among the patient's support staff.

    Still, such condescending putdowns directed at coworkers are uncalled for.

    deepz
    You are so right....everyone who comes in contact with the patient is their support staff.

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