I am well trained, very proficient and practicing within the scope of my license. I am covered by malpractice insurance
. Using jwk's rationale, why would a nurse ever do anything where a mistake could happen if it would be career ending? One could say that physicians should do every nursing procedure! Obviously, any nurse who injects tumescent local anesthetic needs to first be sure she/he is practicing within the scope of her/his license (as every state is different) and receive thorough training. That is what any good nurse does, regardless of the procedure.
The surgeon I work for is far from lazy but there are many surgeons out there that do not have the patience to inject tumescent local anesthetic, yet tumescent liposuction is the gold standard due to its low complication rate. Sure - it can be done badly - that is why physicians and nurses have an ethical duty to be trained and knowledgeable before "practicing" on patients.
If nurses can assist surgeons so that true tumescent anesthesia is utilized even more than it already is, then patients will benefit. True tumescent anesthesia is done slowly (30 minutes to 2 hours, depending upon number of areas and patient sensitivity) and gently on awake healthy patients. There is no need for IV sedation in most cases. The risk of deep vein thrombosis, pulmonary embolism, pulmonary edema and respiratory depression is negligible. Translates to increased patient safety.
I've done thousands of cases. I doubt anyone does it better, or has more knowledge - yet I am "only" a nurse. I do my best to share that knowledge when training surgeons and nurses. I have queried several of the nurses I have trained over the years, and they have done thousands of cases of their own, and state there have been no complications. I enjoy creating a comfortable positive and SAFE experience for patients and helping others to do the same. That is why I do it.