Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Certified Registered Nurse Anesthetist (CRNA) /

When things go wrong



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,199 members! Join today to network with other nurses, laugh, share, and much more.
Page 1 of 2 1 2 >

Mar 08, 2009 01:35 AM

When things go wrong


So, I am working on setting up some shadowing experiences with a CRNA (or a few of them), but wanted to see if any of you out there can answer a few questions I have. First, I would imagine that the OR is typically a very controlled environment. But, how often does something go wrong, and what does that situation typically look like? What is the anesthetist's role in these situations? I guess I'm looking for some stories. Would anyone like to share? Thanks.


Share

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Page 1 of 2 1 2 >
Reply
15 Comments
No. 1
Old Mar 08, 2009, 08:42 PM

Default Re: When things go wrong
Depends on how wrong and what is wrong, lots of red stuff you will see a flurry of activity with silence3 on the operative side of the curtain for a minuite or two then a lot of talking, possible iscemia or somthing on my side of the curtain, me telling the surgeon so he will hurry up banter and me getting whatever drug will help or whatever else I have to do.
Top
 
No. 2
from JanineD23
Old Mar 08, 2009, 09:05 PM

Default Re: When things go wrong
I'm not an OR nurse but I did a week in the OR as part of my Med-Surg rotation last year. I watched a total of eight surgeries and only two had any complications (though they weren't codes). Both were caused by the patients lack of sedation during the start of the procedure (knee replacements). The patients both tried to get off the table during the opening cuts and in the first replacement the patient was able to feel pain the entire procedure (which was evident when her vitals spiked during every single cut).

I was actually really concerned when the anesthesiologist told me not to worry because the Versed he pushed would make sure they didn't remember a thing.

Not sure if this is what you were looking for, but hopefully it gives you a vague idea. I had classmates that were in the OR as well and none of them witnessed anything like this with any other anesthesiologist nor did they see any problems.
Top
 
No. 3
Old Mar 09, 2009, 09:39 AM

Default Re: When things go wrong
Things do not go wrong very often at all. We do not get paid the big bucks to sit and do eventless anesthesia.. we get paid the big bucks to handle those emergencies. the airway, bp, tempurature, hct, heart rate are all under your control for the most part. Surgical complications are not.

No disrespect to the last poster... but this is a CRNA forum, where people come to ask CRNAs questions OR other CRNAs seek information from other CRNAs. 2 weeks in an OR as a nursing student,does not qualify you to answer this question. You do not know enough about anesthesia to have a valid opinnion on this subject.
Top

5 Readers Gave Kudos
 
No. 4
from RRTNeuroRN
Old Mar 09, 2009, 09:51 PM

Default Re: When things go wrong
Love, love, love the reply......Seriously
Top

2 Readers Gave Kudos
 
No. 5
from alterego33
Old Mar 20, 2009, 12:34 AM

Default Re: When things go wrong
Originally Posted by JanineD23 View Post
I'm not an OR nurse but I did a week in the OR as part of my Med-Surg rotation last year. I watched a total of eight surgeries and only two had any complications (though they weren't codes). Both were caused by the patients lack of sedation during the start of the procedure (knee replacements). The patients both tried to get off the table during the opening cuts and in the first replacement the patient was able to feel pain the entire procedure (which was evident when her vitals spiked during every single cut).

I was actually really concerned when the anesthesiologist told me not to worry because the Versed he pushed would make sure they didn't remember a thing.

Not sure if this is what you were looking for, but hopefully it gives you a vague idea. I had classmates that were in the OR as well and none of them witnessed anything like this with any other anesthesiologist nor did they see any problems.
Not every patient gets amnesia from versed. It should not be relied upon as an amnesic. I know, because I have had versed a number of times and remember everything. We even set up a trick question to see if I would remember, prior to my last surgery. Everyone was shocked when I remembered it.

Note to moderators: I agree with another poster. If you want to get any relevant clinical information on this site, you may want to suggest that non-CRNAs be careful about posting on clinical anesthesia issues. Unless they have special knowledge or have done research on the topic, their comments are not useful to CRNAs and leads to cynical, if not hostile posts. I want to learn and share information.
Top

5 Readers Gave Kudos
 
No. 6
from traumaRUs
Old Mar 20, 2009, 07:41 AM

Default Re: When things go wrong
We want this forum to be a place where ALL nurses and students can learn something about being a CRNA So, though a poster might not be an SRNA or a CRNA, they may have something to contribute. And...in that vein, we welcome all to post here.
Top

3 Readers Gave Kudos
 
No. 7
Old Mar 21, 2009, 11:37 AM

Default Re: When things go wrong
Originally Posted by traumaRUs View Post
We want this forum to be a place where ALL nurses and students can learn something about being a CRNA
If that is true then people who are not CRNAs should not "confront" CRNA posters who try and give their experience and information.

The plural of anecdote does not equal data. How in the world can someone who does not administer anesthesia give their "take" on it. Questions are appropriate, but IMHO only practicing CRNAs should counter other CRNAs when there is a question on clinical information.

I would not comment on pediatric nursing, oncology nursing, etc. I would only comment on that if asked an opinion about anesthetic concerns.

Again, falling short here...............................
Top

5 Readers Gave Kudos
 
No. 8
from alterego33
Old Mar 21, 2009, 05:31 PM

Default Re: When things go wrong
Thanks Cerebral. I totally agree with your post. There is a lot of wonderful information available regarding the clinical practice and profession of nurse anesthesia. I was hoping this forum would allow me the opportunity to learn from other CRNAs, SRNAs and to be able to mentor others interested in the profession. For some reason, the CRNA thread of all-nurses in heavily moderated and not to the advantage of the profession. I will look elsewhere on the net for places to fulfill my needs. AANA.com has a listing of other nurse anesthesia boards, one of which is excellent. I'll see you there.
Top

1 Reader Gave Kudos
 
No. 9
from Sarcolemma
Old Mar 21, 2009, 06:35 PM

Default Re: When things go wrong
i don't have any experience with pediatrics.....but.......can i moderate the NICU forum?
Top

2 Readers Gave Kudos
 
Page 1 of 2 1 2 >
Reply




Thread Tools


Who's Online
412 members
3,605 guests
4,017

20

16th Philly area hospital to stop delivering babies: Mercy...

1

Really interesting article on Indian open hearts

0

High-Tech Pump Does What Her Heart Can't

0

Air Force RN Force RN Found Not Guilty

4

Hospital Falters as Refuge for Illegal Immigrants

6

California Imposes Stricter Rules Regarding Drug Abuse In...

31

Are older nurses being forced out of the profession?

3

An outlook in California?

8

Australian surgeons successfully separate conjoined twins

44

Disruptive behavior by doctors, nurses persists a year...



1

Society Needs Care Too

12

Why am I doing this, anyway?

2

Nurse Heal Thyself

9

My Papa, why I am the nurse I am today.

17

I made it through

11

An angel's gaze

14

A Sister Never Forgets

16

Ruby's Marbles

37

What Do Operating Room Nurses Do?

14

My Little Old Jedi

20

I love this job......

23

"I hear voices"

19

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

24

Error and Attitude

10

It's Just a Shower





Sponsored Links

Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: