Why do practicing CRNAs not like OB? - page 3

Why do most (many) CRNAs not like to work OB? Loisann and Yoga; do you like OB? Why or why not? I have completed my OB rotation and, seriously, loved it. I'm in neurosurg now and pretty much... Read More

  1. by   deepz
    Quote from BikeGurl
    Vulgar? Please. I can't believe how offended people are getting. It was a funny joke, I guess...., but it's even more funny how upset you all are. Chill out.

    Hear, hear. I am tickled!

    And now, censorship. Very sad.

    I'm gonna call Howard Stern and complain loudly. Not.

    deepz
  2. by   gotosleep
    what happened to this thread?
  3. by   deepz
    For those among us who are overweight:

    "You cannot dodge responsibility for how and why your life is the way it is. If you don't like your job, you are accountable. If you are overweight, you are accountable. If you are not happy, you are accountable." --Dr Phil McGraw
  4. by   kmchugh
    And nowwww back on topic:

    If I didn't make it clear, I enjoy doing OB anesthesia. There is a satisifaction in walking into a room of a very uncomfortable patient, and when you leave, you are their best friend, and they are taking a nap.

    Downside is there is no way of knowing when you will be needed, and for how long. If mom decides she wants an epidural, is in active labor, dilated to 4 cm, and its 2 am, guess who is getting out of bed?

    KM
  5. by   fergus51
    Guess that's why you all make the big bucks Kevin I would hate to be on call

    Personally, I am not a huge fan of epidurals thanks to the spiral of interventions they often start (continuous EFM, pit, IUPC, c-section... which is why I don't get nurses who think they make less work!), but when they work well they are a God send for the woman. I did find a big difference in attitude with the anesthesiologists who CHOSE to be on call for OB and those who were forced to. The ones that were forced to just didn't seem to want to bother with anything "unecessary" on their shifts. They seemed more interested in "real" operations and such.
  6. by   SmilingBluEyes
    Quote from deepz
    For those among us who are overweight:

    "You cannot dodge responsibility for how and why your life is the way it is. If you don't like your job, you are accountable. If you are overweight, you are accountable. If you are not happy, you are accountable." --Dr Phil McGraw
    so, make rude and pointed jokes about "those who are overweight among us", right? I am sure Dr. Phil would praise your ill-placed remarks against professionals among your ranks. Not. How about this: Take responsiblity for YOUR actions, while you are at it, and let the overweight alone here.

    I agree, fergus, epidurals make MUCH more work oftentimes, esp if done too early-on. And agree, the outcomes really improve with GOOD anesthesia care (as well as nursing care). It really does open up things for cascade of interventions I would rather avoid, as we can in natural labor. But where I work, epidurals are requested at least 80% of the time, with patients knowing they want them "now" even at 1 cm and contracting every 8 minutes. UGH........what can we do???? I feel like I am losing my skills as a true labor nurse here.......I miss those days.
  7. by   fergus51
    I know what you mean Deb. I hate having someone come in and say "I had A contraction, I need the epidural!" Most places I have been at would not place one until the patient was at least 3 cm, but even then half of them wind up on pit. Or they get a patchy block. Or they get a high block. Or they can't push effectively. Or they get a nice fetal brady and mom and dad almost have simultaneous heart attacks... And on and on and on.... I MUCH prefer a labour without it, but it isn't my choice. I actually did a clinical rotation in a hospital that didn't offer epidurals to women in labor (because they only had one anesthesiologist and we don't have CRNAs in Canada) and the c-section rates were so much lower!!! I think birth has become so medicalized many women have forgotten it was possible long before anesthesiologists and CRNAs. Nice to have the option available, but I do wish people were more aware of the down sides of an epidural.
  8. by   Qwiigley
    Ok, not to be rude or anything.... but my question was directed towards CRNAs not L&D nurses. Please lets get back to the question. And those who wish to keep the topic this turned into can do so on a different question, please. Thank you so much.
  9. by   loisane
    Qwiigley,

    I honestly don't have an answer to your question. I have noticed how some jobs make much of the fact that there is no OB. Like that is a selling point. So they must think that makes their position attractive.

    I wonder if it could be the liability issue. Just like OBs are open to more liability-because they can be sued up to 18 years after a delivery with a bad outcome. The same is probably true for the anesthesia provider associated with a bad outcome delivery.

    loisane crna
  10. by   air
    Quote from loisane
    Qwiigley,

    I honestly don't have an answer to your question. I have noticed how some jobs make much of the fact that there is no OB. Like that is a selling point. So they must think that makes their position attractive.

    I wonder if it could be the liability issue. Just like OBs are open to more liability-because they can be sued up to 18 years after a delivery with a bad outcome. The same is probably true for the anesthesia provider associated with a bad outcome delivery.

    loisane crna
    Wow, Loisane, Now I see the light. I shadowed CRNA's prior to my interviews to get into school, I noticed many of the senior(age intended) did a lot of overtime in the OB, they outright encouraged me to master epidural techniques. I think I now know why, they will be retiring soon, at least so they told me, so their exposure to liability will not be too wide post active service.
  11. by   Qwiigley
    I actually love to place epidurals. I use a air/loss of resistance technique and have been rather pleased with the results. I plan to work on a saline technique, master that, then make a choice.

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