Propofol

I just took a look at the Southern Oregon gastroenterology lab site where they do nurse administered Propofol.

I found it very interesting that the doctors were giving themselves all kinds of pats on the back for supposedly pioneering the technique in 1998, and were mentioned by name, but the 3 nurses involved were mentioned only by those words: "3 nurses."

Gee, they didn't even deserve a mention by name for their part in (allegedly) making history and attracting patients from all over the world.

Why didn't the docs just call them what they REALLY are? "Cheap labor." They should also define their job description this way: "Expected to carry out the role of an anesthesia provider;
(whether CRNA or anesthesiologist)
be held to the standard of care of an anesthesia provider
(CRNA or anesthesiologist)
and accept all risks and responsibilities normally taken on by an anesthesia provider
(CRNA or anesthesiologist)
BUT DO IT AT THE SAME SALARY OF ANY OTHER REGISTERED NURSE, without complaints."

Here's a blurb off the site. The doctor with his reference to "having gone to heaven and being among the angels" (WHAT---did they have to "RESCUE" him from a near death experience?!) when he woke up and felt the "loving presence" of the nurse" is enough to make you gag. The metaphor about the nurse as compared to a mother checking her baby's formula on her hand is even MORE saccharine. Who WROTE this nonsense?!!!!

"Our protocol, on the other hand, involves nurse decision-making, within the confines of the protocol, to administer a tiny, incremental dose when called for by patient adversive movement and only if the breath is robust, as determined by the nurse's constant palpation

We have had no apnea, not do we expect this ever to happen.

Were it to happen, we think the length of the apnea would be in keeping with our colleagues at the Cleveland Clinic.

Since the nurse is palpating each breath and otherwise watching the patient like a hawk, and since propofol is white and opaque, one could envision a certain metaphor of a mother checking a baby's formula on her hand or wrist to make sure it is the proper temperature.

The nurse certainly exudes a loving presence to calm the patient, which is part of our protocol.

One local physician opened his eyes after his screening colonoscopy recently and told the nurse that he thought he had gone to heaven and was among the angels."

Anybody care to add anything to this recently deceased horse or has it been whipped sufficiently enough after losing its airway during a routine procedure by the untrained administration of a general anesthetic and lack of intubation experiences provided by weekend courses in ACLS by both GI MD and nursing staff?

People theatening people with lawsuits over a posting in a chat room, go do patient care.