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TraumaSurfer 6,629 Views

Joined Aug 8, '10. Posts: 433 (41% Liked) Likes: 375

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  • Feb 16

    Quote from PatMac10,SN
    I think nurses should be able to. Even if it is only when there isn't a Doc available.
    How many times will you be able to intubate? How will you maintain proficiency? How often will the doctor not be available? If this is an ER without a doctor being available I think the state and Federal agencies should be made aware for possible penalties. How much will you leaving your patients to intubate affect other nurses? Who will push the medications if you are intubating? Can the RTs at your hospital give all the medications AND set up the ventilator while you are at the head of the bed which might be for awhile if you are not able to get enough intubations to maintain proficiency? What about the liability? If you are not able to maintain proficiency and botch up the airway badly or even cause death, neither the BON nor the legal eagles will be kind if you can not demonstrate you were able to maintain an adequate skill level. Just recertifying every 2 years in ACLS or PALS is a joke and demonstrates nothing. Just saying "they can why can't we" is not good enough as a defense. Even Paramedics have felt the pain of losing a skill like intubation. Too much emphasis is placed on a skill without embracing the responsibility which goes with it. There are several EMS departments which will not allow Paramedics to intubate children. There are also EMS departments which will not allow Paramedics to do ETI and supraglottic devices or BVM are the only options. If one does not get the experience through many, many intubations, you will suck at it. Ask any CRNA how many intubations they must do to be really good and not do more harm to a patient. Just wearing a Paramedic patch or RN pin does not automatically make you proficient at a skill.