Quote from TypicalFish
Think Narcan; reversal-bringing pt. out of the anesthesia necessary for surgery, something usually done in PACU. In my ACCU, we see extremely critical patients, and sometimes overflow come directly to the ACCU. Usually they are patients that can not be immediately extubated.
I'm in anesthesia and was wondering why staff RNs should be doing the job of anesthesia. Narcan is not an anesthetic reversal either, nor should it be used as such. Staff RNs should not have to do anesthesia's job, nor should they be expected to.
We take patients to the unit intubated all the time. If the decision is made to leave a patient intubated, either by anesthesia or surgery, then that person is going to be intubated for at least the next 6-12 hours. So at the end of surgery, we will redose our sedation and paralytics and hook up the patient to some form of sedation (usually propofol) upon unit arrival. Pts are placed on AC modes of ventilation. Same goes with our post-op hearts. We do not fast-track our hearts.
At other institutions where I have clinicals, they DO have fast-tract hearts. We will take these patients up to the open heart unit, fully reversed of all paralytics and breathing on their own, but with an adequate amount of versed and fentanyl on board. These patients are placed on any mode of ventilation that suits them and extubated within four hours.
My point in this is that staff RNs should not be reversing anesthetics or paralytics. A competant anesthesia provider should be doing this as his or her job - that is the individual's area of expertise.
There are many components of anesthesia - inhalational gases, narcotics, paralytics to name a few. Narcan only reverses opoids.