This is ridiculous. THe physician that inserts the IABP should ALWAYS D/C it. In our institution, whomever inserted it will take it out but we are to be at the bedside and assist with the removal. After about 10-15 minutes of the Dr. holding pressure then we take over. There are a lot of potential complications that could arise during and after IABP removal and a physician needs to be at the bedside. Think about the complications, the tip of the IABP for some reason breaking apart as you remove it, bleeding after removal that you can not stop.
That patient could bleed to death and if you can't stop the bleeding then what are you going to do? This is very serious and like others have said in their replys, these people are sick and anything could happen at any moment.
This leads me to my next problem that I have with physicians, some of them just do whatever it takes to fix the immediate problem and then the nurse is made to be responsible for issues and situations that are not within their Rem of practice, therefore putting there license on the line and while the Dr. has done all he thinks he needs to do, he is getting paid big bucks.
But what do us nurses get in return, disrespect, underpaid for what we do and know.
Who is always trying to keep the families updated on the status of their loved one, well, it is not the Dr. Where I practice, it takes a fit throwing, tantrum before some of our Dr.s will speak to the families and that is not right. So, NO, I would not or even consider D/Cing a IABP without the presence of the Dr. If he wanted me to and ordered it so, I would tell him that the IABP will be still in use until you arrive because I refuse to do such thing. And then what is he going to do, nothing, he will come in a do it. May not be happy and be mad, but you know he is the Dr. not me.