What a day, I have been doing cases non-stop since 7:15 am till 11:30pm and still have about 8 complicated pre-ops to be done. Shift ends at 8am. These shifts are killer when you have all those cases piled up but you sure get some good experience. Yes I got 3 pee breaks and got to stuff a sandwich in b/t one of the cases which was about 10 min.
Hopefully I will get to the call room by 3am if the dang beeper stays quiet!! (No smilie face for the sleepy look).
When I graduate I don't think I will work at a place that makes you cover 24hr in house call, its just not worth it at a busy hospital.
Just some info for those planning on going to srna
school and how it really is out there.
Nov 26, '02
LESS common among CRNA's than among medical schools residents. Which brings me to the issue of tort liability. How do hospitals get away with these types of shifts in the wake of so many malpractice happy attoneys? Why wouldn't being on duty over a certain amount of hours be prima facia evidence of malpractice when things go bad? I can remember having to take a defensive driving class years ago and being lectured upon how that if you drive with less than six hours sleep it's the same as being .10 BAC. Now, if its not okay to operate a vehicle while sleep deprived how can it be acceptable to have patient's lives in your hands during critical procedures?
I expect that Tenesma is going to advise me of how critical this sort of experience is to creating competent practitioners. However, even if we agree that such experience has its advantages the question still remains as to whether or not these ends justify the greater risks incurred by patients. In the Navy except during WARTIME no one typically is on shift longer than twelve hours (there are exceptions during exclusively TRAINING conditions such as during hell week of BUDS).
Last edit by Roland on Nov 27, '02