Published Feb 3, 2005
Just wondering if any SRNAs or CRNAs could help. I need to do an ethical issue paper that nurses confront in advanced practice. It has to be related to anesthesia. I am in my first year of CRNA and this paper is for one of my core courses "Organizational and Professional Dimensions of Advanced Nursing Practice". Any ideas would be appreciated.
Dealing with advanced directives in the peri-operative setting
because substance abuse is such a problem in the anesthesia realm - a interesting paper could be on what to do if you suspect a colleague of having these issues. we are actually obligated to turn them in (patient safety) but... does it happen?? good luck
purplemania, BSN, RN
this actually happened: Patient asleep. Doc gets part way thru ear surgery then WALKS OUT to go run an errand. Said he would be "right back" and to keep patient on the table. What would you do?
I did mine on the growing issues on the battles between CRNAs and Anesthesia Assistants.
Gee, I'd love to see a copy of that.:smiley_ab
I wrote a paper on the physician oversight of the CRNA required by those participating in Medicare reimbersment, 18 stinken pages. It was an issue paper, but not an ethical issue.
How about a discussion dealing with safety vs. costs. For example: In some of these "assembly line" high volume hospitals GETA is performed even when regional is probably the most clinically indicated for the patient (h/o COPD undergoing lower extremity ortho surgery) because it's quicker and easier for the anesthetist. To hospitals and surgeons quicker means more money.
i could be wrong on this - will have to do some research - but i don't think that GETA is "quicker" than regional - they have longer PACU stays, more hospital admissions due to complications from general anesthesia and more cost for post op treatment of pain, nausea and vomiting. therefore - regional would be a much better method to save time, money and headache.
Yes, you're correct, great points. My comment was dealing with moving busy surgeon's with stacks of cases through OR suites in a timely manner. GETA is quicker in that regard.
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