OG tubes......

[ruler of kolob]

I have noticed a trend in new CRNA graduates.....Everyone gets an OG tube...

Do any CRNAs here put an OG or NG tube into EVERYONE?

If you do.. why?

[Hartley]

Only when they are intubated? Or is just everyone just getting tubes dropped into them? I would assume its protocol to have an OG thrown in with an ET tube to prevent aspiration of gastric contents.

[ruler of kolob]

Where you went to CRNA school... were you taught to put an OG into every intubated patient?

CRNAs don't use protocols..We make decisions.

[wtbcrna, MSN, DNP, CRNA]

Where you went to CRNA school... were you taught to put an OG into every intubated patient?

CRNAs don't use protocols..We make decisions.

Yes, a lot of new grads do it that way, but after time most of us stop dropping OGTs on all intubated patients and only do it when there is direct indication for it. I don't think the literature supports dropping OGTs to routinely prevent aspiration during anesthesia.

[camp nurse]

I'm an SRNA, it seems to be specific to the clinical sites. At some sites it is common, at others it is per indication.

[ckh23, BSN, RN]

I'm an SRNA it seems to be specific to the clinical sites. At some sites it is common, at others it is per indication.[/quote']

I experience the same thing, just depends on what site I am at.

[Hartley]

Where you went to CRNA school... were you taught to put an OG into every intubated patient?

CRNAs don't use protocols..We make decisions.

Okay okay, OG Tubes are a "best practice" type of thing is what I was trying to imply.

[Goose Xx, MSN, RN, EMT-P, CRNA]

Nope, not in every intubated patient. I routinely place them for lap gastric procedures or if specifically requested by surgeon.

[ruler of kolob]

Nope, not in every intubated patient. I routinely place them for lap gastric procedures or if specifically requested by surgeon.

Do you put them into every RSI you do? THAT I could make a good argument for.

[Goose Xx, MSN, RN, EMT-P, CRNA]

No I don't. If true RSI and I have time without contraindications, they get bicitra, famotadine, and reglan combination.

[subee, MSN, CRNA]

I work with students in a lousy program. They drop OG in all intubated patients. They drop temp probes in everyone even though there is nothing more they can do to warm the patient and the case is so short, a temp. is not significant. In short, it's the cook book approach which I see at work in all recent grads, MD or CRNA. We've dropped our standards to let people in CRNA programs who will never have the aptitude or intelligence to rise above high mediocrity. And unless they've recently left the table from a big steak dinner, that little old NG is going to miss a lot. You're fooling yourself if you think you're doing anything of benefit to the patients (except in those cases where it's indicated....but that would require THINKING).

[ruler of kolob]

I work with students in a lousy program. They drop OG in all intubated patients. They drop temp probes in everyone even though there is nothing more they can do to warm the patient and the case is so short, a temp. is not significant. In short, it's the cook book approach which I see at work in all recent grads, MD or CRNA. We've dropped our standards to let people in CRNA programs who will never have the aptitude or intelligence to rise above high mediocrity. And unless they've recently left the table from a big steak dinner, that little old NG is going to miss a lot. You're fooling yourself if you think you're doing anything of benefit to the patients (except in those cases where it's indicated....but that would require THINKING).

PREACH IT!!!..