OG tubes......

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.

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.

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.

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.

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.

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

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.

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

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).

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!!!..

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).[/quote']

So you vote no for OG's. Just kidding. I agree.