Orders from CRNA?

[plumrn, BSN, RN]

In your facility, can you write orders received from a CRNA, such as, "Decrease epidural drip rate to 5cc/hr." Or, do you write the supervising Anesthesiologists' name, instead? If a CRNA comes to insert a central line for you, do you put the CRNAs name on the consent, or the Anesthesiologist, even though the CRNA did the actual insertion, spoke with the patient, etc.? Thanks for your input!

[TraumaQueen]

We can take their orders, as they are generally the ones who roll back in with the patients.

I write their names.

I'd be more concerned about taking an order from a PA.

Mo :)

[TraumaQueen]

Oh, and please don't flame me, I didn't mean that as a slam.

I just mean, in terms of education, etc.... a CRNA has a ton more schooling than a PA.

Most of the PAs who round on our patients are all very intelligent. There's a handful of them though. :)

And well, on that same note, some of the residents are a little sketchy too.

At any rate, I didn't mean that like it sounded. :)

[Spidey's mom, ADN, BSN, RN]

We only have a CRNA so, yes.

Even if we didn't just have a CRNA, I'd still say yes, absolutely.

steph

[BarbPick]

Trauma Queen,

Let me do the slamming for you. I shattered my wrist and was taken to the ER and treated by a PA only. He read the Xray, said it was no big deal, he called it a sprain. He chose the Orthopod on my list and said I could see him in the next few days, No Rush.

The Doctor I was sent to, who got me in in 2 days said it was shattered in 8 places and sent me to a Hand surgeon for emergency Surgery that night. I am really impressed with PA's.

[hogan4736, BSN, RN]

Originally posted by BarbPick

Trauma Queen,

Let me do the slamming for you. I shattered my wrist and was taken to the ER and treated by a PA only. He read the Xray, said it was no big deal, he called it a sprain. He chose the Orthopod on my list and said I could see him in the next few days, No Rush.

The Doctor I was sent to, who got me in in 2 days said it was shattered in 8 places and sent me to a Hand surgeon for emergency Surgery that night. I am really impressed with PA's.

I worked w/ a doc that berated nurses in front of med students...

I had a cop yell at me for not pulling my motorcycle over amidst traffic on a busy freeway during rush hour...

Barb, take your broom and put it back into the closet...

sean

[BarbPick]

I spoke of my experience. It is not my fault that you witnesed a doctor berate a nurse, and the other whatever, I almost lost function in my hand, My experience . Do you really want me to tell you what to put where?

[Ted]

remember: please keep the discussion on the topic, not on a fellow bulletin board member.

this is just a reminder.

ted fiebke

moderator - allnurses.com

[hogan4736, BSN, RN]

:roll

Let me put it in simpler tems...Every profession has its bad apples...There are plenty of great PAs, and many lousy ones. I would never take pleasure in anothers' misfortune (or misdiagnosis), just calling it as I see it...

I could share an MD malpractice story or 2...

sean

[plumrn, BSN, RN]

Thanks for your replies!

[CougRN]

hey plum, I put your question on the CRNA board so you could get an actual answer to your question. Hope this helps you out.

[SmilingBluEyes]

yes we could. we had CRNA's where I worked and YES they wrote orders. BUT no messing w/epidural drips .....only turn off. IF they wanted the rate changed, THAT WAS FOR THEM TO DO NOT US. At least that was where I worked.

But staying on topic: The answer is YES! They are just as qualified to write orders as MDA's in their capacity and scope in most states, far as I know. I never thought any differently when working with them.