Orders from CRNA?

[plumrn]

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!

[hogan4736, BSN, RN]

I've taken orders from PAs, NPs, and CRNAs

sean

[Keysnurse2008]

take an order from a crna?sure.....they are advanced practice nurses and they are the ones responsible for maintaining the epidural on your patient arent they?so...yeah....they can titrate the drip.BUT..use common sense if you ever get an out of this world/dangerous order....and that pertains to mds as well as crnas.

[yoga crna]

Getting back to the question at hand. It depends on several things, including state law and individual hospital policies. In California, the Board of Nursing has a specific policy statement that addresses the issue. To paraphrase it, RNs may take verbal and written orders from CRNAs regarding anesthesia related functions, such as discharge from PACU.

Regarding MDA supervision of CRNAs, it is another long topic, but in a few words, there is no place in the nation, where it is required. Many CRNAs (including myself) work in independent practice, without an anesthesiologist. The last one I saw in my operating room was a patient and I gave her an anesthetic.

Yoga CRNA

[plumrn, BSN, RN]

I appreciate the input. I've always felt if someone can put a person in the depths of anesthesia, and bring them back safely, then I should be able to take a direction from them without a physician co-signing the order. :)