R1999

@kp2016 Thanks the response. I ended up backing out of the job offer. Before I found out how sketchy this new job was, I was planning on putting in my 2 weeks notice today at my current job. Thank god I didn't! I was so excited to get into an OR environment and try something new, so much so that I didn't realize a lot of the warning signs. Glad that I finally saw how unsafe it was. Everything about it seemed unorthodox. I only shadowed for 3 hours and 2 cases were performed. Each case had the same two surg techs. One passing instruments and the other monitoring the pts airway and giving nitric oxide. The oral surgeon was the one who initially hooked up the IV propofol push and gave part of it and then told me to push the rest (he made it seem totally normal but after the research I've done I know that it's not within my scope). It just seemed like the job description wasn't explained in great detail and looking back it seems like he purposely wanted to keep me in the dark (probably b/c he knows he is supposed to hire a CRNA and does not want to pay them more). I still can't find out if it is legal for him to operate and push IV propofol at the same time. But I'm 99% sure it's not legal for me to be doing it. The last step would be going to Florida BON and asking. I might call and see if I can find out. Honestly the whole shadowing is a bit hazy when I try to remember what was going on and who was doing what because it was overwhelming. I think I dodged a bullet here.

I have 2 and a half years of hospital experience as an RN. I recently got a job working under the direction of a Triple Board triple-certified surgeon (certified in Cosmetic Surgery and Maxillofacial Surgery). He is also Board Certified in Anesthesia by the American Dental Board of Anesthesiology. He owns a small practice and has a small team. One RN (myself) and several surgical techs. He mostly performs oral surgeries and Facial Cosmetic/Reconstructive surgeries. Getting to my point, when he performed wisdom teeth extraction, the two techs and I assisted by monitoring the patient's airway and vitals along with passing the surgical instruments. This was my first day shadowing and he explained to me that the job description includes starting IVs and pushing IV meds (under his direction). He drew up the Propofol and connected the IV push to the pts IV. The pt was under general anesthesia (a combination of Nitrous oxide and IV Propofol). He pushed part of the dose and several minutes later (as he was operating), he then directed me on when to push the remaining dose. This is new to me. This is my first job working in the operating room. I am not a CRNA but am just an RN, BSN. I want to make sure I am practicing within my legal scope. This is in the state of Florida by the way. Any input is appreciated, thanks!