campbahoo

Please do not call me dude!!!!!!!!!!!!!!!!!!! While I may need to clarify my post I did not post incorrect information. CRNA's are not used in the hospitals in the city where I currently live. I also was simply stating what some of the anesthesiologists told me about their feelings of working with CRNA's. I personally like working with CRNA's and find that they really enjoy teaching the patients and nurses. I also wanted to make sure that others knew there were areas that have physicians who refuse to allow CRNA's to practice. The thread asked for replies on this topic so I was giving my experience. I am so sorry for offending you RedCell.

I used to live in a area of the US that used CRNA's. We all liked them and got along well with them. Our anesthesiologists enjoyed working with them. I know some of them wished that they got to give anestheisa more often but overall it was very positive. I then moved to an area of the US that does not use CRNA's. When I asked about this difference it was like I said a dirty word. You get a very negative reaction when you mention using CRNA's here. This is especially true if the physician went to a certain university. Their philosophy is that they want to keep the profession "pure" and only use MD's. The feeling is that CRNA's are not able to deliver anesthesia as well as a physician. I hope this helps somewhat and also lets others know that CRNA's are not used nationally.

It is important to remember that the whole family grieves not just the mother.

If I were the patient I think I would ask for more serenity. We each prep our own patients and obviously help if needed. Sometimes another nurse will come start my IV if they have free time but that would be all.

One way to help deal with this is to set up a work group with team members from both areas. You can get together and talk about the problems and solutions. This helps you both understand the others side. We all know that it is difficult in most areas of the hospital now but all the team members need to work together. I think this works better than having the managers talk only.

I have to say that it is all in the way you do your teaching with the family. I know that according to ASPAN they are trying to encourage more family visitation in the PACU. I work in a hospital based ambulatory surgery department. Our post-op area is a combined PACU/post-op so we do allow family and are very comfortable with it. We make sure the patient is stable, good pain control, minimal nausea and requesting family. If the patient does not want family we don't get them but keep the family informed. We do get parents/family of ped patients as soon as patient is awake and stable. If I am to receive a patient I just inform my other patient(s) and family that I may be busy for a little while. We truly have not had major problems and our patients and family like being able to see each other. In response to the nurse that had to resusitate a visitor, aren't we there to help people whether they are our patients or not?