whatzup

I completely agree. In 22+ years in the OR, I had never seen this practice until I just recently came to a new organization. It happens on a daily basis. There is no stretcher or crib "following" the anes provider. Often the child is screaming and flailing to the point that one was almost dropped and another injured from thashing about when being handed to a student nurse sitting in a rocker. I've been mortified by this practice. A post-op pyl.stenosis infant was carried, blanket was hanging to the floor and CRNA hurrying to get to PACU...the nurse holding the IV couldn't follow closely because of the dragging blanket, there was no crib/stretcher in PACU and the IV access was lost. It took 6 sticks to get line back in. I think it safe to say that all organizations have a policy that patients are to be transported "ambulatory, by stretcher, bed, or wheelchair"...when it comes to little ones, a crib is a bed. Regardless of ASA standards...safe transport is defined by the policy unless the policy contradicts SAFE patient practice. Just my two cents...I really wish I could have the story from your conference to share with the providers here. Interestingly enough, it is the CRNA's that are most resistent to stopping the practice than the docs....I always thought the CRNA's were more patient focused than the docs....in 22+ years...you can still learn something.......