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Anesthesiology/declining colonoscopy sedation

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ed wrote at 2012-11-07 01:06:52
Thanks Mike: I had the rescheduled exam today and ran into the same crna insisting that she needed to be present for the colonoscopy; this time I made sure that the endo doc was present.  I asked her to listen to the following: I'm not consenting to sedation (one episode of anyphylaxis was enough), so there's no need for a sedation consent.  She then stated that even though I wasn't getting sedation, she still needed to be present to do the specialized monitoring and again asked me to sign the consent.  I was polite and let her speak; then I added that "her specialized monitoring is only necessary because of the drugs usually given, right?"  When she wouldn't answer the endo doc agreed with me.  The added: "if you don't want me present to keep you safe, that's your decision". The exam was completed, but I was still bothered by the crna's comment about safety-it makes me reluctant to return for other procedures.  Thanks for your comments and insights.


krista wrote at 2013-01-03 04:12:38
I just read this older post and I infuriates me!  Patients have a right to determine exactly what anesthesia care they want (or do not want)..the anesthesiologist can then agree to do or to refuse to do the case.  This is not a nursing (crna) decision, it's one that a physician needs to decide. Personally, I always insist on anesthesiologist-only care because I have had (as well as many friends have had) TERRIBLE experiences with crna anesthesia.  I have to say that Mike is doing everyone a service by explaining the crna role.   I consent to anesthesiologist-only care (I'm an advance-practice nurse); it's definately safer.  But when I read Mike's responses, I wish that he was my anesthesia provider if I had to accept a crna.  Actually, I would prefer a good crna working within the limits that we agreeed upon to a crna "managed" my an anesthesiologist.  These 2 "professions" hate each other and put the patient in the middle.


Anesthesiology

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Mike MacKinnon MSN FNP-C CRNA

Expertise

I am a former Trauma Flight RN now a Family Nurse Practitioner and a Nurse Anesthetist (CRNAs). I can help answer questions on the CRNA profession and clinical anesthesia. I work full time as an independent practice CRNA and have a special interest in regional anesthesia, particularly peripheral nerve blocks. I also teach ultrasound regional anesthesia and lecture all over the country. If I do not know the answer, I will find it for you.

Experience

I am a Family Nurse Practitioner and a Nurse Anesthetist who works as an independent/autonomous practitioner. There are often questions about my profession and I would like to offer the service of an actual CRNA. If you did not know, there are about 40000 of us which equates to 50% of the anesthesia providers in the USA today. I also lecture and teach ultrasound regional anesthesia all over the country.

Organizations
AANA (American Association of Nurse Anesthetists)
IARS (International Anesthesia Research Society) AANP (American Association of Nurse Practitioners)

Publications
Air Medical Transport Journal
OutPatient Surgery Magazine


Education/Credentials
Bachelors of Science in Nursing
Masters in Nursing
Family Nurse Practitioner
Certified Registered Nurse Anesthetist (CRNA)


Awards and Honors
Excellence in anesthesia education award

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