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ving gone through four year training and earned a degree in nursing, taken another two years in clinical training and worked in the field more than a decade, Clifford on his own was still not set to handle the unexpected dire situation. The training he underwent as a nurse had only equipped him with the skill to administer medicine, work the equipment, and ensure the smooth working of the procedural anesthesia delivery. In the recent past there has been a growing call for nurses (CRNAs) to be allowed to administer anesthesia without doctor supervision. This new development emanates from the 2001 changes made on regulations governing Medicare and Medicaid that allowed states to opt out of the requirement that CRNA be supervised. According to supporters of the move, the removal of the existing requirement works to increase access to health care, particularly for the people in the rural areas. Today, states such as Colorado have already embraced this new idea. This work argues out the point that it may be dangerous to allow CRNAs to administer anesthesia without the supervision of doctors.
First, compared to physician anesthesiologists, a certified registered nurse anesthetist (CRNA) training is limited especially when it comes to understanding medical response, medical diagnosis, and the ultra-complex operation of human body system. As in the case of Clifford, many nurses are likely to tense when faced with situation where such systems are under the influence of a drug induced coma, thus endangering the patient’s life (Kahana, 381-383). Supervisory doctors or physician anesthesiologists typically depict higher knowledge when compared to that acquired by CRNAs. This training places them in a better position to make on-the spot medical decisions frequently required when handling adverse situations in the operating room. The decisions include those made in the whole perioperative experience to even those depicted in the life-threatening circumstances. This is not
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Clinical supervision may mean different things to different people; as such, no single definition can be used to refer to the term. The term refers to a form of intervention provided to a junior member of the profession by a senior member. Thus, the relationship between the supervisor and the supervisee can be termed as evaluative.
Indeed, one can just imagine how horrifying the process is, when doctors have to cut up people and these in turn could feel every slice of the knife and every movement as the surgeon went about his business. The discovery, hence, of anesthesia is one of the most important milestones in modern medical practice.
You may have your procedure done in a hospital, a freestanding surgery center or, in some cases, a surgeon's office. Your anesthesia care will be given or supervised by an anesthesiologist (Anesthesia & You, 2003).
Spinal anesthesia is tailored to meet the needs of ambulatory surgery so you can go home soon after your operation.
This loss of sensation is reversible. Drugs that cause anesthesia work by blocking the signals that pass along nerves to brain. As the drugs wear off, patient starts to feel normal sensations again, including pain. Some of these medications work on whole body, whereas some of the medications work directly on the nerves going to parts of body.There is basically three types of anesthesia in use today: general anesthesia, regional anesthesia and local anesthesia.
If the patient is awake while the surgery is being performed, then the function of these areas can be continually tested to assure the surgeon that the planned resection of brain tissue from that area will not leave the patient with a major neurological deficit.[1 and 2] Another reason that craniotomies are performed while the patient is awake is to permit recording of electrical activity from the cortical surface.
The potential useof liquid ventilation has been investigated since 1962 when Kylstra evaluated the ability to sustain gas exchange in mice spontaneously breathing saline oxygenated at 6 atmospheres. Clark subsequently demonstrated that spontaneousely bring mice survive when submerged in perfluorocarbon under normobaric conditions.
Implemental of local anesthesia requires a number of competencies in a dental hygienist, including the attendance of a didactic course of the utilization of this reagent. In addition, a clinical course on the applications of anesthesia and its effects on the human body are necessary for licensure.
It was decided that an elective surgery will be done on her. Accordingly anterior cervical decompression and fusion at C4-C5 levels will be done. A detailed preoperative history revealed no history of allergy, no history of asthma, no previous surgeries, and she had never been subjected to any anesthetics.
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Since I was a child, I had a dream of being one day a competent doctor where after vigorous training I will be able to relieve patients of their pain. This was evident and intriguing especially during my
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