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You think you are uncomfortable with a Nurse Practitioner or CRNA (Nurse Anesthetist)…

Posted on 3/20/24 at 2:58 pm
Posted by auwaterfowler
Alabama
Member since Jan 2020
1933 posts
Posted on 3/20/24 at 2:58 pm
How about knowing that if you have open heart surgery, the person running the heart/lung bypass machine (Perfusionist) isn’t a doctor. It’s someone with a 4-year degree and then some special training. On one of my son’s rotations, he watched a heart surgeon throw a perfusionist out of the OR for not keeping proper flow going. Apparently, it’s common for heart surgeons to be unhappy with perfusionists.
Posted by Commandeaux
Zachary
Member since Jul 2009
7277 posts
Posted on 3/20/24 at 3:01 pm to
I mean, you could have just posted this in the other thread.
Posted by lsupride87
Member since Dec 2007
94992 posts
Posted on 3/20/24 at 3:02 pm to
Everything depends. Sometimes doctors suck at things that techs/nurses etc are far better at because that’s all they do/trained for.
Posted by sidewalkside
rent free in yo head
Member since Sep 2021
1638 posts
Posted on 3/20/24 at 3:03 pm to
We need more threads about this
Posted by 0x15E
Outer Space
Member since Sep 2020
12656 posts
Posted on 3/20/24 at 3:03 pm to
Did we really need another thread on this?
Posted by Hangover Haven
Metry
Member since Oct 2013
26516 posts
Posted on 3/20/24 at 3:10 pm to
quote:

How about knowing that if you have open heart surgery, the person running the heart/lung bypass machine (Perfusionist) isn’t a doctor. It’s someone with a 4-year degree and then some special training. On one of my son’s rotations, he watched a heart surgeon throw a perfusionist out of the OR for not keeping proper flow going. Apparently, it’s common for heart surgeons to be unhappy with perfusionists.




Your son is full of shite…. No way a CT surgeon throws a perfusionist out during a case… If this did happen did he say who operated the hear/lung pump? Because the surgeon or OR rn didn’t… and the hospital doesn’t have a staff of perfusionist ready to take over…

So the nurses and respiratory therapist who take care of pt’s post ops aren’t Dr’s either….

Hate to break it to you, but a scrub tech usually has a two year degree.

This has to be the dumbest take on bitching about medical care I’ve ever heard.

You do realize CRNAs and Perfusionist have been around for years, this is nothing new….

This post was edited on 3/20/24 at 3:21 pm
Posted by crazytiger
New Orleans
Member since Sep 2005
4368 posts
Posted on 3/20/24 at 3:13 pm to
quote:

On one of my son’s rotations


Was he sweeping the floors or emptying trashcans?
Posted by tigerfoot
Alexandria
Member since Sep 2006
56245 posts
Posted on 3/20/24 at 3:17 pm to
Oh no, a Dr got mad? I’ve never
Posted by tgrbaitn08
Member since Dec 2007
146214 posts
Posted on 3/20/24 at 3:17 pm to
quote:

You think you are uncomfortable with a Nurse Practitioner or CRNA (Nurse Anesthetist)…



I love whoever gives me the Micheal Jackson cocktail
Posted by OysterPoBoy
City of St. George
Member since Jul 2013
35070 posts
Posted on 3/20/24 at 3:21 pm to
quote:

Apparently, it’s common for heart surgeons to be unhappy with perfusionists.


Everyone knows this.
Posted by lsuson
Metairie
Member since Oct 2013
12165 posts
Posted on 3/20/24 at 3:30 pm to
You obviously haven’t been to many cases.
Posted by SteelerBravesDawg
Member since Sep 2020
34533 posts
Posted on 3/20/24 at 3:33 pm to
Posted by AubieinNC2009
Mountain NC
Member since Dec 2018
4924 posts
Posted on 3/20/24 at 3:40 pm to
im fine with it as long as that is all they are doing. Rather have a specialist trained on it than someone who is trained in various things
Posted by CerRegKnockoutArtist
Member since Feb 2024
18 posts
Posted on 3/20/24 at 3:42 pm to
You and your son sound like fricking idiots.
Posted by Obtuse1
Westside Bodymore Yo
Member since Sep 2016
25605 posts
Posted on 3/20/24 at 3:49 pm to
quote:

he watched a heart surgeon throw a perfusionist out of the OR for not keeping proper flow going.


Unless there happened to be 2 perfusionists in the OR who ran the CPB? It isn't like they have several of them sitting on the bench waiting to sub in.
Posted by junkfunky
Member since Jan 2011
33882 posts
Posted on 3/20/24 at 3:59 pm to
quote:

You do realize CRNAs and Perfusionist have been around for years, this is nothing new….


My grandmother was a CRNA in the 50s.
Posted by Flashback
reading the chicken bones
Member since Apr 2008
8308 posts
Posted on 3/20/24 at 6:30 pm to
The perfusionist ..?? That motherfricker had one job...
Posted by Highstepper
Member since Jul 2009
32 posts
Posted on 3/20/24 at 11:44 pm to
quote:

How about knowing that if you have open heart surgery, the person running the heart/lung bypass machine (Perfusionist) isn’t a doctor. It’s someone with a 4-year degree and then some special training. On one of my son’s rotations, he watched a heart surgeon throw a perfusionist out of the OR for not keeping proper flow going. Apparently, it’s common for heart surgeons to be unhappy with perfusionists.


In the 80's, it wasn't unusual for the perfusionist to be a respiratory therapist trained "on the job". Not often the case at this point. Now, there is often a CCP (certified clinical perfusionist) accompanied by a perfusion tech (often a specially trained RT or RN) on complex cases- so two perfusion types on one case.

I've seen a lot of tantrums and tension in the cardiac OR, but even the most talented heart surgeon can't operate and manage the pump simultaneously. So unless there was another pump jockey in the room, that's a highly unlikely scenario. More likely there was some issue with the cannula or cardioplegia apparatus that the surgeon sent the perfusionist to fetch a substitute before the patient was on cardiopulmonary bypass- when the heart is still pumping on its own. Cardiac surgeons are pretty reliant on perfusionists and vice versa- it's not common for them to be at odds. At least not on my 40 year rotation.

Probably just another case of a rookie not knowing what they were looking at and yakking about their big adventure after seeing open heart surgery for the first time.

So, how about getting back to us when he knows WTF he's talking about.
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