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    Re: B.S.,Cer.A.T.,Cer.A.T.T.= AA-C Archived Message

    Posted by DC on December 15, 2007, 6:44 pm, in reply to "Re: B.S.,Cer.A.T.,Cer.A.T.T.= AA-C"

    Hi graham start IVs yes intubate no as of yet I pretty much do everything else besides doing Intra Aortic Balloon pump and Cell Saver machine. That soon may change we as the Anesthesia Tech plan to raise the bar and standards in our scope of practice where I work. We have a new CHIEF ANESTHESIOLOGIST(MDA)coming on board next year 2008.

    This particular Doctor is very big on Education and Clinical and feel that the Anesthesia Techs&Technologists should be on the same level as a C1, C2,resident(Doctor) and Anesthetist. In the ACT model we are a TEAM as he/she puts it and feels they have the right to know just as much when it comes to patient care and Anesthesia.

    We have Perfusion's(CCP)that operate and manage those machines with Pt's but there has been talks of Anesthesia Techs where I work operating and managing the Cell Saver in the O.R. and ICUs. Mainly TSICU(Transplant), TICU(Trauma),& CVICU when Pt's still need to continue being per fuse after O.R. at the bedside(ICU). That's where we the Anesthesia Techs come in.

    Reason for this so that the perfusion's(CCP)can concentrate on the bigger cases like ECMO and LVAD at the bed side in ICU especially NICU(Neo)and PICU(Pedi) and some times CVICU, TICU(Trauma). Also simply CCPs don't have the staff or man power to service every area where I work. In other hospitals across the nation Perfusion&Anesthesia are integrated and work as a team.

    Depending on what state and hospital you work Anesthesia Techs&Technologists clinical skills are different in what they can and can't do. Where I work I'm on the Liver Transplant Team I actually set up calibrate and assist in floating the PA Catheter(Swan Ganz)inflate deflate balloon, flush CVP&PA port go to wedge so my Doctor can see where the catheter is going and how far It's in the patient etc.

    In my opinion if It's in the Anesthesia Tech&Technologist scope of practice to perform these clinical and technical skills and/or have been Certified and properly trained to perform these tasks under the supervision of a MDA or Anesthetist(AA-C/CRNA) then I feel it should be all the way across the board.

    Regardless what state or hospital you work at why is it fair for me In California to be ACLS&PALS Certified, start IVs, draw medication up, and push meds. But when I move to Kansas City, MO I can no longer start IVs, draw up medication, or use my ACLS&PALS certification.

    Is it right ? No It's not I should be able to perform the same skills as I was doing in California, I'm doing the same job in Kansas City, Mo with the only difference is I'm in a new state and new hospital but still performing the same task with the patient.

    Link: http://anesthesiatechnician.com

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