- Re: Prospective AA: Questions regarding the profession Archived Message
Posted by DC on September 5, 2007, 12:15 pm, in reply to "Re: Prospective AA: Questions regarding the profession"
Congratulation TRUAA job well done.People in my department where I work at such as MDAs,RNs,STs,NAs,&HCTs and even some RRTs. Have no clue about my(our)profession. We have 6 schools in the nation that offers a Baccalaureate Degree B.S. Health science in Anesthesia Technology,Associate Degree, and or Certification. All in Anesthesia or Anesthesia Technology. Whether It's 1-1/2, 2, or 4 years course. These states are in New York,-Wisconsin,-Pittsburgh,Pennsylvania,-Allegheny,Pennsylvania,-El Cajon,California and San,Bruno,California. They are University,College,and Community College. To obtain your degree or certification. In Anesthesia or Anesthesia Technology as a A.T.,Cer.A.T.and Cer.A.T.T.. As a Anesthesia Technician and Anesthesia Technologist we play a huge roll and have a big responsibility. As a A.T.&A.T.T. we do set up Swan-Ganz PA catheter. We do assist the Anesthesiologist(MDA)in floating the Swan. We hold the the catheter flush the CVP/PA port inflate and deflate the balloon as requested. We look at the the PA pressure connect the CO to the blue port. We obtain a wedge pressure(PAD). We enter the value. We perform cardiac calculation,hemodynamic data,we announce the calculated(SVR)and(CI). We record and show the anesthesiologist(MDA)or the anesthetist(CRNA/AA-C) We as A.T.s&A.T.T.s do draw lab value. From the Art-line,CVP,or PA line. ABG,VBG,. We look at the blood gas value,pH,PO2,PCO2,HCO,O2sat,(B.E.)HCT,Ca,K,Na,GLUC,PT,APTTorPTT,PLT,DIC pannel etc. As A.T.s&A.T.T.s Cer. and Non Cer. We do understand and know the lab values. Normal,abnormal,and critical. From our education stand point and what our MDAs teach us in certain situation we as A.T.s&A.T.T.s know what to do just by looking at the lab vaules. Example When to give Bicarb, NS 1000 ML,LR 1000 ML,adjust the gases such as Sevo,Iso,Des,adujust Tidal Volume etc. A.T.s&A.T.T.s have to understand and know Pharmacology. It's called Pharmacology for the Anesthesia Technician. By Pollock J.E. M.D. Vol. 3, No. 4. We have to understand and know A&P the I my self am on the Liver Transplant Team. And I'm so grateful to be on the Liver Team. I have learned so much from my Anesthesiologist(MDAs)who is in charge and over Anesthesia Liver Transplant. Where I work there are no Anesthetist employed in the O.R..We had one CRNA that did work in the O.R., that anesthetist is working in out patient service only now. I like that person(anesthetist) there real good people. I have nothing against them. As I said before you have good CRNAs and you have bad CRNAs. There are talks about bringing AAs/AA-Cs on board at my hospital. The Anesthesia Chief(MDA)here support and respect the AAs/AA-Cs profession 100% and so do I. When it comes to Liver Transplant where I work as I said before there are no Anesthetist. The Anesthesia Liver staff consist of the Anesthesiologist(MDA),Anesthesia Resident(doctor)and Anesthesia Technician(Certified-Level-III and Level-II).In the operating room with years of experience. All of these clinical skills I mentioned above we do and can perform as a A.T.,Cer.A.T.,&Cer.A.T.T.. It's in our scope of practice etc. Of course under the supervision of a Anesthesiologist(MDA)or Anesthetist(CRNA/AA-C). |
