Investigators saw single use Propofol vials reused on multiple patients on Jan 11, 2008.
(Totally non-standard of care.)
Based on review of drug records, more patients were given Propofol than single use vials used, indicating re-use on multiple patients in 2004, 2007 and early 2008.
(Bet that saved them a bunch of money.)
An RN (not CRNA) observed reuse and complained about it prior to the investigation.
(An RN knew they were doing wrong but the CRNAs themselves did not? What did they do? Unlearn all that stuff they learned in nursing?)
And look at the last comment of the report, it appears the anesthesia times were "padded" in order to allow for greater billing for services.
(Medicare and insurance fraud? And that does not to seem to have even hit the national news ...yet.)
You can point fingers all you want to the OTHER failings of these endoscopy clinics, that is not my area of expertise nor relevant to my comments.
My comments are based upon my FELLOW CRNAs coming into this room and saying the addition of AAs to anesthesia practice will hurt the quality of care.
There is no evidence to support that view and you are correct, it is all about money.
My comments are aimed at my FELLOW CRNAs, pointing out that in some cases, THEIR care is nothing to be bragging about. Do not attack others, be it MDAs, or AAs when our own house needs a lot of cleaning.
As far as my not having been around very long, is 33 years enough? I think I am far more qualified to speak about nurse anesthesia and its problems and history than someone just starting school.
This whole mess in Las Vegas is an example of where the quality of care did not match up to the ideals of the profession.
