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Patient care or productivity?
Maddie Linder, RN, CASC, is the administrator of the multispecialty
Bethesda Outpatient Surgery Center in Boynton Beach, Fla. The facili-
ty works with 3 CRNAs and an anesthesiologist from an outside
agency. She says the service they provide is "fine," the 4-letter word of
compliments.
"There is no fault whatsoever in their clinical abilities," says Ms.
Linder. "I'd have any of them put me or a family member asleep."
It's the rest of their efforts she takes issue with. The providers will
go to pre-op with nurses to bring patients back to the OR, but that's
basically it.
"It'd be nice if they pitched in, especially on busy days," says Ms.
Linder. "Or at least
change the breath-
ing circuits on their
machines between
cases."
The issues she's
facing are not reflec-
tive of the agency as
a whole. When one
of the providers is
on vacation, a sub-
stitute from the
group is willing to
go above and
beyond his assigned
duties. "It's like night
and day, a breath of
fresh air," says Ms.
A N E S T H E S I A
ABOVE AND BEYOND Anesthesiologist Ryan
Johnson, MD, does more than sedate patients
at BSM Surgery Center in Corvallis, Ore.
Brenda
Vahle,
RN,
CAPA
