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Cecily Barnes Mrs. Mitchell RHET 1311 Trade Dialogic Journals In certain health care fields, administrating highly effective drugs were to be done with supervision. Nurse anesthetists, within three years of schooling, are able to administer anesthesia without supervision. While in office Bill Clinton’s administration proposal allowed nurse anesthetists to administrate anesthesia unsupervised. However, when George W. Bush took office in 2000, he had a different plan. He opposed The Clinton administration and required supervision for nurse anesthetists. These opposing views, have caused different sides of opinions. Two, which are the presidents for medical fields of nurse anesthetists and anesthesiologists. Deborah A. Chambers objected to the decision of supervision. She declares that nurse anesthetists have the same training administering anesthesia as doctors. She argues that this is a professional career path and that patient’s care and safety is a priority and that, the utmost care is administered with more than one person. Deborah A .Chambers state’s that, “The issue of supervision arose because surgeons have been given the idea that they are responsible for what the nurse-anesthetist does. This is a misconception.” In her opinion it’s more of babysitting and questioning their experiences, as well as their education. When, even though, they have several years’ experience administering anesthesia. They have been tested over the materials for their position. She further explained that during a procedure like surgery, there is no specific equipment at the doctor’s disposal that’s not equipped for a nurse anesthetists. It all boils down to safe professionalism and available nurse anesthetists have that.

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On the other hand, Dr. James E. Cottrell is for going with the decision for supervision. He argues that for highly, massive procedures, there should be a doctor present for the administering of anesthesia. His fact was that, at times they will provide training for nurse anesthetist to help during surgical times. Dr. James E. Cottrell states, “But the results were not good. One patient in 5,000 was dying from an anesthesia mishap.” This took a turn of his concern to another level and the thought of no supervision is unacceptable. The twelve to thirteen years of training for anesthesiologist is a factor of why his non-negotiable opinion is offered. In his eyes, the patients need the best care because, when being told that you have to undergo surgery, you would want the most reliable, knowledgeable, professionally trained person for the job. Taking an interest in the field of nurse anesthetist there’s a lot to offer and a lot to gain. Understanding the massive, intensive, and important procedures that go along with this profession is very vital. My opinion is that the article was straightforward regarding the opinions of the presidents of nurse anesthetists, and anesthesiologists. Considering the opinions of both sides, I gathered that one was in agreement with the fact of the nurses having, as much training and knowledge of anesthesia as physicians, while the other is non-negotiable of the fact that nurse anesthetists have as much training as the doctors when it comes to administering anesthesia. As far as supervision versus non-supervision, I agree with supervision because you can never be too careful. It’s always better to be on the safe side, especially under major circumstances, and the lack of supervision is a concern. Patient’s assurance that safe work is done, is what’s important. Studying this major I have found that nurses have less years of education then doctors. To my understanding it was the same amount of years, if not close. My biggest concern is the fact of anesthesia mistakes. Coming to the conclusion of continuing my

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major in nurse anesthetists is negotiable. I am understanding of the facts and opinions of this article.

Safety is absolutely the most important factor in medical history. So, why is it being questioned? When administrating any type of medicine or drawing blood, there is a common method and a rule to use new materials pertaining to the procedure at that time. Unfortunately, in some cases it has become a major issue. Syringe and needle use are the two items being reused on the same patients and at times on different patients. The results of that has become a big problem in the field of nurse anesthetists. Reusing syringe and needles can lead to diseases among different patients and that’s unacceptable. The results pertaining to this unsafe practice is misuse or not enough practice on the proper injections of medicine usage. A survey has been conducted in the United States pertaining to nurse anesthetists and other medical professionals on how many would reuse and how many would not reuse syringes or needles. The bad news, is that, it goes to show nurse anesthetist have a big amount of misuse in administrating vaccines to the patients. The good news is that they came to the conclusion of more education and more training for students in medical fields. My response in this matter is that even in the most professional fields, mistakes can happen and possibly happen often. Results of these mistakes can cause dieses and that is unacceptable to me. I believe that having the responsibility to care for people can sometimes be overwhelming, and at times tough. However, from the start, you become aware of your job requirements that is demanding attention and safety. So, the role of misuse should never accrue. Reading this article gave me a new insight into this major and it helped me understand the importance of education, when coming into this field. I understand and agree with

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the fact of more training, to make sure procedures and drugs are administered right. The use of reusing the same needles and syringes on different patients and on the same patients is very concerning to me, and I disagree heavily on it. I would recommend this article to any inspiring nurse anesthetists to gain new knowledge of what can happen if not careful.

Selecting a major that has the most intense methods, qualifications, and safety hazards, you would want the best there is to offer in education, and the most reliable training there is out there. Becoming a nurse anesthesia is a willing position and if dedicated, there will be a great outcome. Obtaining a bachelor’s degree is not just the only qualified step of getting into this program. It’s the amount of time and effort being involved and the knowledge of testing over the skills that have another involvement in the success of this field. According to the article, the amount of time you put into studying and training, you will succeed in all of the programs and test to become a nurse anesthetist. These test and programs are to provide a way for future nurse anesthetist and way to see if the education they obtain will lead them in the right direction. In this field you have to work hard and know all there is learn about this major. It’s a matter of give and take. From my understanding the information gathered in this article is very straightforward. In order to succeed in any major you have to be willing to put in the time and effort. In many fields there are certain programs and state test that you have to pass in order to further your success in the professional field. I think this article has a lot of good points to help motivate future nurse anesthetist into putting in more time of work. I agree with the decision of testing students before letting them go any further. It’s not about how many years or training you have in the field, it’s about how much knowledge you have obtained to gain the privilege of

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becoming a nurse anesthetist. I learned that in order to succeed you have to push yourself harder, because time waits for no one and if you don’t know the information in the field, then you most likely won’t progress in it.

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Works Cited Chambers A. Deborah, and Dr. James Cottrell. “On the front line in the operating room” The New York Times, 8 Jan.2002. Web. 7 Oct.2013 Ford, Kelli. "Survey of Syringe and Needle Safety Among Student Registered Nurse Anesthetists: Are we Making Any Progress?" AANA Journal 81.1 (2013): 37-42. Health Source: Nursing/Academic Edition. Web. 9 Oct. 2013 Paul N. Austin, et al. "Predicting Success In Nurse Anesthesia Programs: An Evidence-Based Review Of Admission Criteria." AANA Journal 81.3 (2013): 183-189. Health Source: Nursing/Academic Edition. Web. 30 Sept. 2013