Menu

Show posts

This section allows you to view all posts made by this member. Note that you can only see posts made in areas you currently have access to.

Show posts Menu

Topics - Alexandro

#1
Hi, everybody:
I am a 2010 graduate with 1 yr of hospital anesthesia experience.
I have recently signed up with an anesthesia group, providing coverage at ASCs, mostly light sedation and local / regional.
My area of concern - is that  mode of operation is to do almost everything ( blocks, sedation ) outside of OR , an anesthesiologist is never physically present inside the OR through the case.
Some of the anesthesiologists mark billable time as time spent with  the patient in the pre-operative area ( while case goes in OR with no anesthesiologist in the OR) , some mark  billable time when patient is in the OR ( while anesthesiologist is physically in pre-operative area ).
It is very confusing to me - as I was taught that ASA standards require anesthesiologist to be physically present in the OR throughout the case, regardless of the complexity of the case and / or ASA status of the patient.
When I have addressed my concerns with senior partners - I was told " in is OK in NY and NJ to do it this way".
I still doubt it is though.
Can you help me with appropriate references to ASA regulations or any applicable regulatory docs - to make it sure once and for all - if such practice is acceptable or not.
Thank you all for your help.
#2
Hi, everybody:
I am a 2010 graduate with 1 yr of hospital anesthesia experience.
I have recently signed up with an anesthesia group, providing coverage at ASCs, mostly light sedation and local / regional.
My area of concern - is that  mode of operation is to do almost everything ( blocks, sedation ) outside of OR , an anesthesiologist is never physically present inside the OR through the case.
Some of the anesthesiologists mark billable time as time spent with  the patient in the pre-operative area ( while case goes in OR with no anesthesiologist in the OR) , some mark  billable time when patient is in the OR ( while anesthesiologist is physically in pre-operative area ).
It is very confusing to me - as I was taught that ASA standards require anesthesiologist to be physically present in the OR throughout the case, regardless of the complexity of the case and / or ASA status of the patient.
When I have addressed my concerns with senior partners - I was told " in is OK in NY and NJ to do it this way".
I still doubt it is though.
Can you help me with appropriate references to ASA regulations or any applicable regulatory docs - to make it sure once and for all - if such practice is acceptable or not.
Thank you all for your help.
#3
Hi, everybody:
I am a 2010 graduate with 1 yr of hospital anesthesia experience.
I have recently signed up with an anesthesia group, providing coverage at ASCs, mostly light sedation and local / regional.
My area of concern - is that  mode of operation is to do almost everything ( blocks, sedation ) outside of OR , an anesthesiologist is never physically present inside the OR through the case.
Some of the anesthesiologists mark billable time as time spent with  the patient in the pre-operative area ( while case goes in OR with no anesthesiologist in the OR) , some mark  billable time when patient is in the OR ( while anesthesiologist is physically in pre-operative area ).
It is very confusing to me - as I was taught that ASA standards require anesthesiologist to be physically present in the OR throughout the case, regardless of the complexity of the case and / or ASA status of the patient.
When I have addressed my concerns with senior partners - I was told " in is OK in NY and NJ to do it this way".
I still doubt it is though.
Can you help me with appropriate references to ASA regulations or any applicable regulatory docs - to make it sure once and for all - if such practice is acceptable or not.
Thank you all for your help.