The preoperative exam is the foundation of the relationship for every anesthesia provider, no matter the profession. The focused history and physical conducted prior to anestheisa not only includes a complete accounting of a patient's previous medical and surgical history, but also a review of all medications and allergies, current physical status, and reactions to anesthetics, as well as a review of diagnostics and consultations from other specialties. Lastly, in the brief time that anesthesia professionals and patients spent together, it's a time to establish trust in the brief amount of time before heading back for surgery.
Recently, Shaun Ferrie, MSN, CRNA, was conducting the preoperative evaluation prior to an outpatient surgical procedure. Mr. Ferrie was the last person to assess the patient and it was expected that as soon as he finished his evaluation, the patient would immediately head into surgery. While the procedure was a routine one with a low risk of complication, Mr. Ferrie's commitment to safety was on display when he noted an abnormal neurological assessment potentially indicating a cerebral vascular accident or "stroke". Mr. Ferrie recognized the potential for catastrophe, and immediately worked with the healthcare team to have the patient transferred to the nearest emergency room.
Anesthesia is highly safe when administered by highly trained CRNAs and physicians, and it requires constant vigilance to ensure patient safety during surgery. Arizona Anesthesia Solutions is proud to work with CRNAs who practice independently throughout the state to ensure patients have access to anesthesia and surgical care. We thank Shaun for his diligence and competence in anesthesia care!