ANESTHESIA TEAM? THE IMPORTANCE OF TEAMWORK

 

Anesthesiology today is very different from 40 years ago, as is the nursing profession, but the organizational model has not changed much since then. New fronts have opened up in the work of anesthesiologists: the universalization of major outpatient surgery programs, the pre-anesthetic assessment of all patients, the Acute Pain Units (inpatient care of postoperative pain) and the Chronic Pain Units, the increasingly complex Post-Anesthesia Recovery Units due to the type of patients and which incorporate in their objective faster postoperative recovery (fast track), the greater proliferation of diagnostic-therapeutic procedures requiring anesthetic sedation, obstetric epidural analgesia for all women, the role of the anesthesiologist in local anesthetics with monitored surveillance, etc.

The socio-sanitary reality in which we live pushes us to propose new forms of internal organization of the anesthesiologists' teams and also of the nursing staff who share with us the tasks of clinical care of patients with respect to the total of anesthetic procedures and services.

THE NEED FOR CHANGE

Anesthesiologists must lead this change and propose solutions that adapt to a workload with different intensities and complexities attended by a team with different competencies that is not based on the structure of one anesthesiologist for each anesthesia. In some cases two anesthesiologists may be necessary and, in others, part of the process may be delegated. The proposal of an “anesthesia team ” that includes anesthesiologists, specialized nurses and/or trained assistants, directed by the head of the Anesthesiology Department who assigns the different tasks according to the different levels of training and skills seems the most reasonable; and training, in this case, is one of the keys for anesthesiologists to be able to delegate part of our current tasks to nurses.

A TRAINING PROGRAM TO AROUSE INTEREST

With the aim of making visible and enhancing the expert help that Nurse Anesthesia can provide to the field of Anesthesiology and the illusion of contributing to the change of the current paradigm, this Expert Course in Nurse Anesthesia is born, which aims to bring to all graduates in nursing a discipline, often even unknown to them, in order to establish some basic knowledge and arouse interest in an expanded postgraduate training in the field of Anesthesia, Resuscitation and Pain Therapy.

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