Ummm ... even if I were a medical student, which I am not, they are allowed to ask questions in the OR. Believe it or not, surgeons and anesthesiologists both talk to medical students. Furthermore, medical students do a lot without supervision. Have you ever been in a teaching institution? They will answer to the attending physician but, most of the time the attending is only present at rounds, the residents will oversee the daily activities but, a lot of autonomy is given especially in the fourth year.
I stated low blood pressure so that everyone who was not in the medical field would understand what I was talking about. Although I would expect any health care professional to know what hypertension is, not everyone on this forum is in health care.
Notice how I said, either myself or a colleague are approached. Yes, it happens very often. Maybe a little bit of an exaggeration when I said weekly however it happens a lot.
When I made reference to sleeping at night I was talking about my intern year. I actually encountered many great nurses, and some not so great ones too. I got to know the night nurses fairly well, especially in the ICU. When I would do my midnight rounds I would ask each and everyone one of them if they could foresee needing anything for the patient in the next few hours. Most would allow me to get an hour or two of sleep, others would page me to tell me the patients coags were on point with the heparin protocol or ask for IV Tylenol. For those not in medicine, there is no such thing as IV Tylenol. There is PO (by mouth) or rectal. So, asking for IV Tylenol proves incompetence.
And yes, my respect was gained by those nurses who could actually handle some of the problems that arose at night without having to page me. Every time a patient complains of pain doesn't mean the doctor needs to be called, especially if the pain is a 2/10 and located around a surgical incision without any other complaints. Furthermore, if a nurse couldn't wait until morning rounds to ask a physician if the patient can be given clear liquids on post op day number one if they have not passed flatus then they probably deserve no respect. So, yes a lot of my respect came from those who were actually able to make minor decisions on their own.
Muscle relaxants such as vecuronium or rocuronium. One such instance was when a patient was undergoing a vaginal hysterectomy. The surgeon kept complaining that the patient was 'tight', the anesthesiologist had given a dose of vec ten minutes prior (when the surgeon complained). The patient had no twitches so, the anesthesiologist told the surgeon he wasn't going to relax the patient anymore. The surgeon was not happy and started to moan and grunt about how the anaesthesiologist didn’t know what she was doing. She replied by telling him the relaxant used has a duration of about 20 minutes, explained the patient had no twitches, what that meant, and turned up the des a little more to potentiate the vec. Instead of just bowing down to the surgeon she explained why. Where as I have seen two CRNAs give more NDMR just to shut the surgeon up.
You can find out what pressors are on your own and maybe learn something (here is a hint - phenylephrine, levophed, ephedrine). It's not much fun educating people and not getting paid for it, especially someone as educated as yourself.
Oh so sorry my grammar and spelling isn't up to par for you. I never proclaimed to be a great writer. Speaking of such wonderful writing - how exactly does one become a first and second year medical student at the same time? I find that incredible and fascinating. (“please tell where you are a first and second year MEDICAl STUDENT, I mean where you are so nurses are allowing you to sleep”)
Oh, and there are many more hospitals in Pennsylvania besides Penn State and Lebanon. How about U Penn, Temple, Jeff and Drexel to name a few. So, you can just continue to guess as to where I am.
Wish you would have put it that way the first time. I apologize for being a little defensive. Many moons ago I was one of those night nurses at a major teaching hospital (maybe even the one you're at).