My main story (which apparently prompted this thread) was unrecognized OSA in a young male with BMI of 35.
The CRNA overdosed him with propofol during endoscopy,
then failed to recognize the obstruction,
then failed to recognize agitation as a sign of hypoxia (and gave him even more propofol for that),
then failed to believe the pulse oxymeter which was showing 50%,
then failed to call for help (despite being asked by room nurse and me being less than 30 feet away),
then I walked in just because of gut feeling,
then s/he tried to ventilate the patient with poor technique (after s/he was told that the hypoxia was real),
then s/he tried to waste time drawing up sux and was told this was OSA not laryngospasm,
then s/he did not recognize that sudden bradycardia to 20s was due to profound hypoxia and needed better oxygenation not wasting more time with drawing up atropine (sats were very low),
then s/he was pushed over while I did the two-hand masking and s/he squeezed the bag,
then the patient recovered in 30 seconds to 100% and normocardia,
then the patient was allowed to breathe on his own with obvious rocking motion and upper airway obstruction,
then s/he did not recognize that it was OSA and said that he could be left to breathe on his own,
then s/he was told it was OSA and needed airway support until more awake,
then s/he was asked if ok to do the next case after near miss,
then s/he asked what near miss and told me not to even suggest that (the patient had woken up unharmed),
then s/he was reported for not being good enough for the endoscopy suite,
then the chief CRNA informed all of them that I was a CRNA hater to teach me a lesson,
then nothing happened to that CRNA.
Overnarcotizing patients, pushing 50 mg of Roc on zero twitches one hour before wake up, keeping elderly patients hypotensive at more than 2% of sevo, letting the patient breathe spontaneously at etCO2 of 70, running des at 2L/min, not following attending instructions etc. are piece of cake. And if you report those, you must be a hater, too.
Am I allowed now to be very afraid of working with them?