I’ve passed on two offers this month after learning they run GA without capnography and rely on intermittent Doppler, with one tech expected to monitor two rooms. Do you treat lack of ETCO2/NIBP and no written anesthesia protocol (ASA scoring, MAP >65, ETCO2 35–45) as a dealbreaker, or have you successfully negotiated upgrades into your offer?
I totally get where you’re coming from — things like > scoring, MAP >65, ETCO2 35–45 are key for patient safety. In my experience, being upfront about your standards during negotiations can lead to positive changes, even if it feels daunting. Have you thought about bringing specific examples of protocols you’ve used in the past?
Passing on offers like those is smart. Relying on intermittent Doppler sounds risky — have you considered negotiating for better tools? @AnesthesiaNews has some great insights on protocols.