This provider is dangerous and could be life altering. The signature on the record appears to be the initials "JA".
An Advanced Practice Nurse who provides anesthesia for GI procedures "in-office" should perform "an uninterrupted medical history" that includes:
A thorough pre-anesthesia evaluation should cover the following specific components:
1. Comprehensive Medical & Anesthesia History
* Past Medical History: Focuses on cardiac, pulmonary, and endocrine diseases, as these carry the highest perioperative risks.
* Anesthetic History: Past complications, adverse reactions (e.g., malignant hyperthermia), and history of difficult intubations or nausea.
* Medication & Allergies: Current prescriptions, over-the-counter drugs, supplements, and known allergies or adverse drug reactions.
* NPO Status: Confirmation of fasting times to prevent aspiration. [1, 2, 3, 4, 5]
My husband had a rapid fire, cursory medical history while the nurse was also interrupting and asking questions. This is flat out unprofessional and bad practice. This is not opinion, it is legal president for sound medical care in a non-urgent setting.
Yet, neither the nurse or the advanced practice nurse listened to the medical history, "yea I read it, You have the usual high blood pressure... I am his wife and a nurse. I interrupted and said AND Glaucoma. The response was, "I saw that too".
He was given among other medications: Intravenous "Glyco" glycopyrrolate. This is a problem-
The 2025 FDA Package Insert for this medication states:
Warnings and precautions:
Precipitation of acute glaucoma- may cause mydriasis and increase intraocular pressure in pt. with glaucoma.
Advise the patient to promptly seek medical care if they experience symptoms of acute angle closure.
CONTRAINDICATIONS ....Glycopyrrolate Injection may be contraindicated in patients with the following concurrent conditions: glaucoma....
WARNINGS This drug should be used with great caution--- if at all--- in patients with glaucoma.
Glycopyrrolate Injection may produce drowsiness or blurred vision.
The patient should be cautioned regarding activities requiring mental alertness such as operating a motor vehicle or other machinery or performing hazardous work while taking this drug.
He was discharged without paper instructions. "It will be on the portal later". So, in this gap of time, a patient departs a caregiver uninformed for what to seek urgent medical care for and should he need urgent medical care...ZERO data would be available to those who need to treat him.
In the written discharge directions, on the portal, he was not advised of the warning or to seek medical advice for any signs or symptoms of narrow angle glaucoma.
I called his Neuro Ophthalmologist and left a message due to my concern to my husband saying, "I don't want that medication ever again"! I can't see. He usually says nothing. It wasn't until the following day, 24-hours later that I knew.
I am calling the State of Illinois to inform them. We will never receive use this vendor of "?" I am not sure what to call it but competent is not a word I would use. read more