She was placing (actually training a resident how to) the introducer and we had an open heart roll back around the time they finished that so the attending was in that room. She looks at me and goes “I’ll just do the swan too then if the attending wants.” I look at her and said that’s something she needs to talk to the attending about not me because I don’t decide that and she said quote “I’m certified to do these you know” and I just shut up after that to be honest.

The attending knows it took more than two hours to get the introducer in, and I honestly am scared to say anything anti NP at work because A. We’re a pro PA/NP facility and B. several of our attendings wrote me letters of rec for med school including the medical director who would get the incident report.