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re: SB 435 would allow advanced practice nurses to not work under a physician

Posted on 4/4/18 at 6:12 pm to
Posted by cajuncarguy
On the road...Again!
Member since Jun 2013
3135 posts
Posted on 4/4/18 at 6:12 pm to
In Texas CRNAs, who put you under for surgery, have been able to practice without doctor supervision. And they make a lot more than those in Louisiana while helping keep the overall costs under control.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 4/4/18 at 6:21 pm to
quote:

In Texas CRNAs, who put you under for surgery, have been able to practice without doctor supervision. And they make a lot more than those in Louisiana while helping keep the overall costs under control.


They also do significantly more training. As well as a very rigorous admissions standards (by nursing standards). There aren’t any online CRNA schools as far as I know.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 4/4/18 at 6:25 pm to
Also, is cost your main concern? Or access to care?

Having a ton of NPs is not going to reduce costs. It’s already ridiculous how people in this country expect to be seen for every ache, pain, or cough IMMEDIATELY and they want their antibiotics and steroids

The tough pill that America will have to swallow if it wants to solve this healthcare problem is rationing of care. A bunch of NPs aren’t going to solve the healthcare crisis and the thought that they can practice “preventative medicine” is a joke. They will practice exactly like MDs are now, and they will still be profit driven. The only person with the power to practice preventative medicine is the patient, and in this country it’s a different animal, you can’t compare us to the European countries.
Posted by pleading the fifth
Member since Feb 2006
3897 posts
Posted on 4/4/18 at 11:22 pm to
quote:

Texas CRNAs, who put you under for surgery, have been able to practice without doctor supervision. And they make a lot more than those in Louisiana while helping keep the overall costs under control


CRNAs are able to practice independently in some states while many others require physician supervision. Truthfully the CRNA probably started this whole “mid level provider encroachment into medicine” ball rolling. Anesthesiologists of old traded their profession for convenience and the rest of us have suffered for it. I love working with many of my CRNA colleagues but in my opinion independent practice is not the ideal model for optimal patient safety in anesthesia.
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