This is where you are wrong. There are plenty of practices in the US where CRNA’s are the only providers and are not required to work under any physician. To date, there are 19 states that have opted out of the CMS billing mandate that states CRNA’s have to have physician supervision. There is only one state in the US that requires a CRNA to be supervised by a physician anesthesiologist and that state is New Jersey.

Here in Louisiana, we have CRNA’s who practice independently and who carry malpractice insurance, much like any other medical specialty. Anesthesia claims are no greater in one provider over the other and when it’s a solo CRNA practice, the CRNA is responsible for any anesthesia liability, especially if the surgeon isn’t trying to dictated the anesthetic, which they rarely do.

This post was edited on 4/7/21 at 2:56 pm

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Posted by BeaumontBengal

Member since Feb 2005

2337 posts

Posted on 4/7/21 at 2:34 pm to coondaddy21

quote:
To date, there are 19 states that have opted out of the CMS billing mandate that states CRNA’s have to have physician supervision.

Great work. Advancement through legislation instead of education.

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Posted by cwil177

Baton Rouge

Member since Jun 2011

28604 posts

Posted on 4/7/21 at 2:58 pm to coondaddy21

quote:
In a state where a CRNA can practice independently the liability falls on them and likely their employer who fired all the physicians. It’s not that complicated or interesting.

This is incorrect, but people here state it like it’s fact.

quote:
when it’s a solo CRNA practice, the CRNA is responsible for any anesthesia liability, especially if the surgeon isn’t trying to dictated the anesthetic, which they rarely do.

Idk if you’re right about Louisiana or not, but this is definitely not the case in all CRNA independent states. The case of Emmalyn Nguyen is a recent example where the cosmetic surgeon was held liable for the CRNA fricking up the anesthesia. She later died after being in a vegetative state for a while.

Back to NP training or lack there of, here is another gem from an NP Facebook group, where the NPs admit their training hours are easily faked.