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re: Defeat the Nurse Practitioner scope of practice expansion - Louisiana SB 187
Posted on 6/1/16 at 6:54 pm to Parallax
Posted on 6/1/16 at 6:54 pm to Parallax
He's not even talking about residencies. He's talking about CRNA training. I'm not saying that military CRNA training is not great training for a CRNA. What I'm saying is that the training can't compare to anesthesiology residencies. For starters medical school and the necessary fundamental education of anatomy, physiology, pharmacology, and surgical specialties/considerations is not a requirement to get in. Also, although wounded and potentially needing massive resuscitation, wouldn't the patients by in large be overall healthy and physically fit? I'd imagine you could get some good experience in resuscitation and possibly regional anesthesia, but how can one be adequately trained without doing patients of all ages and demographics - I.e. the 100 year old patient with aortic stenosis/COPD/pulmonary hypertension, sick children with congenital cardiac defects, high risk OB, etc? The list goes on and on. You see these type of patients regularly at any decent anesthesiology residency program - for 4 years too, not 24-36 months.
2
Posted on 6/1/16 at 6:58 pm to BeaumontBengal
Yeah, I'm a surgeon and not an anesthesiologist, but trauma in healthy people is way simpler than dealing with things in patient populations with lots of co-morbities.
Posted on 6/2/16 at 11:41 am to Parallax
Vote is tomorrow.
Call your rep to oppose SB 187 and nursing Full autonomous scope of practice without any limitations and without oversight by any physician.
Call your rep to oppose SB 187 and nursing Full autonomous scope of practice without any limitations and without oversight by any physician.
This post was edited on 6/2/16 at 1:10 pm
Posted on 6/2/16 at 3:31 pm to LATigerdoc
Senate Bill 187 has been withdrawn, per LANP Facebook page:
LINK /
Not only a victory for Medicine and the people of Louisiana, but for any profession who is getting marginalized by corporate greed.
"Now this is not the end. It is not even the beginning of the end. But it is, perhaps, the end of the beginning." - Winston Churchill
LINK /
Not only a victory for Medicine and the people of Louisiana, but for any profession who is getting marginalized by corporate greed.
"Now this is not the end. It is not even the beginning of the end. But it is, perhaps, the end of the beginning." - Winston Churchill
Posted on 6/2/16 at 3:46 pm to jat912
Thanks to all for your contributions. Safety, wisdom, and common sense prevail. Until next year - or until some threat to patient safety rears its head - see y'all next time. It's been interesting... Have enjoyed bonding with y'all. Keep on watch and defend Louisiana patients
Geaux Tigers
Geaux Tigers
This post was edited on 6/2/16 at 3:50 pm
Posted on 6/2/16 at 3:52 pm to LATigerdoc
This was an interesting thread and everything worked out in the end.
Posted on 6/2/16 at 4:14 pm to BeaumontBengal
I'm not even going to argue with this cat on what he thinks he know about an anesthesia residency vs a CRNA.
Nor will y'all try to tell the public CRNAs can't handle comorbitites.
The clear lack of what actually happens and what is spoken about baffles me.
Clearly y'all shouldn't speak about something you have no idea about.
Nor will y'all try to tell the public CRNAs can't handle comorbitites.
The clear lack of what actually happens and what is spoken about baffles me.
Clearly y'all shouldn't speak about something you have no idea about.
This post was edited on 6/2/16 at 4:18 pm
Posted on 6/2/16 at 4:16 pm to jat912
quote:
Senate Bill 187 has been withdrawn,
good.... can we finally get this thread anchored now?
Posted on 6/2/16 at 4:38 pm to L S Usetheforce
CRNA training is not comparable to an anesthesiologist. Sorry for the facts.
And God bless Louisiana for getting something right. Sadly, this bill will pass eventually, as evidenced by a lot of the cluelessness in this thread.
And God bless Louisiana for getting something right. Sadly, this bill will pass eventually, as evidenced by a lot of the cluelessness in this thread.
Posted on 6/2/16 at 4:46 pm to Parallax
CRNA training is the exact same as an anesthesiologist when it comes to speciality training....facts. I did 1300 cases in my 30 months of clinical....4th years were at like 1505? Do you think those 200 cases changed the course of history?
What do you even know about the role of the anesthesiologist in a surgical case? Do you think an md supervising a CRNA is medically directing?
Do you know the difference? Do you know that 90% of the people in this world are put too sleep by a CRNA?
What do you even know about the role of the anesthesiologist in a surgical case? Do you think an md supervising a CRNA is medically directing?
Do you know the difference? Do you know that 90% of the people in this world are put too sleep by a CRNA?
This post was edited on 6/2/16 at 4:53 pm
Posted on 6/2/16 at 4:47 pm to L S Usetheforce
It looks like you like to talk about things you don't know about. Have you gone to medical school? Have you completed an anesthesiology residency?
Comparing the training of a physician anesthesiologist to a CRNA is laughable.
Comparing the training of a physician anesthesiologist to a CRNA is laughable.
Posted on 6/2/16 at 4:50 pm to L S Usetheforce
As an anesthesiologist, yes I know the role of a physician anesthesiologist. I also know the role of a CRNA.
Posted on 6/2/16 at 4:51 pm to Parallax
No sir
Posted on 6/2/16 at 4:52 pm to L S Usetheforce
O my goodness no way.
They are very different that's insane
They are very different that's insane
Posted on 6/2/16 at 4:53 pm to LATigerdoc
Tell me how they are different? I'd did the same cases as them daily? Did they get a special book I didn't?
Please elaborate and don't bring didactic work into clinics relevancy!
Please elaborate and don't bring didactic work into clinics relevancy!
This post was edited on 6/2/16 at 4:54 pm
Posted on 6/2/16 at 4:53 pm to BeaumontBengal
Crnas don't rotate through surgery or obgyn.
They don't do an internship and manage preoperative and postoperative admitted floor patients.
They don't take the same classes
Wow
They don't do an internship and manage preoperative and postoperative admitted floor patients.
They don't take the same classes
Wow
Posted on 6/2/16 at 4:55 pm to LATigerdoc
How does rotating through surgery or obgyn help an anesthetist plan and implement anesthesia?
We don't do surgery and we don't deliver babies? We make sure pain doesn't exist during delivery?
That shows your incompetence to anesthesia implementation? So you held some army navy's/ played with some cameras/ and sewed up some patients....I know what a surgery rotation entails....it's a joke until you chose to specialize in it and get independence.
It's all a facade....the only thing that matters in anesthesia is stool time and hands on experience delivering ANESTHESIA!
We don't do surgery and we don't deliver babies? We make sure pain doesn't exist during delivery?
That shows your incompetence to anesthesia implementation? So you held some army navy's/ played with some cameras/ and sewed up some patients....I know what a surgery rotation entails....it's a joke until you chose to specialize in it and get independence.
It's all a facade....the only thing that matters in anesthesia is stool time and hands on experience delivering ANESTHESIA!
This post was edited on 6/2/16 at 4:58 pm
Posted on 6/2/16 at 4:57 pm to L S Usetheforce
Well you skipped medical school for starters. You don't think it's useful to know about other medical and surgical specialties, including cardiology, OBGYN, pediatrics, general surgery? You don't think that matters when you take care of cardiac, OVGYN, pediatric, surgical patients?
Posted on 6/2/16 at 4:59 pm to BeaumontBengal
I didn't skip medical school, I implemented hands on care In the ICU setting in a team approach with wait for it medical residents.
Then while in rotations for the related to what you discussed I learned more in depth speciality related aspects of anesthetic care.
To even make that arguement....how come y'all let AAs into these rooms then? You don't seem to think it matters when they line your pockets with crap training.
Then while in rotations for the related to what you discussed I learned more in depth speciality related aspects of anesthetic care.
To even make that arguement....how come y'all let AAs into these rooms then? You don't seem to think it matters when they line your pockets with crap training.
This post was edited on 6/2/16 at 5:03 pm
Posted on 6/2/16 at 5:06 pm to L S Usetheforce
AAs are supervised by physicians. They kniw their training does not compare to that of a physician and do not try to advance their scope of practice through legislation instead of education.
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