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re: Defeat the Nurse Practitioner scope of practice expansion - Louisiana SB 187

Posted on 6/2/16 at 5:08 pm to
Posted by Success
Member since Sep 2015
1735 posts
Posted on 6/2/16 at 5:08 pm to
I'm a CRNA in LOUISIANA and deliver anesthesia under the "medical supervision" of a surgeon. Someone thinks I'm "qualified" to do the job. Oh well
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 6/2/16 at 5:10 pm to
30 months does not equal 48 months

Plus med school
Posted by L S Usetheforce
Member since Jun 2004
22811 posts
Posted on 6/2/16 at 5:10 pm to
AAs are supervised by physicians...you made my point.

So what are CRNAs then? Their education and clinical skill set obviously allows them full autonomy under federal reimbursement.....

ASA is going to call us nurses though and degrade us as a profession when the VA is simply trying to make a veterans access to care more simplistic.

Could you function as a group of anesthesiologist currently in your practice without CRNAs and profit?

Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 6/2/16 at 5:13 pm to
I'm outta here.

Crna is not an MD that's whack
Posted by BeaumontBengal
Member since Feb 2005
2338 posts
Posted on 6/2/16 at 5:13 pm to
CRNAs should also be supervised by physician anesthesiologists.

Hardly any medical specialty thrives in healthcare these days without midlevel providers.
Posted by MoreOrLes
Member since Nov 2008
19472 posts
Posted on 6/2/16 at 5:16 pm to
quote:

under the "medical supervision" of a surgeon.



WTF

Surgeons don't know shite about anesthesia. In fact they are often the first to back away from the table and let the anesthesiologist (Medical Doctor) work if the patient codes.


You know this but the public doesn't. You are deliberately misleading.

You want to be a MD....... go to med school.
This post was edited on 6/2/16 at 5:17 pm
Posted by L S Usetheforce
Member since Jun 2004
22811 posts
Posted on 6/2/16 at 5:18 pm to
But CRNAs don't have to be supervised by anesthesiologist. They have the ability to independtly practice with a physician.

If we were mid level they wouldn't send us to war to take care of solidiers. The term mid level is another tactic y'all use to degrade the value of a CRNA to the public

And an anesthesia residency is 36 months of anesthesia time and 1 year Pgy-1.

Actual stool time is less than 6 months of difference.

All those other rotations while important to the title MD are irrelevant to the art of anesthesia.
Posted by L S Usetheforce
Member since Jun 2004
22811 posts
Posted on 6/2/16 at 5:20 pm to
The fact of the matter is that CRNAs out number anesthesiologist and in a daily basis deliver anesthesia without one supervising them and their safety rates are no different that anesthesiologist.

We aren't misleading the public, we have the right to do this. You are misleading the public in suggesting that is their only option.
Posted by L S Usetheforce
Member since Jun 2004
22811 posts
Posted on 6/2/16 at 5:22 pm to
I don't want to be an MD, I want to be a nurse anesthetist.
This post was edited on 6/2/16 at 5:23 pm
Posted by Bleeding purple
Athens, Texas
Member since Sep 2007
25315 posts
Posted on 6/2/16 at 5:22 pm to
quote:

Hardly any top professional thrives in any industry these days without midlevel and low level workers.



How many NFL coaches win without athletes?
How many Contractors actually do all the sweat labor?
How many Retail stores have only one manager who covers the entire sales floor?


How many NFL teams would succeed if there were skilled educated athletes with no coach?
How many construction workers would succeed if there was no contractor to negotiate and finance all the permits, inspections, and codes?
How many retail sales associates would succeed if there was no one over sighting inventory, payroll, shift assignment, etc.?







All of the above have a place and are needed just like CRNA's, NPs, PAs, dental hygienists, nail salon specialists, and cosmetologists but that does not mean they need to replace physicians or surgeons.
This post was edited on 6/2/16 at 5:26 pm
Posted by Parallax
Member since Feb 2016
1451 posts
Posted on 6/2/16 at 5:23 pm to
So the entire 30 months of CRNA training you are in a clinical setting without didactics? The training is not comparable.

Let your little man complex free.

quote:

All other rotations while important to the title MD are irrelevant to the art of anesthesia.

Wow, just wow.
Posted by L S Usetheforce
Member since Jun 2004
22811 posts
Posted on 6/2/16 at 5:25 pm to
Nobody is trying to replace physicians, that's the disconnect.

What we are trying to provide is safe and efficient care to the public while utilizing the skills we learned to implement it.

Doctors are fearful of being replaced. That's the point.
Posted by Parallax
Member since Feb 2016
1451 posts
Posted on 6/2/16 at 5:25 pm to
quote:

their safety rates are no different that anesthesiologist.
Nothing supports this statement, as has already been discussed in this thread.
Posted by L S Usetheforce
Member since Jun 2004
22811 posts
Posted on 6/2/16 at 5:25 pm to
I can link you to a 10 year study.
Posted by Parallax
Member since Feb 2016
1451 posts
Posted on 6/2/16 at 5:27 pm to
I can link the Cochrane review again and you can plead ignorance like the last idiot.
Posted by Bleeding purple
Athens, Texas
Member since Sep 2007
25315 posts
Posted on 6/2/16 at 5:27 pm to
quote:

Nobody is trying to replace physicians, that's the disconnect.



NP's most certainly were with this now defeated bill.


I am not familiar with the CRNA quest. What are you wanting the legislature to pass exactly?
Posted by Parallax
Member since Feb 2016
1451 posts
Posted on 6/2/16 at 5:29 pm to
We fear getting replaced but you're the one (repeatedly) mischaracterizing your training.
Posted by L S Usetheforce
Member since Jun 2004
22811 posts
Posted on 6/2/16 at 5:30 pm to
I don't want them to pass anything.

At a federal level, the Asa is attempting to limit a CRNA from caring for veterans without anesthesiologist supervision, when everywhere else it's not dictated as such.

Posted by Bleeding purple
Athens, Texas
Member since Sep 2007
25315 posts
Posted on 6/2/16 at 5:31 pm to
quote:

All those other rotations while important to the title MD are irrelevant to the art of anesthesia.



If this statement does not highlight the common ideological issue, I don't know what does.


It basically says - We know what we know and that is all we need to know. (Fwiw I agree most CRNA's are very knowledgeable about anesthesia)

However, it is glaring example of - We don't know what we don't know and we don't care to know that information either.
Posted by L S Usetheforce
Member since Jun 2004
22811 posts
Posted on 6/2/16 at 5:32 pm to
I'm not mischarcterizing anything, my training is specific to my speciality and that alone.

On the other hand, Asa and anesthesiologist try to negate it and devalue our training in order to facilate their agenda.

This is life. We fight to protect our interest.
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