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re: Defeat the Nurse Practitioner scope of practice expansion - Louisiana SB 187
Posted on 6/2/16 at 8:50 pm to BeaumontBengal
Posted on 6/2/16 at 8:50 pm to BeaumontBengal
Because we don't need supervision. Quite simple. In fact, like 65% of anesthesia is currently done this way....we seem to be doing fine despite yalls pleas that we can't.
65% of anesthetic delivery is done by CRNAs.....
65% of anesthetic delivery is done by CRNAs.....
This post was edited on 6/2/16 at 8:56 pm
1
Posted on 6/2/16 at 8:55 pm to L S Usetheforce
75% of anesthesia is done without the involvement of an anesthesiologist? I have practiced in two locations (Texas and Tennessee) and have never once seen an anesthetic delivered without an anesthesiologist involved (thankfully).
This post was edited on 6/2/16 at 8:57 pm
Posted on 6/2/16 at 8:56 pm to BeaumontBengal
Signing a chart doesn't indicate involvement, merely a billing tool. I'm talking about anesthetic delivery, the person actually making split second decisions during the course of an anesthetic including induction and emergence.
This post was edited on 6/2/16 at 9:00 pm
Posted on 6/2/16 at 9:02 pm to L S Usetheforce
Who do you think ensures the patient is an appropriate surgical candidate during the preoperative interview? Who do you call to bail you out during an adverse intraoperative event? Sure the vast majority or anesthetics are delivered without incident, but an anesthesiologist should be involved in the delivery of all anesthetics.
Posted on 6/2/16 at 9:08 pm to BeaumontBengal
I determine that.....I have the right to do a preoperative history and review without an anesthesiologist and Bill Qz.
In the event that an adverse intraoperative event occurs, the provider must make decisions like you are referencing.
But y'all aren't involved, the 4:1 model is a land of fairytale worlds and make believe. An anesthesiologist isn't able to be in 4 places at once. I'd give y'all some slack if it was 2:1 but it isn't.
In the event that an adverse intraoperative event occurs, the provider must make decisions like you are referencing.
But y'all aren't involved, the 4:1 model is a land of fairytale worlds and make believe. An anesthesiologist isn't able to be in 4 places at once. I'd give y'all some slack if it was 2:1 but it isn't.
This post was edited on 6/2/16 at 9:11 pm
Posted on 6/2/16 at 9:21 pm to L S Usetheforce
So a nurse determines if a patient with CHF, pulmonary hypertension, aortic stenosis, renal failure, COPD, etc. is optimized for surgery? How can you do that without going to medical school? Do they teach diagnosis and management of these conditions in nursing school? The answer is no. Nurses are not taught to make diagnoses and formulate treatment plans.
And how can a physician that is not an anesthesiologist supervise patients with these types of comorbidities when they don't understand how anesthesia effects a patient's physiology?
And how can a physician that is not an anesthesiologist supervise patients with these types of comorbidities when they don't understand how anesthesia effects a patient's physiology?
Posted on 6/2/16 at 9:24 pm to BeaumontBengal
Well because you see after I was a nurse I went to anesthesia school and I learned about all these things. They taught me all about all those things and what needed to be done to manage it.
In fact, I used the same book you used to learn it all and get tested on it. Then I took care of patients with it and implemented it.
Pretty crazy stuff.
In fact, I used the same book you used to learn it all and get tested on it. Then I took care of patients with it and implemented it.
Pretty crazy stuff.
Posted on 6/2/16 at 9:26 pm to L S Usetheforce
quote:
What limitation? You don't even understand the topic. CRNAs can currently do anesthesia In a VA hospital with a physician....moving forward Anesthesiologist are trying to limit it to only anesthesiologist supervision and not physicians.
Keep up dude. This has nothing absolutely nothing to do with education....it's about limitation in order to increase valuation.
What a quack and a complete crock.
This post was edited on 6/2/16 at 9:27 pm
Posted on 6/2/16 at 9:28 pm to L S Usetheforce
Sorry
You are a specialty nurse. Leave the practice medicine to Medical Doctors.
You are a specialty nurse. Leave the practice medicine to Medical Doctors.
Posted on 6/2/16 at 9:29 pm to MoreOrLes
It's true....if it was about education they wouldn't let us take care of wound solidiers or be the primary provider of care to active duty military.
Posted on 6/2/16 at 9:31 pm to L S Usetheforce
Your a specialty NURSE. Not a Medical Doctor. Accept it
Posted on 6/2/16 at 9:32 pm to L S Usetheforce
So "anesthesia school" (whatever the hell that is) makes you an expert on medicine and is a replacement for medical school? You can learn everything about medicine and anesthesiology in just 2-3 years while it takes a physician 8 years? I won't even mention the differences in intensity involved in the years of schooling/training.
If you really feel this way, I honestly feel bad for your patients and the physicians who supervise you.
Let's be honest, this quote that was mentioned earlier in this thread sums up your quest for independence perfectly:
If you really feel this way, I honestly feel bad for your patients and the physicians who supervise you.
Let's be honest, this quote that was mentioned earlier in this thread sums up your quest for independence perfectly:
quote:
You knew what the limitations were for the profession of CRNA and yet you chose that path. Now through, legislation, (NOT EDUCATION) you would like to practice medicine without actually being an MD.
Posted on 6/2/16 at 9:33 pm to MoreOrLes
You are so obtuse you think calling me names hurts my feelings....
You got me....
You got me....
Posted on 6/2/16 at 9:33 pm to L S Usetheforce
Names ?
Are you not a specialty nurse?
Are you not a specialty nurse?
Posted on 6/2/16 at 9:34 pm to BeaumontBengal
Again y'all make shite up about yalls training vs ours.
I didn't learn everything in 2-3 years about medicine.
Med shool is 4 years so is nursing school....y'all previous degree is irrelevant to medical training. You know like when English majors get into med school.
First I went to nursing school....then I worked in an ICU actually taking care of patients, then I went to speciality school.
I didn't learn everything in 2-3 years about medicine.
Med shool is 4 years so is nursing school....y'all previous degree is irrelevant to medical training. You know like when English majors get into med school.
First I went to nursing school....then I worked in an ICU actually taking care of patients, then I went to speciality school.
This post was edited on 6/2/16 at 9:39 pm
Posted on 6/2/16 at 9:35 pm to MoreOrLes
It's actually called an certified registered nurse anesthetist when they write my checks. FYI
Posted on 6/2/16 at 9:36 pm to L S Usetheforce
I just want to say I posted in this thread.
Posted on 6/2/16 at 9:38 pm to L S Usetheforce
I'll ask again, do they teach diagnosis and management of medical conditions in nursing school?
The answer is still no.
The answer is still no.
Posted on 6/2/16 at 9:39 pm to L S Usetheforce
No message
This post was edited on 6/2/16 at 9:46 pm
Posted on 6/2/16 at 9:39 pm to BeaumontBengal
No they don't but they do in anesthesia school.
Real talk.
Real talk.
This post was edited on 6/2/16 at 9:40 pm
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