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Message
re: Defeat the Nurse Practitioner scope of practice expansion - Louisiana SB 187
Posted on 6/3/16 at 3:36 pm to puffulufogous
Posted on 6/3/16 at 3:36 pm to puffulufogous
Was pulling it a deceptive head fake?
Sounds like some of the shady Kentucky optometry bill shananigans from back in the day
Sounds like some of the shady Kentucky optometry bill shananigans from back in the day
This post was edited on 6/3/16 at 4:30 pm
0
Posted on 6/3/16 at 3:56 pm to L S Usetheforce
quote:
Because limiting me to an anesthesiologist limits my practice abilities?
How
Posted on 6/3/16 at 4:12 pm to Bleeding purple
How?
You don't understand the business so it's like talking to a layman....
Currently I can practice anesthesia with any physician I choose.
If MDAs get it the way the want in VAs, I can only do it with anesthesiologist......limited.
You don't understand the business so it's like talking to a layman....
Currently I can practice anesthesia with any physician I choose.
If MDAs get it the way the want in VAs, I can only do it with anesthesiologist......limited.
This post was edited on 6/3/16 at 4:15 pm
Posted on 6/3/16 at 4:28 pm to L S Usetheforce
Is there a lack of anesthesiologists present on VA hospitals to the point surgeries will need to be cancelled if passed?
Will the legislation force you to employed by anesthesiologist or only supervised by them?
Will your billing allowable be changed?
Will you be restricted to working only in the VA since the legislation only applies there?
Will you be restricted from performing any procedure, preoperative or post op care you do now?
Will the legislation force you to employed by anesthesiologist or only supervised by them?
Will your billing allowable be changed?
Will you be restricted to working only in the VA since the legislation only applies there?
Will you be restricted from performing any procedure, preoperative or post op care you do now?
Posted on 6/3/16 at 4:29 pm to Bleeding purple
What is happening with the bill?
Posted on 6/3/16 at 4:33 pm to L S Usetheforce
quote:
You don't understand the business so it's like talking to a layman....
A layman with 13 yrs experience, 5 Hospital affiliations, 3 board certifications, 1 added certificate of qualification, a pt census of over 4,000, and surgical privileges at 3 hospitals.
Keep diverting and name calling, it is only making you look foolish.
Posted on 6/3/16 at 4:51 pm to L S Usetheforce
quote:
You don't understand the business
And there it is. The only reason CRNAs want independence is financial. They want a physician salary, but don't want to put in the work required to obtain a physician's education. It's more about money than it is about patient safety with them. It's already established that the VA is full of sick patients, so does it make any sense to have less qualified people taking care of a patient population like that?
And no one answered this question I posed last night: how can a physician that is not an anesthesiologist "supervise" the anesthesia given to their patient? They have no clue how anesthesia affects a patient's physiology, nor the technical skills of peripheral nerve blocks, epidural placement, advanced airway management, etc. required to supervise a midlevel effectively and safely.
Posted on 6/3/16 at 4:55 pm to BeaumontBengal
What's a mid-level I keep hearing y'all say them, but when I look it up I don't see CRNAs listed?
Help me understand? I currently do all aspects of regional also?
We aren't the ones pushing this initiative.....ASA is.....
Help me understand? I currently do all aspects of regional also?
We aren't the ones pushing this initiative.....ASA is.....
This post was edited on 6/3/16 at 5:04 pm
Posted on 6/3/16 at 4:56 pm to Bleeding purple
quote:
Is there a lack of anesthesiologists present on VA hospitals to the point surgeries will need to be cancelled if passed?
No.
Posted on 6/3/16 at 4:58 pm to BeaumontBengal
They have no clue how anesthesia affects a patient's physiology, nor the technical skills of peripheral nerve blocks, epidural placement, advanced airway management, etc. required to supervise a midlevel effectively and safely.
This is where I disagree with you. I have done and still occasionally do all of the above. I am not an anesthesiologist but I did go to med school and residency and slept in a holiday Inn once.
This is where I disagree with you. I have done and still occasionally do all of the above. I am not an anesthesiologist but I did go to med school and residency and slept in a holiday Inn once.
Posted on 6/3/16 at 5:00 pm to L S Usetheforce
What's an "ologist" or an "MDA?" You'd get more respect if you'd show some..
Posted on 6/3/16 at 5:00 pm to Bleeding purple
LINK
The VA proposed this....it wasn't CRNAs....why did the federal entity seek it out?
The VA proposed this....it wasn't CRNAs....why did the federal entity seek it out?
This post was edited on 6/3/16 at 5:03 pm
Posted on 6/3/16 at 5:01 pm to BeaumontBengal
My ologist love me....you are a flaming dick.
Posted on 6/3/16 at 5:04 pm to Bleeding purple
You regularly do brachial plexus blocks for upper extremity surgeries instead of general anesthesia? Place thoracic epidurals for thoracic surgeries? Perform nerve blocks to secure a patients airway while they are awake? If you do, I am impressed.
Posted on 6/3/16 at 5:04 pm to L S Usetheforce
Why are you mad? Did you tell the anesthesiologists that trained you that you were their equal and could easily replace them?
This post was edited on 6/3/16 at 5:05 pm
Posted on 6/3/16 at 5:04 pm to BeaumontBengal
Yes everyday....I'm glad I could impress you.....
So can 8 other CRNAs with more than 80 years of anesthesia experience....
You think we can't do this?
So can 8 other CRNAs with more than 80 years of anesthesia experience....
You think we can't do this?
Posted on 6/3/16 at 5:05 pm to BeaumontBengal
Because you think calling you an ologist or an MdA is disrespectful! That is your title.
I am one of a designated group that primarily places thoracic epidurals for thoracotomys to open bellys.
I also do tap blocks, lateral sciatics and pretty much any other ultra sound indicated block as it pertains to individualized patient condition.
No they respect our skills and let us practice within our scope. They respect our asset to the anesthesia group and how it makes them profitable.
I never said I was equal to an MD....I did how vet say I have the same scope of practice to do anything they can as long as a physician is on the team.
I am one of a designated group that primarily places thoracic epidurals for thoracotomys to open bellys.
I also do tap blocks, lateral sciatics and pretty much any other ultra sound indicated block as it pertains to individualized patient condition.
No they respect our skills and let us practice within our scope. They respect our asset to the anesthesia group and how it makes them profitable.
I never said I was equal to an MD....I did how vet say I have the same scope of practice to do anything they can as long as a physician is on the team.
This post was edited on 6/3/16 at 5:10 pm
Posted on 6/3/16 at 5:08 pm to Bleeding purple
Beaumont---please listen---ive answered a couple of times. It is completely legal federally for crnas to practice independently of a physician. They then said it's up to the states to decide whether To enforce this to meet the needs of each state. In the states who haven't "opted out", it's ok for a CRNA to practice under the supervision of an anesthesiologist, surgeon, dentist, or podiatrist and bill for Medicare and Medicaid patients. I believe there are 16 states that have opted out.
In my practice as well as practices across La, we practice under the supervision of surgeons, dentists, and podiatrists without a single anesthesiologist employed at the hospital.
I'm not saying this is perfect. These are just facts.
In my practice as well as practices across La, we practice under the supervision of surgeons, dentists, and podiatrists without a single anesthesiologist employed at the hospital.
I'm not saying this is perfect. These are just facts.
Posted on 6/3/16 at 5:09 pm to L S Usetheforce
Well I"m actually an medical doctor that specialized in anesthesiology. There is no MD "anesthesia school." What is a DO that's an anesthesiologist? DOA?
Posted on 6/3/16 at 5:11 pm to BeaumontBengal
Mda....Medical doctor anesthesia
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