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re: Defeat the Nurse Practitioner scope of practice expansion - Louisiana SB 187
Posted on 6/3/16 at 5:11 pm to Success
Posted on 6/3/16 at 5:11 pm to Success
I regularly place upper extremity blocks, central lines, spinals, epidurals, and intubate with fiberoptic tools on a daily basis. I also have CRNA students who rotate through that I reach these skills to
0
Posted on 6/3/16 at 5:13 pm to Success
quote:
It is completely legal federally for crnas to practice independently of a physician.
Trust me I understand what is legal, but that doesn't make it right or what is best for the patients.
This post was edited on 6/3/16 at 5:19 pm
Posted on 6/3/16 at 5:14 pm to BeaumontBengal
He was asking me.
And no, I don't do any of those. But we dont do thoracic surgery at our facility unless emergent. And if I need to secure an airway and the PT has to remain awake (has never happened)I tell them this is gonna sux and place it. They are gonna be sedated immediately afterward anyway.
Supervising the CRNA when I do a vague delivery, CS, D&C, or simple excisional procedure, or vasectomy, or any of the other things I do does not involve anesthesia I am ill prepared to perform.
And no, I don't do any of those. But we dont do thoracic surgery at our facility unless emergent. And if I need to secure an airway and the PT has to remain awake (has never happened)I tell them this is gonna sux and place it. They are gonna be sedated immediately afterward anyway.
Supervising the CRNA when I do a vague delivery, CS, D&C, or simple excisional procedure, or vasectomy, or any of the other things I do does not involve anesthesia I am ill prepared to perform.
Posted on 6/3/16 at 5:16 pm to L S Usetheforce
Does my white coat say MDA on it? I know you want to make us as similar as possible and blur the difference as much as possible in the public's eyes, but the education of a physician is different than that of a CRNA.
Posted on 6/3/16 at 5:18 pm to Bleeding purple
That's what sets you apart as a physician. You know your limitations, and put the patients best interest ahead of your ego.
I respect the technical skill set and knowledge of anesthesia of the CRNAs I supervise as well, but that doesn't mean they should be delivering anesthesia unsupervised or supervised by a physician that is not an anesthesiologist.
quote:
No they respect our skills and let us practice within our scope.
I respect the technical skill set and knowledge of anesthesia of the CRNAs I supervise as well, but that doesn't mean they should be delivering anesthesia unsupervised or supervised by a physician that is not an anesthesiologist.
This post was edited on 6/3/16 at 5:25 pm
Posted on 6/3/16 at 5:18 pm to Bleeding purple
I agree with you Beaumont. It may not be right but it's the law. Same as any other bs law. Need another law to change it. We gotta deal with it otherwise unless our politicians hear our voice.
Posted on 6/3/16 at 5:21 pm to L S Usetheforce
quote:
....it wasn't CRNAs....why did the federal entity seek it out
Because they are under increased scrutiny to increase access to care? Because it was a simple look at us we are doing something step?
Considering the link you posted notes there is no shortage of anesthesiologists how exactly will this affect you?
Posted on 6/3/16 at 5:26 pm to BeaumontBengal
quote:
trust me I understand what is legal, but that doesn't make it or what is best for the patients.
If it's worked since 1945 with great patient outcomes and improved anesthesia safety....how can that be true?
This post was edited on 6/3/16 at 5:30 pm
Posted on 6/3/16 at 5:30 pm to L S Usetheforce
Will you please tell me how this affects you in actual tangible realities instead of "it limits me."
Posted on 6/3/16 at 5:33 pm to Bleeding purple
I've tried to 3x.....
Posted on 6/3/16 at 5:33 pm to Bleeding purple
Ok there's no such thing as mda. There's no such thing as OMD.
If u want to practice medicine go apply to med school and see if you can get in
What happened with the vote
If u want to practice medicine go apply to med school and see if you can get in
What happened with the vote
Posted on 6/3/16 at 5:34 pm to LATigerdoc
There is no such thing as an OP either.....
It's simply an abbreviation for medical doctor anesthesiologist.....how dare we do that.
It's simply an abbreviation for medical doctor anesthesiologist.....how dare we do that.
Posted on 6/3/16 at 5:35 pm to L S Usetheforce
No you havent. I have asked detailed questions for 6 pages and all you can do is insult and deflect.
Posted on 6/3/16 at 5:37 pm to Bleeding purple
Why would I be opposed to a federal entity allowing me to practice within my scope?
I haven't insulted either.....y'all are taking abbreviations very seriously.
I haven't insulted either.....y'all are taking abbreviations very seriously.
This post was edited on 6/3/16 at 5:38 pm
Posted on 6/3/16 at 5:38 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?
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?
Try answering those and then tell me how that makes you .....limited
Posted on 6/3/16 at 5:40 pm to Bleeding purple
After rereading my original interpretation was that ASA wanted to restrict....however after rereading VA wants to do opposite.
I was wrong. It wouldn't limit me if they get what they want, it would empower my profession more.
I was wrong. It wouldn't limit me if they get what they want, it would empower my profession more.
This post was edited on 6/3/16 at 5:41 pm
Posted on 6/3/16 at 5:44 pm to L S Usetheforce
The way I read it VA wants to allow CRNA independent unsupervised practice and the Anesthesiologists are opposed to that. Currently you work supervised by a physician. Any physician. You have been arguing for 6 pages that the being forced to supervised by anesthesiologist (inside of the VA only) instead of any physician was a limit on your practice.
This post was edited on 6/3/16 at 5:45 pm
Posted on 6/3/16 at 5:47 pm to Bleeding purple
I originally read it and thought that Asa wanted va practices to only allow privileges with an anesthesiologist as opposed to the current model .....I was wrong and there in lied the confusion.
This post was edited on 6/3/16 at 5:48 pm
Posted on 6/3/16 at 5:48 pm to LATigerdoc
If you MDs feel so stongly about this why don't you put your real name out here in opposition instead of hiding behind a username?
Posted on 6/3/16 at 5:48 pm to L S Usetheforce
I'm done, enjoy the rain delays.
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