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re: Wisconsin Hospital Replaces All Anesthesiologists with CRNAs
Posted on 4/7/21 at 3:59 pm to tigercross
Posted on 4/7/21 at 3:59 pm to tigercross
Interesting, thank you
0
Posted on 4/7/21 at 3:59 pm to coondaddy21
quote:
There is no legal claim over the use of the term anesthesiologist.
quote:
ASA Applauds New Hampshire Supreme Court's Decision to Ban Nurses' Use of Physician Term, Anesthesiologist
Posted on 4/7/21 at 4:02 pm to AMS
quote:
colloquiially maybe. Recently states had supreme court cases outlawing nurses from falsely identifying as an anesthesiologist, which implies a level of expertise that cRNA does not have.
The only state, to my knowledge is NH, and the NH Supreme Court basically made an opinion that stated the matter was better off being a legislative one and not one dictated by the BOM in NH. Nursing practice is regulated by the nursing boards in each state and the ability to limit the use of a term could constitute restriction of speech.
See below for a more detailed explanation of the ruling
quote:
And, regarding whether the BOM exceeded its authority in issuing its declaratory ruling, “This is the issue on which the court is equally divided.” Two justices “believe that the BOM’s statutory authority is limited to ‘physicians.’” The other two justices believe that “RSA chapter 329 broadly authorizes the BOM to regulate the practice of medicine, including the authority to limit the use of titles by non-physicians, and would affirm.” According to court documentation, “The court’s disagreement on this issue evidences the degree of uncertainty regarding the extent of the BOM’s regulatory authority under the current statutory scheme. Clarification as to the scope of the regulatory authority of the BOM in this arena implicates public policy determinations that are better left to the legislature.” At this point the court has concluded that this subject needs to be fixed by the legislature and not this court.
This post was edited on 4/7/21 at 4:21 pm
Posted on 4/7/21 at 4:04 pm to cwil177
Holy shite. Imagine that managing your healthcare. The public doesn't know what they don't know about the differences between am MD and APRN. Worlds apart.
Posted on 4/7/21 at 4:09 pm to ProjectP2294
quote:
Which one has the ridiculously high suicide and drug addiction rate? Anesthesiologists or CRNAs?
I see people saying that both do. Is this for real, that's really strange if so.
Posted on 4/7/21 at 4:11 pm to BeaumontBengal
quote:
BeaumontBengal
Bet yall are cut from the same cloth. Yall are like turkeys.
Constantly paranoid someone coming for you.
Posted on 4/7/21 at 4:13 pm to saturday
quote:
Which one has the ridiculously high suicide and drug addiction rate? Anesthesiologists or CRNAs?
its both. CRNAs and Anesthesiologists administer tons of sedatives and narcotics every day. Work long hours. Are under a ton of stress. The addiction rate is high. I wanna say 10% from the literature I've read. In my experience, I know of 4 providers caught using.
Posted on 4/7/21 at 4:14 pm to Jake88
quote:
Holy shite. Imagine that managing your healthcare. The public doesn't know what they don't know about the differences between am MD and APRN. Worlds apart.
Physicians can only blame themselves.
Difficult to persuade medical students to venture into primary care anymore, thus the massive shortage and NPs are filling in the gaps.
Classic case of the ex-girlfriend that doesn't want you but doesn't want any other girl to have you either.
Posted on 4/7/21 at 4:14 pm to coondaddy21
Another question to ask is, if you are a surgeon that practices in a facility that only utilizes CRNA’s, is your malpractice insurance premium more costly and is it specifically asked on the application?
To my knowledge and based on my conversations with a surgeon who practices in this type of setting is, his didn’t and he doesn’t pay anything extra. If the liability and the risk was that much greater, don’t you think insurance companies would want to be protected by issuing higher premiums?
Getting back to the initial post. I am sure this facility did it’s homework before changing models and I believe there is a place for both CRNA’s and Physician anesthesiologist in practice. My hope is that we can all practice up to the full extent of our training and that means that some CRNA’s may not be able to do certain skills and some physician anesthesiologist may not be able to do certain skills but we should all be able to do the job. This means we should all sit the stool and do the anesthetic and maybe have one floater (CRNA or physician anesthesiologist) to help or assist if one or the other might need an extra hand. That would be the most efficient model. Outcomes will drive the types of practice models and that’s what we are seeing. It’s happening in more places than just Wisconsin.
To my knowledge and based on my conversations with a surgeon who practices in this type of setting is, his didn’t and he doesn’t pay anything extra. If the liability and the risk was that much greater, don’t you think insurance companies would want to be protected by issuing higher premiums?
Getting back to the initial post. I am sure this facility did it’s homework before changing models and I believe there is a place for both CRNA’s and Physician anesthesiologist in practice. My hope is that we can all practice up to the full extent of our training and that means that some CRNA’s may not be able to do certain skills and some physician anesthesiologist may not be able to do certain skills but we should all be able to do the job. This means we should all sit the stool and do the anesthetic and maybe have one floater (CRNA or physician anesthesiologist) to help or assist if one or the other might need an extra hand. That would be the most efficient model. Outcomes will drive the types of practice models and that’s what we are seeing. It’s happening in more places than just Wisconsin.
This post was edited on 4/7/21 at 4:17 pm
Posted on 4/7/21 at 4:16 pm to Success
quote:
Bet yall are cut from the same cloth. Yall are like turkeys. Constantly paranoid someone coming for you.
I thought you said you knew us. Guess not...
Posted on 4/7/21 at 4:18 pm to coondaddy21
quote:
Wisconsin Hospital
small hospital. didnt want to pay the anesthesiologist price tag i imagine. volume probably isnt much. the article is misleading. probably a no-brainer financially.
Posted on 4/7/21 at 4:19 pm to coondaddy21
quote:
Outcomes will drive the types of practice models
You misspelled dollars. Specifically, the hospital’s dollars.
Posted on 4/7/21 at 4:20 pm to Success
Lol yes Watertown Wisconsin population 23,861. I'm sure Anesthesiologists are just dying to move there.
Rural area has fewer specialized physicians. Shocking I tell ya.
Rural area has fewer specialized physicians. Shocking I tell ya.
This post was edited on 4/7/21 at 4:23 pm
Posted on 4/7/21 at 4:25 pm to greenwave
quote:
Rural area has fewer specialized physicians.
Why not? Im sure they want good outcomes there too??
Posted on 4/7/21 at 4:25 pm to BeaumontBengal
quote:
You misspelled dollars. Specifically, the hospital’s dollars
You’re right! I am not sure why someone would want to pay 500k to someone, when the job can be done equally as safe for 200k. Especially when the one making 500k isn’t even doing the anesthetic.
This post was edited on 4/7/21 at 4:27 pm
Posted on 4/7/21 at 4:27 pm to greenwave
quote:
Lol yes Watertown Wisconsin population 23,861. I'm sure Anesthesiologists are just dying to move there.
Rural area has fewer specialized physicians. Shocking I tell ya.
This hospital replaced physicians with nurses. There were physicians there. Now there are nurses practicing medicine. That’s just great isn’t it?
Posted on 4/7/21 at 4:27 pm to cwil177
I have agreed with pretty much everything you've said. My only experience with the medical field is that I'm 45 and have lived long enough to know that if I've got seasonal allergies that have hung around long enough to get a secondary infection then going to the local NP or DO to get a shot is fine. I can tell them what the problem is and what i need. FOR ALL OTHER ISSUES I'm going to an MD. I wouldn't trust the NP or DO to correctly identify a rash. Heck they're 0 for 1 on recognizing shingles on my back. So if I have an issue that requires any type of diagnosis I'm going to an MD. I'm fine with waiting a little longer. That goes for my eyes too. My (now former) optometrist missed a retina tear. If my wife hadn't insisted I go see an ophthalmologist the same day I'd likely be blind in one eye.
Posted on 4/7/21 at 4:28 pm to BeaumontBengal
Matter of fact, I think one of the Beaumont hospital contracts was taken over by a CRNA business guy who helped streamline the anesthesia care team by trimming some wasteful salaries.
Posted on 4/7/21 at 4:29 pm to coondaddy21
quote:
You’re right! I am not sure why someone would want to pay 500k to someone, when the job can be done equally as safe for 200k. Especially when the one making 500k isn’t even doing the anesthetic.
The cost to the patient is the same and sadly the patients are the big losers here. Lower quality for the same price. The hospitals and corporate medicine are the winners.
Posted on 4/7/21 at 4:30 pm to BeaumontBengal
quote:
This hospital replaced physicians with nurses. There were physicians there. Now there are nurses practicing medicine. That’s just great isn’t it?
This is so misleading. Anesthesiology isn’t the practice of medicine...Period.
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