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re: Wisconsin Hospital Replaces All Anesthesiologists with CRNAs

Posted on 4/7/21 at 4:31 pm to
Posted by crazy4lsu
Member since May 2005
39820 posts
Posted on 4/7/21 at 4:31 pm to
quote:

This is so misleading. Anesthesiology isn’t the practice of medicine...Period.



My fricking god.
Posted by coondaddy21
Louisiana
Member since Oct 2012
3222 posts
Posted on 4/7/21 at 4:31 pm to
quote:


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.


Show me the studies that back your claim regarding quality? If you are a physician anesthesiologist, tell me when was the last time you actually started and finished a case or worked a full day putting patients to sleep and waking them up?
This post was edited on 4/7/21 at 4:33 pm
Posted by BeaumontBengal
Member since Feb 2005
2377 posts
Posted on 4/7/21 at 4:32 pm to
quote:

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.


You’re wrong. Again.
Posted by BeaumontBengal
Member since Feb 2005
2377 posts
Posted on 4/7/21 at 4:34 pm to
quote:

This is so misleading. Anesthesiology isn’t the practice of medicine...Period.


This is incredible. Truly outstanding. Made my day. I cannot help you any further.
Posted by banone74
Member since Oct 2006
1199 posts
Posted on 4/7/21 at 4:36 pm to
Do cosmetologists go to medical school?
Posted by AMS
Member since Apr 2016
6537 posts
Posted on 4/7/21 at 4:37 pm to
quote:


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



earlier you claimed there was no legal argument, turns out that was a lie.
A state SC upheld the existing law that a nurse anesthetist is not qualified to use the title anesthesiologist.
your more detailed explanation below is misleading nonsense from nurse lobbyists.

quote:

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,

they further mislead by saying these 2 views are necessarily opposing. 1 says the title should remain limited to physicians and the other says that the BOM has authority to regulate title usage by non-physicians. its misleading because the BOM does not support cRNA as an anesthesiologist. so basically 2 say no, and 2 say we support the BOM (which says no). there is not a split like you suggest. the fact remains cRNA =/= anesthesiologist at least until your nurse lobbyists greases enough palms.
Posted by coondaddy21
Louisiana
Member since Oct 2012
3222 posts
Posted on 4/7/21 at 4:37 pm to
quote:

My fricking god.


My point is it’s not exclusive to Dr’s. The first anesthetic was done by a med resident and because the outcomes were so poor for the patient (residents were more interested in watching the surgery vs caring for the patient under anesthesia) Nurses were then trained to give the anesthesia. It wasn’t until long after that time, when physicians realized they could gain monetarily by doing the anesthetic, they began doing it again. So, for the majority of history, nurses gave the anesthetics and that is still the case today. Nearly 85% of all anesthetics are given by CRNA’s and anesthesia is much safer today than it was 100+ years ago.
Posted by AMS
Member since Apr 2016
6537 posts
Posted on 4/7/21 at 4:40 pm to
quote:



This is so misleading. Anesthesiology isn’t the practice of medicine...Period.




except for it is in every legal/medical sense of the term. the only exception may be for a non-physician professor in an academic setting of that field.
Posted by Dragula
Laguna Seca
Member since Jun 2020
6816 posts
Posted on 4/7/21 at 4:40 pm to
quote:

This hospital replaced physicians with nurses. There were physicians there. Now there are nurses practicing medicine. That’s just great isn’t it?


But you don't know the specifics, contracts could have ended, physicians could have moved, group went elsewhere. Happens quite often.
Posted by Dragula
Laguna Seca
Member since Jun 2020
6816 posts
Posted on 4/7/21 at 4:42 pm to
quote:

Why not? Im sure they want good outcomes there too??


Because $$$
This post was edited on 4/7/21 at 4:43 pm
Posted by Success
Member since Sep 2015
1964 posts
Posted on 4/7/21 at 4:45 pm to
quote:

Because $$$


My point exactly. They don’t care about good outcomes. They care about money. Otherwise these small podunk towns would have anesthesiologists taking less to provide “expert” care for the patients.
Posted by BeaumontBengal
Member since Feb 2005
2377 posts
Posted on 4/7/21 at 4:45 pm to
quote:

But you don't know the specifics, contracts could have ended, physicians could have moved, group went elsewhere. Happens quite often.


What else is there to know? There were physicians. There are now no physicians. There are now nurses practicing medicine.
Posted by greenwave
Member since Oct 2011
3879 posts
Posted on 4/7/21 at 4:46 pm to
quote:

This hospital replaced physicians with nurses. There were physicians there. Now there are nurses practicing medicine. That’s just great isn’t it?


LOL this is so dumb, you know CRNAs are good at their job and specialized dont be dumb. And yes you do not know the specifics. Might have been their only choice.
This post was edited on 4/7/21 at 4:47 pm
Posted by AMS
Member since Apr 2016
6537 posts
Posted on 4/7/21 at 4:47 pm to
quote:


My point is it’s not exclusive to Dr’s.


your point is just wrong. gonna need to see an MD, DO or at least a PhD to claim youre an expert in the field of anesthesiology. there is nothing wrong with being an anesthetist, it requires a skilled and intelligent individual. they just are not qualified for the title anesthesiologist, and that is ok they are still valuable and important.


just professional advice, stick to using the term cRNA, nurse anesthetist, even the murky 'im with anesthesia' is better than lying that your title is anesthesiologist. otherwise you may be vulnerable in court for misrepresenting yourself as an anesthesiologist because it is not a protected title for nurses
This post was edited on 4/7/21 at 4:50 pm
Posted by Success
Member since Sep 2015
1964 posts
Posted on 4/7/21 at 4:47 pm to
There was probably one physician who hid in an office all day while the nurses did all the work. The hospital said why am I paying a physician to not do anything. So bye bye went the doc and now nurses are providing the same care as before without a doc hiding in his office. Facts
Posted by magicman534
The dirty dell
Member since May 2011
1873 posts
Posted on 4/7/21 at 4:48 pm to
quote:

thread is about CRNAs and that is a specialized area with standardized training. So how are NPs brought into this?


I agree. CRNA training shouldn’t be included in the same category as NPs. I am a CRNA and when I graduated I had over 1000 anesthetics under my belt. The same graduating class of NPs only had 500hrs of clinicals. CRNA school was basically a full time job. Clinicals mainly from 6-3pm M-Th and class on fridays. This was for 2 years continuously after 9 months of intense didactic work to begin the program. No summer break, no Christmas break, no spring or fall break. Long story short, CRNA training is much more intense and thorough than NP training. No offense to NPs.
Posted by Dragula
Laguna Seca
Member since Jun 2020
6816 posts
Posted on 4/7/21 at 4:49 pm to
quote:

What else is there to know? There were physicians. There are now no physicians. There are now nurses practicing medicine.


Lots, actually...

Big difference between "want" and "have to".
Posted by BeaumontBengal
Member since Feb 2005
2377 posts
Posted on 4/7/21 at 4:50 pm to
quote:

They don’t care about good outcomes. They care about money. Otherwise these small podunk towns would have anesthesiologists taking less to provide “expert” care for the patients.


Patients lose in an environment when expertise is not valued and the only thing that matters is the hospital’s bottom line.
Posted by Dragula
Laguna Seca
Member since Jun 2020
6816 posts
Posted on 4/7/21 at 4:50 pm to
quote:

CRNA training shouldn’t be included in the same category as NPs.


Too late, you are just a poorly educated Nurse in the eyes of physicians per this thread, son.
Posted by greenwave
Member since Oct 2011
3879 posts
Posted on 4/7/21 at 4:52 pm to
This is the same situation with Midwives in Alabama. Once illegal they are now legal again. OBGYNS WANT this midlevel care. Why would any OBGYN (or anyone for that matter) want to move to BFE Alabama, where health care slim. Now midwives fill the gap in that area that once was very poor. Maternal deaths were high in theses areas.

Seems that there are some very arrogant physicians in this thread. Like the midwife situation would rather have 0 healthcare than someone who has gone through training provide a service.
This post was edited on 4/7/21 at 4:55 pm
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