re: Wisconsin Hospital Replaces All Anesthesiologists with CRNAs

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The sad thing is that patient satisfaction is through the roof, because they hand out pills like candy

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Lol so do physicians.

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NPs/PAs in independent states prescribe > 20x the number of opioid prescriptions as do those who are supervised by a physician.
LINK

I can’t imagine being so consistently wrong yet still being confident in my opinions. You should be an NP. They accept everyone these days. You don’t know what you don’t know because you haven’t been deep in this shite and your hot takes have been garbage.

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CRNA’s are professionals. Time in the field matters more than a piece of paper. I’d rather have an experienced CRNA than a “MD” who is newer.

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If you were facing trial for something that would lock you away for life would you rather be represented by a lawyer who's practiced for 5 years or someones who was a paralegal for 10?

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I would double check that, boss, before you need it. I’m serious.

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I already did when I started working at a rural facility that uses 100% CRNA coverage. There isn’t a physician anesthetist in this corner of the state. CRNAs do not require any type of physician oversight or “medical collaboration” as the state statutes refer to it.

A surgeon is only going to be liable for something they had control over, which can include parts of anesthesia or response to complications from anesthesia. But that’s the same wether the person at the head of the table is a physician or a nurse.

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So do you think you could pass the MD anesthesiology board exams?

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I didn’t say that nor imply that. I might be able to but I did take and pass my own anesthesia boards to become certified. I am merely stating that when I did my clinical’s at Vanderbilt, I did all the same things the residents did, including the bigger tougher cases.

Lol Chill brah, I'm just making a point. Your link states independent states. I do not live in one and let me tell you N Alabama is popping with physician pill mills.

Also you are correct I was actually about to state its nice to see some of you docs taking action against this. Like I have stated I am against the NP Independent practice. The arrogance was just annoying acting like physicians can do no wrong and discrediting CRNAs and NPs.

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and your hot takes have been garbage.

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Lol post some more NP Facebook group chat please. You can shite post links all day while someone else in here shite posts links of doc frick ups. Dumb pissing contest.

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I didn’t say that nor imply that.

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Then what was the point of claiming that your clinical training was exactly the same if not to suggest that you were similar to an MD? Also claiming that your clinical training was “exactly” the same is difficult to believe. Were you at the hospital more or less than 75 hours per week?

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That’s interesting. There have been several cases of surgeons getting sued for the CRNA causing patient harm because technically they were the supervising physician. Doesn’t seem right to have someone with no anesthesia expertise “supervising” a CRNA.

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This is true. Good luck to the hospital admin when they have surgeons leaving their hospital because they foot the bill due to a CRNA frickup

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I am merely stating that when I did my clinical’s at Vanderbilt, I did all the same things the residents did, including the bigger tougher cases.

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You also had two years less training, so your experience represents only a portion of the coursework. Anesthesiology residents have a PGY-1 transitional year as well.

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There have been several cases of surgeons getting sued for the CRNA causing patient harm because technically they were the supervising physician

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There have been cases where the surgeon has been sued and found liable when an anesthesiologist has caused harm. It generally doesn’t have anything to do with “supervising” and everything to do with inaction when being made aware of a complication.

A surgeon will not be held liable because a CRNA pushed a lethal dose of fentanyl. A surgeon might be held liable if after the patient starts to code he/she continues to operate and refuses to start chest compressions. That’s the level of negligence it takes to actually lose a med mal case.

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Then what was the point of claiming that your clinical training was exactly the same if not to suggest that you were similar to an MD? Also claiming that your clinical training was “exactly” the same is difficult to believe. Were you at the hospital more or less than 75 hours per week?

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Other than the length of residency, Please enlighten me on what specific training in anesthesia do you believe is different in the training of a CRNA vs an anesthesiologist? I am referring to anesthesia and not ICU critical care training, by which, if you are, CRNA’s work and have experience in those areas too. Let me know what you think they have learned that I may have not. If you list it, I will respond to if I have been trained or schooled in the same thing.