- My Forums
- Tiger Rant
- LSU Recruiting
- SEC Rant
- Saints Talk
- Pelicans Talk
- More Sports Board
- Fantasy Sports
- Golf Board
- Soccer Board
- O-T Lounge
- Tech Board
- Home/Garden Board
- Outdoor Board
- Health/Fitness Board
- Movie/TV Board
- Book Board
- Music Board
- Political Talk
- Money Talk
- Fark Board
- Gaming Board
- Travel Board
- Food/Drink Board
- Ticket Exchange
- TD Help Board
Customize My Forums- View All Forums
- Show Left Links
- Topic Sort Options
- Trending Topics
- Recent Topics
- Active Topics
Started By
Message
re: Wisconsin Hospital Replaces All Anesthesiologists with CRNAs
Posted on 4/7/21 at 11:17 am to RT1941
Posted on 4/7/21 at 11:17 am to RT1941
quote:
It's gotten to the point where I only see a PA at any of my doctor visits. Unless I have any issues at which time the Dr will poke his head in and spend a total of 2 minutes to glance at the chart & then he'll scratch down something OR tell the PA to write a script and send me on my way.
That's one thing, but during surgery is different. You can still more or less demand to see your doctor, and probably be able to see him/her, but in this case you can demand a MD anesthesiologist, but you won't get one because the hospital no longer employs them.
1
Posted on 4/7/21 at 11:20 am to Cs
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.
Posted on 4/7/21 at 11:21 am to Cs
And you guys are afraid of government run health care. The private industry is now giving it to you already.
Posted on 4/7/21 at 11:21 am to Cs
An anesthesiologist had my wife all kinds of messed up by screwing up the epidural. He refused to admit what he did but a second anesthesiologist confirmed it when he had to administer a blood patch to her perforated spinal column. In the meantime we had a friggin newborn. The first guy was a grade A douchebag and obviously incompetent.
Never had an issue with a CRNA.
Never had an issue with a CRNA.
Posted on 4/7/21 at 11:21 am to OldManRiver
quote:
It's not "surgery", but anyone who has been put under for an endoscopy or colonoscopy almost certainly was done under the care of a CRNA and not an MD. And you would probably be surprised how many surgeries happen in hospital OR's with the CRNA in charge and no Anesthesiologist to be found
There is 100 percent an anesthesiologist in the building who is ultimately responsible.
Posted on 4/7/21 at 11:24 am to Bjorn Cyborg
quote:
There is 100 percent an anesthesiologist in the building who is ultimately responsible.
If they are always under the authority of an MD in the hospital, then that becomes a problem of bureaucracy. You're just paying for a middle man who had to report to the actual provider who you're also paying.
But I do think NPs should have greater autonomy in the family medicine realm and PAs in the emergency medicine realm.
Posted on 4/7/21 at 11:25 am to Cs
You wouldn’t replace pilots with flight attendants.
This is the future of American healthcare, people. Corporate interests and private equity owned management groups buy out contracts and replace doctors with midlevels and then claim that they do the same thing.
You, your wife, your kids, your parents- will they see a doctor when they go to the ER with a life threatening illness or will they see someone with 5% of a physician’s training?
If you’re interested in learning more about this, check out Patients At Risk the book and also their Podcast on the same topic.
This is the future of American healthcare, people. Corporate interests and private equity owned management groups buy out contracts and replace doctors with midlevels and then claim that they do the same thing.
You, your wife, your kids, your parents- will they see a doctor when they go to the ER with a life threatening illness or will they see someone with 5% of a physician’s training?
If you’re interested in learning more about this, check out Patients At Risk the book and also their Podcast on the same topic.
Posted on 4/7/21 at 11:26 am to Cs
If a CRNA can do your job, maybe you are overpaid?
Posted on 4/7/21 at 11:26 am to Winston Cup
quote:
you wanted affordable healthcare you got it
at you for implying the cost will go down because hospital costs went downPosted on 4/7/21 at 11:28 am to cwil177
quote:
or will they see someone with 5% of a physician’s training?
Oh, the Labor Theory of Value.
We complain about credential inflation in other areas of our lives, but why not medicine? If a fully capable PA can operate an emergency room for a cheaper price, why not employ them over an MD who is going to demand a higher salary?
Posted on 4/7/21 at 11:28 am to UndercoverBryologist
However, a lot of NPs have been pushing for equal pay as physicians. Right now their main attraction for their employers is the cheaper salary. So if they actually get what they want, they lose that.
For family practice and some other areas yeah but NPs have other issues. It used to be, that to become a NP one had to have several years of experience after nursing school. Now plenty get NP degrees soon after their BSN. There are plenty of NP programs that are mostly online and their experience can be very limited. Their average level of training (psychiatry is just one example) time is significantly less:
quote:
Lots of nurse practitioners can do the same job as a family physician
For family practice and some other areas yeah but NPs have other issues. It used to be, that to become a NP one had to have several years of experience after nursing school. Now plenty get NP degrees soon after their BSN. There are plenty of NP programs that are mostly online and their experience can be very limited. Their average level of training (psychiatry is just one example) time is significantly less:
This post was edited on 4/7/21 at 11:40 am
Posted on 4/7/21 at 11:28 am to Cs
quote:
And who becomes liable when the CRNA inevitably makes an error? The surgeon? What surgeon in their right mind would fully accept liability for CRNA errors during a surgical procedure?
As the old saying goes, "Sue everyone, let the jury sort them out." There will be plenty enough lawsuits to go around for everyone.
Posted on 4/7/21 at 11:29 am to Cs
You do realize CRNA's do most of the anesthesia work during surgery correct? Except for maybe putting in central lines and epidurals..
There may be 3 Anesthesiologist on during a day of surgeries.. and one of those are probably in L&D..
Only downside to this is I've seen CRNA's scream for the anesthesiologist when the shite hits the fan...
There may be 3 Anesthesiologist on during a day of surgeries.. and one of those are probably in L&D..
Only downside to this is I've seen CRNA's scream for the anesthesiologist when the shite hits the fan...
This post was edited on 4/7/21 at 11:45 am
Posted on 4/7/21 at 11:30 am to ProjectP2294
quote:
Which one has the ridiculously high suicide and drug addiction rate? Anesthesiologists or CRNAs?
Both
Posted on 4/7/21 at 11:33 am to UndercoverBryologist
quote:
If a fully capable PA can operate an emergency room for a cheaper price,
You’re assuming IF the PA or NP can do the same job as effectively and consistently, and that’s why they were hired. It’s also very likely they’re being hired mostly because they’re cheaper not because they’re just as good.
Posted on 4/7/21 at 11:34 am to Cosmo
quote:
There is 100 percent an anesthesiologist in the building who is ultimately responsible
There is 100% not....
Also to answer the question of who is on the hook if something bad happens...the answer is THE CRNA. They are board certified providers who carry med malpractice.
So many misinformed people in this thread.
Lastly, about 75% of anesthesia is delivered by Crna’s in America and 100% of anesthesia provided in combat is done by Crna’s so you know....
This post was edited on 4/7/21 at 11:37 am
Posted on 4/7/21 at 11:35 am to Cs
quote:
Would anyone honestly feel comfortable undergoing surgery knowing that the person responsible for keeping them alive during the operation is not a MD/DO?
uh, the person responsible for keeping you alive during surgery, has mostly been the CRNA, and you just didn't know it.
Posted on 4/7/21 at 11:35 am to windshieldman
quote:
I would absolutely prefer a CRNA being in control of my airway and drug administration than an anesthesiologist
That’s your right as an informed patient, but they have increased adverse outcomes compared to anesthesiologists.
Paper 1
Paper 2
quote:
Adjusted odds ratios for death and failure-to-rescue were greater when care was not directed by anesthesiologists (odds ratio for death = 1.08, P < 0.04; odds ratio for failure-to-rescue = 1.10, P < 0.01), whereas complications were not increased (odds ratio for complication = 1.00, P < 0.79). This corresponds to 2.5 excess deaths/1,000 patients and 6.9 excess failures-to-rescue (deaths) per 1,000 patients with complications.
Summary of the evidence
Posted on 4/7/21 at 11:36 am to Cs
Yeah this isnt that unusual, CRNAs do a lot of schooling. Its not easy. Also LSUs is a 3 year doc program now if I am not mistaken.
This post was edited on 4/7/21 at 11:36 am
Posted on 4/7/21 at 11:36 am to LegendInMyMind
quote:Ehh, hospitals will still employ a MD Anesthesiologist.
You can still more or less demand to see your doctor, and probably be able to see him/her, but in this case you can demand a MD anesthesiologist, but you won't get one because the hospital no longer employs them.
Page 2 of 32
Popular
Back to top
Follow TigerDroppings for LSU Football News