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Message
1
Posted on 4/7/21 at 7:28 pm to wypipos
quote:
Top of the CRNA license is practicing under a physician-led team. CRNA training is not adequate for independent practice; if you personally would like to practice independently, you should go to medical school and complete 4 years of anesthesia residency.
I do practice independently and I didn’t go to medical school. I can gather up a lot of people that can attest to my ability to practice anesthesia. To make a blanket statement when you have no knowledge of the training we go through is ignorant. 49 of the 50 states disagree with you.
Posted on 4/7/21 at 7:28 pm to windshieldman
Only animosity is with physicians is when mid level providers seek scope of practice expansion outside of their education and training for economic reasons.
Posted on 4/7/21 at 7:29 pm to wypipos
Agreed, this seems to be an issue really only in rural areas though
Posted on 4/7/21 at 7:32 pm to coondaddy21
quote:
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?
Other than an additional 10k hrs of training and seeing hundreds of different case variations? That’s not a serious question.
Posted on 4/7/21 at 7:32 pm to Jake88
quote:
Every year the LA legislature considers bills to expand the scope of non MD practitioners. This year is a bill to let quack psych NPs go independent.
The fact that NPs will have fewer clinical hours and much less education than I will have at the end of medical school and will have more privileges than I do for quite a bit of time is certainly an argument for more stringent standardization. I didn't know that before this thread, and it frankly seems insane.
Posted on 4/7/21 at 7:33 pm to tigercross
quote:
Other than an additional 10k hrs of training and seeing hundreds of different case variations? That’s not a serious question
You don’t think I am seeing those same cases outside of school and managing those same big cases without difficulty?
Posted on 4/7/21 at 7:34 pm to coondaddy21
You couldn't hack med school and you earned your independence by paying off dipshit legislators. Congrats. They have an IQ of about 95 on average.
Posted on 4/7/21 at 7:35 pm to greenwave
Not necessarily - there are ERs in major metropolitan areas exclusively staffed by NPs without a physician on site. Similarly, hospitals in major cities (recently Detroit) have moved from 4:1 ratio of CRNA to anesthesiologist to one (offsite) anesthesiologist for the entire hospital. The underlying economic factors driving these staffing decisions won't stop at city lines.
Posted on 4/7/21 at 7:35 pm to tigercross
quote:He doesn't know what he doesn't know. Classic.
Other than an additional 10k hrs of training and seeing hundreds of different case variations? That’s not a serious question
Posted on 4/7/21 at 7:36 pm to coondaddy21
Dude you aren’t helping yourself.
Posted on 4/7/21 at 7:37 pm to crazy4lsu
quote:They go to an online school. Let that sink in.
The fact that NPs will have fewer clinical hours and much less education than I will have at the end of medical school and will have more privileges than I do for quite a bit of time is certainly an argument for more stringent standardization. I didn't know that before this thread, and it frankly seems insane
Posted on 4/7/21 at 7:37 pm to Jake88
quote:
You couldn't hack med school and you earned your independence by paying off dip shite legislators. Congrats. They have an IQ of about 95 on average.
Your legislative and lobby groups have way more resources and connections than any nursing organization. By presenting facts and evidence for change is where movement happens.
This post was edited on 4/7/21 at 7:39 pm
Posted on 4/7/21 at 7:37 pm to crazy4lsu
quote:
It also opens up other arguments. Why should the CRNA role be filled by nurses specifically? Why can't a dentist who wants to do something different be excluded? Or a family physician? Or maybe even a pharmacist, where the pharmacological training would certainly aid them? A physician could easily get the 1000 clinical hours that were bragged about earlier, probably within a shorter time-frame in an appropriately designed program.
Every CRNA program I am familiar with requires a couple of years ICU patient care experience as a prerequisite for admission.
Posted on 4/7/21 at 7:40 pm to wypipos
I mean no offense to y’all anesthesiologist but what do y’all exactly do day to day? During my recent surgery and kids the anesthesiologist comes and gives a summary of what will happen, then the CRNA comes, wheels us down to the OR and I never see the anesthesiologist again. I’m not hating it’s a general question and I know y’all are of importance.
Oh and putting in epidurals before delivery.
So again not hating but yes it would seem logical a hospital would have a higher CRNA to Ani ratio ? Especially in a physician led group which everyone here including physicians seem to support.
Oh and putting in epidurals before delivery.
So again not hating but yes it would seem logical a hospital would have a higher CRNA to Ani ratio ? Especially in a physician led group which everyone here including physicians seem to support.
This post was edited on 4/7/21 at 7:43 pm
Posted on 4/7/21 at 7:41 pm to EA6B
quote:
Every CRNA program I am familiar with requires a couple of years ICU patient care experience as a prerequisite for admission.
This is true. And as a patient seems like a big deal to me.
Posted on 4/7/21 at 7:41 pm to coondaddy21
quote:
Your legislative and lobby groups have way more resources and connections than any nursing organization. By presenting facts and evidence for change is where movement happens.
In this thread, you've presented arguments for more oversight and stringent standards, not less. You'll align yourselves with corporate interests, and not realize they will discard you the moment it suits their interests, because the arguments aren't in your favor, the economics of very specific situations are.
Posted on 4/7/21 at 7:41 pm to coondaddy21
quote:Not in Louisiana. You had a-hole family doc legislators near the end of their careers taking nurse practitioners' donations and building NP fiefdoms. They didn't give a frick.
Your legislative and lobby groups have way resources and connections than any nursing organization
You don't know what you don't know. You couldn't hack it and took the back door.
Posted on 4/7/21 at 7:42 pm to coondaddy21
quote:
By presenting facts and evidence for change is where movement happens.
My rep doesn’t know the difference between Medicare and Medicaid and thinks they are the same thing.
Our legislators are generally retarded and can be swayed with just about anything presented as fact and won’t bother to learn the ins and outs of any system they’re willing to frick up because someone has convinced them that “change” is always good.
Posted on 4/7/21 at 7:42 pm to coondaddy21
quote:
You don’t think I am seeing those same cases outside of school and managing those same big cases without difficulty?
Oh dear god
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