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re: Wisconsin Hospital Replaces All Anesthesiologists with CRNAs

Posted on 4/7/21 at 8:23 pm to
Posted by tiger61
Summit, MS
Member since Oct 2006
166 posts
Posted on 4/7/21 at 8:23 pm to
Crna Fact Sheet

I personally would only let a Crna provide my anesthesia care. Majority of States will follow suit of opting out of supervision for Crna's in the near future with healthcare cost being so high. I personally know of hospitals in Louisiana and Mississippi where Crna's are the only anesthesia providers employed at the hospital and run the departments both efficiently and safely .
Posted by AMS
Member since Apr 2016
6537 posts
Posted on 4/7/21 at 8:24 pm to
quote:

He doesn't know what he doesn't know. Classic.




coondaddy seems to be a good example of the dunning-kruger effect. you hate to see it.
Posted by coondaddy21
Louisiana
Member since Oct 2012
3222 posts
Posted on 4/7/21 at 8:25 pm to
quote:

Really the question should be is how many did you do in training under supervision and how many does your credentialing board consider adequate.

Also what is a DNAP?


I did 125 epidurals in my training from 1997-2000 and I have been in practice 21 years. I have put in over 5000 since then and I have had 2 wet taps in my 21 years.
Posted by Jake88
Member since Apr 2005
80001 posts
Posted on 4/7/21 at 8:26 pm to
quote:

My care isn’t. I would put my anesthesia skills up against any of you guys.
It is obvious you dont know what you don't know. And if you could put up your skills, why did you take the back door?
Posted by MrSpock
Member since Sep 2015
5126 posts
Posted on 4/7/21 at 8:28 pm to
quote:

Crna Fact Sheet


Nice little tidbit at the end

quote:

* Beginning Jan. 1, 2022, all students matriculating into an accredited program must be enrolled in a doctoral program.

Posted by greenwave
Member since Oct 2011
3879 posts
Posted on 4/7/21 at 8:29 pm to
This pissing contest is comical. I need to send this to some nurse friends I know they would get a good laugh.
Posted by MrSpock
Member since Sep 2015
5126 posts
Posted on 4/7/21 at 8:29 pm to
quote:

I did 125 epidurals in my training from 1997-2000 and I have been in practice 21 years. I have put in over 5000 since then and I have had 2 wet taps in my 21 years.


And is this consistent across all training sites and states?
Posted by crazy4lsu
Member since May 2005
39820 posts
Posted on 4/7/21 at 8:29 pm to
quote:

Tactics deployed to scare the public to thinking they are getting substandard care is what bothers me.


None of this is tactics. You have to present legitimate arguments. Each argument presented here has been an argument for more physician oversight, not less. That, again, you can't see the end result will be physicians insisting on keeping certain tasks to themselves going forward, or acting in their self-interest to the detriment of your profession, which exists in the first place because physicians delegated tasks. Who is to say that some technological discovery won't make you redundant? In my medical school, we've already begun using radiology algorithms which were hyped up by tech bros as able to replace radiologists, which is a hilarious irony. There isn't a way that physicians will allow themselves to be sidelined, and those arguments are nestled within arguments for better patient care, which are the morally correct positions, the ones with better long-term outcomes, and the ones that undermine arguments such as the ones presented here. The arguments which in effect are, "I do it right now without immediate physician supervision, hence we should make the standards less stringent," are terrible arguments, and seem to be consistently used by mid-level providers for short-term gain, without considering the consequences of those arguments. Like I said, what is to stop dissatisfied family physicians from taking the roles of highly trained nurses? Or dissatisfied physicians from any specialty, as long as they get the appropriate, equal training as nurses?

Posted by crazy4lsu
Member since May 2005
39820 posts
Posted on 4/7/21 at 8:31 pm to
quote:

Yes. That drama is currently happening at my practice.



You are saying that 30 anesthesiologists cannot do what you can do? You really need to form an argument with what you are saying in a paragraph, because as it stands, none of what you have said makes sense, and if I'm understanding you correctly, genuinely beggars belief.
Posted by coondaddy21
Louisiana
Member since Oct 2012
3222 posts
Posted on 4/7/21 at 8:32 pm to
quote:

It is obvious you dont know what you don't know. And if you could put up your skills, why did you take the back door?


We all have reasons why we choose a career path. The fact that I needed to earn money earlier on in my life and didn’t have a desire to go 300-500k in debt might have been a motivation. Just because one chooses a different path, doesn’t mean they couldn’t have chosen the other. Intelligence isn’t just reserved for those that choose medical school.
Posted by AMS
Member since Apr 2016
6537 posts
Posted on 4/7/21 at 8:33 pm to
quote:

My care isn’t. I would put my anesthesia skills up against any of you guys.. Demeaning another profession just makes you look petty and elitist.



its not demeaning to point out the fact that a cRNA is not equivalent to an anesthesiologist. much like a midlevel is not equivalent to a physician. Thats not to say yall cant be good at what you do. but you should not get offended when people correct your mistaken notion. cRNAs are not equally qualified and do not provide the same level of care, it is the truth plain and simple.
Posted by Success
Member since Sep 2015
1964 posts
Posted on 4/7/21 at 8:33 pm to
Yea pissing match will never end. Docs get more and more mad as they get phased out for nurses.
Posted by Ralph_Wiggum
Sugarland
Member since Jul 2005
11106 posts
Posted on 4/7/21 at 8:34 pm to
The last time I had surgery about 11 years ago the Anesthesiologist came to me before surgery and introduced himself as the anesthesiologist before surgery and I swear he's the one started the drip before I got into the OR.
Posted by greenwave
Member since Oct 2011
3879 posts
Posted on 4/7/21 at 8:35 pm to
Yeah coondaddy I think everyone knows CRNAs are talented. No need to argue, I’m sure you are good at your job. You just got someone in the same field with a higher degree. Is what it is. Y’all just need to all get along.
Posted by Jake88
Member since Apr 2005
80001 posts
Posted on 4/7/21 at 8:36 pm to
quote:

This pissing contest is comical. I need to send this to some nurse friends I know they would get a good laugh
Do it. I'm certain you will get insightful answers from them.

BTW, I'm not an anesthesiologist.
Posted by coondaddy21
Louisiana
Member since Oct 2012
3222 posts
Posted on 4/7/21 at 8:37 pm to
quote:

And is this consistent across all training sites and states?


I had the most in my class. I believe the requirements at the time were 25. I can’t imagine the requirements are any lower now. If anything, they require more. Especially when it comes to peripheral nerve blocks. I know the students I supervise are required to get the peripheral nerve blocks. I am teaching them how to do all of the blocks I know how to do, from Errector Spinae, selective median, radial, and ulnar, interscalene, supraclavicular, superficial cervical, popliteal, ankle, AC blocks etc. I am also teaching them to do central lines. Of course everything we do is US guided.
Posted by Dragula
Laguna Seca
Member since Jun 2020
6816 posts
Posted on 4/7/21 at 8:37 pm to
quote:

And if you could put up your skills, why did you take the back door?


Clearly you can see why some would consider CRNA school over Med school + anesthesia specialty?

Posted by greenwave
Member since Oct 2011
3879 posts
Posted on 4/7/21 at 8:38 pm to
They would be laughing at both of y’all.
Posted by Success
Member since Sep 2015
1964 posts
Posted on 4/7/21 at 8:38 pm to
quote:

Errector Spinae, selective median, radial, and ulnar, interscalene, supraclavicular, superficial cervical, popliteal, ankle, AC blocks etc. I am also teaching them to do central lines.


Liar! You’re a nurse
Posted by greenwave
Member since Oct 2011
3879 posts
Posted on 4/7/21 at 8:38 pm to
Main reason: bed side nursing sucks.
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