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Started By
Message
re: Wisconsin Hospital Replaces All Anesthesiologists with CRNAs
Posted on 4/7/21 at 9:48 pm to Poker_hog
Posted on 4/7/21 at 9:48 pm to Poker_hog
quote:
If a hospital goes crna only they are saying they don’t do high risk
Which would be the case at most of the rural hospitals correct? Like the one that this whole thread was started on.
It seems like this isn’t just a CRNA - anesthesiologist issue either in these setting. Is there always an OBGYN, Cardiologist on staff? Seems like healthcare in general is sub par out in the boonies.
This post was edited on 4/7/21 at 10:00 pm
2
Posted on 4/7/21 at 9:49 pm to Poker_hog
quote:
There is a saying in medicine about about mid levels and providers with less training: “you don’t know what you don’t know”. In my experience there is nothing more dangerous than a cocky mid level.
I think you are explaining the dunning-kruger effect.
Posted on 4/7/21 at 9:56 pm to YipSkiddlyDooo
quote:
I’m not sure what your question is or what you don’t understand
Why is an abnormal ekg or failure to get cardiac clearance the surgeon’s fault and not the CRNAs? The surgeons are not the one giving drugs that disrupt physiology putting patients with little physiologic reserve at risk.
Posted on 4/7/21 at 9:58 pm to greenwave
quote:
Which would be the case at most of the rural hospitals correct? Like the one that this whole thread was started on.
I don’t know anything about this hospital. It is pretty routine for outpt surgery centers that screen out sick patients to be crna only.
Posted on 4/7/21 at 9:59 pm to greenwave
quote:
Which would be the case at most of the rural hospitals correct? Like the one that this whole thread was started on.
You are correct. I’m a surgeon at a rural hospital with relatively low acuity and 100% CRNA staff. There are a lot of butt hurt physicians giving incorrect info and a CRNA or two who don’t realize where their training lacks compared to an anesthesiologist.
Overall this is a pretty entertaining shite show of a thread, but you can’t feel bad for the anesthesiologists, they did this to themselves. I mean who wouldn’t want to pay a bunch of nurses half (at most) of what they would have to pay a physician? Anesthesia groups welcomed this and now that they are being shown the door they want to cry patient safety.
Posted on 4/7/21 at 10:01 pm to AMS
quote:
I think you are explaining the dunning-kruger effect.
Yes
Posted on 4/7/21 at 10:02 pm to Poker_hog
All I know is I’m a CRNA...worked independently today....no physician signed my chart....
And I got mother fricking paid!!!!
And I got mother fricking paid!!!!
This post was edited on 4/7/21 at 10:04 pm
Posted on 4/7/21 at 10:03 pm to YipSkiddlyDooo
quote:
Overall this is a pretty entertaining shite show of a thread
I can repair or replace a windshield better than anyone in this thread
Posted on 4/7/21 at 10:03 pm to YipSkiddlyDooo
quote:
There are a lot of butt hurt physicians giving incorrect info and a CRNA or two who don’t realize where their training lacks compared to an anesthesiologist.
Lol yeah that’s all I have been seeing in this shite show
Posted on 4/7/21 at 10:04 pm to L S Usetheforce
How much did you make dude? So much?
Posted on 4/7/21 at 10:04 pm to BeaumontBengal
Enough to warrant 36 months in a DNP program and not be a bitch like you. Congrats on saving that life of the patient who the crna put the tube in the esophagus....?? you are so full of shite.
You’ve been on tigersdroppings all day posting bro....we know what you did today.
You’ve been on tigersdroppings all day posting bro....we know what you did today.
This post was edited on 4/7/21 at 10:07 pm
Posted on 4/7/21 at 10:05 pm to coondaddy21
quote:Sure. How much is LSUHSC in NO these days?
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
Posted on 4/7/21 at 10:05 pm to L S Usetheforce
Lol feel like some CRNA trolls trying to piss ppl off now
Posted on 4/7/21 at 10:06 pm to L S Usetheforce
Thank you. Glad to help that patient.
Wait, you paid money to be a doctor-nurse?
Wait, you paid money to be a doctor-nurse?
Posted on 4/7/21 at 10:06 pm to greenwave
*raises hand
Posted on 4/7/21 at 10:06 pm to BeaumontBengal
quote:
Why is an abnormal ekg or failure to get cardiac clearance the surgeon’s fault and not the CRNAs?
Recognizing possible cardiac risk factors that could be affected by either the surgery itself or the anesthesia that we know our patients will be placed under is 100% our responsibility. And it would be negligence on the surgeons part for knowing there is cardiac disease and willfully deciding not to have patient evaluated by his/her cardiologist prior to undergoing anesthesia, even though I’m not the one pushing drugs in the OR.
This was from an actual lawsuit in which pre-op EKG (not day of surgery) was abnormal and no cardiology clearance was requested by surgeon. Day of EKG was abnormal and neither surgeon, CRNA, nor anesthesiologist did anything, CRNA pushed propofol and admitting to not checking chart prior to doing so. All 3 were found liable and rightfully so.
Would you come be my anesthesiologist though so I can not worry about any comorbidities that might cause complications with anesthesia? That sounds awesome, I’d even pitch in for part of your salary!
Posted on 4/7/21 at 10:07 pm to YipSkiddlyDooo
quote:
Anesthesia groups welcomed this and now that they are being shown the door they want to cry patient safety.
anesthesiologist groups never pushed for independent cRNAs. that would be the nursing lobbyists. anesthesiologist groups pushed for supervised cRNAs and nurses groups were able to take a mile when given an inch. this is not crying wolf, there is evidence to back up claims of substandard care from cRNA vs anesthesiologist. physicians use evidence based medicine, which is not something nurses are trained to provide.
Posted on 4/7/21 at 10:07 pm to L S Usetheforce
I’m actually holding the phone right now. I suppose if it rings I’ll have to go in.
Posted on 4/7/21 at 10:08 pm to AMS
Physicians actually pushed out lazy anesthesiologist....we didn’t have to lobby for it. Actions speak louder than words.
Posted on 4/7/21 at 10:08 pm to windshieldman
quote:
I can repair or replace a windshield better than anyone in this thread
quote:
windshieldman
this checks out. please proceed with your comments, sir.
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