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Started By
Message
re: Wisconsin Hospital Replaces All Anesthesiologists with CRNAs
Posted on 4/8/21 at 8:33 am to AMS
Posted on 4/8/21 at 8:33 am to AMS
quote:
same standard of care, but different scope, interesting.... what about the anesthesiologist who has a larger scope and standards vs the more limited scope and standards of a cRNA. nursing board standards =/= medical board standards.
Dumbass, I’m talking about facilities that limit the scope because they can, not because we can’t do those things. I even gave an example. I currently practice to the full scope of my training. Now, I don’t do TEE’s because I’m not trained to do them. I do know my limitations.
1
Posted on 4/8/21 at 8:36 am to coondaddy21
quote:
Dumbass, I’m talking about facilities that limit the scope because they can, not because we can’t do those things. I even gave an example. I currently practice to the full scope of my training. Now, I don’t do TEE’s because I’m not trained to do them. I do know my limitations.
dumbass im talking about the fact that an anesthesiologist has a larger scope than a cRNA. the standards are different no matter how you feel about it.
Posted on 4/8/21 at 8:38 am to Warfox
quote:
Sure there is: a physician who thinks they are God himself.
You need to read all the replies within this topic and you will come to the conclusion that there are many Gods... lol
This post was edited on 4/8/21 at 8:39 am
Posted on 4/8/21 at 8:42 am to AMS
quote:
dumbass im talking about the fact that an anesthesiologist has a larger scope than a cRNA. the standards are different no matter how you feel about it.
What scope is larger? Do you think I can’t do all regional anesthesia blocks, central lines, A-lines, awake intubations, etc...and all the cases from hearts to head cases?
Posted on 4/8/21 at 8:44 am to AMS
From the ASA:
STANDARD I
Qualified anesthesia personnel shall be present in the room throughout the conduct of all general anesthetics, regional anesthetics and monitored anesthesia care.
Interesting it doesn’t say anesthesiologist
STANDARD I
Qualified anesthesia personnel shall be present in the room throughout the conduct of all general anesthetics, regional anesthetics and monitored anesthesia care.
Interesting it doesn’t say anesthesiologist
Posted on 4/8/21 at 8:50 am to AMS
quote:
you may have a point if med mal was the only liability that existed.
This was in direct reference to my question of med mal liability and it’s cost to risk averse healthcare systems who have decided to fire physicians and hire CRNAs. Do I need to go back and quote the part of my post you were replying to which started this discussion on liability? Only one of us is operating within the confines of that premise and it isn’t you.
HCA, Envision, etc. don’t care about what the physician stands to lose professionally. They care about financial risk to their organization based on medical malpractice of their providers.
Posted on 4/8/21 at 8:53 am to AMS
quote:
AMS
I see you abandoned the Chauvin thread after having your arse kicked, only to come to this thread to have your arse kicked.
Posted on 4/8/21 at 8:53 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.
Maybe I should be a dr. Seems easy for the money lol
Posted on 4/8/21 at 8:56 am to YipSkiddlyDooo
quote:
This was in direct reference to my question of med mal liability and it’s cost to risk averse healthcare systems who have decided to fire physicians and hire CRNAs. Do I need to go back and quote the part of my post you were replying to which started this discussion on liability? Only one of us is operating within the confines of that premise and it isn’t you.
HCA, Envision, etc. don’t care about what the physician stands to lose professionally. They care about financial risk to their organization based on medical malpractice of their providers.
Sir, I wish I had worked with you my last 21 years as you are one that gets it. You see it how it is, not how they want you to see it. You would have been very beneficial in explaining these things to some of surgeons I’ve worked with, who felt like they had some greater liability for supervision of CRNA’s. We always collaborate and discuss things with our surgeons. I’m often addressing concerns I may have and how to proceed with certain anesthetics. I’m thankful Docs like you understand that value. Thanks for all your replies in this thread.
This post was edited on 4/8/21 at 8:59 am
Posted on 4/8/21 at 8:56 am to Success
quote:
Success
wanna cite the ASA?
quote:
ASA believes that physician anesthesiologist participation in all deep sedation is the best means to achieve the safest care.
Posted on 4/8/21 at 8:57 am to AMS
I did cite the asa standard of care bc that what I’m held to.
Posted on 4/8/21 at 9:01 am to Centinel
quote:
Centinel
another idiotic take from you. you clearly havent read this thread
correcting nurses who wrongfully claim they have the same exact liability and scope of practice as an anesthesiologist is not getting my arse kicked.
Posted on 4/8/21 at 9:04 am to Cs
Me being a paramedic shouldn’t intimidate y’all and I’m sorry if it does. I put my pants on 1 leg at a time just like everyone else. Just because I did 600 hours of clinicals and ride time doesn’t mean I know EVERYTHING!!!!!
Eta: In all seriousness, kind of funny story to the surgeons in here. First shift in OR I was extremely nervous, I mean ridiculous nervous, plus I was much younger. Walked in and surgeon comes in a few minutes later and starts wearing my arse out in front of everybody because I didn’t have shoe protectors on. Medical students were in there laughing and CRNA was actually pretty cool and stated it was his fault he didn’t tell me. Then I missed the intubation, just couldn’t see the vocal cords and I froze up and didn’t even try after a few seconds.
I never missed one in clinical after that though. NICU was my favorite clinical rotation
Eta: In all seriousness, kind of funny story to the surgeons in here. First shift in OR I was extremely nervous, I mean ridiculous nervous, plus I was much younger. Walked in and surgeon comes in a few minutes later and starts wearing my arse out in front of everybody because I didn’t have shoe protectors on. Medical students were in there laughing and CRNA was actually pretty cool and stated it was his fault he didn’t tell me. Then I missed the intubation, just couldn’t see the vocal cords and I froze up and didn’t even try after a few seconds.
I never missed one in clinical after that though. NICU was my favorite clinical rotation
This post was edited on 4/8/21 at 9:10 am
Posted on 4/8/21 at 9:07 am to AMS
quote:
correcting nurses who wrongfully claim they have the same exact liability and scope of practice as an anesthesiologist is not getting my arse kicked.
A simple google search says that 30 states allow CRNAs to practice independently. Is that information incorrect?
Posted on 4/8/21 at 9:07 am to coondaddy21
quote:
, I don’t do TEE’s because I’m not trained to do them.
quote:
all the cases from hearts to head cases?
This is exactly what I’m talking about. TEE is absolutely stand of care for doing hearts. You admit you can’t do them in one post, then in the very next post claim equivalence to those that can.
I seriously doubt you’re doing hearts solo.
Posted on 4/8/21 at 9:09 am to AMS
quote:
another idiotic take from you.
The only idiotic takes happening around here are from you princess.
Posted on 4/8/21 at 9:11 am to LNCHBOX
Do you believe that means they have the same liability and scope?
Posted on 4/8/21 at 9:12 am to AMS
quote:
Do you believe that means they have the same liability and scope?
I find it odd you choose to not answer the question. Why are you so threatened in this thread?
Posted on 4/8/21 at 9:21 am to LNCHBOX
I don't deny the fact they independently practice in many states. I support their value and work. that is not the same as pointing out there is a different scope and set of liabilities.
Posted on 4/8/21 at 9:26 am to AMS
quote:
that is not the same as pointing out there is a different scope and set of liabilities.
It just seems like a blanket statement that most likely doesn't apply everywhere. You come off in this thread, and many others, as the typical doc that looks down on anyone that dared to not travel the same road you chose professionally.
It is also amusing to me that someone with your politics might be losing out work opportunity to people that you think are clearly inferior.
You hate to see it.
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