- 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 2:31 pm to cbi8
Posted on 4/7/21 at 2:31 pm to cbi8
quote:
On the flip side, the anesthesia care team model where a MDA manages up to 4 cases at a time being run by CRNAs is probably the safest model.
Which seems to be the model in most cases correct?
1
Posted on 4/7/21 at 2:32 pm to Mid Iowa Tiger
quote:
Agreed, but they require the sign off of a supervising doctor. What doctor is signing off for them? That is who is assuming the legal risk.
usually the supervising doc sees the patient and screens for issues that might arise. cRNA's are generally well trained for bread and butter cases, but are more like warm bodies in the room. if there is any major co-morbidities, anatomical/physiologic, or complications variation, you are much better off with an MD/DO anesthesiologist who gets much more rigorous training.
Posted on 4/7/21 at 2:32 pm to cwil177
Now post a pic where a doctor new out of med school has asked a dumb question. I'm sure that never happens.
Posted on 4/7/21 at 2:34 pm to coondaddy21
quote:
To date, there are 19 states that have opted out of the CMS billing mandate that states CRNA’s have to have physician supervision.
Great work. Advancement through legislation instead of education.
Posted on 4/7/21 at 2:35 pm to greenwave
quote:
Which seems to be the model in most cases correct?
Not necessarily. It varies wildly by state/facility/etc. The 3 models are the anesthesia care team model (previously mentioned), consultation model (where a MDA serves as a consult as needed) and CRNA only. The number of people 65 and older is expected to double by 2060, so the CRNA model will be seen more and more because of the need for providers.
Both MDAs and CRNAs are needed in our healthcare system. We like each other
Posted on 4/7/21 at 2:36 pm to LegendInMyMind
quote:
It will certainly be interesting when such a case arises to see who takes that fall.
No it won’t. In a state where a CRNA can practice independently the liability falls on them and likely their employer who fired all the physicians. It’s not that complicated or interesting.
I guess it could be interesting to see if the state has any liability for allowing independent practice...but that’s it
Posted on 4/7/21 at 2:37 pm to cbi8
quote:
Both MDAs and CRNAs are needed in our healthcare system. We like each other
Exactly, most healthcare in that setting seems to be a team effort. I know anesthesiologists love having a good CRNA / AA team under them.
People in this thread trying to make it sound dramatic.
This post was edited on 4/7/21 at 2:38 pm
Posted on 4/7/21 at 2:39 pm to banone74
quote:
What I do have an issue with is the AAs
Posted on 4/7/21 at 2:39 pm to RT1941
quote:
Ehh, hospitals will still employ a MD Anesthesiologist
Mine doesn’t. 100% CRNA
Posted on 4/7/21 at 2:39 pm to greenwave
quote:
Now post a pic where a doctor new out of med school has asked a dumb question. I'm sure that never happens.
That’s called residency. Which is standardized training under supervision. Unlike a nurse practitioner who can go hand select their own preceptor, shadow them for 500 hrs, then go practice independently. What kind of experience does that person get? Who knows....
Posted on 4/7/21 at 2:42 pm to greenwave
Unfortunately it is a lot of posturing and politicking. My patients are always my #1 priority. In the OR all that bullshite goes out the door...if I need help I’m asking for it
Posted on 4/7/21 at 2:42 pm to BeaumontBengal
What kind of experience does the resident get? They could work under dumbasses too.
Posted on 4/7/21 at 2:44 pm to banone74
quote:
What I do have an issue with is the AAs
Lol do tell. Aren't they "banned" in Louisiana?
Posted on 4/7/21 at 2:45 pm to cwil177
quote:
Why do you think that is? CRNAs can provide adequate care in most anesthesia scenarios, but even they know who the experts in anesthesia are.
Do you think physician anesthesiologist knew anything about anesthesia prior to entering their residency? Sure, they went to medical school but do you think they knew how to provide an anesthetic, manage the anesthetic, and wake people up? I will answer that for you, NO, they didn’t. CRNA’s and physician anesthesiologist go through the same clinical training and CRNA’s actually have 1-2 full years of specific anesthesia schooling. The residents at Vanderbilt, back in the late 90’s, met once a week to discuss anesthesia. They were no more clinically superior than some of the CRNA’s. They are both qualified to do the same job but only one usually does the job.
Posted on 4/7/21 at 2:46 pm to greenwave
They learn from board certified physicians who went to medical school, residency, passed specialty board certification exams, and are held to the highest standards of medical care. Call them then a dumbass all you want but they’ve at least proven expertise in their specialty. And speaking of specialties, why do nurse practitioners get to jump from specialty to specialty with no additional training. What a joke...
Posted on 4/7/21 at 2:50 pm to BeaumontBengal
Lol you are grouping all NPs as one. I am not calling docs dumbasses at ALL, and if you think that you have missed the point.
There are bad apples in every job no matter the training, whether advanced or not.
There are bad apples in every job no matter the training, whether advanced or not.
This post was edited on 4/7/21 at 2:51 pm
Posted on 4/7/21 at 2:52 pm to coondaddy21
quote:
You lost all credibility when you said mid levels. Just because they function in areas where physicians can’t or don’t care to function, doesn’t make their care mid level. For those who can’t get in to see a Dr. who no longer takes their insurance, there are others that will. When there are voids in the market, someone will fill it and demeaning the profession makes you look petty.
mid level refers to their training level and standard of care. it is not demeaning, it is transparency. It is a level above the training a nurse gets but below a physician. it should not be demeaning unless youre ashamed to not be trained to the more rigorous standards to deliver higher quality care. you cant sidestep years of training and provide a lower quality of care and demand to be considered equivalent. that is pure nonsense.
you lose credibility when you suggest mid level is used to be demeaning because they do to cases docs dont want to do.
Posted on 4/7/21 at 2:52 pm to tigahbruh
quote:
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.
I too love anecdotal one off stories
Posted on 4/7/21 at 2:54 pm to coondaddy21
quote:
You lost all credibility when you said mid levels.
That's how they are referred to as a group. Mid-level providers was how they were once known, though I think the professional organizations of each now want them to be known as Advanced Practice Providers.
Posted on 4/7/21 at 2:56 pm to greenwave
At least the bad apples in medicine have received standardized training and proved their competency. NPs on the other hand get non-standardized training given by online schools with 100% acceptance rates and want to practice independently. How will grandma and grandpa ever know? Sad.
Page 7 of 32
Popular
Back to top
Follow TigerDroppings for LSU Football News