Alabama CRNA article(s)

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GoodmanBrown

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Slate.com has a really biased article up right now. I'd like to write the author, and I wanted to round out the context of the Alabama BoM's statement. I know the situation with CRNAs doing interventional pain was discussed here, but I can't find any reference to it here, in the mid-level forum, or on the Internet in general. Can anyone help with a few links to articles? Thanks!
 
CRNAs are trained and state-certified to perform the very tasks that the state now proposes to restrict to medical doctors. Delegating this task to nurses is hardly unusual; as anyone who's been in a hospital lately knows, it is nurses, not doctors, who typically manage pain.


Wow. It is extremely biased. Don't know who the author is, but he probably actually has not been in a hospital lately. Nurses do not typically "manage" pain. They page the doctor and get an order to treat the pain in some way. Just because the patient never sees the doctor doesn't mean the nurse has suddenly "managed" the pain on their own. Where does this distortion of reality come from??
 
here is the link:

http://www.slate.com/id/2274428

he is so uneducated i don't even know where to begin...

Hey Giddyup, I appreciate the help. I'm actually looking for articles about Alabama CRNAs. I thought I remembered people on the forum discussing the fact that they were performing some pain procedures for which they weren't trained. This was a few months ago when the Alabama BoM first issued their statement.
 
Slate.com has a really biased article up right now. I'd like to write the author, and I wanted to round out the context of the Alabama BoM's statement. I know the situation with CRNAs doing interventional pain was discussed here, but I can't find any reference to it here, in the mid-level forum, or on the Internet in general. Can anyone help with a few links to articles? Thanks!

Yeah, I read the article. This guy doesn't know his kitchen sink from his toilet. He's every bit as dumb as his target audience. And his pathetic 'updates', trying to explain away his stupidity, were embarrassing.
 
CRNAs are trained and state-certified to perform the very tasks that the state now proposes to restrict to medical doctors. Delegating this task to nurses is hardly unusual; as anyone who's been in a hospital lately knows, it is nurses, not doctors, who typically manage pain.


Wow. It is extremely biased. Don't know who the author is, but he probably actually has not been in a hospital lately. Nurses do not typically "manage" pain. They page the doctor and get an order to treat the pain in some way. Just because the patient never sees the doctor doesn't mean the nurse has suddenly "managed" the pain on their own. Where does this distortion of reality come from??

1. Patient complains of pain.
2. Nurse administers morphine/dilaudid.
3. Pain gone.

Where is the doctor involved in that?



[/sarcasm]
 
Hey Giddyup, I appreciate the help. I'm actually looking for articles about Alabama CRNAs. I thought I remembered people on the forum discussing the fact that they were performing some pain procedures for which they weren't trained. This was a few months ago when the Alabama BoM first issued their statement.
The problem isn't doing pain procedures, which are mostly easy to perform, the problem is lack of training and judgement to determine which, if any, procedure is indicated.
Carry on.
 
Hey Giddyup, I appreciate the help. I'm actually looking for articles about Alabama CRNAs. I thought I remembered people on the forum discussing the fact that they were performing some pain procedures for which they weren't trained. This was a few months ago when the Alabama BoM first issued their statement.
There is a pain forum here. Hit them up for some assistance. They seem pretty active.
 
The problem isn't doing pain procedures, which are mostly easy to perform, the problem is lack of training and judgement to determine which, if any, procedure is indicated.
Carry on.
Absolutely. They lack the education and training to properly evaluate these patients and make proper treatment plans. When I was in the .mil, I provided some pain service coverage to patients when I was at a small hospital and regularly was consulted for blocks, ESIs etc by a chiropractor that I did not provide because it was not indicated for the problem. He was quite upset that I was not doing them and eventually sent them all to the area civilian pain center where they apparently had $ome other motivation$ to do these procedures.
These CRNA "pain specialists" would simply do the block, etc. as a service like IR placing a picc line or Gtube. A scary, inappropriate, and dangerous practice.
 
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