Arkansas CRNA collaboration bill fails (for now)

[Mr.S]

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Anesthetist bill rejected by panel

 

[CCM-MD]

👍

 

[deleted171991]

Since this is not the first bill of its kind, this must be the AANA's new tactic of introducing nurse anesthetist independence through the backdoor.

 

[vector2]

Seems like good news on its face, and then you read the article and see "The bill last week passed 21-4 in the Senate, with seven members not voting and two voting "present.""

It's just a matter of time in Arkansas if that's how the vote is currently playing out.....

 

[Consigliere]

Temporary. It'll pass.

 

[deleted480308]

“Collaboration”

 

[Rowdy Burns]

The CRNAs whole angle on this bill was a joke and if it was not for two physicians on that house sub committee and them out on their bull**** it would have passed

 

[skypilot]

Anesthetist bill rejected by panel

A bill that would loosen a restriction on certified nurse anesthetists narrowly failed to clear a House committee on Thursday.

Senate Bill 184, sponsored by Sen. Gary Stubblefield, R-Branch, would amend Arkansas Code 17-18-102 to require the nurses to work "in coordination with" rather than "under the supervision of " a physician, dentist or other practitioner authorized to order anesthesia.

So the semantics strategy by the AANA is to go from "Supervision by Anesthesiologists", to "Supervision by Surgeons", to "Collaboration with Anesthesiologists", to "Coordination with Surgeons". Look for this strategy nationwide.

 

[d9sccr]

We’re facing similar bs here in Indiana. Even more scary that the law was worded something along the lines to allow independent practice of NPs after 3 years of supervision. Crazy.

 

[Lecithin5]

We’re facing similar bs here in Indiana. Even more scary that the law was worded something along the lines to allow independent practice of NPs after 3 years of supervision. Crazy.

After 3 years of supervision because there are enough dumb docs out there teaching midlevels everything they know. Nothing irritates me more than when I see some of my colleagues teaching midlevels as though they are medical students or residents. Seriously, does it give them an ego boost or something?

 

[AdmiralChz]

We’re facing similar bs here in Indiana. Even more scary that the law was worded something along the lines to allow independent practice of NPs after 3 years of supervision. Crazy.

Yes, this is happening all over the place. State and national societies are rolling over for it. Again, AMA isn’t getting a dime from me and annual dues statements go right in the trash.

 

[deleted126335]

Yes, this is happening all over the place. State and national societies are rolling over for it. Again, AMA isn’t getting a dime from me and annual dues statements go right in the trash.

No they are not rolling over for it. Just losing the battles. ASAPAC cannot get involved at the state level. Send a check to your state society PAC, write a letter to your state senator and state legislator.

 

[d9sccr]

These are battles that shouldn’t be lost. Does anyone here for a second doubt there’s a difference? It may not have as fast of an impact as in anesthesia but I’m sure it’s there. The ortho NPs I deal with are literally there to make H&P’s. They don’t catch MAJOR problems. Hip fx’s that just had syncope is a standard one and every time they neglect the syncope w/u. Yes, it’s usually nothing scary, but it sure matters.

At some point physicians need to begin reporting this crap across all fields -work relationship be damned. You really want an NP in charge of yours or a loved one’s healthcare? This should be an easy fight to win, we just don’t fight dirty.

 

[Billabong911]

Excuse my ignorance but let me ask..

If they pass this bill and still work with surgeons, whats the loss to anesthesiology? Will it displace any of you? I guess I am confused as to what the end negative is? I cannot imagine it would change anything?

 

[abolt18]

Excuse my ignorance but let me ask..

If they pass this bill and still work with surgeons, whats the loss to anesthesiology? Will it displace any of you? I guess I am confused as to what the end negative is? I cannot imagine it would change anything?

A marathon is won a single step at a time. Best to tie their legs together before they even start.

 

[Mr.S]

They (and most people) view Anesthesiologist as superfluous to the whole operation. I mean, you have a surgeon right? He is an MD. He can direct the nurse. What the hell do you need another MD (Anesthesiologist) whose worth is debatable according to the AANA select studies. Cut the middleman out.. (Anesthesiologist) and save healthcare. The argument would perhaps hold some water IF the surgeons had ANY anesthesia training (which they dont) and were even willing to get some (which they dont). BUt who knows, if the surgeons all go out and spend 18 months in a training program and get a certificate they may have a valid argument.

On a serious note, all these legal battles is getting pretty ridiculous.

 

[<(^_^)>]

They (and most people) view Anesthesiologist as superfluous to the whole operation. I mean, you have a surgeon right? He is an MD. He can direct the nurse. What the hell do you need another MD (Anesthesiologist) whose worth is debatable according to the AANA select studies. Cut the middleman out.. (Anesthesiologist) and save healthcare. The argument would perhaps hold some water IF the surgeons had ANY anesthesia training (which they dont) and were even willing to get some (which they dont). BUt who knows, if the surgeons all go out and spend 18 months in a training program and get a certificate they may have a valid argument.

On a serious note, all these legal battles is getting pretty ridiculous.

We need to go further, maybe entirely unsupervised. Literally no supervision at all. Maximum efficiency.