Common sense? Seriously, why do we even need to have anesthesiologists when everyone with 1-year online degree could do the same job. Bottom line: don’t argue with idiots, it is pointless.
Waiting for studies where NPs can give patients activated charcoal and naloxone and brag about being as effective as EM docs.
In fact, many patients believe that they (patients) are observed by a doc, because a lot of DNPs introduce themselves as doctors (just omit last 2 words of their title). And many people don't really know the difference between two.
mark my words. The NP community will slowly but surely move away from the "nursing" in their names because they realize if it's within their name, it won't get the patients to believe they are real docs, so they will move their naming to something like "Doctor of Advanced Practice"
Cannot speak on that, but that happens and it is cringy.
it won’t even be that. It’ll be something like ordering the hospital mandated work up for sepsis/cva/cardiac protocol in a timely fashion. Ya know, that thing that’s literally a click in an EMR at most hospitals lol.
CRNAs do central lines? Peripheral central lines I would hope.
In the .mil several CRNAs hid their credentials by using their rank. A sad state of affairs there. But that’s for another thread, and forum.
Yeah, it seems like it could really be ideal if the setup is correct. I was talking to an attending anesthesiologist in a busy, urban, academic center. He said he basically goes in, does the intubation, then leaves. He goes back in if the CRNA/resident needs help, and for the extubation. He might stick around to help establish vent settings or that sort of thing, but otherwise he basically gets to be there for the good part and can leave for the routine part. With numerous ORs running constantly, he said he's pretty much always busy with that workload; he's never just sitting around.
It’s not the ideal set up. Most places are 3-4:1. That’s 3-4 times the liability, 3-4 times the caseload, running around all day, running more, Preop, postop, blocks, start, wake, run some more. Help over there, block’s waiting, etc. The busier you are, the less vigilant you can be and you’re reliant on your CRNAs for everything. Chasing the dollars isn’t worth the stress. I’ll settle for the 400s, get out by 4 and never cover more than 2:1 with a lot of solo providing. Some other sucker can chase the money, or worse, get employed by a management company covering 3-4:1 24/7 for even less.
First, the study cant be done. You cant put a crna in a complicated case and say sink or swim. As I posted earlier, just because the patient survived a mediocre generic anesthetic, doesnt mean you did the right thing, it just means you got away with it. When a crna cant intubate, start an iv or God forbid , perform regional anesthesia, do they cancel the case or call the anesthesiologist? Will the crna manage a difficult airway? Do you want the opthamologist putting in a pacemaker? Want to be an anesthesiologist? go to medical school. Want to be a physician extender? Become a NP, CRNA, or PA.
Excellent points.
Yes they are. In Fla, the State Board of Nursing has decided to allow a crna to refer to himself as a nurse anesthesiologist. I would expect a response by the state medical boaed.
I'm glad you posted this as I was about to. Intelligence is not the issue. Scope of practice and privileges should be based on education NOT, legislation. The NP pharmacology training is not equivalent to physician training. CRNAs need to be supervised. A simple case can become a complex one in a flash.They dont have the educational backround to manage difficult airways, regional anesthesia, the extremes of age, etc. Are they bright, well trained in their arena, and a great resource? Yes. Are they the same as a physician? No. Want to be an anesthesiologist,? Go to med school.
They may be very intelligent, but they are not clinically equivalent no matter what they call themselves. As to their services being much lower price, that is false. They bill exactly the same as an anesthesiologist, unless they are being supervised by an anesthesiologist where they both bill 1/2. So the cost to you and/or your insurance is the same either way.
