CRNAs are trying to get rid of Anesthesiologist in Oklahoma. Write your senator.

[deleted162650]

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I think there’s a big misconception about what being an “opt-out” state means. It pertains to the ability of a CRNA to bill government insurance for anesthesia services without physician oversight. It has nothing to do with legality or malpractice.

 

[Mr.S]

Why the heck would the surgeon write down all the patient's meds for you preop?? Stop asking them to do that for you

cuz they have to. THey have to do an h and p. And meds are included in said h and p.

 

[Gasser23]

Goodness....
Not to disrespect CRNAs capabilities or training. But I cannot imagine CRNA school is equivocal to the Royal College of Anaesthetists exams, or anesthesiology residency. So to ask the obvious question, why have anesthesiologists at all? Is it the health of the patient that determines if a CRNA can practice alone? (emergency/acute surgery vs elective?)

Sadly, it’s fing crazy. Merica baby

 

[narcotics999]

In all the boutique plastic surgery centers?

No, regular hospitals, even hospitals with a large percentage of Medicaid patients (Medi Cal)

 

[narcotics999]

cuz they have to. THey have to do an h and p. And meds are included in said h and p.

Jesus, even the meds are included in surgical H&P, I will not trust the information. Preop nurses usually do a good job with current medications and I usually confirm the important ones.

 

[Indebt4Life]

Mr.S- why are you urging people to contact state legislators for OK? You mean that there is a role for a group of physicians to join together to take on the midlevel scope of practice issues. Hmmmmm? I thought all you had to do was not join ASA.

 

[Mr.S]

Mr.S- why are you urging people to contact state legislators for OK? You mean that there is a role for a group of physicians to join together to take on the midlevel scope of practice issues. Hmmmmm? I thought all you had to do was not join ASA.

Not joining the ASA will make a real statement. Taking something away that is near and dear to their heart(money) will make it hurt. Perhaps it will hurt enough to get them to "spring into action."

I wish there was something called leadership malpractice. A real thing where we could take some of the ASA leaders, chairman of academic departments politicians to court and sue them for damages after proof is presented that their responsibilities were abdicated which led to detriment to the practice of medicine or anything else. Or the acted without integrity or a moral compass.
This should be a thing.

 

[Indebt4Life]

Share widely. Let’s make this video go viral. Patients deserve to know the truth

 

[deleted109597]

Share widely. Let’s make this video go viral. Patients deserve to know the truth

Maybe in other formats. But doing it here is crossposting.

 

[GlowInTheDark]

So after the CRNA drops the patient off in recovery, pushes 300 mcg of Neo and walks away, who is responsible to manage them after they fall apart?

 

[GlowInTheDark]

Well, I am no expert in malpractice law or insurance but many carriers will charge a lot more for a "collaborative" model than a supervisory one. I was specifically asked if I was going to be supervising CRNAs while doing my own cases at the same time. The Insurance company said "no". Either the CRNA is independent or I'm legally covering the cases, all of them, without being the only anesthesia provider on the chart (if 2 or more cases are underway).
I am not talking about Medical Direction vs Supervision as that is blurry line.

The worst of both worlds is the collaborative model. Let the surgeons deal with the consequences when a "medical" issue arises preop, intraop or postop.

My state requires, by law, that CRNAs be supervised by a Physician. Since I am the Anesthesiologist on site the surgeons and the insurance company assume that means me.

States That Allow CRNAs to Practice Independently

From your link:
“Regardless of whether their educational background is in nursing or medicine, all anesthesia professionals give anesthesia the same way.”

Phew, that’s good to know.

 

[AdmiralChz]

So after the CRNA drops the patient off in recovery, pushes 300 mcg of Neo and walks away, who is responsible to manage them after they fall apart?

NP ICU fellowship graduate