M-I-S-S-I-S-S-I-P-P-I

[Consigliere]

Governor’s move promotes anesthesia patient safety

Allowing nurse anesthetists to practice without physician supervision is not in patients’ best interests or consistent with state law, Mississippi’s governor says.

www.ama-assn.org

Good for them!

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[IMGASMD]

Nice. I remember a few months ago, people were signing petitions?

 

[Zekchar]

For those more politically involved, why not take the next steps. It appears that our profession is under duress and we only play defense against CRnA encroachment. Any reason why ASA or other societies do not now go to the 17 "opt out states" and try to revert them back to requiring physician supervision?

 

[deleted171991]

For those more politically involved, why not take the next steps. It appears that our profession is under duress and we only play defense against CRnA encroachment. Any reason why ASA or other societies do not now go to the 17 "opt out states" and try to revert them back to requiring physician supervision?

Because they may give ideas to the other 33 states. Better is the enemy of good.

We don't have much data to prove that our care is better than the CRNAs', for the simple reason that any study that would assign sick people to CRNAs could be unethical (and no IRB would sign off on it).

What the ASA actually does need to fix is the Medicare incentive payment for rural CRNAs (and extend it to anesthesiologists, too).

 

[AdmiralChz]

What the ASA actually does need to fix is the Medicare incentive payment for rural CRNAs (and extend it to anesthesiologists, too).

Bingo!! Until this happens there is no way to bring those 17 states back.

 

[deleted162650]

Bingo!! Until this happens there is no way to bring those 17 states back.

I think that's often over-stated. It applies only to critical access hospitals, which amounts to a relatively tiny number of jobs.

 

[psychbender]

I think that's often over-stated. It applies only to critical access hospitals, which amounts to a relatively tiny number of jobs.

That is true, but the AANA then uses the fact that the hospitals have a strong financial incentive to only bring on CRNAs to say that anesthesiologists refuse to work there, so independent CRNAs are required for patients to get care, period.

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