Malpractice

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marcus_aurelius

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How high is malpractice in anesthesia?

Can autonomous CRNA's get sued?....or is the anesthesiologist sued instead? (this question is not meant to start a war, so please....a one line response with a yes or no is enough)

If CRNA's cant be sued, i say anesthesiologists must lobby for that. its not fair that anesthesiologists must take on all the liability.
 
marcus_aurelius said:
How high is malpractice in anesthesia?

Can autonomous CRNA's get sued?....or is the anesthesiologist sued instead? (this question is not meant to start a war, so please....a one line response with a yes or no is enough)

If CRNA's cant be sued, i say anesthesiologists must lobby for that. its not fair that anesthesiologists must take on all the liability.

Please don't dignify this trolling post with a response...even though he claims to not be stirring up trouble, he knows exactly where this thread is headed.
 
troll003.gif
Andy15430 said:
Please don't dignify this trolling post with a response...even though he claims to not be stirring up trouble, he knows exactly where this thread is headed.
 
marcus_aurelius said:
How high is malpractice in anesthesia?

Can autonomous CRNA's get sued?....or is the anesthesiologist sued instead? (this question is not meant to start a war, so please....a one line response with a yes or no is enough)

If CRNA's cant be sued, i say anesthesiologists must lobby for that. its not fair that anesthesiologists must take on all the liability.

With due regard to Andy15430's request, let me answer this and research whether the original poster is seeking information for information's sake, or trying to troll. His reaction will reveal his true motivation.

1. ANYBODY in this country can sue ANYONE ELSE for ANYTHING.

Usually the plaintiff's attorney aims for the deepest pockets.

2. In 2003 I was a fulltime locums tenens CRNA in an area with state-legislated caps on medical malpractice payments (I think it's $250,000/500,000). I was assigned to various hospitals through a staffing agency for 1-2 months per assignment. Some hospitals had anesthesiologists, others didn't. I paid ~$3,000 to the insurance carrier, and another ~$2,000 to the state patient compensation fund. I've been working fulltime since 1995 with no prior malpractice accusations.
 
trinityalumnus said:
I've been working fulltime since 1995 with no prior malpractice accusations.

Holy knock-on-wood, Batman!

:luck:

dc

Can we, um, close this thread now?
 
bigdan said:
Holy knock-on-wood, Batman!

Considering how a very large portion of my career has been associated with the most litiginous component of American healthcare (indigent OB with no prenatal care presenting at a charity hospital with a lovely rate of pre- or actual eclampsia) I'll take your above comment strictly as a compliment. Thanks.
 
Damm, Zip sure would love to pay the malpractice premiums of a CRNA. For $250/750,000, those suckers are payin' approx. $5000/year whereas mine is typically $26-28,000/year. They must be providing safer anesthesia... Regards, -----Zip
 
Trinity-

I intended nothing less than a compliment. Hope it wasn't taken in any other way.

dc
 
trinityalumnus said:
Considering how a very large portion of my career has been associated with the most litiginous component of American healthcare (indigent OB with no prenatal care presenting at a charity hospital with a lovely rate of pre- or actual eclampsia) I'll take your above comment strictly as a compliment. Thanks.

first, they wouldn't get any neuraxial techinque in my book then, cuz they aren't going to pay me anyway. stadol or nothing for labor pains (and ob/gyn can manage that). GA for c-sections. and, i'm not the one who's going to get sued for ineffectively managing pre-eclampsia/eclampsia. furthermore, as an anesthetist, you shouldn't be involved in attempting to manage that part of patient care anyway.

all in all, i personally wouldn't practice in that setting. but, if that's where you choose to work, more power to you.
 
VolatileAgent said:
first, they wouldn't get any neuraxial techinque in my book then, cuz they aren't going to pay me anyway. stadol or nothing for labor pains (and ob/gyn can manage that). GA for c-sections. and, i'm not the one who's going to get sued for ineffectively managing pre-eclampsia/eclampsia. furthermore, as an anesthetist, you shouldn't be involved in attempting to manage that part of patient care anyway.

all in all, i personally wouldn't practice in that setting. but, if that's where you choose to work, more power to you.


Here We Go!
 
zippy2u said:
Damm, Zip sure would love to pay the malpractice premiums of a CRNA. For $250/750,000, those suckers are payin' approx. $5000/year whereas mine is typically $26-28,000/year. They must be providing safer anesthesia... Regards, -----Zip

When I was fulltime locums in 2003, it was my first year to have an individual med-mal policy and my rates reflected that. The rates would have risen each year, had I maintained my independent contractor status. In 2006 I would have paid approximately $9,000 total (partly to the insurance company, partly to the state pt compensation fund) in a state with $250K/500K cap.

My current anesthesiologist/CRNA group covers all members with a group policy with $1M/$3M limits. They're paying approximately $9,500 per year per CRNA with those aforementioned caps. I don't know what the docs' rate is.
 
VolatileAgent said:
first, they wouldn't get any neuraxial techinque in my book then, cuz they aren't going to pay me anyway. stadol or nothing for labor pains (and ob/gyn can manage that). GA for c-sections. and, i'm not the one who's going to get sued for ineffectively managing pre-eclampsia/eclampsia. furthermore, as an anesthetist, you shouldn't be involved in attempting to manage that part of patient care anyway.

all in all, i personally wouldn't practice in that setting. but, if that's where you choose to work, more power to you.

I was obligated to the charity system for several years, due to a full-ride scholarship I got from them for school. It was a great learning experience, and it was somewhat slower-paced than private practice. I still moonlight at UMC to keep my trauma skills up.

As for managing, I certainly agree it was beyond my official training and job description, but consider this: the usual after-hours staffing in L&D was the in-house MS3 or MS4, the second year OB resident somewhere on campus (perhaps in clinic, perhaps in the library, perhaps sleeing) and the attending relaxing at home (in complete violation of ACOG standards). Since I was in-house already on-call (with nothing to do but read or watch TV) I would hang around the L&D unit to observe and learn something. I only gave hints and suggestions to the MS, who called the 2nd year, who called the attending, who approved/altered the tx plan.
 
trinityalumnus said:
I was obligated to the charity system for several years, due to a full-ride scholarship I got from them for school. It was a great learning experience, and it was somewhat slower-paced than private practice. I still moonlight at UMC to keep my trauma skills up.

As for managing, I certainly agree it was beyond my official training and job description, but consider this: the usual after-hours staffing in L&D was the in-house MS3 or MS4, the second year OB resident somewhere on campus (perhaps in clinic, perhaps in the library, perhaps sleeing) and the attending relaxing at home (in complete violation of ACOG standards). Since I was in-house already on-call (with nothing to do but read or watch TV) I would hang around the L&D unit to observe and learn something. I only gave hints and suggestions to the MS, who called the 2nd year, who called the attending, who approved/altered the tx plan.

having an MS3 or MS4 managing a patient is equally unacceptable. you should have reported that program.
 
trinityalumnus said:
With due regard to Andy15430's request, let me answer this and research whether the original poster is seeking information for information's sake, or trying to troll. His reaction will reveal his true motivation.

1. ANYBODY in this country can sue ANYONE ELSE for ANYTHING.

Usually the plaintiff's attorney aims for the deepest pockets.

2. In 2003 I was a fulltime locums tenens CRNA in an area with state-legislated caps on medical malpractice payments (I think it's $250,000/500,000). I was assigned to various hospitals through a staffing agency for 1-2 months per assignment. Some hospitals had anesthesiologists, others didn't. I paid ~$3,000 to the insurance carrier, and another ~$2,000 to the state patient compensation fund. I've been working fulltime since 1995 with no prior malpractice accusations.

so u do pay malpractice insurance...but slightly less (proportionately to income earned) than an anesthesiologist.

cant blame u guys for wanting the money....it comes down to a money fight.....what is the cheapest most efficient way for hospitals to get the job done....and crna's might be that answer. i dont like it bc u guys are bringing my potential salary down....but if i wasnt in med schl i might be a crna for that kind of money....cant blame you. 🙂

i dont know what this trolling stuff is...no time for fights...thanks for info 🙂
 
marcus_aurelius said:
it comes down to a money fight.....what is the cheapest most efficient way for hospitals to get the job done....

that's (only just a) part of it.
 
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