So I was in the OR today talking to the anesthesia resident. She was telling me that she had a patient who came in because of post-LP headache and needed a blood patch. The patient said that a CRNA at an outside hospital in Geauga, OH had done the epidural. On speaking with the CRNA, the resident finds out that midlevels at this hospital are not only during epidurals without any supervision whatsoever but they're also doing some surgeries such as lap appy's without supervision. When did we start allowing midlevels to do surgery solo?