We are hiring our first AA

Started by Planktonmd
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ytrap said:
Anesthesiology is the practice of medicine. Anesthesiology is also the practice of nursing. That is not the opinion of a few CRNAs; that is the law. The fact that anesthesiology is also the practice of nursing doesn't make it any less of a medical specialty. Unfortunately, many of you do not see how having yet another non-MD become proficient in a medical specialty can be counter productive. When pts consistently see that different factions of non-MDs are often "hands on" providers of their anesthesia, they will think that is the norm. You want it to be a medical specialty, but you will support ANOTHER non-MD provider to practice your specialty (in the real world, with very little, if any, supervision). We have to remember that MDs do not define what constitutes the practice of "nursing". Its a hard pill to swallow, but I got it down a long time ago. The sooner you swallow it, the less concerned you will be. Lets just do whats best for the patient. So if you whole-heartedly believe pts are in jeopardy under care from CRNAs practicing independently in rural America, what are YOU going to do about? Who is going to personally see to it that each CRNA in rural America is practicing under the supervision of an anesthesiologist? Therein, lies the difference between AAs and CRNAs. I don’t agree or disagree with that, but it’s the truth. I respect AAs, but fair is fair.
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Anesthesiology is a medical specialty, nurse anesthesia is what CRNA's learn and do.
Nurse anesthesia is a set of practical teachings that allow a nurse to administer main stream anesthesia.
 
Planktonmd said:
Anesthesiology is a medical specialty, nurse anesthesia is what CRNA's learn and do.
Nurse anesthesia is a set of practical teachings that allow a nurse to administer main stream anesthesia.
Click to expand...


Yes, it is more commonly referred to as Nurse Anesthesia (which is where the confusion comes in), but by law, it does say "Nurse Anesthesiology". I always thought it was just as you stated, until I to looked it up for myself. The certificates often say, "Nurse Anesthesiology". Lets assume I was wrong and you were right...Would you be any less offended if they said "administering anesthesia independently" is the practice of nursing (or nurse anesthesia)? I wish you all would restrict this to private forums. I am so ashamed of this forum. Our patients come here and read this. I will no longer visit this portion of the website. I see this portion of the website is everything it is known for being. A final thank you to those who showed their support via PM. Don't allow yourselves to be brainwashed.
 
ytrap said:
Yes, it is more commonly referred to as Nurse Anesthesia (which is where the confusion comes in), but by law, it does say "Nurse Anesthesiology". I always thought it was just as you stated, until I to looked it up for myself. The certificates often say, "Nurse Anesthesiology". Lets assume I was wrong and you were right...Would you be any less offended if they said "administering anesthesia independently" is the practice of nursing (or nurse anesthesia)? I wish you all would restrict this to private forums. I am so ashamed of this forum. Our patients come here and read this. I will no longer visit this portion of the website. I see this portion of the website is everything it is known for being. A final thank you to those who showed their support via PM. Don't allow yourselves to be brainwashed.
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Who said we were offended?
You asked a question and when the answer did not fit your agenda you want to become a victim and withdraw from the discussion, that's fine but this is not an anti CRNA thread as you tried to unsuccessfully demonstrate.
You are welcome to express your opinion if you have one, just don't try to spread silly propaganda.
 
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It also says on my medical license "Physician and Surgeon." By law am I also a surgeon? Shall I do an ex-lap tonite while on call?

You have five posts and are lecturing us...Bye bye
 
ytrap said:
Anesthesiology is the practice of medicine. Anesthesiology is also the practice of nursing. That is not the opinion of a few CRNAs; that is the law. The fact that anesthesiology is also the practice of nursing doesn't make it any less of a medical specialty. Unfortunately, many of you do not see how having yet another non-MD become proficient in a medical specialty can be counter productive. When pts consistently see that different factions of non-MDs are often "hands on" providers of their anesthesia, they will think that is the norm. You want it to be a medical specialty, but you will support ANOTHER non-MD provider to practice your specialty (in the real world, with very little, if any, supervision). We have to remember that MDs do not define what constitutes the practice of "nursing". Its a hard pill to swallow, but I got it down a long time ago. The sooner you swallow it, the less concerned you will be. Lets just do whats best for the patient. So if you whole-heartedly believe pts are in jeopardy under care from CRNAs practicing independently in rural America, what are YOU going to do about? Who is going to personally see to it that each CRNA in rural America is practicing under the supervision of an anesthesiologist? Therein, lies the difference between AAs and CRNAs. I don't agree or disagree with that, but it's the truth. I respect AAs, but fair is fair.
Click to expand...

Allo el capitano!

I was wondering where that self-proclaimed super-CRNA rmh128 dude went to. After we displayed to the world how little CRNA's really know, did anyone else notice how he erased his posts and then disappeared? His posts have been quoted too many times for him to hide. Now we know what happened to him.

Why don't you stop spewing propaganda and scurry back to allnurses.com? Just saying something doesn't mean it's true. Back up your post with some hard evidence (i.e., links to state laws) instead of pulling them out of your butt. No, CRNA's don't practice anesthesiology and that's the law. Anesthesiology is a recognized medical practice. The state laws specifically state that CRNA's are licensed to practice nursing anesthesia.
 
I'm sure most AAs will do a great job in your practice. Just like most CRNAs do a great job. Just like most anesthesiologists do a great job. It's just anesthesia folks, it's not that tuff. Send for the next patient.
 
stone123 said:
I'm sure most AAs will do a great job in your practice. Just like most CRNAs do a great job. Just like most anesthesiologists do a great job. It's just anesthesia folks, it's not that tuff. Send for the next patient.
Click to expand...

spoken like a true non student.
 
ytrap said:
Yes, it is more commonly referred to as Nurse Anesthesia (which is where the confusion comes in), but by law, it does say "Nurse Anesthesiology". I always thought it was just as you stated, until I to looked it up for myself. The certificates often say, "Nurse Anesthesiology". Lets assume I was wrong and you were right...Would you be any less offended if they said "administering anesthesia independently" is the practice of nursing (or nurse anesthesia)? I wish you all would restrict this to private forums. I am so ashamed of this forum. Our patients come here and read this. I will no longer visit this portion of the website. I see this portion of the website is everything it is known for being. A final thank you to those who showed their support via PM. Don't allow yourselves to be brainwashed.
Click to expand...

anesthesiology presumes you are a physician.. just like nurse practicioners aren't nurse cardilogists or nurse gastroenterologist... they are 2 seperate things you dault.. thats just like saying first baseman left fielder.. You are one or the other.. PRoblems start when you try to be both. Im glad you wont be revisiting nitecap. ITs about time you took a powder.
 
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After doing some research on the subject, I don't think hiring AAs would be beneficial in our particular anesthesia group. After the cases are done for the day in our O.R., the anesthesiologist goes home and the CRNA stays to cover OB and any emergencies. As I understand it, an AA would not be able to stay in the hospital and place epidurals or do any cases without the anesthesiologist being there also. If an anesthesiologist can stay home in bed at night while the CRNA is at the hospital making the anesthesiologist some $$, why not continue to do so?
 
stone123 said:
After doing some research on the subject, I don't think hiring AAs would be beneficial in our particular anesthesia group. After the cases are done for the day in our O.R., the anesthesiologist goes home and the CRNA stays to cover OB and any emergencies. As I understand it, an AA would not be able to stay in the hospital and place epidurals or do any cases without the anesthesiologist being there also. If an anesthesiologist can stay home in bed at night while the CRNA is at the hospital making him/her some $$, why not continue to do so?
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Where's Jet with his bazooka? I spot another troll lurking.
 
Taurus said:
Where's Jet with his bazooka? I spot another troll lurking.
Click to expand...

All I was trying to say is that AAs would not be beneficial in our anesthesia group. I'm sure in many other practices they will do fine.
 
stone123 said:
After doing some research on the subject, I don't think hiring AAs would be beneficial in our particular anesthesia group. After the cases are done for the day in our O.R., the anesthesiologist goes home and the CRNA stays to cover OB and any emergencies. As I understand it, an AA would not be able to stay in the hospital and place epidurals or do any cases without the anesthesiologist being there also. If an anesthesiologist can stay home in bed at night while the CRNA is at the hospital making the anesthesiologist some $$, why not continue to do so?
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If you're a CRNA, go troll somewhere else.

If you're an anesthesiologist, no disrespect intended - then you're part of the problem.
 
stone123 said:
After doing some research on the subject, I don't think hiring AAs would be beneficial in our particular anesthesia group. After the cases are done for the day in our O.R., the anesthesiologist goes home and the CRNA stays to cover OB and any emergencies. As I understand it, an AA would not be able to stay in the hospital and place epidurals or do any cases without the anesthesiologist being there also. If an anesthesiologist can stay home in bed at night while the CRNA is at the hospital making the anesthesiologist some $$, why not continue to do so?
Click to expand...

this is unheard of in any real hospital...
 
We tried to hire 2 AA's in the past. It was during a time when we did not have enough CRNA's to run rooms due to expanding business. There were no other applicants at the time. About 10 CRNA's threatened to leave. The hospital employs the CRNA's in our practice. At the time we really would have liked to show those CRNA's the door but that was not our decision to make. We needed manpower and it was not a AA vs. CRNA issue. The AA's were very good applicants. But since we needed manpower and we could not lose that many people the hospital did not hire them. Ironically, because of the increased need for manpower, rooms ran longer, the CRNA's were working harder and taking more call. There were 5 or 6 who left anyway. I hated that it worked out this way. Good luck with the hire, I hope it goes better for you guys that it did for us.
 
jwk said:
If you're a CRNA, go troll somewhere else.

If you're an anesthesiologist, no disrespect intended - then you're part of the problem.
Click to expand...


What problem are you talking about?
 
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stone123 said:
Are you really that naive? It happens all over the place. It is a sweet gig for the anesthesiologist. I don't see a problem with it.
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yep im naive and it wont happen at my hospital.. because we dont got no dang CRNA around
 
pd4emergence said:
We tried to hire 2 AA's in the past. It was during a time when we did not have enough CRNA's to run rooms due to expanding business. There were no other applicants at the time. About 10 CRNA's threatened to leave. The hospital employs the CRNA's in our practice. At the time we really would have liked to show those CRNA's the door but that was not our decision to make. We needed manpower and it was not a AA vs. CRNA issue. The AA's were very good applicants. But since we needed manpower and we could not lose that many people the hospital did not hire them. Ironically, because of the increased need for manpower, rooms ran longer, the CRNA's were working harder and taking more call. There were 5 or 6 who left anyway. I hated that it worked out this way. Good luck with the hire, I hope it goes better for you guys that it did for us.
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That's very unfortunate that y'all and the hospital allowed the CRNA's to get away with what was essentially an illegal job action. As I've said numerous times, it's a rare event that a CRNA (or anyone else for that matter) will leave a perfectly good job simply to make a political statement. Chances are you wouldn't have lost anyone had you hired the AA's. 20/20 hindsight. 😉
 
stone123 said:
What problem are you talking about?
Click to expand...
Patients deserve to have an anesthesiologist involved with every anesthetic, whether that's with the anesthesiologist personally doing the anesthetic or medical supervision or direction. The anesthesiologists who abdicate that responsibility at 3pm, weekends, and holidays, and hand it over to CRNA's are short-changing those patients.
 
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