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re: Wisconsin Hospital Replaces All Anesthesiologists with CRNAs
Posted on 4/8/21 at 9:31 am to Poker_hog
Posted on 4/8/21 at 9:31 am to Poker_hog
quote:
This is exactly what I’m talking about. TEE is absolutely stand of care for doing hearts. You admit you can’t do them in one post, then in the very next post claim equivalence to those that can.
I seriously doubt you’re doing hearts solo.
I worked with many anesthesiologist that weren’t TEE trained. My point is I don’t do TEE’s because I don’t currently do hearts but I know CRNA’s that are TEE proficient and do them often. I’m just not trained to do them. That’s much different than not being able to do them. It could be within my scope if I wanted it to be and if I sought out the training to do them.
3
Posted on 4/8/21 at 9:40 am to coondaddy21
I think everyone here is just misunderstood. Best thing we can do is all you doctors, surgeons, and CRNAs come out to my trailer, drink some miller lights and or jack daniels, and get to know each other. I even have a trampoline
Posted on 4/8/21 at 9:43 am to windshieldman
You’re right windshield man. I like all the docs I work with. The ones who act like these guys I keep my distance. Nothing lost there.
Posted on 4/8/21 at 9:47 am to windshieldman
quote:
I think everyone here is just misunderstood. Best thing we can do is all you doctors, surgeons, and CRNAs come out to my trailer, drink some miller lights and or jack daniels, and get to know each other. I even have a trampoline
Best comment so far in this thread! You sir, could be my neighbor any day.
Posted on 4/8/21 at 9:49 am to Cs
Lots of poor information in the entire thread.
I am an independent CRNA. I work at a hospital with no anesthesiologist in house, on call, or associated with the facility whatsoever.
Independent CRNAs have sole responsibility on all of their actions not the surgeons. Several legal precedents have proven this.
Our scope is broad. We do all epidurals, spinal, regional blocks, general anesthetics, macs, minor sedation.
We also put central lines in our patients that require them during surgical intervention. Thanks to covid we started getting calls from the icu and Er to help Drs intubate and place also central lines in these critically ill pts.
Facilities that practice this model are all over the country. You won’t find this model in a large city hospital but will at a lot of surgical centers or surgical offices.
I am an independent CRNA. I work at a hospital with no anesthesiologist in house, on call, or associated with the facility whatsoever.
Independent CRNAs have sole responsibility on all of their actions not the surgeons. Several legal precedents have proven this.
Our scope is broad. We do all epidurals, spinal, regional blocks, general anesthetics, macs, minor sedation.
We also put central lines in our patients that require them during surgical intervention. Thanks to covid we started getting calls from the icu and Er to help Drs intubate and place also central lines in these critically ill pts.
Facilities that practice this model are all over the country. You won’t find this model in a large city hospital but will at a lot of surgical centers or surgical offices.
Posted on 4/8/21 at 9:49 am to Cs
30 pages
Is this the optometrist/ophthalmologist debate in a different arena?
Is this the optometrist/ophthalmologist debate in a different arena?
Posted on 4/8/21 at 9:50 am to Success
When I did clinicals the anesthesiologist and CRNAs seemed to have a good relationship and were all amazing to work with. I don’t know how the hell they stay in those rooms in basically one spot with all that stuff on sometimes for hours though. Close friend of mine is a CRNA, seems to enjoy it.
Posted on 4/8/21 at 9:53 am to Cs
Well, this thread blew up. Is it all out docs vs nurses now?
Posted on 4/8/21 at 9:56 am to coondaddy21
quote:
I worked with many anesthesiologist that weren’t TEE trained. My point is I don’t do TEE’s because I don’t currently do hearts but I know CRNA’s that are TEE proficient and do them often. I’m just not trained to do them. That’s much different than not being able to do them. It could be within my scope if I wanted it to be and if I sought out the training to do them.
My bad I thought you said you could do all that stuff. You mean in theory you could do it. Gotcha...
I’m not sure what you mean by proficient. I am certain that no cv surgeon is basing decisions on a nurse’s echo exam.
Posted on 4/8/21 at 9:58 am to Centinel
quote:
AMS
quote:Doubling down like only a woman can do when in the weeds on every fricking topic she addresses.
I see you abandoned the Chauvin thread after having your arse kicked, only to come to this thread to have your arse kicked.
Posted on 4/8/21 at 10:00 am to LNCHBOX
quote:
It just seems like a blanket statement that most likely doesn't apply everywhere. You come off in this thread, and many others, as the typical doc that looks down on anyone that dared to not travel the same road you chose professionally.
I think the entire point of this thread is that nurses should not be pretending to be doctors and treating patients unsupervised since they receive much less training than doctors. There is a push to allow nurses to practice independently, hence the 30 page thread debating.
The path a doctor takes is not even comparable to a nurse and is laughable/troubling there is such a push in this country to allow them to treat patients as if they are doctors, and nurses dont seem to see the glaring ethical issues that comes with it.
This post was edited on 4/8/21 at 10:01 am
Posted on 4/8/21 at 10:02 am to Poker_hog
Why is everyone assuming that CRNAs are not responsible if something goes wrong. We have malpractice insurance and will be 100% responsible if there is an issue. There are several hospitals that don't have an anesthesiologist on staff and all anesthetics are done solely by CRNAs. There has never been a study that has shown better outcomes when an MDA is involved.
This post was edited on 4/8/21 at 10:09 am
Posted on 4/8/21 at 10:03 am to hubertcumberdale
quote:
I think the entire point of this thread is that nurses should not be pretending to be doctors and treating patients unsupervised since they receive much less training than doctors. There is a push to allow nurses to practice independently, hence the 30 page thread debating.
The path a doctor takes is not even comparable to a nurse and is laughable/troubling there is such a push in this country to allow them to treat patients as if they are doctors, and nurses dont seem to see the glaring ethical issues that comes with it.
Or perhaps doctors have kept artificial barriers to practice at the expense of the American public to keep their salaries high.
The "portending to be doctors" line shows that you have a pretty obvious bias in all this.
Posted on 4/8/21 at 10:08 am to LNCHBOX
quote:
Or perhaps doctors have kept artificial barriers to practice at the expense of the American public to keep their salaries high.
Or perhaps their salary is high bc they received much more training than a nurse or PA? A high standard of care should not be confused with "artificial barriers to practice at the expense of the American public to keep their salaries high"
Posted on 4/8/21 at 10:09 am to hubertcumberdale
quote:
Or perhaps their salary is high bc they received much more training than a nurse or PA? A high standard of care should not be confused with "artificial barriers to practice at the expense of the American public to keep their salaries high"
Who says CRNAs cannot also provide a high standard of care?
I get why you're going to straight up ignore that possibility, but just know that your bias is showing.
And
at the three anesthesiologists downvoting in this thread. How pathetic are you that you are obviously successful and wealthy and stull have to downvote anyone that dares question you. This post was edited on 4/8/21 at 10:12 am
Posted on 4/8/21 at 10:10 am to LNCHBOX
quote:
Who says CRNAs cannot also provide a high standard of care?
I am sure they can under the supervision of a doctor
Posted on 4/8/21 at 10:11 am to WildManGoose
quote:
Well, this thread blew up. Is it all out docs vs nurses now?
I'm rather disappointed in the lack of tik tok videos in this thread.
Posted on 4/8/21 at 10:11 am to hubertcumberdale
quote:
I am sure they can under the supervision of a doctor
And many states are sure they can without supervision of a doctor.
Posted on 4/8/21 at 10:11 am to LNCHBOX
quote:
And many states are sure they can without supervision of a doctor.
Yes, the entire argument of this thread, thanks for pointing it out again
Posted on 4/8/21 at 10:13 am to hubertcumberdale
quote:
Yes, the entire argument of this thread, thanks for pointing it out again
You're the one that took us down this repetitive road
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