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Started By
Message
re: Wisconsin Hospital Replaces All Anesthesiologists with CRNAs
Posted on 4/7/21 at 2:58 pm to coondaddy21
Posted on 4/7/21 at 2:58 pm to coondaddy21
quote:
In a state where a CRNA can practice independently the liability falls on them and likely their employer who fired all the physicians. It’s not that complicated or interesting.
This is incorrect, but people here state it like it’s fact.
quote:
when it’s a solo CRNA practice, the CRNA is responsible for any anesthesia liability, especially if the surgeon isn’t trying to dictated the anesthetic, which they rarely do.
Idk if you’re right about Louisiana or not, but this is definitely not the case in all CRNA independent states. The case of Emmalyn Nguyen is a recent example where the cosmetic surgeon was held liable for the CRNA fricking up the anesthesia. She later died after being in a vegetative state for a while.
Back to NP training or lack there of, here is another gem from an NP Facebook group, where the NPs admit their training hours are easily faked.
This post was edited on 4/7/21 at 3:05 pm
2
Posted on 4/7/21 at 2:58 pm to BeaumontBengal
I don't disagree, but this thread is about CRNAs and that is a specialized area with standardized training. So how are NPs brought into this?
Posted on 4/7/21 at 3:01 pm to Cs
quote:
Watertown (Wis.) Regional Medical Center
Population 26K. I'm sure there a tons of physicians beating the doors down in Watertown to practice.
Posted on 4/7/21 at 3:01 pm to cwil177
quote:
Back to NP training or lack there of, here is another gem from an NP Facebook group, where the NPs admit their training hours are easily faked
What exactly is your agenda lol. Just curious you seem to really HATE NPs.
Posted on 4/7/21 at 3:01 pm to coondaddy21
quote:
Do you think physician anesthesiologist knew anything about anesthesia prior to entering their residency?
lmao 'physician anesthesiologist' is the only kind of anesthesiologist. cRNA's are anesthetists. it is not demeaning to their work to acknowledge a differential expertice in the field. Suggesting otherwise is very disingenuous. people should know and understand that difference and the importance of it which you are either ignorant of or shamefully mistruthful.
Posted on 4/7/21 at 3:02 pm to BeaumontBengal
quote:
Great work. Advancement through legislation instead of education.
My point is supervision is merely a billing requirement by CMS. If facilities want to get paid for having CRNA’s do anesthesia, they have to abide by CMS rules and that supervision doesn’t have to be from a physician anesthesiologist. Supervision has nothing to do with a CRNA’s inability to do an anesthetic alone. States, within their nurse practice acts, drive the scope of practice for the CRNA. Those are different in each state.
Posted on 4/7/21 at 3:03 pm to greenwave
quote:
Now post a pic where a doctor new out of med school has asked a dumb question. I'm sure that never happens
The doctor new out of Med school can’t practice independently, dipshit. They have to do 3-7 more years of rigorous training under the supervision of an attending physician to have that privilege. The NP who doesn’t know how to manage anything without an algorithm and who may have never worked as a nurse is given the ability to practice medicine with far less training. If you can’t see the problem there, well, I feel sorry for you and your family thinking this is OK getting substandard “medical care.”
Posted on 4/7/21 at 3:04 pm to Areddishfish
quote:
Been put under by them all. I rather the person know what they were doing and be alert than what their credentials are. Doctors have killed patients too.
Same here. I've had problems with anesthesia before. I don't know if it was an anesthesiologist or CRNA, but I'm sure glad they knew what to do.
Posted on 4/7/21 at 3:05 pm to greenwave
This thread is about mid levels practicing medicine independently without undergoing the most extensive training and passing the most rigorous exams to prove their competency. NPs were brought up in this thread long before I began posting by numerous posters.
Posted on 4/7/21 at 3:05 pm to BeaumontBengal
quote:
NPs
online schools
100% acceptance rates
Posted on 4/7/21 at 3:08 pm to Winston Cup
No, you got fricking government healthcare.
Posted on 4/7/21 at 3:08 pm to coondaddy21
quote:
Do you think physician anesthesiologist knew anything about anesthesia prior to entering their residency?
Yeah, from their third and fourth year rotations.
quote:
I will answer that for you, NO,
Nice of you to prove your ignorance early in the post, but let’s keep going.
quote:
CRNA’s and physician anesthesiologist go through the same clinical training and CRNA’s actually have 1-2 full years of specific anesthesia schooling.
Wrong again. Anesthesia residency is 4 years, plus many do a fellowship for a fifth year. So unless 1-2 = 4-5, you need to rethink this. You won’t, but you should.
Posted on 4/7/21 at 3:11 pm to cwil177
Ok so a doctor practicing independently after all schooling and training is said and done has never asked a dumb question. Got it. Just pointing out your screen shot is stupid, and not the majority.
I don't see the problem.. but also I have never see an NP that works "independently" Usually you would see them and everything they do is ran through a physician. I would not go to an NP for specialized care and did not know that is a thing??
I don't see the problem.. but also I have never see an NP that works "independently" Usually you would see them and everything they do is ran through a physician. I would not go to an NP for specialized care and did not know that is a thing??
This post was edited on 4/7/21 at 3:12 pm
Posted on 4/7/21 at 3:12 pm to AMS
quote:
lmao 'physician anesthesiologist' is the only kind of anesthesiologist. cRNA's are anesthetists. it is not demeaning to their work to acknowledge a differential expertice in the field. Suggesting otherwise is very disingenuous. people should know and understand that difference and the importance of it which you are either ignorant of or shamefully mistruthful.
Your own organization, the ASA, is the one who labeled you that because they felt there was a confusion in identifying who they were. Some people didn’t know an anesthesiologist was a physician and therefore the change. You do know there are also dental anesthesiologist?
Posted on 4/7/21 at 3:13 pm to BeaumontBengal
quote:
At least the bad apples in medicine have received standardized training and proved their competency. NPs on the other hand get non-standardized training given by online schools with 100% acceptance rates and want to practice independently. How will grandma and grandpa ever know? Sad.
Especially when the DNP unapologetically wears a white coat, walks into the room, and introduces herself as “doctor.”
The constant obfuscation of their training and expertise should irk people here more than it does. They should be proud of their extra training and how that enables them to provide effective care as part of a physician-led team, not try to hide what they really are.
Posted on 4/7/21 at 3:15 pm to cwil177
quote:
Especially when the DNP unapologetically wears a white coat, walks into the room, and introduces herself as “doctor.”
LOL like this happens all the time. Most NPs would roll their eyes at another NP that would do this. And a doc would put them in their place real quick.
quote:
They should be proud of their extra training and how that enables them to provide effective care as part of a physician-led team,
Majority are.
This post was edited on 4/7/21 at 3:17 pm
Posted on 4/7/21 at 3:19 pm to coondaddy21
quote:
physician anesthesiologist
At least this term is correct. Redundant, but correct. MDA makes no sense to me, however.
Why when CRNA Steve introduces himself to a patient does he not say “Hi I’m Steve a nurse anesthetist.” But instead says “Hi I’m Steve with anesthesia.” Why try to blur lines in a professional setting? Why not be proud of the training he has?
Posted on 4/7/21 at 3:19 pm to cwil177
quote:
Yeah, from their third and fourth year rotations.
I was about to say. The 3rd and 4th years who want to match specialties go above and beyond the minimum required in order to actually match.
Posted on 4/7/21 at 3:21 pm to greenwave
quote:
Ok so a doctor practicing independently after all schooling and training is said and done has never asked a dumb question. Got it. Just pointing out your screen shot is stupid.
I think you just dont see how moronic that question is, espeially coming from an independent practicioner of internal medicine.
it would be like a dentist not knowing how to fill a cavity. like an astrophysicist needing to be explained how gravity works. a plumber who doesnt know how a toilets flushes. these are all analagies to the internist who does not understand insulin.
Posted on 4/7/21 at 3:21 pm to Cs
quote:
Would anyone honestly feel comfortable undergoing surgery knowing that the person responsible for keeping them alive during the operation is not a MD/DO?
I would never trust my health or wellbeing to a DO.
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