I have to call you out here. Please do not post about regulations regarding NC Licensed CRNAs if you are unsure of, or have not researched what the NC Board of Nursing has to say about our practice.
Most importantly, there is absolutely NO law in NC that says CRNAs have to be supervised by an Anesthesiologist or other MD. Your comment that this bill will just "put into writing" what is already established practice is way off base. It is just not factual. Our (CRNA) practice is regulated by the NCBON. Period. Our Practice Act (specifically the CRNA rule) states that we shall work in collaboration with other healthcare professions in the process of administering anesthesia. Supervision is way different that collaboration. Do some research on this.
CRNAs are safe providers of anesthesia & we do not need an anesthesiologist supervising us to make it so. Are you from NC? If you are, did you realize that there at least 10 (possibly more) counties in our state that rely solely on CRNAs for their anesthesia services. This means that there are no anesthesiologists in those counties providing anesthesia. Therefore, CRNAs do not practice under the already established guidelines that you state above. As well, even in counties where there are anesthesiologists, CRNAs practice daily without an anesthesiologist. I do it everyday. I work for a large anesthesia group, comprised of/owned by CRNAs. We provide multiple types of anesthesia for different providers ranging from plastic surgeons to GI physicians.
The website that you quote here is run by the Anesthesiologists trying to push this bill through the assembly. Several CRNAs have challenged their information & left comments & questions on their site but the moderator doesn't approve them. Therefore the public never sees it.
I bet you also didn't know that CRNAs & Anesthesiologists in NC have an agreement dating back to 2007 when they last tried to pursue making supervision the law in NC. We entered into this agreement under the guise that we wouldn't try to block AAs in NC if they agreed not to pursue supervision. Here is a direct quote from that agreement:
"The Parties agree and acknowledge that the existing working relationship between nurse anesthetists and physicians in North
Carolina is beneficial to patients and the general public. The Parties agree not to take any legal, legislative, or rulemaking action to change the existing status quo in the legal scope of practice and clinical working relationship between nurse anesthetists and physicians, including advocating or seeking an “opt-out" of physician supervision requirements under the CMS Conditions of Participation. This Agreement is contingent upon NCBN and NCMB continuing separately that they will not take any of the above actions to change the existing status quo in the legal scope of practice and
clinical working relationship between nurse anesthetists and physicians." The end of this agreement also states that neither party will pursue future legislative action. I will be more than happy to provide you with more information on this agreement, just ask.
If you are a student nurse aspiring to be a future CRNA, which I am guessing you are since you are on this forum, PLEASE research your profession before you begin posting. This is serious business for us & for the public of NC. This is our way of life & it matters deeply to us all.
Check out this link from the NC BON, the body who governs CRNA practice:
North Carolina Board of Nursing
Lori Dowell CRNA, MSN