CRNA's working with AA's

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    Has any one worked with AA's in an ACT model? How is it? Do MDA's and other health care professionals bunch AA's and CRNA's together? There is a bill in the house of my state to determine if they are going to allow AA's to practice here. I'm nervous this may catch on in other states making it more difficult to find jobs upon graduation.
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  4. 2
    Quote from OscarRN
    Has any one worked with AA's in an ACT model? How is it? Do MDA's and other health care professionals bunch AA's and CRNA's together? There is a bill in the house of my state to determine if they are going to allow AA's to practice here. I'm nervous this may catch on in other states making it more difficult to find jobs upon graduation.
    The ASA has already stated that one of their goals is to have AAs in every state. AAs do nothing to improve or help access to care. The whole AA concept is nothing but a political tool devised by the ASA to discourage autonomy of CRNAs.
    SycamoreGuy and WolfpackRed like this.
  5. 0
    I just shadowed a crna yesterday at childrens hospital here in Colorado. They opened a AA school here in Denver at University of Colorado but of course not a crna school. Colorado and Utah are very political from what I hear and MD run. half the hospitals here won't even use crnas. Childrens was employing half crnas and half AA's. the AA's from what i understood had very little to no clinical experience after they graduated. Childrens goal was to have half AA and half CRNA. I am going to try and avoid the ACH model. Also, the crna i shadowed said that the crna and AA's were compensated the same. It's totally a way for MD's to keep control over the market and profit...they can bill for supervision of AA's and such.

    the one thing we have going for us is we can step out of the hospital model and AA's cannot, at least not yet.
  6. 0
    Quote from OscarRN
    Has any one worked with AA's in an ACT model? How is it? Do MDA's and other health care professionals bunch AA's and CRNA's together? There is a bill in the house of my state to determine if they are going to allow AA's to practice here. I'm nervous this may catch on in other states making it more difficult to find jobs upon graduation.
    My sure you write to your state representative about this and why the bill should not be passed. This is an ongoing political fight that will probably never end.
  7. 0
    I've worked with AA's and I wasn't impressed. Most of them have zero experience with patient care, so trivial things like starting an IV or mixing a bag of pressors can turn into a big fiasco. Although there are no current studies stating they provide inferior anesthesia, I do think they're superfluous and unnecessary to the profession. It also seemed they wouldn't do squat without running it by the MDA first...something I'm not used to doing in my experience.
  8. 0
    Just like anyone else, I think it really depends on the person...there are probably some pretty awesome AA's who are great anesthesia providers...however, as has already been mentioned, AA's are not trained to practice independently. So it does kinda stink that they seem to make about the same wage as a CRNA, but don't have the same amount of liability...
  9. 0
    ^ they may make the same as a CRNA working in the same ACT practice, but rest assured, they make far less than a CRNA in private practice....
  10. 0
    A little off topic, but how does one go about getting into private practice? Do you set up contracts with various hospitals and other places one can deliver gas? How do you figure out the billing and such? I am interested in private practice and would love to hear more about how the ins and outs of it works? I will be starting NA school in October.

    Thanks!

    Denver
  11. 0
    Quote from OscarRN
    Just like anyone else, I think it really depends on the person...there are probably some pretty awesome AA's who are great anesthesia providers...however, as has already been mentioned, AA's are not trained to practice independently. So it does kinda stink that they seem to make about the same wage as a CRNA, but don't have the same amount of liability...
    I don't understand what you mean by "but don't have the same amount of liability". The liability would be the same for a CRNA or AA in an ACT practice. Both are still held equally responsible for the care they give to patients, and I would guess that the liability insurance rates would be close to the same.
  12. 0
    Quote from wtbcrna

    I don't understand what you mean by "but don't have the same amount of liability". The liability would be the same for a CRNA or AA in an ACT practice. Both are still held equally responsible for the care they give to patients, and I would guess that the liability insurance rates would be close to the same.
    You're probably right. In an ACT model, the insurance rates would be the same. Actual liability, or accountability, however, I'm assuming would be higher for an independently practicing CRNA as opposed to an AA who has an MD to fall back on.


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