Re: I dont think this falls within the practice standards... Originally Posted by jer_sd 
Hey everyone I found out that a surgery center that I am loosly affiliated with (one ENT/plastics doc ASC accredited) uses a CRNA to provide general anesthesia, a scrub tech, and a medical assistant to circulate. The CRNA fills out the anesthesia and circulating paperwork, then recovers the patient. Would any of you do this? I am not a CRNA but I would be concerned about being designated as the RN one the case and the anestheisa provider. Would anyone else do double duty and liabilty?
Jeremy
I'm not a a CRNA either, but I don't think it is necessary to have those credentials to know that this is not acceptable pratice, and probably illegal.
I realize that physicians who operate out of free-standing surgical centers have more leeway in terms of the qualifications and supervision of their staff members than those who do their procedures in a hospital setting. It may be perfectly legal for a surgeon to utilize a medical assistant as a circulator in an out-patient center. But to have the CRNA do the documentation (in order to create the appearance of having an RN circulator) is clearly misleading and probably illegal. I can't begin to imagine why any CRNA would be willing to do this, given the risk to the CRNA's license should a patient experience an anesthesia complication, or surgical complication.
This sounds like falsification of a medical record to me.
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