Quote from PowertripCCRN
I wanted to get some CRNA's take on this as it was a bit troubling to me since I am about to start CRNA school. I have decided I might run into the same issue one of my collegues and would like to know how you would handle it. So, the situation I speak of is this. According to my collegue, a CRNA, a change is occuring at the hospital where he works. He is reporting to me that MDA's are making sure to get to patients first and tell them that he will be putting them to sleep, and the "Nurse" (used in a derogatory manner) will be monitoring you. He also reported to me that they will be changing the CRNA's badges to only read "RN". There will also be a change in that hospital as to what CRNA's are allowed to do (undetermined as of yet). I know this seems somewhat trivial, but I fear it will lead to further restrictions on the autonomy of CRNA's in the area. I also feel like it is a lack of respect to make a CRNA make his badge to only say RN as the badge is something that depicts who we are to people who do not know. I just wanted to get some CRNA's from different regions opinions on this. Have you seen this happen in your facility? If you did how would/did you handle it? Thank you for your responses in advance.
I agree with your opinion about the nametags - that seems to be a misrepresentation of the role of the CRNA. Referring to the CRNA's as "the nurse" is can certainly be thought of as being derogatory, although in some contexts, it's may be OK.
As far as the scope of practice within a given facility - the hospital, through the medical staff credentialling process, is totally within their rights to decide scope of practice for ANY medical professional in their facility, be it CRNA, AA, MD, PA, CNM, etc. Similarly, if an anesthesia group employs CRNA's, they can decided the scope of practice for the CRNA employees of their group. A hospital or group may limit scope of practice, but they cannot expand scope of practice beyond that which is specified under law.
There can be any number of different reasons for these changes but two come to mind - neither one are answers you will like. One is the competition for cases and procedures that is common in academic centers. In those types of hospitals, there is frequently an attitude that basically boils down to "the residents get first crack" at bigger cases, invasive lines, and/or regionals and blocks.
The other quite honestly is "you reap what you sow". The increasing claims of CRNA's that they are the equivalent of an anesthesiologist, or that anesthesiologists simply aren't necessary, are understandably not appreciated by anesthesiologists. Like it or not, some of these actions are the result of such claims. Similarly, you will continue to find fewer and fewer anesthesiologists that have any interest in supporting CRNA education and training. MD's that were willing to teach CRNA's a few years ago now wonder "why am I training those who seek to replace me?" Good question.