this is in response to wntrmute2
1) do you identify with the patient advocate thing...
since when did nurses lasso in patient advocacy as their contribution to medicine? patient advocacy belongs to anybody who provides care to patients: that includes the transporter who makes sure that the patients arms don't bang into anything, to the nurse who removes restraints when they are no longer needed, to the doctor who tries to provide the best patient management possible
2) are you the one who puts the siderails up??? how does that define the difference between a nurse and a doctor? sure, there have been times where i have forgotten to put up the siderails... but there have also been times where a nurse bolused somebody with 50,000 units of heparin...mistakes do happen, some are worse than others, and as a team we provide the cross-coverage to minimize those accidents.
3) do you go toe to toe with a doctor to get the right thing done? if nurses always knew what the right thing is, then we wouldn't need medical school, residency, fellowships to provide appropriate medical care... now every once in a while, a nurse will be in a situation where he/she is working with a new intern or a new doctor or a medical student or an attending who just happens to be new to the hospital, and that new person may not be familiar with a few things... this is the nurses opportunity to assist in the learning process of the medical provider, and not an opportunity to go toe to toe... why are you so confrontational?
4) do you find yourself pining to write orders and go to classes on how to become a jerk?
you must have had some rotten experiences if you are surrounded by jerks... i find it hard to believe that patients will pay money to be treated by jerks... and by the way, doctors do more than write orders - in fact, in the past doctors didn't write orders at all as they usually performed the tasks for which orders are currently written. the reason we have the current system is because the case load of patients is vastly greater than in the past, and writing orders creates efficiency...
5) i have those years of "sperience" while he (doctor) sat in classes to this point...
hmmm i wonder how many nurses sit through classes to become a nurse? well surprise, the same goes for doctors... and then during internship/residency/fellowship the hospital becomes the classroom
6) the courts have consistently held that CRNAs can administer anesthesia... phew, finally wntrmute comes up with something coherent. yes, the courts (as do I) feel that CRNAs provide excellent anesthesia
7) the "prescription" for anesthesia is implied by the surgeon who books the case... wrong! if that were the case, we wouldn't need anesthesia consents.... The surgeon books the case based on surgical disease, the CRNA or the MDA will then decide if the patient is a candidate for surgery (only the CRNA/MDA can decide that - not the surgeon). CRNAs/MDAs are consultants in the hospital and as such we provide consultant anesthetic care, our service is never implied.
now in response to the earlier question MDA vs CRNA:
if you want to practice anesthesia from an advanced nursing point of view - become a CRNA, if you want to practice anesthesia from a medical point of view - become a MDA. two different trainings that allow for safe anesthesia... the big differences reside in length of training (or length of sacrifice -
), the broadness of knowledge base and critical care management.
good luck with your choice, and please don't go to wntrmute's hospital because you will end up having to go toe to toe with people who go to class on how to become a jerk and who can't remember to put up siderails
a patient advocate (or else i wouldn't have spent my twenties and half my thirties earning 6 bucks an hour, working 110 hours a week, getting a day off every 4 to 6 weeks just for the pleasure of providing medical care)