Pain Management CRNA - page 2

So I found an interesting link on the AANA webpage, and I was curious what the group thought about it. I guess the AANA is currently trying to develop guidelines for fellowship programs in pain... Read More

  1. by   TejasDoc
    Quote from InterestedRN
    Are you a physician?
    I am.

    TD
  2. by   duckboy20
    I think doing pain management would be something interesting to do. I feel for the pain doc's however who are burdened not only with people who actually have pain but those who like the medicine. Man, sometimes when I was working in the ER I thought it was a pain clinic by the number of people that came wanting pain medicine!!!!!
  3. by   alansmith52
    why is it so offensive that nurses would broaden their scope of practice as the world evolves.
    MD's do it as new technology comes available the practice new treatment modalities. so why cannot CRNA's if the profession has been set up to do so. And I understand that CRNA's do. but the question is to the good doc. A mechanic can employ new tools to his trade so why cant we all. If properly trained and practiced.
  4. by   u-r-sleeepy
    Quote from alansmith52
    why is it so offensive that nurses would broaden their scope of practice as the world evolves.
    MD's do it as new technology comes available the practice new treatment modalities. so why cannot CRNA's if the profession has been set up to do so. And I understand that CRNA's do. but the question is to the good doc. A mechanic can employ new tools to his trade so why cant we all. If properly trained and practiced.
    ...because you BIG DUMMY! - That might get some of the doc$' undies in a bundle! You can't have little CRNAs trying to get off the ACT "plantation" now, can you? The next thing you know - they're going to want to roam about to and fro - and practice their skills without the A$A's $upervi$ion - and without MDA's offices doing the billing!!!!!!! Wake up!

    Sleeepy
  5. by   InterestedRN
    Quote from u-r-sleeepy
    ...because you BIG DUMMY! - That might get some of the doc$' undies in a bundle! You can't have little CRNAs trying to get off the ACT "plantation" now, can you? The next thing you know - they're going to want to roam about to and fro - and practice their skills without the A$A's $upervi$ion - and without MDA's offices doing the billing!!!!!!! Wake up!

    Sleeepy
    There has got to be a better way to express your point. Come on Sleeepy, you sound very passionate about your practice and profession, and I know you must be educated. I'm on your side, but come on.

    Interested
  6. by   todabnrn
    U-R sleepy is making a point but, it's somewhere are profession doesn't need to go. There are some battles the AANA needs to fight and some they shouldn't. Pain management is one area they do not need to get involved in. Believe me, Im all about independant practice HOWEVER, this is a niche the MDA's can claim as there own. Let them have it!!! Our time and resources are better spent elsewhere. Why kick a hornets nest if it only affects less than 5% of the practicing CRNA's.
  7. by   TejasDoc
    Quote from u-r-sleeepy
    ...because you BIG DUMMY! - That might get some of the doc$' undies in a bundle! You can't have little CRNAs trying to get off the ACT "plantation" now, can you? The next thing you know - they're going to want to roam about to and fro - and practice their skills without the A$A's $upervi$ion - and without MDA's offices doing the billing!!!!!!! Wake up!

    Sleeepy
    Yet another really offensive comparison of CRNA's to slaves by sleepy. You're on a role man. Nobody is oppressing you Sleeepy. Nobody lied to you about what being a CRNA would entail, and nobody twisted your arm not to become an anesthesiologist. You still have the opportunity. Don't make it seem as though you're under a blanket of oppression and simply cannot escape. Not only is the assertion ridiculous, it's just wrong, but also really ridiculous ... and did I mention wrong?

    In the very end, this is all academic. As I've been told many times, CRNA's are not restricted by law from practicing anywhere, yet in major metropolitan areas and medical centers throughout this country, CRNAs are not the sole providers of anesthesia care or pain management medicine.

    So Sleepy, while you may go to bed at night thinking that I'm having nightmares about CRNAs taking my job and livelihood, you're wrong. As far as money goes, tt's really a non-issue for me as I imagine it is for most anesthesiologists. Now that you know, you too can 'wake up!'.

    TD
  8. by   deepz
    Quote from TejasDoc
    Yet another really offensive comparison of CRNA's to slaves ......
    If you are so really offended by posts on this CRNA board, I'd suggest that old axiom, Doctor: If you don't want to know, don't ask. If you don't want to read such comparisons, then *don't* read them. Surely you'll not find them on the Student Doctor Network or other places where your prejudices will not be challenged.

    BTW ... We don't need no stinking badges.

    deepz
  9. by   TejasDoc
    Quote from deepz
    If you are so really offended by posts on this CRNA board, I'd suggest that old axiom, Doctor: If you don't want to know, don't ask. If you don't want to read such comparisons, then *don't* read them. Surely you'll not find them on the Student Doctor Network or other places where your prejudices will not be challenged.

    BTW ... We don't need no stinking badges.

    deepz
    It's a ridiculous comparison, and if you would ever use such a comparison in a setting that wasn't anonymous like this message board, people would think you were ridiculous. It's ridiculous that you would defend it, though at 60, you'd know better than I the oppression that African Americans lived under in this country ... I don't think there's a hospital anywhere that makes CRNAs drink from a different water fountain. Though who knows what's going on in Durango ...

    Unfortunately, there's no way for me to filter out nonsense messages and comments. I read some interesting things from time to time on this board, if I have to read some garbage now and again, well, that's just the cross I have to bear.

    BTW, you're welcome to wear clean badges.

    TD
  10. by   Hellllllo Nurse
    Quote from InterestedRN
    This is an entirely different issue. You're working from "standing orders"
    Yes, but the nurse is liable and responsible for intitiating the standing orders, as a professional nursing judgment.
    If there is an untoward occurance as a result of initiating a standing order, the nurse is responsible.
  11. by   Hellllllo Nurse
    Quote from TejasDoc
    It's a ridiculous comparison, and if you would ever use such a comparison in a setting that wasn't anonymous like this message board, people would think you were ridiculous. It's ridiculous that you would defend it, though at 60, you'd know better than I the oppression that African Americans lived under in this country ... I don't think there's a hospital anywhere that makes CRNAs drink from a different water fountain. Though who knows what's going on in Durango ...

    Unfortunately, there's no way for me to filter out nonsense messages and comments. I read some interesting things from time to time on this board, if I have to read some garbage now and again, well, that's just the cross I have to bear.

    BTW, you're welcome to wear clean badges.

    TD
    As a student nurse doing my clinical rotations, I was surprised to find that the "nurses' lounge" was in a tiny cramped room next to a dirty utility room. There were plumbing problems, and the room smelled like sewage. The smell attracted bugs. The room was plain disgusting.
    The nurses had complained for years, but had been unable to get the problems addressed.

    One day, I inavertently wandered into the "doctor's lounge".

    I was stunned to see before me a large, lushly furnished, opulent room. Velvet drapes, tapestries on the walls, richly upholstered chairs. There was a buffet lunch laid out. Included in this buffet were fresh crab cakes, steamed oysters, smoked salmon, bottles of Perrier water, and more.

    If this is not example of the nurses "drinking from a different water fountain" what is?
    Last edit by Hellllllo Nurse on Jul 5, '04
  12. by   Gotosleepy
    i agree - nurses lounges are horrible and need a lot of improvement. The financial reason behind the hospital not ponying up more money for nursing lounges is that nurses don't bring in the bucks to the hospital system. However, now with the crazy nursing shortage, it is amazing what some of the facilities the nurses are getting. Even their parking is better than most of the docs!!!
  13. by   Hellllllo Nurse
    In my 12 years as a nurse, I have yet to see nurses' parking, or anything else, even come within the same solar system as what the docs get.

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