Pain Management CRNA

Specialties CRNA

Published

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 management for CRNAs.

http://www.aana.com/accreditation/ms_word/021604_draft2.doc

That link leads to a Word document, download and open at your own risk.

So I'll be the first to admit that I thought pain management medicine was the domain of physicians. I think I might have read somewhere on this board that CRNAs do this in rural areas, but maybe someone can clarify.

Does anyone know if hospitals give priviledges to CRNAs for interventional pain management? Would a CRNA in this capacity be able to write prescriptions for medications taken at home? Do CRNAs during their training receive exposure to chronic pain management?

Is this going to open up another turf battle? But now with PM&R, psychiatry, neurology, AND anesthesia?

Maybe this will pan out to be an interesting thread, I'm interested in your opinions.

TD

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 management for CRNAs.

www.aana.com/accreditation/ms_word/021604_draft2.doc

That link leads to a Word document, download and open at your own risk.

So I'll be the first to admit that I thought pain management medicine was the domain of physicians. I think I might have read somewhere on this board that CRNAs do this in rural areas, but maybe someone can clarify.

Does anyone know if hospitals give priviledges to CRNAs for interventional pain management? Would a CRNA in this capacity be able to write prescriptions for medications taken at home? Do CRNAs during their training receive exposure to chronic pain management?

Is this going to open up another turf battle? But now with PM&R, psychiatry, neurology, AND anesthesia?

Maybe this will pan out to be an interesting thread, I'm interested in your opinions.

TD

Are you a physician?

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Are you a physician?

I am.

TD

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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!!!!!

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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.

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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! :rolleyes:

Sleeepy

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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! :rolleyes:

Sleeepy

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...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! :rolleyes:

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

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...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! :rolleyes:

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

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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.

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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.

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...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! :rolleyes:

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

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...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! :rolleyes:

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

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