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Who should "Pass Gas"?



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Feb 07, 2002 10:48 PM

Who should "Pass Gas"?

by NRSKarenRN Staff
Updated Feb 07, 2002 at 10:55 PM by NRSKarenRN

Let's NOT create another new healthcare worker position!

FLA Anesthesia Assistants Gain Ground In Senate Over Nurses' Objections
By MIKE SALINERO msalinero@tampatrib.com http://tampatrib.com/floridametronews/MGAH0YOQCXC.html


TALLAHASSEE - A Senate committee on Tuesday approved
Published: Feb 6, 2002
licensing anesthesia assistants to practice in Florida under anesthesiologists' supervision.
Currently, only anesthesiologists, who are doctors, and nurse anesthetists may provide anesthesiology.

Anesthesiologists support the bill, saying there is a shortage of anesthesia providers in the state.

But nurse anesthetists deny the shortage. They say the bill is a move to replace them with lesser-trained and lower-paid anesthesia assistants. Only registered nurses with a minimum number of clinical hours may enter a two-year anesthesia program. Candidates for anesthesia assistant can enter that program with a four-year degree in any field.

``The licensing of anesthesia assistants is an experiment, and Florida patients would be the test subjects,'' said Bruce Weiner, a Tampa resident and president of the Florida Association of Nurse Anesthetists.

John McDonough, a professor at Florida International University, told the committee that he teaches nurse anesthetists and knows they are better trained.

But Jerome Modell, who recently retired as chairman of the anesthesiology department at the University of Florida, said training for nurse anesthetists and anesthesia assistants is ``different but comparable.''

The sponsor of the bill, Sen. Debbie Wasserman Schultz, D-Weston, confirmed she got a $1,000 campaign contribution from Don Sokolik, president of the state Society of Anesthesiologists. Wasserman Schultz said her vote was based on a ``deliberative'' study of the issue.

The bill is scheduled for three more committees before going to the Senate floor. A companion House bill has cleared all committees and is ready for floor action.


Reporter Mike Salinero can be reached at (850) 222-8382.

------------------------------------------------------------------------------
Info for letter writing campaign:
Key Committees For Healthcare
Florida Senate and House of Representatives members of the Key Healthcare Committees

From FLA Nurses Assoc.:
http://capwiz.com/fln/issues/alert/?alertid=8

SENATE COMMITTEES

Health, Aging, and Long-term Care

Chairman: Senator Saunders
Vice Chairman: Senator Dawson
Members: Senators Brown-Waite, Campbell, Clary, Cowin, Klein, Peaden, Pruitt, Silver and Wasserman-Schultz

Appropriations Subcommittee on Health and Human Services

Chairman: Senator Silver
Members: Senators Mitchell, Peaden, Sanderson, and Saunders

Banking and Insurance

Chairman: Senator Latvala
Vice Chairman: Senator Holzendorf
Members: Senators Campbell, Carlton, Clary, Constantine, Dawson, Garcia, Geller, King, Posey, Rossin, and Wasserman Schultz

Senate Health Committee members links:
http://www.leg.state.fl.us/cgi-bin/V...ees/senate/hc/


HOUSE OF REPRESENTATIVES

Council for Healthy Communities

Chair: Nancy Argenziano
Vice Chair: Curtis Richardson
Committee Members: Allan Bense, Gus Bilirakis, Nancy Detert, Frank Farkas, Mike Fasano, Carole Green, Ken Littlefield, Evelyn Lynn, Sandra Murman, Ken Gotlieb, Sally Heyman, Cindy Lerner, Eleanor Sobel


Elder and Long Term Care

Chair: Carole Green
Vice Chair: Mark Weissman
Committee Members: Jeff Atwater, Hugh Gibson, Joe Negron, Jerry Paul, Dave Russell, David Simmons, Leslie Waters, Phillip Brutus, Suzanne Kosmas, Richard Mackek


Health and Human Services Appropriations

Chair: Jerry Maygarden
Vice Chair: Frank Farkas
Committee Members: Holly Benson, Heather Fiorentino, Rene Garcia, Hugh Gibson, Carole Green, Ken Littlefield, Phillip Brutus, Nan Rich, Irving Slosberg, Eleanor Sobel


Health Promotion

Chair: Ken Littlefield
Vice Chair: Mike Hogan
Committee Members: Bob Allen, Ralph Arza, Holly Benson, Renier Diaz de la Portilla, Manuel Prieguez, Susan Bucher, Joyce Cusack, Arthenia Joyner, Sara Romeo, Irving Slosberg


Health Regulation

Chair: Frank Farkas
Vice Chair: Eleanor Sobel
Committee Members: JD Alexander, Heather Fiorentino, Mike Haridopolis, Gayle Herrell, Randy Johnson, Marco Rubio, Stacy Ritter, Gary Siplin, Roger Wishner


House Committee on Health Regulation:
http://www.leg.state.fl.us/committee...tees&submenu=1


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27 Comments
No. 1
from P_RN
Old Feb 08, 2002, 12:27 AM

I never cease to be amazed. I say let every one of these folks who WANT this new position let an "assistant" pass gas on their loved ones. Wonder if that would change some opinions.

UAP, UAP grrrrrrrrrrr
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No. 2
from ocankhe
Old Feb 08, 2002, 06:29 AM

Historiclly whenever there has been a shortage of RN's,no matter what their specialty, some physician group and /or hospital administrators seek to solve the shortage by reducing the requirements to practise nursing or even remove the neccessity of becoming an RN first. This proposal needs to be fought.
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No. 3
from NRSKarenRN
Old Mar 01, 2002, 06:27 PM

Default More on Fla anesthesia assistant legislation
Doctors, nurses squabble over anesthesia assistants
Florida doctors and nurses are bickering over legislation that would allow non-nurses assist anesthetists in operating rooms.

BILL KACZOR
Associated Press Writer
Tallahassee Democrat, Feb. 28, 2002
http://www.tallahassee.com/mld/talla...al/2765202.htm

TALLAHASSEE, Fla. - Doctors and nurses are squabbling over legislation that would let non-nurses assist anesthesiologists in Florida's operating rooms.

The Florida Association of Nurse Anesthetists on Thursday launched a media, lobbying and publicity campaign aimed at blocking a Senate bill (SB 966). The nursing group lost its fight in the House where a similar measure (HB 599) passed 71-47 on Feb. 13.

The legislation would let non-nurses become anesthesiologist assistants with a year of clinical training. The measure is being sought by the Florida Society of Anesthesiology, a doctors' group.

Some physicians, however, are lining up with the nurses and both sides are accusing each other of being more concerned about profits than patients.

"It promotes the bottom line for one group of physicians, namely the anesthesiologists," Dr. Richard Anderson, an internal medicine specialist from Fort Myers, said at a news conference held by the nursing group.

He said anesthesiologists could pay non-nurses less but charge the same fees.

Jon Johnson, a lobbyist for the anesthesiologists' society, agreed it was a bottom-line issue, but for the nurses, not the doctors. "They are not going to lose their monopoly without a fight," he said.

The anesthesiologists are seeking the legislation because of a nursing shortage they don't expect to improve, Johnson said.

The required clinical training would be sufficient for assistants, who would have a college degree although not necessarily in a medical field, he said. They also would be under supervision of anesthesiologists, he said.

Anderson, however, contended that many doctors interpret supervision to including leaving a nurse or anesthesiology assistant alone in the operating room while the anesthesiologist is in the physicians' lounge or elsewhere nearby.

Johnson said at least a dozen states have similar programs yet there are no reports of patients being harmed.
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No. 4
Old Mar 01, 2002, 06:42 PM

I wouldn't let an AA do my anesthesia. I don't care if they have had " The required clinical training" I look at it this way.. . . Why would you allow somebody that possibly has no PRIOR medical experience hold your life in their hands? CRNAs have previous Critical Care experience and MDAs train for 4 years in anesthesia.
Nope, i'll pass.

brett
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No. 5
from NRSKarenRN
Old Mar 02, 2002, 06:51 AM

Check out:
Qualifications and Capabilities of the Certified Registered Nurse Anesthetist
http://www.aana.com/about/qualifications.asp

History of Nurse Anesthesia Practice
http://www.aana.com/about/history.asp


then read:
OPINION on Anesthesiology Assistant Debate by Darci on March 01, 2002 at 5:39PM
Free Registraion at healthleaders required.
http://www.healthleaders.com/news/ne...485775807a7ec5

I am a current student in the Emory University Medical School's Anesthesiology and Patient Monitoring Systems program. After preparing for graduate school by obtaining a B.S. in Biology degree at Florida State University, I worked for 2 years on Emory University hospital's Neurology and Neurosurgery floor and ICU. Then, I moved on to the Pulmonary Lab as a Pulmonary Function Technologist.

I am very proud of my educational accomplishments as well as my work experience which prepared me for the task of training to become an Anesthesiology Assistant. Through my sacrifices and hard work, I will obtain a Master's Degree from Emory University and begin practicing as part of highly regarded and proven anesthesiology team approach to deliver anesthesiology to patients on one of 13 states I am legally able to practice.

I am very disturbed about the recent articles written by various newspapers in the state of FLorida about the ongoing debate which would legally allow Anesthesiologist Assistants to practice. Each editor has misrepresented our profession as simply having a non healthcare based "college degree", as opposed to a Master's Degree from an Accredited Program at two of the most prestigious medical schools in the country. At the same time, Anesthesiology Assistants must pass a National Board Exam created by the American Medical Association every six years. Also stating that we do "not necessarily have a healthcare background" is simply not true. Almost every person in my program has a well established healthcare background, it is only those who have displayed a superb standing in their undergraduate studies that are waved.

Anesthesiology Assistants have practiced across the US with great success since 1975, however, because there are only two schools in the country that graduate students there are only 580+ Anesthesiology Assistants.

I encourage everyone who does not know about our profession to research it before writing an article that may impact the healthcare delivery of Floridians in the future.

Sincerely, Darci Boshaw President Anesthesiology Assistant student Class 2002
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No. 6
from jenn71
Old Mar 02, 2002, 10:13 AM

Question Correct me if I am wrong
Haven't Anesthesia Assistants been around for a while now? I believe the American Academy of Anesthesiologist Assistants has been around since 1975. Why all the hoopla in FL? Were they previously not allowed to practice there? After reading all the info I could find on the 'net, it seems that they have been providing anesthesia services for a while now, it's just that there aren't a whole lot of them out there since there are only 2 programs in the U.S..
Also, what will be the basis for CRNA's to argue against allowing AA's to practice?
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No. 7
from jenn71
Old Mar 02, 2002, 10:17 AM

Exclamation One other thing
Is there a brand new training program being started in FL for assistants or will it be the same type of program as the other 2 that already exist?
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No. 8
from Mijourney
Old Mar 02, 2002, 10:28 AM

Hi. Thanks for the information Karen. This situtation with CRNAs vs AA is just another ruse to repress the bigger picture. It seems to me that there will always be a sizable group of physicians that will work to make sure they benefit the most when it comes to profits and prestige even if it means undermining nurses.

I believe it's been proven over and over again the importance of nurses in patient care at every level. It's been proven that excellent quality nursing care is the most cost effective, and that this nursing care results in an overall improvement in the public's health. I really believe that if you were to replace all the CRNAs with AAs, you would see a significant decline in the quality of anesthesia services.

I do have one question though, are there nurses going through these AA programs?
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No. 9
Old Mar 02, 2002, 06:55 PM

I'm not trying to sound like a butt but why would a nurse become an AA and only be allowed to practice in 13 states? When they can be a CRNA and more than likely make more money and be able to practice in any state? If there is a nurse out there in an AA program, I want to ask you, Why did you chose AA over CRNA? I have nothing against AAs personally. I agree w\what journey said "that if you were to replace all the CRNAs with AAs, you would see a significant decline in the quality of anesthesia services." Nurses have been giving anesthesia since the late 1800s and they were the first professional group to give it.

Brett
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