Hey everyone, this is the first post on all nurses and I wanted to hear from some CRNAs that practice in new York. Whenever I check gas works I see that it always (from what I've seen) says that the crna will be directed by an MDA 100% of the time. I also looked at the New York state association and saw that it stated, "CRNAs are required to work with a supervising physician (surgeon, anesthesiologist, etc.) and thus cannot work 100% independently on their own. For more information on this topic you can visit http://www.aana.com which provides more detailed state to state information." My question is how how do you enjoy working in New York and do you ever feel that you aren't allowed to practice to the full extent of your training? I am originally from SDN and notice that their sentiments toward CRNAs are pretty harsh. I originally wanted to go for a phd in psych and decided to go towards psych np. However, when I started looking at the possibilities within nursing other fields started to catch my eye. I am aware that NYS has an independence bill in the works for NPS and I am torn between which path is right for me. I appreciate appreciate any feedback or advice.

Medical direction and supervision are not the same thing, and even supervision does not imply control over a CRNAs practice.

http://www.aana.com/newsandjournal/Documents/legal_briefs_0487_p101.pdf

Very interesting read. I thank you for clarifying that for me. But this begs the question of the part of the quote that says a crna cannot work without supervision of a physician. So if a dentist (who I assume is not considered a physician) needs someone under anesthesia I would be unable to provide it without a physician present? Or perhaps I am not understanding correctly. I mean both statements are from the same website. Sorry if I'm not getting it I'm just trying to understand.

Very interesting read. I thank you for clarifying that for me. But this begs the question of the part of the quote that says a crna cannot work without supervision of a physician. So if a dentist (who I assume is not considered a physician) needs someone under anesthesia I would be unable to provide it without a physician present? Or perhaps I am not understanding correctly. I mean both statements are from the same website. Sorry if I'm not getting it I'm just trying to understand.

Generally, dentists, podiatrists, and physicians will all be included together since all of those routinely need anesthesia services for their patients.

So CRNAs can practice essentially independently in New York? I mean needing a "physician" is pretty axiomatic since anesthesia is usually administered prior to a procedure from an allied health professional. Thank you for the clarification as I totally misunderstood the quote on the website. I am eager to shadow a crna and np.