[Qwiigley]

[quote=n_g;2650v CRNA's are on shaky ground trying to argue that pain is part of their scope and they know it.[/QUOTE]


...and they know it...

No, WE know that WE need to fight to keep our current practice. This is a NURSING website, not a MDA website.

I personally do not do pain management nor am I trained to do so. But I can assure you that if I were to decide to get into this, I would take more than a "weekend course."

I welcome your questions and thoughts on this subject, but please be respectful. This is not a website to bash advance practice nurses.

In anesthesia, there is no diagnosing. The surgeon orders the need for anesthesia. He/She relies on the anesthesia provider to manipulate the patient's mind and body to keep them without pain and stable while the surgeon himself does things to the patient that could very well kill him.

Diagnosis is in the "practicing medicine" realm.

[wtbcrna]

Originally Posted by Qwiigley

...and they know it...

No, WE know that WE Diagnosis is in the "practicing medicine" realm.

Unfortunately, it is not quite that simple because APNs make diagnoses all the time and it is still not considered in the realm of medicine.

For the non-nurses on here it would be nice if you posted your basic background when you start posting on a thread that way everyone knows from the beginning where your educational background comes from and motivation.

Maybe the administration could add a spot under the personal profile to include a few more titles instead of just "other" when you don't have a nursing degree..?

JWK is a pretty familiar figure and we know that he is an AA and PainDoc if I remember right is an MDA that switched to being a pain specialist. N G I have no I idea what your background is, but your posts sounds like a lot of the posts from the SDN....so are you possibly a med student/pre-med student?

[n_g]

I guess if people don't tow the line then we shouldn't post our opinions. Honestly, none of our opinions matter. It's in the hands of the courts and legislatures. If I were a betting man, you can guess where I would put my money. The bigger question is how this will impact CRNA's nationwide. I'm just sitting on the sidelines.

[wtbcrna]

Originally Posted by n_g

I guess if people don't tow the line then we shouldn't post our opinions. Honestly, none of our opinions matter. It's in the hands of the courts and legislatures. If I were a betting man, you can guess where I would my money. The bigger question is how this will impact nationwide. I'm just sitting on the sidelines honestly.

It is usually the more populated states that set precedents, but you never know even a smaller state like La could be the turning point. AANA/AMA/ASA all have powerful lobbying groups so there is no telling where all this will end up, but in the end it will probably be comprises in all the states based on how powerful the lobbying groups are in each of those states. Personally, I am have picked out the most CRNA friendly states that I would eventually like to practice in when I retire from the military, but to each their own.

Now, N G do you care to enlighten us to your educational background?

[n_g]

State size has nothing to do with it. It's about precedence. The law and courts follow precedence. They don't want to reinvent the wheel with each case.

[wtbcrna]

Originally Posted by n_g

State size has nothing to do with it. It's about precedence. The law and courts follow precedence. They don't want to reinvent the wheel with each case.

I would agree with you if this was a federal case, but this is based on state laws not federal. If all the appeals fail in La then it will be a precedent for that state that the ASA will try to use in other states, but it won't have near the impact of say the same thing happening in California or New York.


Now....Would you care to quit "sidestepping" the question and answer what your educational background is?

[stanman1968]

It does not set "precedent" as the ruling was based on the louisina BON wording on the scope of practice. The only way this is a national pecedent or a precedent of any kind is if another state BON has the same problem with the same regulation.

[nurselizk]

Still no answer, n g, regarding your educational background....

[jwk]

Originally Posted by wtbcrna

Personally, I am have picked out the most CRNA friendly states that I would eventually like to practice in when I retire from the military, but to each their own.

Does the military allow their CRNA's do practice chronic pain management?

[wtbcrna]

Originally Posted by jwk

Does the military allow their CRNA's do practice chronic pain management?

I don't think so unless it is very limited....such as doing interventional procedures under orders from the attending physician. We have one Navy instructor that used to work/ do pain research in the pain clinic at NNMC, but I don't know the specifics of what he actually did there. I will ask him and get back with you. So other than the one CRNA working in the pain clinic I haven't met any others that I know of.


The military is really behind the civilain sector on utilizing APN nurses. For example: RNFAs are still rather new idea in the AF, and the AF still doesn't recognize ACNPs.


Although if you want to discuss the differences in the military and civilian sector we should start a new thread.