paindoc

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1. O.R. cases for CRNA's vs. Anesthesiologists

   paindoc replied to ICU, RN, BSN, B.S.'s topic in CRNA

   I completely agree. Supervising is non-sensical. I can't seem to get that across to my anesthesiology friends....they are more interested in the $$.

2. O.R. cases for CRNA's vs. Anesthesiologists

   paindoc replied to ICU, RN, BSN, B.S.'s topic in CRNA

   And you don't understand deep pockets. CRNAs may be named, but in a team model, even if the CRNA screws up badly and causes permanent injury or death, the anesthesiologist is ALWAYS NAMED. You can rarely find cases where the CRNA was found liable f...

3. O.R. cases for CRNA's vs. Anesthesiologists

   paindoc replied to ICU, RN, BSN, B.S.'s topic in CRNA

   Actually there are studies that demonstrate statistically significant differences, but not clinical differences in outcome. What does this prove: 1. anesthesiologists and CRNAs deliver virtually the same product 2. anesthesia has become so safe th...

4. O.R. cases for CRNA's vs. Anesthesiologists

   paindoc replied to ICU, RN, BSN, B.S.'s topic in CRNA

   Actually you can only supply studies showing statistical but not relevant clinical significant differences... By definition an employee does not have completely independent decision making otherwise they would be either independent contractors or im...

5. O.R. cases for CRNA's vs. Anesthesiologists

   paindoc replied to ICU, RN, BSN, B.S.'s topic in CRNA

   I counter that if you have CRNAs that have been sued and lost in a team model when the anesthesiologist was dismissed, post it here, by all means. I agree, MDs are being self destructive with their continuance of the status quo but also believe the ...

6. O.R. cases for CRNA's vs. Anesthesiologists

   paindoc replied to ICU, RN, BSN, B.S.'s topic in CRNA

   The issue is liability. It has been a very nice dance around the issue in the past with CRNAs wanting independence but not wanting to tear down the shield that helps protect them. Perhaps that time has come. There are NO cases which I can find in ...

7. O.R. cases for CRNA's vs. Anesthesiologists

   paindoc replied to ICU, RN, BSN, B.S.'s topic in CRNA

   If CRNAs are completely independent, then neither the surgeon in smaller hospitals nor the anesthesiologist in a team model would be found culpable at the end of litigation. Fact is, virtually 100% of the time the surgeon or anesthesiologist is name...

8. O.R. cases for CRNA's vs. Anesthesiologists

   paindoc replied to ICU, RN, BSN, B.S.'s topic in CRNA

   If the nurse is being employed by the anesthesiologist, then yes, the nurse has to get permission and typically in a team approach will discuss the case in advance. In a situation where the states are non-opt out and the anesthesiologists are in a t...

9. O.R. cases for CRNA's vs. Anesthesiologists

   paindoc replied to ICU, RN, BSN, B.S.'s topic in CRNA

   It has been a "team approach" that is really a half baked approach to the delivery of anesthesia. I also think independent should rule....MDs should make themselves independent of the team approach, but in reality, most won't due to $$$$$.

10. Does it bother CRNA's that MDA's get so much more...?

    paindoc replied to ICU, RN, BSN, B.S.'s topic in CRNA

    I agree....the greedy lazy docs should go. But with CRNAs telling the surgeons, patients, and hospitals that they are at least as good as (if not better than) anesthesiologists, there will be some push back. As reimbursement by Medicare and linked ...

11. Does it bother CRNA's that MDA's get so much more...?

    paindoc replied to ICU, RN, BSN, B.S.'s topic in CRNA

    It is exactly the assertions by BCRNA that will cause MDs across the land to begin jettisoning their CRNAs, whether they have been with the group a long time, or not. The fact is, CRNAs have now engaged in terminology and rhetoric that places them s...

12. O.R. cases for CRNA's vs. Anesthesiologists

    paindoc replied to ICU, RN, BSN, B.S.'s topic in CRNA

    The anesthesiology groups that are simply operating off of greed by their partners and anesthesiologists will permit anyone, CRNA or AA, to do any case.

13. Utah surgeons against AA's

    paindoc replied to CPhT2RNstudent's topic in CRNA

    AAs are certainly a threat to CRNAs. As the CRNA political establishment becomes more militant about the independence of CRNAs and continues to equate their members to anesthesiologists in performance, training, etc, the physician anesthesiologists ...

14. CRNA Vs. MD

    paindoc replied to Amir's topic in CRNA

    Whether you have broken a law is a matter for the attorney general of our state to evaluate. As for taking a person off the street and training them in anesthesia....I am dead serious. It has been done in Africa for decades and works quite well wit...

15. CRNA Vs. MD

    paindoc replied to Amir's topic in CRNA

    So, a CRNA in Indiana practicing independently without deference to the directing physician is violating State law. And freely admits it. Hmmmmm..... With respect to "5% sheer terror" giving anesthetics, that high of a percentage would be due to i...