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manusko 9,300 Views

Joined Aug 29, '10 - from 'NC'. manusko is a CRNA. He has '4' year(s) of experience and specializes in 'critcal care, CRNA'. Posts: 619 (31% Liked) Likes: 331

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  • Apr 23

    Thread closed for review.

  • May 8 '12

    Quote from inforesource
    As an Air Force O-6 (currently active duty as a PIC C141), I do not appreciate that a nurse (CRNA) may or may not be designated to provide my anesthesia care......anesthesia is the practice of medicine not nursing. CRNA are fine under the direction of anesthesiologists but totally unsafe as "solo" practitioners............yes, I was an advance practice please. nurses (CRNA) pleae spare me the "wannabee anesthesiologist are not as safe as anesthesiologists"...suce substitution of midleval nurses as "anesthesia providers" is an insult to the USAF.......................
    It is fortunate that the research and the Surgeon General of the USAF do not share your opinion. It is unfortunate that as a self described nurse and APN ( I notice you did not say CRNA) that you do not follow evidenced based practice or fail to acknowledge that military CRNAs have already been functioning independently for several decades and just as safely as our MDA counterparts. Anesthesia was determined, almost 100 years ago, by the courts to be a practice of nursing not medicine when a nurse is providing the anesthesia. This is the same as any other profession i.e. if a podiatrist is doing the surgery it is a practice of podiatry not medicine.
    CRNAs are not midlevel anything. CRNAs have been providing anesthesia for nearly 150 years. The AANA was around a long time before the ASA, and nurse anesthetists were by far the largest group of anesthesia providers until the mid-twentith century when billing changed and suddenly anesthesia became a very lucrative speciality for physicians. Up until that time there were relatively few anesthesiologists in the US at all. CRNAs are and will for the foreseeable future continue to be the predominant provider of anesthesia services in the United States.

    There are 1/3 of the states that have agreed that there is no need for any kind of supervision (real or imagined) of CRNAs to independently bill for CMS services. In order to "opt-out" of the supervision requirement the Governor of the state has to consult with the state board of medicine and nursing. In all most all of the 17 states this has happened in the medical board has agreed that CRNAs practicing independently does not pose a threat or lower the quality of anesthesia care to the public. When in fact CRNAs provide a service that most anesthesiologists are unwilling to do, and that is work in rural/underserved areas.

  • Jul 7 '11

    "What Employment Opportunities Exist for CRNAs?
    CRNAs are in demand and therefore have many opportunities for general or specialty practice throughout the United States.

    Reflecting the level of responsibility, CRNAs are one of the best paid nursing specialties. The reported average annual salary in 2005 was approximately $160,000."

  • Mar 1 '11

    Last time I checked, working in this country was not a "right."
    It used to be if you did a **** poor job, you were fired, and someone more willing and better stepped in to do your work.

    Too many people these days have a sense of entitlement. Unions simply add on to that entitlement clause instead of looking at the bigger picture. Everyone is struggling financially right now. We are about to see another major dumping on our economy with gas prices back on the rise.

    Just my $0.02