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manusko 9,869 Views

Joined: Aug 29, '10; Posts: 619 (31% Liked) ; Likes: 334
CRNA; from US
Specialty: 4 year(s) of experience in critcal care, CRNA

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  • Jan 31

    Quote from NovaAEC
    Your statements are very misleading to the AA profession.

    1) The practice of anesthesia has much in common with the practice of nursing.

    More in common with nursing compared to what? The practice of anesthesia is not synonymous with nursing.

    Nursing has more in common with the practice of anesthesia compared to any other profession. Nurses monitor patient responses and adjust their care based on patient responses on a minute to minute basis. Anesthesia providers also do this. Who else does?

    2) Anesthesiologists Assistants do not have a nursing background so do not understand basic content such as medical terminology, physical assessment, patient communication and much, much more.

    This statement makes it seem like AA's don't obtain any training or education in medicine. We both know this isn't true. Patient communication? Are nurses the only group of people who know how to have a conversation with others? AA programs require 2 years of education in science courses (pre-med) many of which take medial terminology as a prerequisite. Physical assessment is also learned in AA programs and again taught in CRNA programs.

    Yes, but every SRNA from day one already has a basis in this prior to beginning their anesthesia program. The SRNA then spends 3 years advancing their knowledge in the practice of anesthesia.

    3) AAs are taught to assist an anesthesiologist while CRNAs are taught to care for a patient.

    Assistant is a little misleading when it comes to what AA's do in the OR. In fact, CRNA's and AA's do the exact same thing. Nurses just tend to use whatever ammo they can find to put down another profession that has the same goal they do. To care for the patient while they are in their hands.

    Some CRNAs in some settings may function as AAs, but that does not mean AAs are the same as CRNAs. Every CRNA has the capability to function without medical direction. Every AA must practice with medical direction.

    The nursing board has been outstanding when it comes to supporting nurses (including CRNA's). That is not up to debate. However, when you have posts like this where you purposefully put down a profession with false anecdotes of experience or abilities -- you lose credibility.
    It's important to understand that CRNAs are proud of our capabilities and history. You may feel that my demonstration of the differences between a CRNA and an AA is a 'put down', but I'm just stating facts.

  • Jan 31

    Quote from NovaAEC
    Your statements are very misleading to the AA profession.

    1) The practice of anesthesia has much in common with the practice of nursing.

    More in common with nursing compared to what? The practice of anesthesia is not synonymous with nursing.

    2) Anesthesiologists Assistants do not have a nursing background so do not understand basic content such as medical terminology, physical assessment, patient communication and much, much more.

    This statement makes it seem like AA's don't obtain any training or education in medicine. We both know this isn't true. Patient communication? Are nurses the only group of people who know how to have a conversation with others? AA programs require 2 years of education in science courses (pre-med) many of which take medial terminology as a prerequisite. Physical assessment is also learned in AA programs and again taught in CRNA programs.

    3) AAs are taught to assist an anesthesiologist while CRNAs are taught to care for a patient.

    Assistant is a little misleading when it comes to what AA's do in the OR. In fact, CRNA's and AA's do the exact same thing. Nurses just tend to use whatever ammo they can find to put down another profession that has the same goal they do. To care for the patient while they are in their hands.


    The nursing board has been outstanding when it comes to supporting nurses (including CRNA's). That is not up to debate. However, when you have posts like this where you purposefully put down a profession with false anecdotes of experience or abilities -- you lose credibility.
    The only time AAs and CRNAs are interchangeable is when they both work in restrictive ACT environments.

    When you can find one study comparing outcomes of independent AAs giving comparable care to independent CRNAs or anesthesiologists then you will have valid argument about AAs until then you need to go a forum that is for AAs not CRNAs.

  • Dec 29 '17

    Quote from khminh
    Isn't it ironic that Christian nurses express their faith to patients without their invitation and then complain when non believers express their disapproval of Christianity? It is like they are going to suffocate if they cannot tell people how awesome Jesus is.
    That's a might big chip you have on your shoulder. You claim to know about Christianity, but you know what, you don't know jack. Perhaps you should open your ears and mind and close your mouth.

    And FTR: I am a pagan. A Goddess worshipping, tarot reading, spell casting, Pagan. And I have been on the receiving end of crappy Christians telling me I am hell bound, threatening my life and offering (most magnanimously) to pray for my soul. And not a one has been a nurse.

    I've been critically ill, and not a single nurse talked to me about God or Christ. Not a single nurse prayed over me. If they prayed for me, it did me know harm. I got excellent care, even though they knew I am a Pagan. They provided me me with excellent care because they were good nurses. Not a single one told me how awesome Jesus is. And I live in the bible belt.

    You are just as judgmental as you are claiming they are. You need to take off YOUR blinders. The attitude of yours is only going to hurt you in the long run.

  • Apr 23 '17

    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 nurse...so. please. nurses (CRNA) pleae spare me the "wannabee anesthesiologist drivel....you 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."


    http://www.aana.com/BecomingCRNA.asp...average+salary

  • 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



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