i just got this medscape update and was so thrilled i went directly to the crna thread and posted it but i think it is relevant to all apns so here it is. this is a meta study and a big one:
[color=#943634]"the authors used medicare inpatient (part a) and carrier (part b) data to study inpatient mortality and complications. it included 481,440 hospitalizations, of which 68,744 were in states that opted out of the supervision requirement"
comparing outcomes of crnas that are supervised to those that are not as well as favorable comparisons to solo crnas compared to solo physician gas:
[color=#943634]"despite the shift to more anesthetics performed by nurse anesthetists, no increase in adverse outcomes was found.... in fact, declining mortality was the norm," they said. "the mortality rate for the nurse anesthetist solo group was lower than for the anesthesiologist solo group."
again we have evidence that when in our scope of practice, we rock! let the typical flamers come and start their typical lines of argument. this is a biiig:eek: study, not some undergrad project. i'm trying to dig through my ovid account for the full text, but the abstract is there so enjoy the article.
read the medline abstract here:
http://www.medscape.com/viewarticle/726427?src=mp&spon=24&uac=139135en