answer to gasspassah

[davvid2700]

i am not advocating anti team approach, i am advocating anti "supervision" in the context of practice limitations. i dont have a problem with mdas. i dont have a problem working side by side with mdas. i have a problem with mda monopoly of anesthesia practice and their fundamental idea that anesthesia is the sole realm of medicine and that a crna cannot function without "supervision".

to have an mda dictate and prescribe your anesthetic plan is NOT teamwork.

if i need someone to consult about a complex medical condition in relation to an anesthetic plan then that is teamwork.

if were to choose to do an intersternocleidomastoid block for shoulder surgery and the mda tell me i cant because its not policy or he's not comfortable with that, that is practice limitation (lets remember that the docs have more influence in hospital policy than anyone else). if i feel its reasonable and have the necessary skill to do it, and manage acute complications and it's gonna be in my patients best interest, then i should have that right (with patient consent of course).

to me, these are the factors about "supervision" i dont agree with.

billing and anesthesia for outpatient and pain management, that's another issue, related yes, but not MY big concern with supervision.

The above was his post..

this is my first post on this forum

gasspassah needs to wake up and smell the coffee.. If you want all the practice rights and all the priveleges that come with practicing independently go to medical school and you will have that.. But until then you WILL listen to the anesthesiologist.. whether you like it or not.. and you will make less money than he or she... if you wanna put that block in.. go ahead.. but do it IN YOUR DREAMS>>> i would be more comfortable letting an Anesthesiology assistant put one in before you.. At least he took a year of ORganic chemistry and a year of physics...

[sandman1]

Whatever. Your ignorance and inflammatory remarks are not worth our time....... Have a nice day.

i am not advocating anti team approach, i am advocating anti "supervision" in the context of practice limitations. i dont have a problem with mdas. i dont have a problem working side by side with mdas. i have a problem with mda monopoly of anesthesia practice and their fundamental idea that anesthesia is the sole realm of medicine and that a crna cannot function without "supervision".

to have an mda dictate and prescribe your anesthetic plan is NOT teamwork.

if i need someone to consult about a complex medical condition in relation to an anesthetic plan then that is teamwork.

if were to choose to do an intersternocleidomastoid block for shoulder surgery and the mda tell me i cant because its not policy or he's not comfortable with that, that is practice limitation (lets remember that the docs have more influence in hospital policy than anyone else). if i feel its reasonable and have the necessary skill to do it, and manage acute complications and it's gonna be in my patients best interest, then i should have that right (with patient consent of course).

to me, these are the factors about "supervision" i dont agree with.

billing and anesthesia for outpatient and pain management, that's another issue, related yes, but not MY big concern with supervision.

The above was his post..

this is my first post on this forum

gasspassah needs to wake up and smell the coffee.. If you want all the practice rights and all the priveleges that come with practicing independently go to medical school and you will have that.. But until then you WILL listen to the anesthesiologist.. whether you like it or not.. and you will make less money than he or she... if you wanna put that block in.. go ahead.. but do it IN YOUR DREAMS>>> i would be more comfortable letting an Anesthesiology assistant put one in before you.. At least he took a year of ORganic chemistry and a year of physics...

[Nurse Ratched, RN]

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