Are there CRNAs doing open heart cases in NYC?

twinsmom788 · Jun 9, 2019

Certainly hope that CRNAs are not taking CVOR cases without MDs.

Flame away...

BigPappaCRNA · Jun 11, 2019

On 6/8/2019 at 7:39 PM, twinsmom788 said:
Certainly hope that CRNAs are not taking CVOR cases without MDs.
Flame away...

Of course there are. All over the country. Every single day. By all means, believe what you believe and think what you think, but there is just no difference in the levels of care. If there were, the stats would be able to be teased out, but they are not. Insurers would be all over it, but they are not. The ASA would be all over the data, but they are not. And here is the biggest of all, the Liability Insurance would cost much, much more, but it doesn't. Those actuaries are pretty damn smart people. If there was ANY extra statistical risks, costs would be put on the CRNAs and they would be paying more, and that is just not happening.

subee, MSN, CRNA · Jun 11, 2019

Name one hospital where CVOR is staffed by CRNA's only. Yes, yes, I know there are plenty if cases where MDA pretty much just signs the chart and that's their total contribution but now aware if any CRNA only hospitals doing hearts. Hiwever, I must say to the above non CRNA that Im always stunned by the lack of knowledge by nursing staff about CRNA role in the OR. I ran across one holding area RN who thought MD's intubated the patients! If one solely does hearts, then you become good at what you do, regardless of the initials. I turned one job down because MDA said I wouldnt have to do hearts but the CRNA's told me that they were dumped there for a large part of the time without breaks and the usual crap we put up with.

Bluebolt · Jun 11, 2019

2 hours ago, subee said:
Name one hospital where CVOR is staffed by CRNA's only. Yes, yes, I know there are plenty if cases where MDA pretty much just signs the chart and that's their total contribution but now aware if any CRNA only hospitals doing hearts.
1

I haven't been there personally but I have heard of an all CRNA group that does CABG and valves.

Where I did my cardiac training the CRNAs ran the cases and there was a physician anesthesiologist available for backup if needed. The MD/DO would come in intermittently to check the TEE and assess the valve function.

One of the CRNA only sites I rotated through during my third year did vascular cases like CEA's and AAA repair. I got the opportunity to learn on those cases and manage them with the CRNAs backup if needed.

Twinsmom788, you continue to have very strong opinions about CRNAs and their capabilities for an RN with no training in anesthesia. It's always interesting to see your hot take on a subject though.