Barriers to CRNA practice

gaspassah · Jan 30, 2005

anesthesiologists and their ability to affect hospital policy in their favor.

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jwk · Jan 30, 2005

Can I join in this discussion? (sorry, couldn't resist) :chuckle

mafia93 · Jan 31, 2005

Can I join in this discussion? (sorry, couldn't resist) :chuckle

Sure, no problem. What are your thoughts?

subee, MSN, CRNA · Jan 31, 2005

The biggest practice barriers for CRNA's come from the MDA's. I've been a CRNA for 25 years. Before this corporation came into my hospital the CRNA's did their own spinals and central lines. I"ve been so infantalized for so long that I can't even get angry about it anymore. I prep the patient, make the X and prepare the meds and then THE DOCTOR enters the room (everyone, hold your breath and watch the master work). We could turn the rooms over faster without them. That's why if you don't have time to participate in your state association's political wars, send them money for the war chests or we will all be relegated to the baby anesthesia model.

mafia93 · Feb 1, 2005

Thanks so much for your reply, it is sad that your skills are going to waste because of the MDA's. What state do you practice in? Also, do you feel it is more state policy that restricts you or hospital policy?

mafia93 · Feb 1, 2005

anesthesiologists and their ability to affect hospital policy in their favor.
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What state do you practice in?

jwk · Feb 1, 2005

Thanks so much for your reply, it is sad that your skills are going to waste because of the MDA's. What state do you practice in? Also, do you feel it is more state policy that restricts you or hospital policy?

It's never a state policy. I know of no state which prohibits anesthetists from performing regional anesthesia or placing central lines. It's either hospital policy or individual group policy, but either way, it is coming from the MDA's.

subee, MSN, CRNA · Feb 2, 2005

Thanks so much for your reply, it is sad that your skills are going to waste because of the MDA's. What state do you practice in? Also, do you feel it is more state policy that restricts you or hospital policy?

I practice in New York and its strictly MDA policy. Yes, it is sad because we have such a provider shortage, its a sin to show down turnover for political reasons.

gaspassah · Feb 2, 2005

i'm a srna in california, but have rotated through several diff hospitals and seen the way the work.

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