CRNA independent states

Hi all. As a prospective SRNA, I was hoping someone could tell me which states nurse anesthetists are allowed to practice independently in. (Or which states they cannot, whichever is the shorter list).

Thanks,

Elyse

[meandragonbrett]

Independent of what? Physicians in general? Anesthesiologists? CRNAs are able to function independently of anesthesiologists in all states. CRNAs work in *collaboration* with physicians whether it's an anesthesiologist, surgeon, dentist, podiatrist, etc.

[cooper]

Thanks. I thought in some states CRNAs needed supervision from anesthesiologists. Good to know.

Elyse

[snakebitten]

Come to New Mexico-we are an "opt out state". No supervision necessary. In my opinion--"collaboration" is supervision on a smaller scale. If someone can come in to my room and push my drugs, start any part of the anesthetic or change my plan without my approval --its supervision. Call it what you want--but until you can work truly alone, by yourself 24 hours without "collaborating" your supervised.

Mike CRNA

[Kiwi, BSN, RN]

States opting out of requirement for physician supervision:

1) Alaska

2) New Mexico

3) New Hampshire

4) Minnesota

5) Nebraska

6) Iowa

7) Kansas

8) North Dakota

9) Oregon

10) Washington

11) Idaho

12) Montana

38 more to go...

[cooper]

Thanks for your help. I really appreciate it.

Elyse

[deepz]

Hey, don't forget SOUTH Dakota, State #13. .... 37 more to go.

http://aana.com/news/2005/news031805.asp

States opting out of requirement for physician supervision:

1) Alaska

2) New Mexico

3) New Hampshire

4) Minnesota

5) Nebraska

6) Iowa

7) Kansas

8) North Dakota

9) Oregon

10) Washington

11) Idaho

12) Montana

38 more to go...

[BigDave]

When looking at gaswork.com, what does this mean:

What percentage of the time will the CRNA be Medically Directed by an anesthesiologist?100%If the CRNA will be Medically Directed by an Anesthesiologist, who administers the induction agents?Anesthesiologist

In this practice, does the CRNA just babysit the middle of the case?

[kmchugh]

When looking at gaswork.com, what does this mean:

What percentage of the time will the CRNA be Medically Directed by an anesthesiologist?100%If the CRNA will be Medically Directed by an Anesthesiologist, who administers the induction agents?Anesthesiologist

In this practice, does the CRNA just babysit the middle of the case?

That's how I read these ads.

KM

[apaisRN, RN, CRNA]

My understanding is that CRNAs can practice without supervision in any state, but Medicare only reimburses for the services if it is an opt-out state. If you think about it, it's amazing that there are so few opt-out states, with all the money that could be saved. Shows the power of the AMA/ASA.

[snakebitten]

Wrong--1% to 100% supervised means just that. The MD can come in and change your plan if he or she feels necessary. They will be there on induction, sometimes push your drugs (that they decide), start your lines etc.. and leave, then come back for emergence and extubation. (Try to do a locum job in Pennsylvania and you will see what I mean) To them you are a technician, uncapable of making a sound decision on your own. Why do CRNA's need to "collaborate"? Define collaborate.

True autonomy is making your own SOLO decisions, depending only on yourself.

Anyway,

Gotta go do my next case--(All by myself on call 24 hours as it should be)

Mike CRNA

[air]

In all fairness to PA,

the climate in PA for CRNAs for slightly mal-aligned, the atmosphere is repressive but in some facilities the CRNA's that are group employees are able to start their own cases and progress with it to completion. The MDA does not show up but is busy in another room doing another case( sitting and charting not giving breaks). It just depends on your location in PA.

Wrong--1% to 100% supervised means just that. The MD can come in and change your plan if he or she feels necessary. They will be there on induction, sometimes push your drugs (that they decide), start your lines etc.. and leave, then come back for emergence and extubation. (Try to do a locum job in Pennsylvania and you will see what I mean) To them you are a technician, uncapable of making a sound decision on your own. Why do CRNA's need to "collaborate"? Define collaborate.

True autonomy is making your own SOLO decisions, depending only on yourself.

Anyway,

Gotta go do my next case--(All by myself on call 24 hours as it should be)

Mike CRNA