Is the AA profession gaining ground?

SigmaSRNA · Apr 6, 2006

Booya.

Now all you need is some pom-poms to go with the cheerleading outfit.

rn29306 · Apr 6, 2006

Don't get your panties in a wad just because you got called out for being sensitive. I've heard some women actually like people like you.

And I see you are enjoying the benefits of annomyous internet posting.

SigmaSRNA · Apr 6, 2006

Don't get your panties in a wad just because you got called out for being sensitive. I've heard some women actually like people like you.
And I see you are enjoying the benefits of annomyous internet posting.

Actually I wear boxer briefs but who's counting.

Its all in fun maam/sir. That's what this forum is all about. Exchanging ideas, making friends; you gotta love it.

And for the record, they have male cheerleaders so you might not need the pom-poms.

maturner · Apr 6, 2006

Now all you need is some pom-poms to go with the cheerleading outfit.

Wow, that is some great clinical debate.

So you want to discuss whether Sevo or des is better for the obese pt. Okay, you start... ...waiting ...waiting ...oh yea, you would have no idea given the fact that you have NEVER used either one! So much for the discussion.

SigmaSRNA · Apr 6, 2006

Wow, that is some great clinical debate.
So you want to discuss whether Sevo or des is better for the obese pt. Okay, you start... ...waiting ...waiting ...oh yea, you would have no idea given the fact that you have NEVER used either one! So much for the discussion.

Your right. I'm a first year in a front-loaded program. Haven't used it yet. And last I checked, this wasn't a sevo vs. des debate. But having worked at a hospital in atlanta that uses AAs back in my trauma ICU days, this is something I know about. SO relax maturation and keep beating (the dead horse I mean).

rn29306 · Apr 6, 2006

Your right. I'm a first year in a front-loaded program. Haven't used it yet. And last I checked, this wasn't a sevo vs. des debate. But having worked at a hospital in atlanta that uses AAs back in my trauma ICU days, this is something I know about. SO relax maturation and keep beating (the dead horse I mean).

This board allows anyone to establish pseudo-credibility and play with the big dogs. Truth is you have no hands-on anesthesia credibility. Your just a know-it-all first year student, typical of most programs. Not saying you are wrong, just saying you don't count.

So you have dealt with AAs as a unit RN. Congratulations. I have dealt with them as an anesthesia provider and I see the big picture. I have been in the trenches with the AAs. I see how f'ed up Georgia is. I worked at Memorial in Savannah. Their PACU has the mentality of a battleground due to the conflicts between CRNAs and AAs.

Get back to reading Physiology. Come back here when you have a 1,000 cases under your belt.

jwk · Apr 7, 2006

This board allows anyone to establish pseudo-credibility and play with the big dogs. Truth is you have no hands-on anesthesia credibility. Your just a know-it-all first year student, typical of most programs. Not saying you are wrong, just saying you don't count.
So you have dealt with AAs as a unit RN. Congratulations. I have dealt with them as an anesthesia provider and I see the big picture. I have been in the trenches with the AAs. I see how f'ed up Georgia is. I worked at Memorial in Savannah. Their PACU has the mentality of a battleground due to the conflicts between CRNAs and AAs.
Get back to reading Physiology. Come back here when you have a 1,000 cases under your belt.

Ah, Savannah, that explains a lot.

We had plenty of their refugees years ago when they were employees of a private group. Now they're all hospital employees. I'm not sure how the PACU / CRNA / AA thing all fits together, but I'd be curious to know if you want to fill me in.

In all of the facilities I'm familiar with, the AA's and CRNA's get along well. I can understand differences of opinion, but it should never be an issue at any time in patient care situations.

Shocking as it might seem, I actually know of two AA/CRNA married couples. :eek:

louloubell1 · Apr 8, 2006

This board allows anyone to establish pseudo-credibility and play with the big dogs. Truth is you have no hands-on anesthesia credibility. Your just a know-it-all first year student, typical of most programs. Not saying you are wrong, just saying you don't count.

I'd rather hear from the "know-it-all-first-year-student" than the not-EVEN-been-accepted-to-a-program-but-somehow-still-manage-to-know-it-all. :devil: That's just me though.

Sheri257 · Apr 8, 2006

You get no argument from me on this. I have stated numerous times that the CRNA right out of school probably has an advantage over the new AA grad. But after 5 years you would not be able to tell them apart.

The real question is whether it's good public policy to take the chance with a less experienced AA over those five years, even if complications only arise in one percent of cases.

Everybody is going to have individual stories about bad AA's or bad CRNA's, etc. And even if more studies were done comparing the two, there would always be arguments over bias, flaws, etc.

It's really a question of risk and the best way to minimize that risk. I don't think there's any question that the CRNA critical care requirements, while not foolproof, do go long way toward minimizing that risk. It's got to be better than an AA program with no critical care pre-requisites at all.

If AA's want more credibility they should start requiring critical care in their programs, just like CRNA's do. And they should probably disallow liberal arts majors and such which, even though they are small in number does cause, at the very least, a perception problem regarding their abilities.

:typing

NewOrderPsychoFan · Apr 8, 2006

I have only read about the first two pages of this thread because I read the other entire 26+ page thread on this subject. It was very educational. Statistics aside - I can't understand why anyone would want to spend all those years of education and end up earning less money and work under a doctor, when you can work unsupervised and make more doing so. Why give doctors that power and not to mention your income?????????????? :selfbonk: :selfbonk:

georgia_aa · Apr 8, 2006

The real question is whether it's good public policy to take the chance with a less experienced AA over those five years, even if complications only arise in one percent of cases.
Everybody is going to have individual stories about bad AA's or bad CRNA's, etc. And even if more studies were done comparing the two, there would always be arguments over bias, flaws, etc.
It's really a question of risk and the best way to minimize that risk. I don't think there's any question that the CRNA critical care requirements, while not foolproof, do go long way toward minimizing that risk. It's got to be better than an AA program with no critical care pre-requisites at all.
If AA's want more credibility they should start requiring critical care in their programs, just like CRNA's do. And they should probably disallow liberal arts majors and such which, even though they are small in number does cause, at the very least, a perception problem regarding their abilities.
:typing

Where did you get the statistic that complications are occuring in 1% of AA cases???? That is an outrageous fabrication. Where is your data to support the notion that the public is at risk?? It is a fact that AAs are as safe as CRNAs. If you read the rest of my post, I said that the brand new AA is a little more closely supervised by the MDA and is doing the more basic cases right at first - no one is at risk and to allege that they are is pure unsubstantiated crapola. They ramp up quickly to being more independant and doing more difficult cases over the first year as they grow more comfortable and experienced.

Also, we don't feel like we lack credibility at all. Amongst those that matter, our patients, the ASA, and the CRNAs that we work with our credibility is fine. It's only the CRNAs that don't know us, or don't want to know us that we lack credibility and to be honest with you - that's more your problem than ours.

rn29306 · Apr 8, 2006

I'd rather hear from the "know-it-all-first-year-student" than the not-EVEN-been-accepted-to-a-program-but-somehow-still-manage-to-know-it-all. That's just me though.

Am I to assume you are referring to me by that statement?