Published Nov 16, 2005
CatskillNP
19 Posts
Sorry, title should be CRNA's
Tell me what you know/knew about the move to NP status in NY. Was looking through SED laws recently and saw CRNA's listed as an NP in NYS. That is new, very new. Did you know this was happening? How do you feel about it? what is the real situation for work/reimbursement. Is the battle with Anesthesiologists all it is said to be? Are people losing jobs and careers? Come on, inquiring minds want to know. CatskillNP
Kiwi, BSN, RN
380 Posts
The correct title is CRNA's (Cerified Registered Nurse Anesthetists). Are you sure the context is right? Since CNA = Certified Nursing Assistant.
You're absolutely right. So sorry to all the CRNA's out there. My bad. Anyone out there????
CRNA's have been reclassified as NP's in NYS
Nitecap
334 Posts
Here is what I found, maybe a mix up here.
Category III--Direct Medical Service Personnel, which includes PAs, NPs, clinical nurse specialists (CNSs), certified registered nurse anesthetists (CRNAs), clinical psychologists, and clinical social workers.
In light of this, and with approval from the study committee, the panel focused almost entirely on Category III providers, designating this group as "nonphysician practitioners." Throughout the remainder of this report, the term NPP refers specifically to these Category III providers.
Found this associated with the VA hospital rules and regulations. While CRNA's are APN there is a huge difference. They may refer to them as NP's but they cant just change the name of the profession, sorry.
You're right, they didn't change the name of the profession, they made them nurse practitioners. In NYS only Nurse practitioners are APRN's. Still looking for NY CRNA's. Prior to this summer, a CRNA was not an APRN in NYS
Dude all CRNA's in all states are APRN's. Whether they want to call them APRN's in legislature or CRNA's is another thing. But again, all CRNA's are APRN for the most part. All most all CRNA's still have their RN liscenses as well. They must keep it, its a rule. Fact is they may just be trying to generalize APRN's as a whole but they can not change the name of the profession. Many CRNA's have or say they white coat Joe Blow, APRN, CRNA, MSN ect ect.
Just as we call all NP APRN's as well but their is peds NP, adult care, acute care yada yada yada, we are all APRN.
smogmatt
108 Posts
just graduated from a NY program, and yes CatskillNP, we were also just made NPs and CRNA's.
NITECAP, CRNA's in the state of NY were not previously known as APRN's they were not recognized AT ALL by the DOH who regulates CRNA practice in NYS.
How does this change things? I don't think anyone knows just yet. the Hope is now that CRNA's have been grandfathered into the APRN arena, we will be able to have more autonomy. the problem before CRNA's were not able to bill Medicaid, or State Employees at all for any services preformed independently. so independent CRNA's in the State of NY took a hit any time they preformed anesthesia on these patients.
I am sure feathers are going to be ruffled but I think it was a good move to get the same recognition as other CRNA's get in other states.
Nitecap. as smogmatt says, CRNA's were not APRN's in NY. Only NP's were APRN's in NYS. All specialties of NP's are NP's. CRNA's were not APRN's. They were not NP's. Now they are.
Smogmatt....what and who's feathers do you feel will be ruffled. Will you be working in NY?? NP's in NY cannot get paid by the state employees. they train us, certify us and license us, but NYS in it's wisdom does not pay us. Stil a major battle. CNP
jenniek
218 Posts
What were CRNA considered prior to the change in title? In other states, I've always noted that CRNA's included in the APN rules and regulations. It's interesting to learn that it's taken this long to be included with APN.
Although......when I lived in Illinois, one of my nursing instructor was the ANA president for IL and stated the IL was very slow in new rules and at that time they were grandfathering in CRNA (and other nurses practicing in a APN role) as APN (this was 2001). Wonder how many other states have yet to grandfather in CRNA's with other APN?
Jennie
I believe they were in the same title category as CNS's. Certified Nurse Specialists. Their specialty being anesthesia. I have further learned today that not all CRNA's will be NP's. It will require additional education within an approved/accredited program. Very muddy indeed, but very interesting all the same. CNP
CatskillNP, your right not all CRNA's will be NP's our school had designed its curriculum specifically so it would met criteria for the students to become NP's (there by grandfathering in to APRN status) My understanding is this was done because the NYS assembly or the DOH would not recognize CRNA's as APRN's, this was a means to an end. Don't worry no CRNA's are going complete for NP's jobs.
that wasn't isn't the worry. No turf wars here :) Was actually much more interested in the process. How it came to be. What was the impetis? what is the gain? If CRNA's can petition and become NP's, what do CNS's have to do to be the same...just interesting informatinon as I said. I'm learning mroea bout it everyday. Smogatt, you staying in NY???? CNP