Opinions on ACT model?

[Alexxoxox, BSN]

What is your opinion on the ACT model? Do you prefer to have an Anesthesiologist MD overlooking you, or do you prefer to work as an independent anesthesia provider?

[offlabel]

Which type of ACT model?

[Alexxoxox, BSN]

Which type of ACT model?

Anesthesia Care Team, where an MD is in charge of 4 CRNAs.

[offlabel]

Direction or supervision?

[Bluebolt]

I equate the ACT model to this.

Imagine you have 5 ICU RNs who are all trained, licensed and capable of performing the same tasks. 1 of them is a BSN and the other 4 are ADNs. It's decided for billing purposes that the BSN nurse will supervise the 4 ADNs and the ADNs will all take their normal two patient load. The BSNs responsibility will be to do the head to toe assessment at 0800 and 1600 and that's it, just hang out and be on standby in case of emergency or bathroom breaks. All other direct patient care and work are done by the ADNs for their patients. At the end of the day, you're left with a lazy BSN nurse who has forgotten how to do anything but write head to toe assessment and you're left with overworked ADNs who aren't good at doing head to toe assessments anymore.

The best part is the BSN nurse will get double the pay.

BSN Nurse would be the Anesthesiologist and the ADN would be the CRNA.

If that all sounded like it's awesome, financially and clinically a good idea, you'll LOVE ACT models.

FYI, CRNA only or collaborative is the way to go.

[wtbcrna, MSN, DNP, CRNA]

People are comfortable in different types of practices. I prefer independent practices, but despite the differences in practice types independent CRNAs are just as safe and effective as our MDA counterparts.