'PA anesthetist'?

Published

My patient's daughter the other day said "my daughter's an anesthetist." So I say, "oh, a nurse anesthetist?" and she replies, "no, a PA anesthetist." I'm pretty sure there's no such thing and this woman just had the title a little confused, but she insisted her daughter was a "PAA". She said her daughter went to Emory so I'm assuming she's an AA, and maybe was a PA-C before going to AA school? I just thought the whole thing was curious, as this woman seemed insistent that PA anesthetist was her daughter's title. She then said "the CRNAs hated the AAs in her practice", not knowing of course that I am about to start NA school. I just replied that I think a lot of the disagreements among the different types of anesthesia providers are probably blown out of proportion. I am not trying to start any fights here; I was just curious if anyone else had heard this term.

There are two fully qualified anesthesia provider types accross the entire spectrum of clinical anesthesia delivery, CRNAs and Anesthesiologists. AAs by design and legislative mandates are fully dependent on anesthesiologist supervision. In many areas of the US CRNAs are autonomous providers that work in cooperation with their sugeon colleagues without anesthesiologist involvement of any sort. This includes full service pain services including interventional and implantables.

Contary to the propagana espoused by many in organized medicine there is no federal standard of care that requires anesthesiologist supervision of CRNAs. All there is a CMS regulation pertaining to billing Medicare! To date I believe 12 or so states have opted out of this requirement. Hopefully the remaining 38 will follow.

Best,

Art

You can't even get your own specialty's facts straight.

Up Vote Up Vote ×
Specializes in Pain Management.

So if anesthesiologists are wrong for trying to limit CRNA's practice or replace them with AA's when there is a shortage [and a bigger one in a decade] of anesthesia providers, then how is it ethical for CRNA's to limit the spread of AA's when there is the previously mentioned shortage?

Up Vote Up Vote ×
Specializes in SICU.
So if anesthesiologists are wrong for trying to limit CRNA's practice or replace them with AA's when there is a shortage [and a bigger one in a decade] of anesthesia providers, then how is it ethical for CRNA's to limit the spread of AA's when there is the previously mentioned shortage?

for the same reason that the MDAs want to limit the CRNAs.

Up Vote Up Vote ×
Specializes in Anesthesia.

As Proclivity said:

"......waa, waa, wa, wah, wah!!!"

Up Vote Up Vote ×
for the same reason that the MDAs want to limit the CRNAs.

I love hypocrisy!

Up Vote Up Vote ×

This thread is hilarious.

Anesthesiologist want to limit crna's. CRNA's want to claim equivalence to anesthesiologists and practice solo because there is a shortage of providers and the rural areas are left out if supervision is mandatory. Now there is another provider to help make up the numbers and CRNA's quit their jobs (UNM) because they hired more providers. Does any of this make sense to any of you.

There are plenty of cases for everyone. Don't be so two-faced.

And deepz, you really need to get your facts straight.:down:

Up Vote Up Vote ×
Specializes in NICU Someday, I Hope.

Everyone's just trying to protect (and increase) their piece of the pie and, I think, the debate has little to do with patient access nor quality outcomes.

Up Vote Up Vote ×
This thread is hilarious.

Anesthesiologist want to limit crna's. CRNA's want to claim equivalence to anesthesiologists and practice solo because there is a shortage of providers and the rural areas are left out if supervision is mandatory. Now there is another provider to help make up the numbers and CRNA's quit their jobs (UNM) because they hired more providers. Does any of this make sense to any of you.

There are plenty of cases for everyone. Don't be so two-faced.

Seems like there are still plenty of CRNA's at UNM.
Up Vote Up Vote ×
Specializes in Anesthesia.
......And deepz, you really need to get your facts straight.:down:

Care to be specific? Or are you just here to throw dirt?

?

Up Vote Up Vote ×
Specializes in SICU.
Care to be specific? Or are you just here to throw dirt?

?

perhaps i may speak for little fish......touche'!

Up Vote Up Vote ×
Specializes in Junior Year of BSN.

Just wondering if the OP had her ORIGINAL question answered...its like we started painting yellow and ended up with magenta.

Up Vote Up Vote ×
Specializes in Adult SICU; open heart recovery.

OP here. I was just wondering how this thread had devolved into yet another argument. All I wanted to know was if the term "PA anesthetist" is used much, as I'd never heard it before :)

Just wondering if the OP had her ORIGINAL question answered...its like we started painting yellow and ended up with magenta.
Up Vote Up Vote ×
+ Join the Discussion