I think we owe a round of applause to the state legislature of indiana. I just spent about 20 minutes looking over the Indiana state code and it is fascinating.....and in response to
"We have more specific.....CRNA's have the option of going back to school for 2 years if they really want to be treated as APN's."
Here are a few direct quotes from the state law IC (Indiana Code)
Sec. 1. As used in this chapter:
(a) "Board" means the Indiana state board of nursing.
(b) "Advanced practice nurse" means:
(1) a nurse practitioner;
(2) a nurse midwife; or
(3) a clinical nurse specialist;
who is a registered nurse qualified to practice nursing in a specialty role based upon the additional knowledge and skill gained through a formal organized program of study and clinical experience, or the equivalent as determined by the board, which does not limit but extends or expands the function of the nurse which may be initiated by the client or provider in settings that shall include hospital outpatient clinics and health maintenance organizations.
Advanced practice nurses; collaboration with licensed practitioner
Sec. 19.4. (a) As used in this section, "practitioner" has the meaning set forth in IC 16-42-19-5. However, the term does not include the following:
(1) A veterinarian.
(2) An advanced practice nurse.
(b) An advanced practice nurse shall operate in collaboration with a licensed practitioner as evidenced by a practice agreement, or by privileges granted by the governing board of a hospital licensed under IC 16-21 with the advice of the medical staff of the hospital that sets forth the manner in which an advanced practice nurse and a licensed practitioner will cooperate, coordinate, and consult with each other in the provision of health care to their patients.
As added by P.L.185-1993, SEC.7.
From my understanding the APN MUST be in collaboration with a physician in order to be able to practice....hmmm lets look at the rules for CRNA's, in the State Code
"Certified registered nurse anesthetist" defined
Sec. 1.4. As used in this chapter, "certified registered nurse anesthetist" means a registered nurse who:
(1) is a graduate of a nurse anesthesia educational program accredited by the American Association of Nurse Anesthetists (referred to as the "AANA" in this chapter) Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor;
(2) is properly certified by successfully completing the certification examination administered by the AANA's Council on Certification of Nurse Anesthetists or its predecessor; and
(3) is properly certified and in compliance with criteria for biennial recertification, as defined by the AANA Council on Recertification of Nurse Anesthetists.
As added by P.L.185-1993, SEC.3.
And on the issue of "forced collaboration" or "under medical Direction" the next one is the kicker.
(4) Requires that a:
(A) licensed physician with specialized training or experience in the administration of an anesthetic; supervise the administration of or
(B) certified registered nurse anesthetist (as defined in IC 25-23-1-1.4 );
administer the anesthetic to a patient and remain present in the facility during the surgical procedure, except when only a local infiltration anesthetic is administered.
Looks like they took out the MDA requirement for supervision.
I think this looks good for our profession. and maybe we shouldn't be considered APN's, I dont know. It looks like CRNA's are looked differently, higher?, in indiana, I dont know.
But please, especially anyone out there reading this verrry long post as a student...do not get the idea that this profession is about being the boss...its about being a team player...and if you can't agree with that...than maybe this isn't the right job.
Sorry for being long winded. wheeew