jwk

jwk

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All Content by jwk

  1. CMS reimbursement rules for AAs

    jwk replied to wtbcrna's topic in Certified Registered Nurse Anesthetist, CRNA

    Interesting article as well, which I read last year. It has generated quite a lot of discussion and comment. A review of 15,000 anesthesia records from our practice would show exactly zero...

  2. CMS reimbursement rules for AAs

    jwk replied to wtbcrna's topic in Certified Registered Nurse Anesthetist, CRNA

    I had not seen this article - thanks for bringing it up. It has several factual errors. They can't even get the 7 TEFRA requirements correct - great "peer review" - and the author actually lists 8 of...

  3. AANA urges Medicare to consider hospital anesthesiology efficiency measures

    jwk replied to wtbcrna's topic in Certified Registered Nurse Anesthetist, CRNA

    And of course nobody speaks to the content of Janice's letter - although I can guess of course how most CRNA's would feel. Not EVERY anesthesia group receives a stipend for providing services. Many...

  4. CMS reimbursement rules for AAs

    jwk replied to wtbcrna's topic in Certified Registered Nurse Anesthetist, CRNA

    Not sure what site this is off of or if I even wrote it. (feel free to PM me the source so I can look up the whole post in context) Regardless - if you indeed sign a record in an ACT practice...

  5. CMS reimbursement rules for AAs

    jwk replied to wtbcrna's topic in Certified Registered Nurse Anesthetist, CRNA

    1. Why is jwk in a CRNA forum? Are you that insecure? Been here for years - didn't know being a CRNA was a requirement - and apparently it's not since there are lots of non-CRNA's on this part of the...

  6. CRNA's working with AA's

    jwk replied to OscarRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Not defensive at all - I just know total BS when I see it. I can guarantee you - every AA in practice, as well as students, know how to start an IV or mix a bag of pressors. Many AA's do in fact have...

  7. AANA (NON) membership anyone?

    jwk replied to ruler of kolob's topic in Certified Registered Nurse Anesthetist, CRNA

    I see - because you say it, it must be so. If it were true, why can you not provide a single example? Surely there is a well-publicized case out there - if anesthesia billing fraud is as rampant as...

  8. CMS reimbursement rules for AAs

    jwk replied to wtbcrna's topic in Certified Registered Nurse Anesthetist, CRNA

    TEFRA rules, as you know, refer to billing practices for anesthesia. They apply to AA's as well as CRNA's. A practice that chooses to bill under "medical direction" indicates that an...

  9. AANA (NON) membership anyone?

    jwk replied to ruler of kolob's topic in Certified Registered Nurse Anesthetist, CRNA

    You should read what you provide links for - that's a link to an item on the ASA website Anesthesiology has two articles regarding "medical direction" - one is the Silber study that I'm sure you're...

  10. CRNA's working with AA's

    jwk replied to OscarRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Facts are your friend - you don't have any. Your opinions are laughable since you clearly have not actually worked with

  11. AANA (NON) membership anyone?

    jwk replied to ruler of kolob's topic in Certified Registered Nurse Anesthetist, CRNA

    1) You are correct - AA's do not currently serve in the military - but that can be changed with the stroke of a pen. Surely you recognize that civilian and military...

  12. CMS reimbursement rules for AAs

    jwk replied to wtbcrna's topic in Certified Registered Nurse Anesthetist, CRNA

    Whoop de ******* do! Nothing has changed. AA's have always been medically directed. Just because some idiot pencil pusher at a regional CMS office decided to interpret some regulation differently...

  13. Can I be a CRNA with Malignant Hyperthermia?

    jwk replied to guest_57352's topic in Certified Registered Nurse Anesthetist, CRNA

    There's a huge difference between "there are no reported cases....." and "It's safe for an anesthesia provider with a documented history of MH....." It would certainly be prudent to find out whether...

  14. Can I be a CRNA with Malignant Hyperthermia?

    jwk replied to guest_57352's topic in Certified Registered Nurse Anesthetist, CRNA

    Absolutely fascinating question, and this was the only reasonable response so far. Simply because of what an anesthetist does and where they are, it seems reasonable to think there would be more of an...

  15. Bair Huggers

    jwk replied to canesdukegirl's topic in Operating Room

    The proper technique is strap over the patient (if you want a towel or even the gown between the strap and skin, that is fine), THEN the BairHugger blanket, and then a sheet or blanket if you want...

  16. Utah surgeons against AA's

    jwk replied to CPhT2RNstudent's topic in Certified Registered Nurse Anesthetist, CRNA

    As you are well aware, tens of thousands of CRNA's, including many without a degree of any type, work in anesthesia care team settings under the supervision or direction of an anesthesiologist, just...

  17. CRNA- is a strong science background really relevant towards being a CRNA

    jwk replied to jessicanursing101's topic in Certified Registered Nurse Anesthetist, CRNA

    Read the thread

  18. Anesthesia tech duties

    jwk replied to canesdukegirl's topic in Operating Room

    A lot of it depends on training, intelligence, motivation, etc. Some anesthesia techs function at a very basic level - they change circuits and stock carts, and that's about it. That's probably all...

  19. CRNA- is a strong science background really relevant towards being a CRNA

    jwk replied to jessicanursing101's topic in Certified Registered Nurse Anesthetist, CRNA

    Pretty funny - there has been a heated discussion elsewhere on the internet from CRNA's who totally dismiss the idea that the hard sciences are

  20. Epidural management in RN scope of practice?

    jwk replied to Selke's topic in Ob/Gyn

    Georgia - happens all the time at many of the hospitals I've worked at or are familiar with their practices. It depends on the state. And we're talking about several different things. 1 -...

  21. Epidural management in RN scope of practice?

    jwk replied to Selke's topic in Ob/Gyn

    Strange - CRNA's want to expand their scope of practice into the practice of medicine and most RN's shout hooray and tell them to go for it - but ask an L&D RN to simply adjust a pump and they...

  22. CRNA Part Time Opportunities

    jwk replied to Southbound's topic in Certified Registered Nurse Anesthetist, CRNA

    The jobs are there. You have to look for them - they don't generally look for you. There is still an overall shortage of anesthesia providers nationwide - but there is a distribution problem. Too...

  23. Med school for experienced CRNA?

    jwk replied to SpouseofChicagoCRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Most of the info you have received is correct - there are no shortcuts through medical school or any kind of residency, anesthesia or otherwise, simply because your wife is a CRNA. I would advise...

  24. Do patients have Mental Changes post heart surgery due to anesthesia?

    jwk replied to Chapis's topic in Certified Registered Nurse Anesthetist, CRNA

    Post-op mental changes following cardiopulmonary bypass are a well-documented phenomenon, and are unrelated to anesthesia. The phrase "pump-head" has been in use for years to describe this problem....

  25. What is a Doctor of Nursing Practice (DNP) and Doctor of Nurse Anesthesia Practice?

    jwk replied to DNAP2b's topic in Certified Registered Nurse Anesthetist, CRNA

    Clearly you're fooling yourself. Compared to what? A masters in education that takes a year? And as with Stan, you're clearly fooling yourself, or woefully