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wtbcrna MSN, DNP, CRNA

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wtbcrna is a MSN, DNP, CRNA and specializes in Anesthesia.

USAF nurse

wtbcrna's Latest Activity

  1. wtbcrna

    CRNA, Anesthesiologist Relationships

    AAs are not similar at all and neither is their education. The only way that their education is seen as similar is in the way the ASA takes abridged and often fabricated view of CRNA training. The only place CRNAs and AAs are similar is in restrictive ACT practices. AAs were created supposably d/t not having enough overall anesthesia providers at that time. “2. What is the origin of the Anesthesiologist Assistant profession? In the 1960s, three anesthesiologists, Joachim S. Gravenstein, John E. Steinhaus, and Perry P. Volpitto, were concerned with the shortage of anesthesiologists in the country. These academic department chairs analyzed the spectrum of tasks required during anesthesia care. The tasks were individually evaluated based on the level of professional responsibility, required education and necessary technical skill. The result of this anesthesia workforce analysis was to introduce the concept of team care and to define a new mid-level anesthesia practitioner linked to a supervising anesthesiologist. This new professional - the Anesthesiologist Assistant or AA - had the potential to at least partially alleviate the shortage of anesthesiologists.” https://aaaa.memberclicks.net/faqs#originofAAs The true purpose of AAs, at least in recent history, is to have an anesthesia provider that is completely controlled by physician anesthesiologists allowing physicians to completely control the anesthesia market. It’s not about patient safety or increases access to care it’s about money and physician egos.
  2. wtbcrna

    CRNA, Anesthesiologist Relationships

  3. wtbcrna

    CRNA, Anesthesiologist Relationships

    Just because it bothers your ego does not change the facts that anesthesia has always been a nursing speciality long before it was medical speciality. The exact definition of anesthesiology is the study of anesthesia. Where were you when AAs were/are calling themselves Anesthetists? Are you going to say that AAs had a historical precedence from 70+ years ago calling themselves anesthetists?. CRNAs calling themselves a nurse anesthesiologist is neither deceiving or harmful in any way and accurately describes their job. The descriptor also sets them apart from assistants calling themselves anesthetists. The only thing getting harmed here is some physicians’ egos.
  4. wtbcrna

    CRNA, Anesthesiologist Relationships

    Anesthesiology is literally the study of anesthesia. Modern anesthesia was invented by a dentist and was a nursing speciality decades prior to it being a medical speciality so if you want to quote historical precedent then physicians are practice a nursing speciality. The term nurse anesthesiologist has been around since at least the 1950s. That is without even quoting the early court battles that determined when a nurse practices anesthesia it’s a nursing speciality.
  5. The AANA has specific resources on working in dental offices doing sedation for CRNAs. It’s recommended to check state laws and consult with the AANA prior to providing sedation in a dental office or other provider type office sedation cases.
  6. I taught them clinical anesthesia. I know where you are going, and as military anesthesia CRNA we teach our students “we don’t share rooms”. It is 1:1 instruction. We are independent providers that do not work under direction or supervision. There is a lot more to anesthesia than the didactic portion, which OMFS residents, get minimal anesthesia didactic instruction. I also have taught didactic classes for anesthesia SRNAs.
  7. CRNAs that have questions about the state requirements for anesthesia laws can contact the AANA state government affairs division. Disclaimer: I am not expert in dental office sedations laws even though I have taught OMFS residents for several years and provided numerous anesthesia for dental procedures. https://www.aana.com/advocacy/state-government-affairs
  8. I read the Arizona boards requirement and it does appear that it is needed to employ a CRNA. You have to give a person a second to actually look at the information before responding over and over.
  9. Arizona and New Mexico 2/25. I will try to send you a pm picture. This is from the AANA, and no offense to your expertise I will take my professional organization word over a random person’s on the internet.
  10. Nice. DNAP, MSN, CRNA, adjunct faculty two universities, one ongoing research project/OB. 18+ years USAF.
  11. https://www.aana.com/states/state-association-advocacy-resources Arizona and New Mexico 2/25.
  12. What is your background education etc.?
  13. The AANA, as already stated, has a guide on with the up to date dental anesthesia requirements as it relates to CRNAs, if you have an official link that provides different data on all states and US territories then post it.
  14. This is incomplete and incorrect. The laws vary by state and although dental boards can dictate dental practices they cannot dictate nursing practices. The dental permit for sedation is dependent on the state. The issue of supervision is dependent on state laws and/or if you are billing Medicare or not. There are 25 states that require dental sedation permits for dentists for CRNAs or MDAs to work in dental offices (few states are MDA only). Members of the AANA can access the regulations required by state and further information for CRNAs that are interested in providing anesthesia in dental offices.
  15. wtbcrna

    CRNA, Anesthesiologist Relationships

    The official reason AAs were invented was to address the supposed lack of anesthesia providers. The real reason AAs are in existence is to maintain anesthesiologists control of the anesthesia market. When AAs have and can practice independently while having the same proven outcomes as independent CRNAs or anesthesiologists then we can talk about AAs and CRNAs being equal.
  16. You need to go back and read the whole thread before responding. Each one of your comments has already been addressed. I’ll recap though: 1. The title of Nurse anesthesiologists goes back till at least the 1950s. 2. There are dental anesthesiologists, veterinary anesthesiologists, physician anesthesiologists, and nurse anesthesiologists. It is only when CRNAs use the title nurse anesthesiologist that you suddenly hear the argument of patient confusion and other nonsense. 3. The term anesthesiologist is obviously not a protected title as other non-physician anesthesiologists have used it for years. 4. Physicians not CRNAs have for years sought to obscure and confuse the public about the title anesthetist, and now when the title Nurse anesthesiologists has been revived they are upset. 5. This is nothing more than a power struggle between APRNs and physicians. Physicians want to keep APRNs obscure and under their supervision. This is done to keep their wallets fat and egos inflated. It doesn’t matter if you agree or not you can see this by workplace arrangements, unnecessary state laws that do nothing for patient safety but keep MDAs out of the OR while increasing their salaries off the work of CRNAs. 6. Each provider should be allowed to practice to their full scope of practice that is something physicians have fought for over 100 years and CRNAs addressing themselves as Nurse anesthesiologists is part of that ongoing struggle.

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