Scope of Practice

[paindoc]

How is scope of practice defined for CRNAs? Is it based on training in CRNA school? Based on common usage of techniques by CRNAs?

[n_g]

95 % pain management is provided by family MDs and surgeons in everday practice. Prrior posts stated FP's have more education than CRNA"s in pain mgmt.... the above links from brief 5 min search prove otherwise.

Issue stated is SCope of practice standards for this profession INCLUDES pain managment education as part of basic education....more indepth training and education availalbe for those that choose that root.

We're talking about interventional pain medicine. I guess giving someone an aspirin is pain management, but it's not interventional pain medicine.

Most interventional pain medicine is done by pain docs with a few CRNA's who do a small subset of it without trying to draw too much attention to themselves.

It'll be interesting to see if there's an court in this country who would agree that CRNA's should be allowed to do pain. They have a huge uphill climb to convince people they should. If I were a CRNA considering pain, I would wait to see how it plays out before spending $2200 for a weekend NAPE seminar. Those are the folks who are really making the killing.

[stanman1968]

Ng have you ever performed an ISB,femoral, sciatic, or politeal nerve block for post op pain? TA-DA acute pain managment. The skill set is any different for any block it is placing a needle near a nerve and injectin a poison. A surgical rotation all 2 months of it does not make you any better at it.

Most pain medicine is practiced by FP docs period, they get their interventional traing in weekend warrior courses just like we do, excuse me for the doctor, I am sure it is called and educational seminar to expound on already known principles of medicine that only they can no about as the information is written in doctorease and cannot be read by lowly mortals like nurses. (Damn that is a run on from hell)

The leagel issues will be worked out and in the end CRna's will do pain justr as we do regional, and peripheral and as we are independent providers.

Good luck holding back the hands of time.

[jwk]

Somehow you are missing the message that they ARE independent providers responsible for their own actions and held legally liable for acts omission and commission.

.

And somehow you're missing the message that pain management is NOT the same as "administering anesthesia".

[stanman1968]

Thats enough of this, thankyou so much. Toodles

[deepz]

And somehow you're missing the message that pain management is NOT the same as "administering anesthesia".

Straw Man: an argument not advanced.

[NRSKarenRN, BSN, RN]

Since scope of practice standards answered and educational links provided, closing thread.