“CRNAs should not have independent practice and should have strict supervision. If you don’t want that then please feel free to get to medical school and residency.”
That’s your opinion and not the reality of how anesthesia care is delivered in the United States. More than 60% of all anesthetics are administered by advanced practices nurses (CRNAs). If you can’t stand us then go work in a physician-only department. Otherwise care team models and CRNA independence is a factual reality
I never said boo about the care team. It is an acceptable model. Anesthesiologists need extenders as there are far more anesthetizing locations than the OR. Don’t twist words.
I said midlevel providers should have tight oversight. Bill Clinton allowed the opt out. The AANA had increasingly blurred lines and lied about the overall safety of CRNAs putting them on the same level of anesthesiologists. Irbid untrue.
I have worked with excellent CRNAs in my life. As a team concept it is wonderful. I have worked with a lot of CRNAs who believe they are anesthesiologists and don’t want or need supervision. That’s dangerous.
I have reviewed numerous cases of unsupervised or medically supervised (not medically directed by an anesthesiologist) with horrendous results.
I think 1:4 supervision is ok at a maximum. If you have routine ASA 1-2 patients that is a decent ratio. Hearts should be no more than 1:2. Some cases should be MD administered only.
You cleverly twisted my statement. So I am of the opinion you needed clarification. Do you think CRNAs should be allowed to practice independently?