This has nothing to do with nurses in the traditional sense. It has to do with mid level providers. Nurse Practitioners and CRNAs. Many of these providers want to practice independently and will often go so far as to get DNPs and think they earn the title doctor in the clinical setting.
In Florida a few years ago DNP CRNAs started to introduce themselves as Doctor so and so and called themselves nurse anesthesiologists. The court put a stop to that as fraudulent representation. A CRNA has a baseline requirement of a masters degree and two years of clinical practice. Many nurses coming out will point blank tell you they got a BSN will spend exactly 24 months as an icu bedside nurse then get a masters and say they are ready for independent practice. They have minimal impactful clinical experience
Contrast to an actual anesthesiologist who spends beyond his bachelor degree often in biology or chemistry four years in medical school passing three US Medical licensing exams. Then is selected to a rigorous residency often needing to be in the top of his or her medical class. Spends one year in surgery or internal medicine before even being introduced to clinical anesthesia. After this base year, there is three years of rigorous supervised clinical experience including tests every year called in service tests to monitor progress.
All this pays off at the end of four years in a very difficult written board certification examination. If you pass the written you practice for a year and then are invited to an oral examination at a minimum 18 months beyond residency.
It is only after a decade of advanced training we are allowed to say we are board certified. Contrast that to two years.
Patients should always ask and advocate for themselves. In this case patients should always ask if they are being attended to by an anesthesiologist or a nurse. If a nurse is involved ask if the anesthesiologist is in the hospital and how many rooms they are supervising. Demand to see the anesthesiologist before going to the OR
If the mid level is an anesthesia assistant (AA) you can take comfort that AAs are trained to work only strictly supervised and are not asking the federal government to grant them independent practice.
There is certainly a role for mid level providers. But independent is not it. They are referred to as physician extenders because of scarcity of resources and increasing numbers of procedures requiring anesthesia. You are safest in the hands of an anesthesiologist who is personally administering your anesthetic or supervising no more than 4 cases
I’m not in need of any clarification.
You attempted to obfuscate the facts by ignoring that this was a care team model anesthetic and an anesthesiologist was present. You quickly turned this into “CRNA bad, doctor good” argument which was never the purpose of the original Pat at all.
You really ought to change your handle to “gaslighting_dr”. More often than not, you bloviate then accuse others of twisting your words.