It’s an exciting time to be involved in Nurse Anesthesia Education. The advent of the clinical doctorate, new technology, and political influences have brought with them both positive and negative chatter within our profession . . . which all leads to interesting dialogue.
To best meet the needs of the millions of newly insured patients and our most vulnerable populations living in medical deserts, states should remove the remaining barriers and allow all APRNs to practice to the full scope of their education and training without physician supervision.
Nurses and nurse anesthetists were absolutely vital providing care to wounded soldiers during the American Civil War. 150 years ago, administering anesthesia was, at best, a crude exercise with no monitoring save a finger on the pulse and a conscientious effort to observe breathing patterns and the color of the patient's skin.
What do the anesthesiologists think of the research?
Not much. Here’s the official reaction from the American Society of Anesthesiologists. Billing data is a poor way to judge quality and outcomes, and can’t distinguish between complications stemming from a surgical procedure and from anesthesia, ASA president Alexander Hannenberg tells the Health Blog. He says the study didn’t include enough cases to capture any significant differences in mortality rates, given that mortality is exceedingly rare — one estimate is one death per 240,000 anesthetics. He also cites an ASA-funded survey that found that the public wants physicians to supervise their anesthesia.
Our analysis of seven years of Medicare inpatient anesthesia claims suggests that the change in CMS policy allowing states to opt out of the physician supervision requirement for certified registered nurse anesthetist reimbursement was not associated with increased risks to patients. In particular, the absolute increase in the provision of anesthesia by unsupervised nurse anesthetists in opt-out states was virtually identical to the increase in non-opt-out states, and the proportional increase was smaller in opt-out states.
As none of the data were of sufficiently high quality and the studies presented inconsistent findings, we concluded that it was not possible to say whether there were any differences in care between medically qualified anaesthetists and nurse anaesthetists from the available evidence.
There was no evidence that “patients are exposed to increased surgical risk if nurse anesthetists work without physician supervision,” they write. The researchers did find that anesthesiologists tended to work on more complex cases than did nurse anesthetists, and they controlled for that factor in their analysis.
Please bring your positive energy to clinical and other people would feel better around you. Imagine you being surrounded with negative people, would you feel happy and energized by the end of the day? Act on it and you can become the superstar at your work place or the superstar SRNA at your clinical site.
If we cut out physician involvement in order to make anesthesia cheaper, we’re kidding ourselves to think that quality and safety won’t suffer. The American people deserve better.
Helping others has always been a high priority for you, but you’d be lying if you said you weren’t concerned with the compensation. And yes, you want job security, but you’re still itching for the challenge of making your own decisions and having the authority of expertise.
If this is you, then it’s time to consider a career as a nurse anesthetist (CRNA).
Can a highly trained nurse deliver anesthetics as well as a physician who has specialized in anesthesiology, or does the nurse require close medical supervision?
The best part of my job is when my patient wakes up and asks when he or she’s going to surgery, or when a parturient stops screaming in pain after the epidural is placed, or when the patient tells me that’s the best sleep he’s had in years. I get paid to do this. I still am in awe of it.
CRNAs provide high-quality anesthesia care at a reduced cost to patients and insurance companies.
Here at Nurse Anesthetist.Org you will find topics related to Nurse Anesthesia including people and events that are important to our professional practice. This web site is about people not policy, personal experience and events rather than politics.
We can’t live without our smartphones these days. There are several good apps I really like. The apps are particularly helpful for cases I don’t do on a regular basis. So this post is dedicated to the smart phone apps.
Lysing the dogma is what I do behind the drapes!
Loveurtrachea - 'Dedicated to the prevention of subglottic stenosis through new safety standards in anesthesia'.
My goal is to build this up to an efficient guide of accurate and pertinent information in all aspects of nurse anesthesia. I welcome all suggestions and any guides you like me to share. Thank you for all your support and patience!
The AANA Journal is the official scholarly journal of the American Association of Nurse Anesthetists. Published bimonthly, the AANA Journal delivers practical clinical information that fosters the understanding of the science of anesthesia delivery and investigates ideas, issues and innovations that advance the practice of nurse anesthesia.
AANA advances patient safety, practice excellence, and its members’ profession.
•Promote quality and safe anesthesia services to the veteran patient
•Provide continuing education for VA nurse anesthetists
The mission of the federation is dedicated to the precept that its members are committed to the advancement of educational standards and practices which will advance the art and science of anesthesiology and thereby support and enhance quality anesthesia care worldwide.
The International Student Journal of Nurse Anesthesia is produced exclusively for publishing the work of nurse anesthesia
students. It is intended to be basic and introductory in its content. Its goal is to introduce the student to the world of writing
for publication; to improve the practice of nurse anesthesia and the safety of the patients entrusted to our care.
The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management.
The National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) is a not-for-profit corporation dedicated to promoting patient safety by enhancing provider quality in the field of nurse anesthesia. We accomplish our mission through the development and implementation of credentialing programs that support lifelong learning among nurse anesthetists.
This is my journey thru nurse anesthesia school. These are my personal opinions and experiences, the good, the bad and the ugly.