Anonymous says ...

How does the title of profesional affect your pay?..There are quite a few non "Professionals' that make more than you do. Pay is based on market forces and the value that you give to the organization. People are paid what they will work for and nothing more or less. And that is how it should be.

And you are wrong about the CRNA/MDA dichotomy... WE ( CRNAs) Do affect what an MDA makes... we do exactly the same job they do with they same safety and outcomes as an MDA...WE are more cost effective.

Careful there.  I think an anethesiologist would disagree with you.  Scope of practice applies to advance practice nurses as it does to unlicensed personnel.

Theala

Guess not, eh?

Read it again. I asked if you could stand in for an MD, say doing diagnostics in internal medicine or gastroenetrology, as a family practice MD could do. Not whether you can administer anesthesia. I am well aware of how a nurse anesthetist works. Duh. And I have excellent personal and professional experioences with CRNAs, with the exception of 1. Are you him?

So, can you do that? That is how these ancillaries that can do tasks equate themselves with RN. Tell me you could stand in adequately and do the right things for all the patients as a doctor could do. Actually I think I know your answer but wonder how you will answer in public.

No allied health person, despite their specific skills set, is equal to a RN. It's that simple and the same set of comparison standards. And I hate doing anything anonymously. But uneducated illiterate dolts on this site claim to be advanced practice nurses when they are not even nurses at all. Call them on it and the editors get back at you! And they leave the dolts online sowing their stupid lies.

And I do not mean you, Sevo. I believe you are what you say you are. I am asking you what I did because you asked what difference does the tag "professional" mean. It does make a difference. Not caring about the blurring of lines between levels and scopes of practice does nothing to enhance nursing and everything to dilute and devalue it.

I have to agree. I have been trained to do conscious sedation and have done so on over 400 endoscopy patients and quite a few plastics patients undergoing minor procedures. I've also done them in ER for major suturing cases. But I have no misconception that I possess anywhere near the skill level that a CRNA has when it comes to providing sedation.

If I were to promote myself by saying I was every bit as good as a CRNA I will guarantee you that you would be among those proclaiming it isn't so. You would, of course, be right. It would also be a gross misrepresentation of my position and the relevant board of nursing in the state in which I made this claim would be interested also.

I also think it is only to the advantage of health care corporations, doctor's offices and clinics to use low skilled and low paid ancillary help and throw the term professional around. So as someone who worked hard to become a RN and to maintain my license and upgrade my skills as needed I would appreciate there being a clear line of delineation between medical professional and medical worker.

As another wrote I do appreciate the contributions made by all the team. I'll include housekeeping and maintenance in there.

Brown

kiss my a$$

so this crna does think hes every bit as good as any doctor. at least it seems its what he is saying. not suprised. i'ves een his stuff in posts before & its not a wondr as to why everybody gets all irked a bout him. is that the egoes your takling about ?

Anonymous says ...

so this crna does think hes every bit as good as any doctor. at least it seems its what he is saying. not suprised. i'ves een his stuff in posts before & its not a wondr as to why everybody gets all irked a bout him. is that the egoes your takling about ?

Yup the honest truth is i AM as good as any doctor in the administration of anesthesia.. and you would be whom??>

SEVOFLURANE

Anonymous says ...

Sevo says

"Across the board the care form an MDA is every bit as good as an MDA. No study has shown otherwise.. If there were sucha  study.. trust me ,it would be all over the news and I would be out of a job.."

 

Huh? Say what? I guess it would be as good from one MDA to another MDA. What does this prove?

Try again.

OK nitwit, it was a TYPO... it was CRNA and MDA....

Anonymous says ...

If we were not AS skilled.. why would the Army use CRNAs in Forward Area Surgical Teams ( FAST)? Why do MDAs allow CRNAs to put them to sleep as is the practice in my institution..1000 bed tertiary care Level 1 trauma center? How can a CRNA practice SOLO in hospital settings? If we were NOT as skilled.... and NO data has been published to the contrary...Why would a hospital risk the liability of depending on CRNAs only.. as many do.. to provide anesthesia services

Too funny......The army should not be set up as a pillar of medical goodness.  LOL, I knew a third rate plastic surgeon who did facelifts in his office, that went to a FAST as a Trauma Surgeon.  LMAO.  The Army sent him for 3 tours, I hope by the third tour he actually knew what the hell he was doing.   This man was such a quack as a plastic surgeon, we used to get all his office crap in as post op infections.  Can you imagine going in for a face lift, and winding up with a massive infection, and a scar?   I guess the Army wasn't worried about it, since you can't sue.

kittyrn

So you are saying our troops are getting second rate medical care? WOW pretty insulting to those of us how provided it.. agian. i work in a level 1 trauma center and am as skilled as anyone in the care of multitruama patients.... not only am i retired military .. i am involved in the training of active duty US Army anethesia students,,, and I can assure you any battle injury patient i had recieved the best care on the planet.

So you are saying our troops are getting second rate medical care? WOW pretty insulting to those of us how provided it.. agian. i work in a level 1 trauma center and am as skilled as anyone in the care of multitruama patients.... not only am i retired military .. i am involved in the training of active duty US Army anethesia students,,, and I can assure you any battle injury patient i had recieved the best care on the planet.

Second rate?  More like this doc was providing third rate care.  The same as his civilian patients got.

Kittyrn

Anonymous says ...

Additionally, I'm guessing your referring to BAMC, which is the Army's only level 1 trauma center.  Let me tell you about an experience that I had there in the summer of 2007.  I fell.  I immediately knew that I had fractured my humerus.  I went to BAMC at around 0500 Sunday morning.  I was one of TWO people in the ER.  I was immediately X Rayed, and sent back to the lobby.  0600, 0700, 0800, I've now been holding my broken army for 3 hours, and people are milling into the lobby.  0900, crap I have to go pee.  I go to the desk, and inform them, they point me to a public bathroom in the lobby.  I manage to pull my pants down, with my BROKEN ARM LEFT TO DANGLE, and pee.  I get back to the lobby in excrutiating pain.  1000, I realize they have forgotten me (5 hours after arrival and X ray).  I choke out, my arm is broke, and I really need something for pain.  I'm told I have to see the triage nurse.  I tell them, that I saw the triage nurse 5 hours ago.  Some talking goes on, and they give me two ultracet for pain, and send me back to the lobby.  1100, 1130, I go back to the desk, I can't take it any more.  I've been here almost 7 hours with my BROKEN ARM hanging and trying to hold it.  I'm in pain.  I'm also thinking I'm going to have to pee again, and hey no breakfast, no lunch.  I give them my cell phone number.  I say "i'm going to walmart to buy a sling for my broken arm, please call me when you confirm that my arm is broken, and I'll come back.".     I go to walmart (I take 4 advil, 2 aleve, and 2 tylenol)  I buy a sling.  At last some relief.  My cell phone rings. 

"this is captain xyz, you need to come back to the ER, because the X ray shows that you fractured the head of your humerus.".   I go back "Maam where did you get that sling?  That's actually a better one than we would have given you"........I was given a big bottle of Vicodin at least.

kittyrn

Nope.. not BAMC.. nice try though.. I work in the civilain world.. I have never set foot in Brook Army Medical Center.

Anonymous says ...

Additionally, I'm guessing your referring to BAMC, which is the Army's only level 1 trauma center.  Let me tell you about an experience that I had there in the summer of 2007.  I fell.  I immediately knew that I had fractured my humerus.  I went to BAMC at around 0500 Sunday morning.  I was one of TWO people in the ER.  I was immediately X Rayed, and sent back to the lobby.  0600, 0700, 0800, I've now been holding my broken army for 3 hours, and people are milling into the lobby.  0900, crap I have to go pee.  I go to the desk, and inform them, they point me to a public bathroom in the lobby.  I manage to pull my pants down, with my BROKEN ARM LEFT TO DANGLE, and pee.  I get back to the lobby in excrutiating pain.  1000, I realize they have forgotten me (5 hours after arrival and X ray).  I choke out, my arm is broke, and I really need something for pain.  I'm told I have to see the triage nurse.  I tell them, that I saw the triage nurse 5 hours ago.  Some talking goes on, and they give me two ultracet for pain, and send me back to the lobby.  1100, 1130, I go back to the desk, I can't take it any more.  I've been here almost 7 hours with my BROKEN ARM hanging and trying to hold it.  I'm in pain.  I'm also thinking I'm going to have to pee again, and hey no breakfast, no lunch.  I give them my cell phone number.  I say "i'm going to walmart to buy a sling for my broken arm, please call me when you confirm that my arm is broken, and I'll come back.".     I go to walmart (I take 4 advil, 2 aleve, and 2 tylenol)  I buy a sling.  At last some relief.  My cell phone rings. 

"this is captain xyz, you need to come back to the ER, because the X ray shows that you fractured the head of your humerus.".   I go back "Maam where did you get that sling?  That's actually a better one than we would have given you"........I was given a big bottle of Vicodin at least.

kittyrn

OH, lord what a horrible story. 

Did you file a complaint?

Look I NEVER claimed to be a physician.. I understand I am a CRNA... I think what  people on this forum do NOT understand is that CRNAs are unique  in the nursing community.. in that unlike EVERY other nursing sub-speciality. CRNAs have EXACTLY the same scope of practice in almost all states as an anesthesiologist.. we can be credentialed  by the hospital to do every single anesthesia proceedure an anesthesiologist can. EVERY SINGLE ONE...

If we go to court over a bad outcome... it will not be a CRNA that the plaintif's attorney will bring to the stand as an expert witness.. it will be an ANESTHESIOLOGIST....... becuse the OTHER side of having the same scope of practice as an anesthiologist.. is we are held to EXACTLY the same standard of care as an anesthesiologist. No other nursing speciality is treated the same.

I think most of the posters do not know what they do not know about CRNAs....

SEVOFLURANE

Anonymous says ...

I know exactly the scope of practice for a CRNA. YOU are the one who stated who cared if personnel that are not RN called themselves professional and what did it matter.

So I asked, since your scope of practice IS the same as a MDA, and all you practice is anesthesia akin to ancillary personnel performing single tasks of a RN, did you think you were as good as an MD OVERALL since these single taskers seem to think they are as good as a nurse.

I know all this loses you. That much is obvious. But that is the point - scope of practice. You practice anesthesia - not medicine. These people perform tasks - not nursing.

AHHH I see your point now...yes, you are correct, I am not very bright and i thank you for talking slowly  to me. Now it is quite clear..I perfrom TASKS also.... therefore I am not a  professional...But since you can do nursing things without an order.. you are a professional...

OK.. I will agree with you.. and I understand my place in life...I do NOT care if i am considered a professional or not.. as a matter of fact I do not care if I am employed by the housekeeping department..

Call  me anyting you like..... As long as my paycheck does not bounce..... I am paid enough you can call me anything you like.. I am glad you demonstrated why I am not a professional...

Thanks again for clearing that up for me...