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.

Did you download a copy and read it? If so, WHY?

CRNAs CANNOT practice interventional pain management while MDAs CAN...The same rule applies for diagnosing...

Therefore, I beg to differ that MDAs and CRNAs DO NOT have the same scope of practice.

OK let us start over... as I have been unclear..... IN THE OPERATING ROOM OR ANY OTHER LOCATION WHERE ANESTHESIA, Both GENERAL, REGIONAL or MONITORED ANESTHSIA CARE... not INTERVENTINAL PAIN MANAGEMENT, ICU ATTENDING DUTIES, DIAGNOSIS AND TREATMENT OF DISEASE, UNDERWATER BASKET WEAVINGor anything else that is NOT ANESTHESIA as listed above.......once more.. let me make this PERFECTLY and ABOSLUTELY CLEAR...........IN AN OPERATING ROOM or ANY OTHER location where ANESTHESIA is ADMINISTERED......OUR scope of practice IS 100%, EXACTLY the SAME...

In the administartion of ANESTHSIA, GENERAL, REGIONAL, MONITORED ANESTHIA CARE........our, that is CRNAs scope of practice is the same, identical,interchangable, monovular,selfsame,superposable........jeeze I give up...

Never attempt to teach a pig to dance... it is a waste of your time.. and tends to annoy the pig.

Who are you?.. Wish you were a CRNA don't you.........???

SEVOFLURANE

Hey Sevo

Watch the bit about teaching pigs anything. I got called on it here. But I was just talking about teachin' 'em to whistle.

I have had 4 surgeries over the years. 3 I had CRNA service, 1 by an anesthesiologist. The one by the MD I don't remember a blooming thing until road work woke me up when my old lady was driving me home and hit a pot hole. I was in unreal pain (rotator cuff with clavicle resection and deltoid pinning). I ended up with pneumonia 2 days later. A doc in Wenatchee (where I was when I fell ill while over there seeing a PT) told me he was sure it was because of poor anesthesia. Not watching liquids, overuse of gas or whatever. He seemed very sure. Back home the other nurses in the ambulatoru surgery center I worked in couldn't believe I let that doc work on me. I was fairly new there and knew nothing of this fellow. I thanked them for warning me since they knew good and well who was passing gas that day  but they had said nothing. They said they assumed the CRNA over at the hospital would do my case.

I'll take you CRNA's any old day.

Brown

PS - I posted a topic about illegal aliens being blocked from any health care plan last night. I looked in here and 12 hours later I look again and this stuff has gotten to 3 pages? Good grief. This is the kind of stuff that wears people in medicine out you guys.

OH, lord what a horrible story.    Did you file a complaint?

To the person that asked this.  Yes, I filed a verbal complaint with the MD who was in charge of the ER.  I recieved an apology, from at least 3 MD's.  I was told that something had been lost in their change of shift report, and that is why I was never brought back.  I was completely stoned when I left, because they doped me up good.  I stopped at the desk, on the way out and said, "see I told you my femur was broke"  I didnt' even know what the heck I was saying (i do know the difference between a femur and a humerus), but WOW, at least I got some good pain meds!  Kittyrn

Yep, I agree with that one.

Kittyrn

Anonymous says ...

Anonymous says ...

Sevo,

First of all, I may be "ballsy" as you put it, but I've been signing my name.

My issue isn't with the tasks you perform as a CRNA being the same as an MDA.  My issue is with you equating yourself equal to an MDA.

You're not.  You're not a doctor, therefore it does not matter how many procedures your facility certifies you as competent to do, you will never be the equal of a physician.

It is a very fine line in some cases, but there is still a line.  I want people to understand where those lines are so they don't exceed their scope, because this is a serious patient safety issue.  You don't seem to see the line, and that worries me.

Theala

OK..once more and then I am out of this  thread.. it is getting annoying.... I ahve NEVER EVER EVER EVER said i was an MD... I am telling you that LEGALLY by any measure My job is IDENTICAL to an MDs...when I say IDENTICAL... that means the SAME. I do not know how much clearer I can make it...I am INTERCHANGABLE with a PHYSICIAN in tyhe ADMINISTRATION of anesthesia..... and ... one more time... I can do ALL of this WITHOUT an ANESTHESIOLOGST being involved.

 

This is difficult for you to understand because you have about ohhh ZERO autonomy... and as jelous as you may be of MY scope of practice.... I have.... and this will be the last time I will post in... in other words.. the dance lesson is over...THE EXACT same RESPOSIBILITIES and an ANESTHESIOLOGIST.. i am held to EXACTLY the same STANDARD.... now.. if you cannot understand how this works.. I am sorry.. i have tried.. and tried...and tried to make it clear to you.... I AM NOT A PHYSICIAN.. i understand the difference... so... and please don't hurt yourself thinking about this too much.. if i am NOT the ANESTHESIA EQUAL to an ANESTHESIOLOGIST... WHY can i do what i do in place of an anesthesiologist....???? And why am I heald to exactly teh same standard?? Wow you should not let envy take you over like this...

 

 

OK dance lesson over...

 

SEVOFLURANE

You use that word interchangable, and that's the problem. 

I'm not envious.  I wouldn't do your job no matter how well it paid.  I hate wearing a surgical mask--I'm a touch claustrophobic.

And it's probably true I don't have what it takes to be a CRNA.

But Sevo, you continue to miss the pont of what I have been telling you.

Anonymous says ...

I almost forgot to mention that there are quite a FEW interventional pain managment clinics across the US that are CRNA run... but as I have some problems with it, I do not follow it. A NEURAXIAL block is a block is a block is a block.. I can place a catheter near a nerve with or without ultrasound about as well as anyone. When I do a regional technique.... ie femoral block, interscalene block etc... I sometimes place a catheter for post op pain control.....actually spent 2 weeks in Sydney to learn ultrasound techniques..... and my employer... a Medical School, picked up the tab..

 

I really do think you would like to do my job... But I think your bitterness and nastiness is a result of not being able to get into a program.... was it a GPA issue?

 

SEVOFLURANE

Nope, not the least bit jealous. Oh and by the way, I have a 4.0 GPA...

Anonymous says ...

Hey Sevo, is that you in your profile pix?????

Why do you ask?

SEVOFLURANE

Anonymous says ...

Anonymous says ...

Hey Sevo, is that you in your profile pix?????

Why do you ask?

 

SEVOFLURANE

Was about to ask the same question, quite frankly i was thinking a younger image of you or is it your dad?!

Anonymous says ...

Anonymous says ...

Anonymous says ...

Hey Sevo, is that you in your profile pix?????

Why do you ask?

 

SEVOFLURANE

Was about to ask the same question, quite frankly i was thinking a younger image of you or is it your dad?!

If you have been following the thread you would have read where I have been a nurse of one form or another for about 3 decades...decade = 10 years.. so 3X10=30.... now add that number to the age i first became a nurse...26.. and you will get an idea of how old I am...(3X10)+26=56.. Now was that so hard?

SEVOFLURANE

Wow, Old and tired, no wonder why he's so grouchy.

Anonymous says ...

Wow, Old and tired, no wonder why he's so grouchy.

 

 

 

Tired? with a three day work week at a job that requires sitting in a chair all day in an air conditioned operating room??? Are you insane?

SEVOFLURANE

Anonymous says ...

We're mostly a bunch of women, who could care less about boys and toys.  It's like asking you what kind of dress we're wearing.  LOL, impressing the wrong bunch.

Wow.. Really??  Women on this forum?.. With all these anonymous attacks and snarky quips??? I had no idea.. Thank you ever so much for clearing that up.

SEVOFLURANE

Anonymous says ...

Oh and I forgot to add.. MOSTLY is a long long way from ONLY.... there are MALES on this forum.. you know... the gender that gets paid more to do your job than you do?? I think you should show them some more respect.....

 

SEVOFLURANE

How true Sevo.  And regardless you will catch heck from the wooooomens liberation.  Never change as you are quite entertaining to say the least.  Peace out Sevo - - - - - - - - - - - - - - - - -

Anonymous says ...

Wow.. Really??  Women on this forum?.. With all these anonymous attacks and snarky quips??? I had no idea.. Thank you ever so much for clearing that up.

 

 

 

SEVOFLURANE

Thanks for being Women enough to post those snarky posts right along with us.

And you are quite welcome.....

And as the officially appointed Nationaly Certified Irony Pointer Outer....NCIPO...( Nurses DO love alphabets after names).. may i take this opportunity to thank you for supporting my premise by NOT signing your name.

SEVOFLURANE CRNA NCIPO