Re: The Future of Anesthesia Practice in the USA Archived Message
Posted by Dave J on May 13, 2007, 1:58 pm, in reply to "Re: The Future of Anesthesia Practice in the USA"
The US Military started years ago having Nurse Practitioners. Then it realized they had a nursing shortage. (During Vietnam, the nursing shortage was so bad, they ended up drafting nurses.) Every time they took a nurse off the ward and made them a NP, they lost a nurse on the ward and eventually the NP would get out when their committment was up and they lost the NP as well. So their response was to shut down the NP programs and open up PA programs. Now they have a ton of PAs and very few NPs. That solved the physician extender problem AND kept nurses on the ward where they needed them. One might look at the current AA/CRNA issue in the same light. We have a national nursing shortage. Since the civilian world can not just "shut down" the NP and CRNA programs the option of forcing the nurses to stay in general duty nursing is not available. But still, opening PA problems is, and that does seem to be what is happening. Including the area of anesthesia. And why do CRNAs think anesthesiologists should be denied their own PAs? The PA concept works well in other specialities, I see no reason it will not work well in anesthesia. IMO the AANA had any brains, it would work with the AAs to ensure the education is equal at least to that of a CRNA and push for the AAs to have independence also. But that is not going to happen. The AANA is only interested in ONE kind of provider and has assumed some of the duties of a union. It acts like the Longshoresman Union. It admits the boats need to be unloaded but only they get to do it. Even this year, in 2007, graduating CRNAs are coming up 1000 short every year. Average age is going up, thousands going to retire in the next ten years but the AANA and CRNAs will "stay the course" no matter what. (That seems to be a national problem don't you think?) But I tell you this, if a AA practice bill comes up in my state legislature, I as a CRNA will be there to support it. My desire that as our population ages, we have enough anesthesia providers, trained to do safe anesthesia, regardless of which road they took to get there. It does NOT take an MD/DO Anesthesiologist to do safe anesthesia. The AANA has been saying that for years. Nor does it take an RN Anesthetist to do safe anesthesia. The AAs are saying that today and the AANA is stuck in the middle. And by the way...previously DD called AAs "third rate providers." I think that was a Freudian slip. If that is her/his view, then clearly the CRNAs are "second rate" providers. I wonder if he/she really wanted to suggest that?
|
Message Thread: | This response ↓
- The Future of Anesthesia Practice in the USA - john Doe March 22, 2007, 1:48 pm
- Re: The Future of Anesthesia Practice in the USA - m May 8, 2007, 11:31 pm
- Re: The Future of Anesthesia Practice in the USA - Dave J May 9, 2007, 2:13 pm
- Re: The Future of Anesthesia Practice in the USA - Jay May 9, 2007, 7:43 pm
- Re: The Future of Anesthesia Practice in the USA - dd May 9, 2007, 6:46 pm
- Re: The Future of Anesthesia Practice in the USA - Dave J May 9, 2007, 10:03 pm
- Re: The Future of Anesthesia Practice in the USA - dd May 10, 2007, 3:54 pm
- Re: The Future of Anesthesia Practice in the USA - Dave J May 10, 2007, 6:19 pm
- Re: The Future of Anesthesia Practice in the USA - dd May 10, 2007, 7:22 pm
- Re: The Future of Anesthesia Practice in the USA - RN July 18, 2007, 5:58 am
- Re: The Future of Anesthesia Practice in the USA - Dave J May 11, 2007, 4:59 am
- Re: The Future of Anesthesia Practice in the USA - dd May 11, 2007, 6:06 pm
- Re: The Future of Anesthesia Practice in the USA - Dave J May 12, 2007, 6:17 pm
- Re: The Future of Anesthesia Practice in the USA - dd May 13, 2007, 7:48 am
- Re: The Future of Anesthesia Practice in the USA - Henry May 12, 2007, 10:13 pm
- Re: The Future of Anesthesia Practice in the USA - dd May 13, 2007, 8:01 am
- Re: The Future of Anesthesia Practice in the USA - Henry May 13, 2007, 10:59 am
- Re: The Future of Anesthesia Practice in the USA - dd May 13, 2007, 12:03 pm
- Re: The Future of Anesthesia Practice in the USA - Dave J May 13, 2007, 1:58 pm
- Re: The Future of Anesthesia Practice in the USA - DC July 2, 2007, 3:53 pm
- Re: The Future of Anesthesia Practice in the USA - DC July 2, 2007, 3:41 pm
- Re: The Future of Anesthesia Practice in the USA - dd May 13, 2007, 5:20 pm
- DD - AL May 13, 2007, 10:05 pm
- Re: DD - Myj May 20, 2007, 2:58 pm
- Re: DD - dd May 26, 2007, 10:12 pm
- Re: DD - dd May 14, 2007, 3:21 pm
- Re: DD - Dave J May 15, 2007, 7:23 pm
- Re: DD - dd May 16, 2007, 5:30 pm
- Re: DD - MN June 6, 2007, 12:00 am
- Re: DD - NeuroQueen June 6, 2007, 9:22 am
- Re: DD - L June 6, 2007, 8:35 am
- Re: The Future of Anesthesia Practice in the USA - ss May 11, 2007, 9:34 am
- Re: The Future of Anesthesia Practice in the USA - J May 10, 2007, 6:02 pm
|
|