So yeah you were an ICU nurse and so called ashamed of CRNA but really, do you need an MDA as an AA to help you with your decisions. You as an experienced nurse realize that although medicine in the pm was supposed to be that of the am that it rarely was not. You were asked no you were required of an independent mind set. To make important decisions without MD supervision. While your Previous two subortinates were more than happy to applaud you I personally am disappointed. Not because rationally minded anesthesia providers require a second opinion. But more importantly that you as a ICU nurse Who I as preiously one hold in highest regard. IF I did not order appropriate testing and followup would have my license at my feet. Despite my title. THat is why RN is so important before CRNA and is more valuable as an CRNA than before AA. I question you not as an AA but wonder why in all of my life why you chose AA practice over CRNA. I feel you have betrayed the practice of anesthesia and that of a CRNA