I'm not trying to look for a fight as you put it, I'm assuming your referring to Dave J when you made this comment right ?...All I'm doing is trying to understand why you are so against AA-C's.
One minute you claim you respect the AA-C profession and the next minute your talking negative about the AA-Cs which one is it ?... you either like them(AA-C)or you don't just be honest It's like 50%/50% here
You still never answer my question please read my last post I sent to you on January 17, 2008 @ 6:29am. I would like a response on the question I had ask you.
You also said, The problem is AA's MUST have a MDA present at all times unlike a CRNA. For the record stanley yes AA-C's MUST have a MDA present at all times in the ACT Model this includes CRNA's too. We are not talking about working under any Physician or Solo practice, the only thing I do not like about your logic of thinking is you assume that when a AA-C's are under the Supervision or Medical direction of a MDA in the O.R.
What your saying is that the MDA is in the O.R. from the beginning of the case to the end of the case standing over the AA-C shoulder watching them consistently making sure there giving the right medication to the patient, adjusting the gases settings, knowing their labs value such as pH, pco2, pO2, Na+, K+, Ca++, Glu, Lac, Hct, HCO3-, TCO2, BE, SO2c, etc. Please show some RESPECT for the AA-C's they do hold a Master degree MMSc, MHSc,& MSA. and might I add 3 different MASTER'S DEGREE!.
If you must know stanley the MDA does not stand over the AA-C's watching them from the beginning to the end of the case, the MDA comes in the O.R. to assist during induction either the MDA push the meds or the AA-C push the meds, just as the CRNA do.
Once the AA-C intubate and check for breath sounds placement of the E-Tube and adjusting the gases and changing setting on the Anesthesia Machine, the MDA walks out of the O.R. and tells the AA-C if you need me give me a call just as for the CRNA too.
It's the AA-C who continues the Anesthesia care ALONE! with NO MDA IN THE ROOM, until the end of the case and escort there patient to PACU or ICU. If the patient CODES It's the AA-C who starts the the CODE ACLS/PALS Protocol and call the MDA in the room for additional help, just as for the CRNA too.
The CRNA works in the same manner as the AA-C in ACT Model as I have mention above in/or at a major Hospital under the Supervision or Medical direction of a MDA. There is no difference especially when the hospital employes both Anesthetists(AA-C's/CRNA's). AGAIN WE ARE NOT TALKING ABOUT SOLO or ANY PHYSCIAN, WHERE TALKING ABOUT THE ACT MODEL JUST AS THE CRNA's.
In closing stanley, an AA-C does not need a MDA during the average case. It's the AA-C's or CRNA's who's ultimately the provider in the O.R. with the patient when the MDA walks out of the O.R. and leave the AA-C/CRNA SOLO! to continue caring for the patient till the final end of the case in the ACT Model!.
Why is that so hard for you and your fellow CRNA's colleagues to except or comprehend ?...I see no matter what I say you and you and most of your fellow CRNA's(Not all CRNA's)) will never except or acknowledge there highly skilled, competent, & quality of care, the AA-C profession provides. Very SAD I MUST SAY, you have BSN(nurses)who are AA-CRN with ICU and critical care experience doing the same job as an CRNA WHAT IS THE PROBLEM ?
