Comments on: Is the Pain Worth it? http://nurseanesthetist.org/is-the-pain-worth-it/ All Thing Nurse Anesthesia Sun, 01 Aug 2010 01:39:19 -0400 hourly 1 http://wordpress.org/?v=3.0.1 By: David http://nurseanesthetist.org/is-the-pain-worth-it/comment-page-1/#comment-193 David Sun, 01 Aug 2010 01:36:49 +0000 http://www.nurseanesthetist.org/blog/?p=109#comment-193 There is NO EVIDENCE that an MD anesthesia provider is safer than a Nurse anesthetist. Don't go around spouting nonsense. If you feel more comfortable with an anesthesiologist that is fine but do not tell me or any others that nurse anesthetists are not safe. You are totally wrong and the courts have supported the evidence. If you want to see real evidence that CRNA's results are as good as any provider check this <a href="http://www.aana.com/optoutstudy/" rel="nofollow">study.</a> There is NO EVIDENCE that an MD anesthesia provider is safer than a Nurse anesthetist. Don’t go around spouting nonsense. If you feel more comfortable with an anesthesiologist that is fine but do not tell me or any others that nurse anesthetists are not safe. You are totally wrong and the courts have supported the evidence. If you want to see real evidence that CRNA’s results are as good as any provider check this study.

]]> By: Gary http://nurseanesthetist.org/is-the-pain-worth-it/comment-page-1/#comment-168 Gary Mon, 05 Jul 2010 20:52:43 +0000 http://www.nurseanesthetist.org/blog/?p=109#comment-168 I totally agree with Sue's original comments. I have nothing against CRNA's, if a patient wants to receive anesthesia from a nurse (CRNA) that's fine with me. I do not and don't believe that a CRNA will ever equal an anesthesiologist, but I believe that they have a role (closely supervised). I was attended to by a capable CRNA at a hospital while serving in the military; I was severely burned while my aircraft was being refuled and I was glad to have the CRNA while I underwent lengthly debridements and skin grafts. CRNA's were all the military had, but I have to say that my CRNA did a great job. She kept my screaming to a minimum, so I'm grateful. But back in civilian life, I'll choose an anesthesiologist. My wife is a physician and agrees that CRNA's are useful when supervised. I can't see where a CRNA's salary is relevant to this discussion; for me it's all about patient safety. My salary is in excess of most physicians and (thankfully) I can see any practitioner that I want to see. My choice is an anesthesiologist not a CRNA, but that doesn't mean that I think that nurses are unqualified for advanced roles. My PCP (I guess PCNP) is a nurse practitioner and she's as sharp a any doctor.....I just don't think that anesthesia is a safe arena for CRNA's to practice without supervision. I totally agree with Sue’s original comments. I have nothing against CRNA’s, if a patient wants to receive anesthesia from a nurse (CRNA) that’s fine with me. I do not and don’t believe that a CRNA will ever equal an anesthesiologist, but I believe that they have a role (closely supervised). I was attended to by a capable CRNA at a hospital while serving in the military; I was severely burned while my aircraft was being refuled and I was glad to have the CRNA while I underwent lengthly debridements and skin grafts. CRNA’s were all the military had, but I have to say that my CRNA did a great job. She kept my screaming to a minimum, so I’m grateful. But back in civilian life, I’ll choose an anesthesiologist. My wife is a physician and agrees that CRNA’s are useful when supervised. I can’t see where a CRNA’s salary is relevant to this discussion; for me it’s all about patient safety. My salary is in excess of most physicians and (thankfully) I can see any practitioner that I want to see. My choice is an anesthesiologist not a CRNA, but that doesn’t mean that I think that nurses are unqualified for advanced roles. My PCP (I guess PCNP) is a nurse practitioner and she’s as sharp a any doctor…..I just don’t think that anesthesia is a safe arena for CRNA’s to practice without supervision.

]]> By: Kendra R http://nurseanesthetist.org/is-the-pain-worth-it/comment-page-1/#comment-134 Kendra R Sun, 22 Nov 2009 20:46:50 +0000 http://www.nurseanesthetist.org/blog/?p=109#comment-134 Sue I speak from a bit of an outsider's prospective. I am hoping to get into CRNA school, but I work with a plastic surgeon and we do surgeries with many anesthesiologists from a specific practice. Every one of them that I have spoken to have very clearly stated that they would have no problem working with CRNA's. They seem to believe the skill level is very much the same and would feel VERY comfortable with placing the care of their patients in the hands of a well trained CRNA. The only issue is politics. Sue, do you understand why an MD would be against an RN doing something that they do just as well as they do it? Perhaps the fact that a CRNA is paid less but does the same thing brings up concerns for the stability of their jobs. I'm sure you would do everything you could to keep from loosing work. The botom line is this. Political opinions do not have anything to do with skill level. Please remember that. Sue
I speak from a bit of an outsider’s prospective. I am hoping to get into CRNA school, but I work with a plastic surgeon and we do surgeries with many anesthesiologists from a specific practice. Every one of them that I have spoken to have very clearly stated that they would have no problem working with CRNA’s. They seem to believe the skill level is very much the same and would feel VERY comfortable with placing the care of their patients in the hands of a well trained CRNA. The only issue is politics.

Sue, do you understand why an MD would be against an RN doing something that they do just as well as they do it? Perhaps the fact that a CRNA is paid less but does the same thing brings up concerns for the stability of their jobs. I’m sure you would do everything you could to keep from loosing work.

The botom line is this. Political opinions do not have anything to do with skill level. Please remember that.

]]> By: David http://nurseanesthetist.org/is-the-pain-worth-it/comment-page-1/#comment-132 David Thu, 12 Nov 2009 04:50:42 +0000 http://www.nurseanesthetist.org/blog/?p=109#comment-132 Sue, I believe you are totally wrong about your feelings. The "Brightest and most vigilant” anesthesia provider is not necessarily an MD nor is it necessarily a nurse anesthetist. It just depends on the provider. Statistics prove that there is NO difference between the two groups as a whole as far as outcome criteria is concerned. All I know is that NO one is more vigilant or “brighter” than me! Maybe I am a little prejudiced but no one can give a better anesthetic for any procedure than a nurse anesthetist. I stand by that statement. I have total respect for my anesthesia MD friends that I work with, I have bailed them out countless times, so I know what they can do and what they can not do. It’s all based on the individual. No, I am not kidding. Sue, you sound sincere if misguided. Your comment sounds to me to be politically motivated and not at all about a reflection on the original topic of the post but I allowed the comment anyway. It will show the desperation of some groups and their paranoia. Nurse anesthetists are used to this. It is with great pleasure that I work in a team environment with MD's but I do not in any respect think that they are more than half of the equation. DG Sue,

I believe you are totally wrong about your feelings. The “Brightest and most vigilant” anesthesia provider is not necessarily an MD nor is it necessarily a nurse anesthetist. It just depends on the provider.

Statistics prove that there is NO difference between the two groups as a whole as far as outcome criteria is concerned. All I know is that NO one is more vigilant or “brighter” than me! Maybe I am a little prejudiced but no one can give a better anesthetic for any procedure than a nurse anesthetist. I stand by that statement.

I have total respect for my anesthesia MD friends that I work with, I have bailed them out countless times, so I know what they can do and what they can not do. It’s all based on the individual. No, I am not kidding.

Sue, you sound sincere if misguided. Your comment sounds to me to be politically motivated and not at all about a reflection on the original topic of the post but I allowed the comment anyway. It will show the desperation of some groups and their paranoia. Nurse anesthetists are used to this.

It is with great pleasure that I work in a team environment with MD’s but I do not in any respect think that they are more than half of the equation.

DG

]]> By: Sue http://nurseanesthetist.org/is-the-pain-worth-it/comment-page-1/#comment-131 Sue Thu, 12 Nov 2009 03:30:29 +0000 http://www.nurseanesthetist.org/blog/?p=109#comment-131 I love the comment above: Wouldn’t you want the brightest most vigilant anesthetist ? No, I want an anesthesiologist (MD). not a nurse (CRNA). I just had anesthesia from an all MD practice and none of them would consent to CRNA-provided anesthesia despite all of the cheerleading. When BC/BS told me that a CRNA would cost the same as an anesthesiologist, my choice was simple. My surgeon agreed: get an anesthesiologist; that's who the CRNA's call if anything goes wrong.. I love the comment above: Wouldn’t you want the brightest most vigilant anesthetist ? No, I want an anesthesiologist (MD). not a nurse (CRNA). I just had anesthesia from an all MD practice and none of them would consent to CRNA-provided anesthesia despite all of the cheerleading. When BC/BS told me that a CRNA would cost the same as an anesthesiologist, my choice was simple. My surgeon agreed: get an anesthesiologist; that’s who the CRNA’s call if anything goes wrong..

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