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Nurse Anesthetists working without physician oversight

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  • #31
    Originally posted by Chrisada View Post
    Yes, I've been trying to get my brother to go into this. But sigh, he really really wants to be an MD instead. Just took his MCAT.
    The route for CRNA is 4 year nursing school, 2 years ICU experience, and then 2 1/2 years of nurse anesthesia training for a total of 8 1/2 years compared to the 12 years to be an MD-anesthesiologist: 4 year BS, 4 year MD school and 4 year residency.
    Gas, and 4 kids

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    • #32
      Originally posted by alison View Post
      I don't know... When dh is called in to place an iv that a nurse or crna can't get, I don't know how helpful it is to have him try to do this from our couch.

      I know I'm sounding super blasé about this, but I just don't see how crnas can work entirely independently.
      The same thing with intubations.
      Gas, and 4 kids

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      • #33
        And when the anesthesiologist can't get it, they call ent!
        married to an anesthesia attending

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        • #34
          Originally posted by Crystal View Post
          Deb - (or anyone)

          What does your DH think about telemedicine as a possible solution? As in: having an anesthesiologist on a screen (or able to hop on a screen) if trouble arose? UC Davis in CA does this with many of the small rural hospitals to bring specialist expertise when transport is 4-5 hours away.
          DH said an anesthesiologist can't run a code on screen. Some specialties might be good for telemedicine, but not this one. Can you imagine if Ob/Gyn worked that way, though?
          Last edited by Deb7456; 10-02-2010, 01:45 PM. Reason: less graphic

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          • #35
            I agree it is not the same whatsoever, in CA I knew of a highlighted example where a FM (maybe ED?) doc used telemedicine to get assistance being talked through putting in a central line. I know this is not ideal, but I'd rather have an anesthesiologist over a screen rather than not at all. Rural medicine is tough to solve, especially when specialist care is over 2-4 hours away by helicopter! I still dont think granting the privileged to practice independently to individuals with less education & experience is in the best interests of patients.
            Wife to PGY4 & Mother of 3.

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