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A heroic CRNA - and why CRNAs are the lifeblood of rural hospitals.
yourbuddy 4 Days Ago

yup...this is a big deal.

CMS expands medical staff definition to include APRNs
JadamR15 5 Days Ago

Why not follow the golden rule, "If you can't say anything nice about someone, say nothing at all."...

A heroic CRNA - and why CRNAs are the lifeblood of rural hospitals.
gasmonkey 6 Days Ago

Interesting predicament. btw: I know the CRNA mentioned at the end. What can I say about him? ...

A heroic CRNA - and why CRNAs are the lifeblood of rural hospitals.
sandmanpk 6 Days Ago
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Texas Study Shows Benefits of Using ARPNs to Full Scope of Practice
APRNs fill gaps in healthcare needs
European Society of Anesthesiology Retraction Upsets US GI Docs
Nurse Anesthetist recalls service in Afghanistan
CMS expands medical staff definition to include APRNs
Texas Study Shows Benefits of Using ARPNs to Full Scope of Practice
APRNs fill gaps in healthcare needs
European Society of Anesthesiology Retraction Upsets US GI Docs
Nurse Anesthetist recalls service in Afghanistan
CMS expands medical staff definition to include APRNs
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Texas Study Shows Benefits of Using ARPNs to Full Scope of Practice

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Give Away Points

Published on 05-14-2012 07:37 PM Number of Views: 122

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Politics,

Research

See attached study below.

Study Entitled:

"The Economic Benefits of More Fully Utilizing Advanced Practice Registered Nurses in the Provision of Health Care in Texas: An Analysis of Local and Statewide Effects on Business Activity"

Highlights:
...

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APRNs fill gaps in healthcare needs

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Published on 05-14-2012 07:32 PM Number of Views: 91

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Politics

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President Obama’s health-care law is expected to expand health insurance to 32 million Americans over the next decade. Health policy experts anticipate that the wave of new insurance subscribers will lead to a spike in demand for medical services.

That has a battle heating up over who will provide that care. Nurse practitioners are rolling out a campaign this week to explain what, exactly, nurse practitioners do — and why ...

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European Society of Anesthesiology Retraction Upsets US GI Docs

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Published on 05-14-2012 07:24 PM Number of Views: 219

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Much to the chagrin of U.S. gastroenterologists who had praised the European Society of Anesthesiology (ESA) for its rigor and fairness, the society recently decided to retract its endorsement of guidelines for non–anesthesiologist-administered propofol (Pelosi P. Eur J Anaesthesiol 2012;29:208).

“Those of us in the U.S. had applauded the ESA for being more fair-minded and scientifically rigorous than ...

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Nurse Anesthetist recalls service in Afghanistan

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Published on 05-13-2012 07:57 PM Number of Views: 325

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After watching the World Trade Center attacks on Sept. 11, 2001, Tom Larson was inspired to use his training as a registered nurse to serve the country. Larson was still in nursing school then.

"I really wanted to join the infantry and go fight the war," he said. "At that point, I had a baby at home and thought it would just be better for me to finish nursing school."
...

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CMS expands medical staff definition to include APRNs

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Published on 05-12-2012 08:08 AM Number of Views: 347

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Among a raft of changes the Centers for Medicare & Medicaid Services issued this week, the agency controversially expanded its definition of the medical staff, allowing nonphysician practitioners to have privileges like other medical staff members. In an effort to cut some outdated requirements, ...

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Kentucky ASA Misinformation About Opt Out: Reality Check

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Published on 05-10-2012 10:21 PM Number of Views: 1831

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Today the KSA (Kentucky Society of Anesthesiologists) Released a press release and email blast to their members attacking the recent Opt Out by the Kentucky Governor Beshear. As expected it is full of misinformation, inaccuracies and bold face lies. We here at nurse-anestheisa.org have put together a response. At the bottom you can find the actual letter and talking points by the KSA. Here is our reply with sections of the KSA response in quotes:

This is certainly NOT a standard and in fact it is simply a billing requirement for the hospital to bill medicare part A not the CRNA to bill medicare part B. CRNAs have been working autonomously without MDAs for over a century and not a shred of evidence exists which shows, with any metric studied, that independent CRNA practice increases M&M. Clearly this isnt a standard and in fact since CRNAs work autonomously in all states (opt out or not), and they are the experts in anesthesia when working with a surgeon (just as an MDA is when working with a surgeon). This is independent practice and happens everywhere in the USA everyday, sans MDA.

No standard just mythology.

Not even one part of this statement is actually true. Lets go through it since it is so inaccurate.

Lets put this into perspective...

Due to our advances over the past 25 years or so, almost unique in healthcare enterprises, anesthesiology is now approaching the “six sigma performance” grail of an ultra-safe organization (3.4 defective outcomes per million opportunities). No other clinical specialty even comes close. The aviation industry performs between six and seven sigma. (. National Strategy for Quality Improvement in Health Care. Report to Congress. March 2011. U.S. Department of Health & Human Services. & Agency for HealthCare ...

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A heroic CRNA - and why CRNAs are the lifeblood of rural hospitals.

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Published on 05-10-2012 09:18 PM Number of Views: 550

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General News

On Wednesday, May 2nd, at 1:30 am, Kimmerle Miller-Leonard, CRNA was on call for Toppenish Community Hospital, a rural Critical Access hospital in Southeastern ...

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NJ Anesthesiologist Doing Surgery Without Proper Training

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Published on 05-10-2012 03:10 PM Number of Views: 244

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Legal

A Passaic County anesthesiologist who the state says put patients in danger by performing spinal surgery without the proper training agreed to stop doing all but the most minor surgery until a full hearing on the state's allegations is held.

Richard A. Kaul, 47, who owns the New Jersey Spine and Rehabilitation Center in Pompton Lakes, ...

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American Pain Foundation Shuts Down as Senators Launch Investigation of Prescription Narcotics

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Published on 05-10-2012 02:58 PM Number of Views: 139

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Legal

As the U.S. Senate Finance Committee launched an investigation Tuesday into makers of narcotic painkillers and groups that champion them, a leading pain advocacy organization said it was dissolving "due to irreparable economic circumstances."

The American Pain Foundation, which described itself as the nation’s largest organization for pain patients, was the focus of a December investigation by ProPublica in The Washington Post that detailed its close ties to drugmakers.

The group received 90 percent of its $5 million in funding in 2010 from the drug and medical-device industry, ...

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Cancelled surgeries cost hospitals millions

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Published on 05-07-2012 06:28 PM Number of Views: 177

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Billing & Business

Patient no-shows and cancellations on the day of surgery are costing hospitals millions of dollars each year, Anesthesiology News reported.

Researchers at Tulane University Medical Center found that 6.7 percent of scheduled elective outpatient surgeries ...

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Expand Nurse Practitioner Practice

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Published on 05-07-2012 06:05 PM Number of Views: 200

Categories:

Politics

Found HERE

Allowing nurses to act as primary-care providers will increase coverage and lower health-care costs. So why is there so much opposition from physicians?

Think it takes a long time to get an appointment with a primary care provider now? Brace yourself: it will likely only get worse. ...

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$452 Million Dollar Medicare Bust

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Published on 05-03-2012 01:49 PM Number of Views: 233

Categories:

Legal

Is your practice meeting the rules of TEFRA if the MDAs are billing "medical direction"? If not this could be your group.

Officials busted 107 individuals, charged with $452 million worth of Medicare billing fraud, the U.S. Justice Department and Health & Human ...

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Missouri Senator Tom Dempsey Seeks to Limit Access to Pain Services

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Published on 05-03-2012 08:55 AM Number of Views: 337

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Legal,

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Senator Tom Dempsey makes bold statements in this audio but NONE of them are based in evidence or data. He clearly knows nothing about the practice of Nurse Anesthetists but has decided to repeat ...

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Anesthesiologists Stipend Highest of Hospital Based Services

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Published on 05-01-2012 03:26 PM Number of Views: 470

MD Ranger released their 3rd annual Physician compensation report result data which they culled from more than 220 hospitals nationwide, and covers more than ...

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Six States Account for Over 50% of Malpractice Payouts

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Published on 04-28-2012 06:12 PM Number of Views: 500

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Legal

Diederich Healthcare, a medical malpractice insurance company, recently released an analysis of medical malpractice payments made in 2011, as recorded by the National
...

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2012 Anesthesiologist Salary Survey Shows Declining Wages

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Published on 04-26-2012 08:36 PM Number of Views: 1243

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Politics,

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See the who survey HERE. It is worth it to read the slides.

In 2011, anesthesiologists earned a mean income of $309,000, down from $325,000 the prior year. These respondents are among the top 6 fields in earnings, at more than $300,000. The others are radiology, orthopedic ...

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MHA Voices Concern With CRNA Reimbursement

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Published on 04-26-2012 08:24 PM Number of Views: 327

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MHA, along with the Iowa, Kansas and Nebraska hospital associations, sent a letter to the Centers for Medicare & Medicaid Services ...

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Swedish man wakes up mid surgery

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Published on 04-26-2012 05:44 PM Number of Views: 459

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Clinical

A young man in Sweden says he woke up in the middle of surgery when his anesthesia wore off — and then endured 35 minutes of living hell because was too sedated to tell the doctors to stop operating.

“It was terrible, my worst nightmare,” Simon Rosenqvist told The Local, an English newspaper in Sweden.

Rosenqvist, from Vaxjo in southern Sweden, was undergoing ...

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Kentucky 17th State to Opt Out of Federal Supervision for CRNAs

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Published on 04-25-2012 08:32 PM Number of Views: 753

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Self Explanatory, Congratz to KY on being the 17th state to opt out!

Attached find the actual letter from Governor Beshear
...

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Blood Transfusions Still Overused?

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Published on 04-24-2012 08:06 PM Number of Views: 200

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Citing the lack of clear guidelines for ordering blood transfusions during surgery, Johns Hopkins researchers say a new study confirms there is still wide variation in the use of transfusions and frequent use of transfused blood in patients who don't need it.

The resulting overuse of blood is problematic, the researchers say, because blood is a scarce and expensive resource and because recent ...

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[The Law Med Blog] Breaking Healthcare News May 16, 2012

[The Law Med Blog] Judge Rules Charges Against NV Physician In Hepatitis C Case Stand

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[The Law Med Blog] Breaking Healthcare News May 12, 2012

[The Law Med Blog] Medical Discovery News: The case against Propofol

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Oh, I didn't think about that part... duh! I will be talking with a faculty member from the local ADN program tomorrow, so I will know more definitive

Recent biology major looking to pursue a career as a CRNA
SpicedCider 2 Hours Ago

Looking to buy review book:
Anesthesia Review: a study guide to anesthesia and basics of anesthesia by
Sdrales, Miller, Stoelting, &

Wanted-Looking for Anesthesia Review: A study guide to Anesthesia & Basics of Anes
N2B8diva 3 Hours Ago

You should really consider an ABSN program even if you have to relocate. I'll be graduating in August. It's 11 months and it's incredibly condensed, but

Recent biology major looking to pursue a career as a CRNA
C-wick 3 Hours Ago

Although you would only need 8 classes for the ADN, you can only do 1 clinical class at a time. Most clinical classes require the previous class as a

Recent biology major looking to pursue a career as a CRNA
deemo21 4 Hours Ago

I heard we should hear sometime next week. I know someone else who interviewed and she called and was told the director was out of town this week. Boo.

Florida Hospital College of Health Science Spring 2013
ufblondi 4 Hours Ago
Recent Blog Posts

Postop problem

Whops you are so right, misread that one
stanman1968 6 Days Ago

Done with school!!!

I can't believe I haven't updated my blog in 7 months, but I've been busy :) Did my last clinical day two days ago and graduation is this Friday, May 4th! I can't believe I made it. Seriously. ...
cathys01 2 Weeks Ago
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