Stephen Anceravage

[Stephen Anceravage @SRAnceravage]

@Mitch_Rupert I’m trying to figure out what rule is in the book that is so clear the ref had no choice? I found this but do not clearly see where the violation occurred.

[Stephen Anceravage @SRAnceravage]

@DRGOAT9 @NgeepC @Texans4HCAccess I think a majority of CRNAs would agree to that... I think CRNAs need to break off so they are not grouped with other APRNs, especially NP, which are being pumped out by degree mills. I believe we found an alignment of opinions. Really enjoyed the back and forth!

[Stephen Anceravage @SRAnceravage]

@DRGOAT9 @NgeepC @Texans4HCAccess So, if CRNAs said we will branch off from the BON and not have the liability protection nursing affords, would that change your opinion of allowing FPA to CRNAs?

[Stephen Anceravage @SRAnceravage]

@DRGOAT9 @NgeepC @Texans4HCAccess If NPs and CRNAs want to carry the same responsibility as docs they should carry the same liability. I think it would be disingenuous to suggest otherwise.

[Stephen Anceravage @SRAnceravage]

@DRGOAT9 @NgeepC @Texans4HCAccess I wouldn’t disagree with any of that. In fact, I don’t believe NPs and CRNAs are really in the same situation. I think CRNAs are much more comparable to their physician counterparts than NPs. I also think CRNAs should get out from under the BON and have their own board.

[Stephen Anceravage @SRAnceravage]

@DRGOAT9 @NgeepC @Texans4HCAccess Of course they did. For the same reason you are lobbying against FPA. You feel it negatively impacts patient outcomes and it’s a threat to your profession.

[Stephen Anceravage @SRAnceravage]

@DRGOAT9 @NgeepC @Texans4HCAccess You actually did agree when you said, despite the significant difference in background and experience between CRNAs and AAs, you view them as equals. By that logic, despite the significant difference in background and experience between Docs and CRNAs, they also could be equal

[Stephen Anceravage @SRAnceravage]

@DRGOAT9 @NgeepC @Texans4HCAccess liability insurance is the same for CRNAs and Anesthesiologists. If there was anything out there to suggest CRNAs are more dangerous, I can guarantee the insurance companies would pounce on it. Also, CRNAs are held to the same liability as anesthesiologists as far as I know

[Stephen Anceravage @SRAnceravage]

@DRGOAT9 @NgeepC @Texans4HCAccess Even if that is the case though, paying one person $300k vs 1 person $200k + the physician $300k (just throwing general numbers out) would still provide a savings right?

[Stephen Anceravage @SRAnceravage]

@DRGOAT9 @NgeepC @Texans4HCAccess So this is good info which is why I engaged in the first place. Believe it or not, wasn’t just looking for a fight. I always try to get outside my echo chamber. I wasn’t aware there was a push for NP/CRNA to be paid at the same higher level the physicians get paid.

[Stephen Anceravage @SRAnceravage]

@DRGOAT9 @NgeepC @Texans4HCAccess Unless they can convince the healthcare field that patients should pay for an anesthesiologist to supervise an AA instead of just paying a CRNA. That’s just my opinion...

[Stephen Anceravage @SRAnceravage]

@DRGOAT9 @NgeepC @Texans4HCAccess Anesthesiologists are worried about their careers and I get it. I think it is likely that within the next 10-20 years they will be working in a room, not supervising, and making the same $200k +/- that a CRNA makes. It’s still pretty darn good money.

[Stephen Anceravage @SRAnceravage]

@DRGOAT9 @NgeepC @Texans4HCAccess Good, so you see the hypocrisy in arguing that physicians are required because they had more clinical hours but AAs and CRNAs are the same despite the difference in background and education. You don’t get it both ways. Agreed, nothing personal.

[Stephen Anceravage @SRAnceravage]

@DRGOAT9 @NgeepC @Texans4HCAccess AAs and CRNAs are equivalent in their proficiency according to you. What is the difference between the 2 in career path and education requirements?

[Stephen Anceravage @SRAnceravage]

@DRGOAT9 @NgeepC @Texans4HCAccess It seems to me that AAs were “invented” for Anesthesiologists to try and put in the same category as CRNAs but use them to prove physician oversight is absolutely critical to patient outcomes.

[Stephen Anceravage @SRAnceravage]

@DRGOAT9 @NgeepC @Texans4HCAccess I think the biggest frustration is CRNAs who have been doing anesthesia 100% of the time for 5+ years dealing with Physician supervision, that entails never actually seeing the physician but somehow the chart gets signed that the Dr came in the room.

[Stephen Anceravage @SRAnceravage]

@DRGOAT9 @NgeepC @Texans4HCAccess I can understand that but, again, you’re talking about students, not experienced CRNAs.

[Stephen Anceravage @SRAnceravage]

@DRGOAT9 @NgeepC @Texans4HCAccess If a physician can “supervise” 4 CRNAs but must be in the room the whole time for an AA, medical costs are much higher using an AA than CRNAs. If CRNAs are able to work without supervision, costs go down because a patient is not paying for 2 people to do the same job.