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gardenpartytime t1_iup7s96 wrote

A 4:1 ratio of CRNA’s:MD might fly for a colonoscopy clinic but this young man was having a two-hour surgery. Clear negligence.

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OldTammyTwoToes t1_iupjx9c wrote

all about $$$ for the medical execs. Hire cheaper CRNAs with less training over MDs. Happening everywhere in medicine.

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thecaits t1_iuptcst wrote

Healthcare should never be for profit. It's crazy to me that people think our system is the best, when really it's just a race to the bottom.

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Drift_Life t1_iur1u6p wrote

Everything is the “best” when you have no experience or knowledge of how other systems work. I don’t understand how Americans are so scared of a national healthcare plan that will take care of all of its citizens for a fraction of the cost and with standard care. I mean, the system we have now really isn’t working well for the majority of us, and if you lose your job… well best get on dyin then!

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Fenrils t1_ius0u88 wrote

"Americans" aren't scared though; much like marijuana legalization, the vast majority of Americans support nationalized healthcare. Our system is just broken and corrupt so our leaders don't need to give a shit about what the majority wants.

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ComradeMoneybags t1_iurdzt7 wrote

It’s best if you have so much money that handing over a pile money for procedures is like buying groceries. Yeah, there’s technically ‘access’ to the best medical care on the planet, but that’s like saying nothing’s stopping me from eating wagyu beef and caviar every meal, except, well money.

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[deleted] t1_iuq0bkf wrote

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rchart1010 t1_iuuwust wrote

Yeah, I think if you kinda make a fuss about it ahead of time they make sure to have an anesthesiologist there. I know I've made a fuss.

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dinner_is_not_ready t1_iuvoqt0 wrote

Yeah I’d want the facility to sign a contract with me that they’d have an MD present. Like what the hell

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PlasticPaulBunyan t1_iuvyv2g wrote

It's probably cheaper to cancel your surgery than bring another MD on for the case. Sad, but true. One MD can supervise a handful of CRNAs, vs an MD who can do one case.

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gnfknr t1_iur0cu4 wrote

It’s the other way around. Supervising 4 CRNAs in endoscopies is significantly more dangerous than Longer surgeries, especially on healthy people.

The most likely scenario is that they don’t have a medical record easily accessible on a terminal so the doc can check the vitals in the OR from any terminal.

The CRNA likely saw the low blood pressure and decided that he/she didn’t need to treat it because the patient is healthy.

As an anesthesiologist I see this all the time. I tell the CRNA to increase the blood pressure and there response is that the patient can tolerate it. 99.9% they are probably right but the. You get that 0.1% of a patient who won’t tolerate it. I’ve seen this issue so many times.

It’s hard to say what happened here but I can almost guarantee you it’s the situation above. Crna’s just being stupid and not listening to the docs.

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dinner_is_not_ready t1_iur0ldp wrote

What’s a safe ratio? Should CRNA be banned?

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DBM t1_ius1ge3 wrote

4:1 ratios are defined for medical direction practice models. This model is not the same as independent practice or medical supervision.

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dinner_is_not_ready t1_iusa9wl wrote

What does this mean? What is a good ratio?

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DBM t1_iusfa1x wrote

4 CRNAs : 1 anesthesiologist. It’s a ratio set by law at the state legislative level

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dinner_is_not_ready t1_iut1mz5 wrote

So they had compliant ratio and still messed up someone’s life. Is it possible to request a hospital does not use any CRNAs?

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[deleted] t1_iups3w6 wrote

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fitnessCTanesthesia t1_iur50jp wrote

A lot of changes in the last 5-10 years. There’s medical direction vs supervision. I think supervision can be up to 10:1. The doc just signs charts and is around to put out fires but doesn’t know the patients very well.

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