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July 2010
Which "Standard of Care" Does One Follow ?
When it comes to determining the "Standard of Care" for anesthesia providers, the two dominant professional organizations that represent approximately 80,000 anesthesia providers, the American Society of Anesthesiologists (ASA) and the American Association of Nurse Anesthetists (AANA), have decidedly different viewpoints.
The July 2010 LawMed Blog describes the dilemma:
"...The basic issues regarding monitoring, procedures and various technical aspects of the delivery of anesthesia are much agreed upon when it comes to a “standard” within the community of anesthesia providers. Fiercely disputed however, is who should practice that standard and when. No where else in medicine does state law determine a standard of care more than in the practice of anesthesia. And nowhere else in medicine is state law ignored as much as possible in a fight aimed at creating separate standards of care for the same health care..." .
Anesthesia practice models described by LawMed:
Anesthesia Turf Wars
In a July 1, 2010 article on Becker's ASC Review, American Society of Anesthesiologist President Alexander A. Hannenberg MD, responded to a recently published study by the Lewin Group in the Journal of Nursing Economics regarding the Cost Effectiveness of Anesthesia Providers. Juan Quintana, a Certified Registered Nurse Anesthetist offers this analysis of Dr. Hannenberg's perspective.
