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August 2010
Best Kept Secret -The CRNAbiz Forum
A recent question posed on the CRNAbiz forum:
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Question: surgery performed on the wrong extremity.
RN Circulator did not do Time Out. (She was busy getting "things" for the surgeon)
OR Tech, back turned to pt. MD Assistant (resident) assisted surgeon with draping the wrong extremity.(Correct limb had huge YES on it)
CRNA, claims she was busy, trying to get a good seal on her LMA, and was having BP problems.
After incident, hospital Administration asked RN, OR Tech and Resident to resign. Crna, is employee of group that contracts with hospital.
Should she also be made to resign?
I think yes, but the Chief Anesthesiologist feels it is too harsh a punishment.
Thoughts? .gif)
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Administrative Law: No Friend to the Licensed
"... State licensing boards are not governed by the same rules as civil courts when they conduct hearings, allow or deny admission of evidence, types of evidence, or even many times by rulings from the court of appeals. Instead they must adhere to the states Administrative Code, or Administrative Procedures Act, or similarly titled body of administrative law which is a separate and very different body of law which governs the actions of the state and its agencies.
Study Recommends Removal of Physician Supervision of CRNAs
U.S. Health Care WorkforceNo Harm Found When Nurse Anesthetists Work Without Supervision By Physicians |
In 2001 the Centers for Medicare and Medicaid Services (CMS) allowed states to opt out of the requirement for reimbursement that a surgeon or anesthesiologist oversee the provision of anesthesia by certified registered nurse anesthetists. By 2005,fourteen states had exercised this option.








