Remove CRNA Remove Operating Room Remove Supervision
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CAPTAIN OF THE SHIP IN THE OPERATING ROOM

The Anesthesia Consultant

Who is the Captain of the Ship in the operating room, the surgeon or the anesthesiologist? The Captain of the Ship doctrine was a 20 th century legal doctrine which held that, in an operating room, the surgeon was “liable for all actions conducted in the course of the operation.”

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WHO WILL BE PROVIDING ANESTHESIA CARE 10 YEARS FROM NOW?

The Anesthesia Consultant

This will require an operating room staffed with a surgeon, a nurse, a scrub technician, and an anesthesia professional. Command centers will likely allow professionals to supervise an increased number of locations safely in the operating room. Imagine this: It’s the year 2034. Leverage technology.

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Evaluating the Anesthesia Staffing Model for Efficiency

Concordia Anesthesiology

Without a doubt, the operating room (OR) brings in the lion’s share of a hospital’s revenue, amounting to as much as 70% or more. The benefits of this model are that there are fewer providers involved and less supervision needed. So, why aren’t hospitals developing and expanding the OR?

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WILL CRNAs REPLACE MD ANESTHESIOLOGISTS?

The Anesthesia Consultant

If a CRNA presents themselves as the sole anesthesia professional responsible for evaluating you and making the anesthesia plan and carrying out all the anesthesia care, you realize you’re not being attended to by a physician. Physician anesthesiologists frequently employ CRNAs to assist them in the anesthesia care team model.

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A DAY IN THE LIFE OF AN ANESTHESIOLOGIST

The Anesthesia Consultant

Empty Operating Room 0655 hours—You don a bouffant hat and a facemask, and enter your operating room. Your hospital contains multiple operating rooms, and today you are in room #10. Then we’ll roll down the hallway into the operating room. and to bring your cell phone with you.

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AN ANESTHESIOLOGIST’S SALARY

The Anesthesia Consultant

An operating room anesthesia practice is somewhat akin to being a taxi cab driver. One model is having a CRNA do the anesthetic independently without any physician anesthesiologist present. So a critical first question to ask is if the big three benefits are/are not part of the promised salary.

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HOW THE INTERNET CHANGED ANESTHESIOLOGY FOREVER

The Anesthesia Consultant

Anesthesiologists could chat with the surgeons and/or nurses, make an occasional phone call, and at times read materials they brought with them into the operating room. Every hospital operating room is equipped with a computer connected to the internet. Love it or hate it, the EMR is here to stay.