Senate Passes Professional Designation Legislation for CRNAs

FOR IMMEDIATE RELEASE

CONTACT: Kurt Knaus; P: 717-724-2866; E: kurt@ceislermedia.com

Senate Passes Professional Designation Legislation for CRNAs

House passed identical measure Tuesday, moving provision closer to law than ever before

HARRISBURG (June 16, 2021) --- The state Senate today unanimously passed legislation that would finally grant formal title recognition to certified registered nurse anesthetists in Pennsylvania, just a day after the House passed a nearly identical measure.

This marks the first time that both chambers have passed bills granting professional designation to CRNAs, and it is the farthest the issue has ever made it through the General Assembly despite more than a decade of legislative review.

One of the measures still must pass the other chamber before going to the governor for his signature, but the fact that identical bills have passed both the House and Senate is a significant achievement and potentially hopeful sign for enactment.

“We have seen more movement on these measures in the last seven days than we have in the last 10 years --- or ever, really,” said Matt McCoy, DNP, CRNA, President of the Pennsylvania Association of Nurse Anesthetists (PANA), which represents more than 3,700 CRNAs and students in the commonwealth. “This has been a long and hard fight, but I’m hopeful that we are finally on the cusp of getting CRNAs the recognition they deserve.”

Pennsylvania is one of just two states that fails to formally recognize “certified registered nurse anesthetist” in some form. Because there is no definition for nurse anesthetists under the state’s Professional Nursing Law, CRNAs are recognized only as registered nurses, despite their advanced education and specialized training.

The lack of that professional designation brings logistical and financial challenges for CRNAs.

Pennsylvania-based nurse anesthetists who serve in the military must secure designation in another state to provide anesthesia in the armed services. They cannot assist on rapid response teams in states affected by natural disasters because they lack formal credentials. And, after receiving training in Pennsylvania, many nurse anesthetists relocate to states with full credentialing, contributing to the state’s “brain drain” of talented health-care professionals.

The pandemic revealed additional shortcomings.

In response to COVID-19, many CRNAs wanted to contribute more to the facilities where they work but could not. Likewise, hospitals and other health-care institutions wanted to use CRNAs to their fullest capacity during a time of crisis but could not. Many facilities felt restricted by the way the state licenses CRNAs and would not allow nurse anesthetists to provide advanced, critical care services, even though it is within their clinical experience and scope of practice.

CRNAs are the hands-on providers of anesthesia care, operating safely in every setting where anesthesia is administered, including: hospital operating and delivery rooms; ambulatory surgical centers; the offices of dentists, podiatrists, ophthalmologists, and plastic surgeons; pain management centers and more.

For more information about certified registered nurse anesthetists in Pennsylvania, visit www.PANAforQualityCare.com or follow along on social media via Twitter at @PANACRNA or on Facebook at www.facebook.com/PANACRNA.

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Letter to the Editor: State needs to recognize certified registered nurse anesthetists

To the Times:

Surgery and anesthesia can be intimidating. Certified Registered Nurse Anesthetists (CRNAs) are advanced practice nurses who specialize in anesthesia and are required to be experienced critical care nurses. CRNAs provide continuous care during anesthesia. We’re usually the last people patients see before a procedure begins and the first to greet them when they awaken. Frequently, anesthesia includes amnesic agents and often, our patients do not remember us or even realize they were cared for by a nurse anesthetist.

During this pandemic, many CRNAs served as front line health-care workers, fulfilling critical roles inside and outside the operating room. CRNAs were uniquely able to utilize their specialized skill set, which includes critical care experience, to care for critically ill patients suffering from this respiratory pandemic in intensive care units or operating rooms.

CRNAs are recognized only as registered nurses, not nurse anesthetists, in Pennsylvania, despite their advanced education and training because there is no definition for nurse anesthetists under Pennsylvania’s Professional Nursing Law. Pennsylvania remains one of only two states that fail to formally recognize CRNAs. This roadblock forces Pennsylvania CRNAs to obtain credentials from other states to provide mission, volunteer, and military work.

Pennsylvania legislators should act to provide CRNAs with the title recognition they need and have earned.

Jodie Szlachta CRNA, Ph.D, Program Director, Crozer-Chester Medical Center / Villanova University Nurse Anesthesia Program

Source: DelcoTimes

Day in the Life: CRNAs & COVID-19

By Sonya Brown, BS, MS, CRNA

In celebration of 2021 National CRNA Week, this article provides a brief history of the certified registered nurse anesthetist (CRNA) profession, describes what it’s like to be a CRNA today during the COVID-19 pandemic, and details the ongoing importance of the state’s recent waiver of supervision requirements for CRNAs.

Historical Perspective: Can you believe that nurse anesthetists have been providing anesthesia services in the United State for more than 150 years? During the Civil War, nurses provided anesthesia services to wounded soldiers on the battlefield, and they soon became the predominant anesthesia provider for those on the frontline. Later, in 1956, CRNA credentialing came into existence. Today, CRNAs safely administer more than 49 million anesthetics each year in the United States. CRNAs also serve as the primary anesthesia provider in the vast majority of many rural and underserved communities. Peer-reviewed studies show that anesthesia care is nearly 50 times safer now than in was in the 1980s, and that there is no difference in the quality of anesthesia care provided between a CRNA and a physician-trained counterpart. CRNAs practice with a high degree of autonomy and carry great responsibility due to their extensive education, training, and licensure. It is estimated that by 2026, there will be a 31 percent increase in need for advanced practice nurses such as CRNAs. There already is a 60 percent shortage of CRNAs across the United States.

CRNAs & COVID-19: With the surge caused by COVID-19, CRNAs stepped up, masked up, and were given the opportunity to practice to their full extent and capabilities. With more patients in need, there simply were not enough skilled and trained providers to care for all these sick individuals. CRNAs were able to jump in immediately to care for these patients. Because of their training in critical care and airway management, CRNAs were able to offer support in intubations and airway management outside of the typical operating room setting. This included covering the emergency room, intensive care unit, and other critical care areas. In addition, CRNAs have played a vital role in invasive line insertion, managing sedation, monitoring labs and blood gases, as well as other diagnostic tests. They also continued to manage their patient’s anesthetic needs within the operating room. Because of all of this, CRNAs have been and continue to be one of the most important team members in the management of COVID-19 patients, while continuing their primary role of administering safe anesthesia for their patients.

State Waiver: Because there were and continues to be an increasing number of patients afflicted by COVID-19, Pennsylvania Gov. Tom Wolf temporarily waived CRNA supervision requirements, allowing CRNAs to utilize their unique skillset to help care for these sick individuals. (The waiver remains in effect as part of the governor’s ongoing disaster declaration.) This waiver allows CRNAs to play a critical role in the care of these patients and to be able to respond appropriately. The governor’s action also has made a huge impact in that more CRNAs are able to respond to this health-care crisis. As of right now, Pennsylvania remains one of only a few states where CRNAs are not recognized as advanced practice providers, something our association is fighting to change. CRNAs play a vital role in providing lifesaving airway and critical care management of those patients impacted by COVID-19. There are 33 states with no CRNA supervision in state law. Removing CRNA supervision permanently in Pennsylvania should be a top priority. We need to work with our associations and advocate for our profession at the state and federal levels. This would allow us to provide anesthetic services to our patients within our full scope of practice and to the best of our ability. Please support and advocate for CRNAs in Pennsylvania.

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To all the professionals in the field: Happy 2021 National CRNA Week!