Wolf Administration Supports Professional Designation for CRNAs

Pennsylvania Association of Nurse Anesthetists

FOR IMMEDIATE RELEASE

CONTACT: Kurt Knaus, P: 717-724-2866

E: kurt@ceislermedia.com

Wolf Administration Supports Professional Designation for CRNAs

Pa. is one of just two states that fails to recognize nurse anesthetists in some form

HARRISBURG (April 29, 2021) --- The administration of Gov. Tom Wolf this week announced that it fully supports professional designation for certified registered nurse anesthetists (CRNAs) in Pennsylvania.

The Department of State endorsed the plan in an April 28 letter to the Pennsylvania Association of Nurse Anesthetists (PANA), which represents more than 3,700 CRNAs and students in the commonwealth. The department, which is responsible for professional licensing, spent more than a year reviewing the proposal as part of its Sunrise Evaluation Report examining the state’s occupational practices.

“This is an important milestone in our ongoing efforts to finally give CRNAs the recognition they deserve,” PANA President Matt McCoy said.

Pennsylvania is one of just two states that fails to formally recognize CRNAs in some form. Because there is no definition for “certified registered nurse anesthetist” under the state’s Professional Nursing Law, CRNAs are recognized only as registered nurses, not as CRNAs.

This brings logistical and financial challenges. Pennsylvania 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.”

Bipartisan measures have been introduced in both the state House and Senate to finally recognize nurse anesthetists as “CRNAs” under Pennsylvania statute.

Senator John R. Gordner (R-Columbia) has re-introduced his professional designation legislation (S.B. 416). An identical measure passed the Senate unanimously in June 2019 before getting stuck in a House committee. Rep. Tarah Toohil (R-Luzerne) has re-introduced a companion bill (H.B. 931) in the House.

Two-thirds (67%) of Pennsylvania voters support professional designation for certified registered nurse anesthetists, including those who identify as Republican (59%), Democrat (75%) and Independent (62%), according to results of a statewide public opinion poll conducted last year by G. Terry Madonna Opinion Research.

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.

With advanced degrees and a high level of education and clinical experience, CRNAs are able to deliver the same safe, high-quality anesthesia care as physician anesthesiologists but at a lower cost, helping to control the nation’s rising health-care costs.

Because of their training and experience, numerous medical studies show there is no statistical difference in patient outcomes when a nurse anesthetist provides treatment. In fact, these studies by nationally recognized health-care policy and research organizations prove that CRNAs provide high-quality care, even for rare and difficult procedures.

For more information, 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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It's time for nurse anesthetists to get formal recognition

By Matt McCoy

Because of the global pandemic caused by COVID-19, all of us have had to confront personal and professional challenges we never thought we’d have to face. Even now, more than a year after this health-care crisis began, response and recovery efforts continue, with certified registered nurse anesthetists playing a major role.

CRNAs are the best-kept secret in health care. In the most ordinary situations, surgery and anesthesia can be frightening or intimidating. But nurse anesthetists provide comfort and reassurance by never leaving their patient’s side. We’re usually the last people patients see before a procedure begins and the first to greet them when they awake.

CRNAs promise their patients to be there for every heartbeat, every breath. When this pandemic separated families in crisis, that promise took on a whole new meaning. Many of us have been serving as frontline health-care workers, fulfilling critical roles inside and outside the operating room during this crisis. That’s because CRNAs are uniquely qualified to care for critically ill patients who are suffering because of this respiratory pandemic.

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.

In response to COVID-19, many CRNAs have wanted to contribute more in the facilities where they work but couldn’t. Likewise, hospitals and other health-care institutions have wanted to use CRNAs to their fullest capacity but couldn’t, all because of the way the state licenses CRNAs, sometimes limiting our role to provide advanced, critical care services.

That’s because Pennsylvania remains just one of 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 training.

This brings logistical and financial challenges, and Pennsylvania CRNAs often have to obtain credentials from other states for certain activities.

Pennsylvania 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.” Bipartisan measures have been introduced in both the state House and Senate to finally recognize nurse anesthetists as “CRNAs” under Pennsylvania statute. It’s an idea whose time has come, and it’s long past time for the state to act.

Two-thirds (67%) of Pennsylvania voters support professional designation for certified registered nurse anesthetists, including those who identify as Republican (59%), Democrat (75%) and Independent (62%), according to results of a statewide public opinion poll conducted last year by G. Terry Madonna Opinion Research.

Broad support like this should give lawmakers the confidence they need to advance this measure and finally provide CRNAs with the professional designation they deserve.

The commitment of CRNAs during this health-care crisis has availed more physicians to provide hands-on care, expanded the capacity of both CRNA and physician providers to help patients, and augmented the state’s health-care system to continue to meet the growing demands of this pandemic.

This crisis still requires an all-hands-on-deck approach. Our health-care systems are still challenged to function at high capacity. As long as response and recovery efforts continue, CRNAs will remain a critical part of the solution. It is time for nurse anesthetists to finally receive the formal recognition they deserve for their contributions to this crisis and the safe, affordable delivery of care overall.

McCoy is President of the Pennsylvania Association of Nurse Anesthetist and a resident of Westtown Township, Chester County.

Original Post

CRNA Week Takes on New Meaning Amid COVID

It’s safe to say our 2021 National CRNA Week commemoration really is like no other before it. Because of the global pandemic caused by COVID-19, all of us have had to confront personal and professional challenges we never thought we’d have to face.

Even now, more than 10 months after this health-care crisis began, response and recovery efforts continue.

But one thing is certain in these uncertain times: I’ve never been prouder to be a Certified Registered Nurse Anesthetist (CRNA) than I am today, and I’ve never been more honored to stand by your side as president of the Pennsylvania Association of Nurse Anesthetists (PANA).

In the most ordinary situations, surgery and anesthesia can be intimidating or frightening. CRNAs provide families comfort and reassurance by never leaving their loved one’s side. When this pandemic separated families in crisis, our promise to be there for every heartbeat, every breath took on a whole new meaning.

Because of our advanced education and hands-on training, CRNAs are uniquely qualified to care for critically ill patients who are suffering because of this respiratory pandemic. Many CRNAs have been serving as frontline health-care workers, fulfilling critical roles inside and outside the operating room during this crisis.

In May, when the state granted a temporary waiver to suspend the CRNA supervision requirement, healthcare facilities jumped at the chance to tap into nurse anesthetists’ unique skillset --- and we rose up to meet the challenge.

By allowing CRNAs to practice to the fullest extent of their education and training, not only are more people familiar with what we do, but our work during this crisis has availed more physicians to provide hands-on care, expanded the capacity of both CRNA and physician providers, and augmented the state’s health-care system to continue to meet the growing demands of this pandemic. Our work affects lives.

This crisis still requires an all-hands-on-deck approach. Our health-care systems are still challenged to function above capacity. As long as response and recovery efforts continue, CRNAs will remain a critical part of the solution as “Experts You Trust. Care You Count On,” our theme this week.

On behalf of PANA, I want to extend my heartfelt gratitude to each and every CRNA and student who has stepped up during these difficult times to represent our profession so honorably and serve patients and families so faithfully. If ever there was a time to commemorate what we do, then 2021 National CRNA Week is the time to do it.

Please be safe. And again, thank you for all you do.

Matt McCoy, DNP, CRNA

President

Pennsylvania Assn of Nurse Anesthetists