Ep 93: CRNA Supervision & Direction – Its History and Relevance Today

The issue of supervision and direction within our industry has come to the forefront during the COVID pandemic, but it’s anything but a new conversation. We’ve asked Sandy Ouellette, CRNA, to give us another history lesson on the subject. It’s something she’s actively been involved with for over multiple decades. Join us as we define supervision and direction, explain how this has evolved over time, and why it’s just as relevant today.

Click the timestamps below to help you navigate through the many topics we discussed.

On This Episode:

Very few people can tell you more about the history of our profession than Sandy Ouellette, CRNA. The former AANA president has been an active member of the profession for many years and taken part in many key decisions through the years.

On this episode of Beyond the Mask, we want to add another chapter to our historical series by discussing supervision and direction. Ouellette has spent her lifetime and career trying to bring attention to these issues. She’s pushed policy makers through the years and ultimately hopes we get to a point of true collaboration. That’s why she’s a perfect guest to bring us all up to speed on how supervision and direction has evolved for CRNAs over time.

Many people would assume that supervision appears to be more in important and controlling but that’s not the case here. By definition, the word supervision means the action or process or occupation of supervising, critical watching and directing. But direction is defined more by guidance or assistance.

This has impacted both reimbursement and liability, which is why it’s always been a hot-button issue. It’s become even more so in 2020 as states have temporarily opted out and allowed nurse anesthetists to work independently. Will these restrictions be lifted permanently? That’s a legitimate question taht people are asking right now.

But Ouellette believes the future is bright for CRNAs and the profession as long as members continue to stay active and make their voices heard.

This episodes should be particularly helpful to the younger professionals but everyone will find value listening to Ouellette share the knowledge she’s gained throughout her career.

A look at some of the additional topics we cover on the show:

  • Legal cases that impacted nurses
  • The definition of these terms
  • How supervision and direction evolved through the years
  • Why reimbursement plays a big part.
  • The AANA’s position statement on this
  • Surgeon liability when working with nurse anesthetists
  • Why the future is bright for CRNAs
  • How COVID impacts this

Check it out at the top of the page and use the timestamps to help you navigate through the many topics we discussed.

2:36 – Sandy Ouellette joins us in the studio.

4:05 – Why we’re talking about supervision and direction.

5:35 – Why is this topic important in 2020? 

8:19 – When this concept began. 

10:57 – Changes in 1960s and 1980s

14:16 – Reimbursement for supervision

17:36 – AANA position statement on supervision vs direction

21:11 – Prescriptive authority for nurses

24:32 – Care vs Cure

27:03 – Liability

33:55 – Where are we today on this issue?  

38:41 – Best time to be a CRNA

40:52 – COVID’s impact on this  

45:05 – States opting out temporarily

 


“This supervision and direction that has been with us since the very beginning, since ANA was formed, is used often as a lethal weapon against nurse anesthesia practice and used in one way or the other to restrict practice.”

-Sandy Ouellette, CRNA

SHARE THIS EPISODE

Facebook
Twitter
LinkedIn

SUBSCRIBE

EXPLORE MORE

CRNA Careers

Ep 182: The Push for Full Practice Authority for VA CRNAs

More than 1,000 CRNAs work with the Veterans Health Administration and they can’t operate with full practice authority like their counterparts serving in every branch of the military. The Association of Veterans Affairs Nurse Anesthetists is working to change that despite significant pushback, and former president Diane Boettger, MHS, CRNA, joins the show to talk about her time on the board and the work the organization is doing to push CRNAs forward.

LISTEN NOW »
CRNA Careers

Ep 181: The CRNA Coroner – Another Avenue to Serve

It’s been incredible to watch the number of CRNAs that have thrown their scrubs into the ring for political positions around the country. As the trend continues to grow, we want to spotlight another one of these incredibly talented and devoted nurse anesthetists that have been recently elected.

LISTEN NOW »
CRNA Careers

Ep 180: Lobbying for CRNAs – How to Influence State Legislatures and Agencies

If you want an eye-opening perspective on lobbying and what it takes to influence lawmakers, this will be an episode you don’t want to miss. Bob Guyer of The Lobby School gives us a master class on how to be successful in convincing legislators to align with your goals, which is essential for CRNAs as we continue to fight to protect our industry and our paycheck.

LISTEN NOW »

SUBSCRIBE

NEW EPISODES EVERY WEEK!

Apple PodcastsGoogle PodcastsSpotifyStitcherTuneIniHeartRadio

HAVE A QUESTION OR WANT TO BE GUEST?

RECENT REVIEWS

J. Cross CRNA
Read More
This podcast is very well put together. I love the hosts Sharon & Jeremy, they do a fantastic job at presenting topics as well as getting great speakers on the show! This is my morning commute podcast everyday! Thank you for all that you do!
Bill.Nye
Read More
I enjoy listening every morning. Great content and always a pleasure to learn something new.
biggestbaseballfanever
Read More
I started listening to this podcast religiously early on in my CRNA journey, a year before applying to CRNA school. The content in this podcast was one of my most helpful resources for getting into my first choice school, Wake Forest! It has also been a huge motivator for getting involved with the AANA now and throughout my career. I highly recommend this podcast to every prospective CRNA I meet.
Trvlgrl1
Read More
I appreciate hearing the latest and greatest in the world of Nurse Anesthesiology while also getting Class B credits. Just listen on your commute for a win/win experience. I love the perspectives from Jeremy and Sharon who both ask varied and insightful questions!
doubledownmoney
Read More
If you’re a CRNA or any medical professional, I highly recommend giving this podcast a listen. Hosts have a great rapport.
Previous
Next

READ MORE REVIEWS OR LEAVE YOUR OWN!