AZANA continues to promote teamwork, while ASA labels APRN Licensure Compact "dangerous".

ASA President Jeffrey S. Plagenhoef, M.D. presented on the APRN Compact at the AMA’s 2017 Scope of Practice Summit. His presentation, entitled “APRN Compact: The latest tool in the independent practice toolbox” provided an important opportunity to educate physician leaders and staff from a number of specialty and state medical organizations on this "dangerous" legislative initiative.

Recently, AZANA published a well-received article that promotes teamwork in anesthesia care from all professionals, whatever the model of care.  While AZANA promotes teamwork, the ASA is labeling the APRN Licensure Compact - an initiative that allows APRNs to have multi-state licensure - as "dangerous".

Not only does this claim lack any evidence, but it ignores what more and more facilities are realizing: that maximizing the contribution of CRNAs is good for patients and the healthcare system.  

With nearly 50% of CRNAs working in  indepdently or autonomous models at some point in their practice (source: AANA Member Survey 2013), it's becoming harder to argue that one model - "medical direction" - which allows physicians to double their professional fee and artificially limits the contributions of CRNAs to anesthesia care - is by any means a standard.  

The APRN Licensure Compact is an initiative related to unifying state laws and removing discrepancy in APRN practice from one state to the next - the underlying principle is allowing the full contribution of APRNs, as recommended by the Institute of Medicine of the National Academies of Science, Engineering, and Medicine.  

-Joseph A. Rodriguez, CRNA, AZANA President 2016-17