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