nurse anesthetist opt out policy
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Tender Care, INC - PPEC

Tender Care, INC - PPEC | nurse anesthetist opt out policy | Scoop.it
Tender Care's daytime PPEC program provides skilled nursing care, skilled therapies, specialty consultants and developmental stimulation for medically complex children up to twelve hours per day.
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sara hall's comment, April 9, 2014 2:19 PM
(Aspect 3)... There are many advantages of having your child in a pediatric extended care center. Children get more socialization with other children, possibility of early detection of any other potential health problems, and best care for the child with their own personalized case management. Also, using a pediatric extended care center instead of home health services would save money about 40%-50%.
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Pediatric Extended Care Center Calls for Change in Age Restrictions to Aide Parents of Medically Fragile Children | Western Pennsylvania Healthcare News

Pediatric Extended Care Center Calls for Change in Age Restrictions to Aide Parents of Medically Fragile Children | Western Pennsylvania Healthcare News | nurse anesthetist opt out policy | Scoop.it
House Bill 1960 Vulakovich - (PN 2674) Amends the Prescribed Pediatric Extended Care Centers Act changing the age limit from eight years to 21 years of age
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sara hall's comment, April 4, 2014 9:30 AM
(Aspect 3)...In previous years pediatric extended care centers had an age limit of eight years old, per law requirement. Until 2012 when a woman from Pittsburgh wrote up a bill that got passed changing the age limit for pediatric extended care centers from eight years old to twenty-one years old.
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Lauren's House - About Us - YouTube

Lauren's House is a medical day health center and is licensed by the Commonwealth of Pennsylvania as a Prescribed Pediatric Extended Care Center (PPECC). The...
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sara hall's comment, April 8, 2014 9:47 PM
(Aspect 3)... Pediatric extended care centers make things much easier for the parents of medically fragile children. They don't have to worry about the busy traffic schedule of home nurses, waiting for late nurses or missed nursing shifts. Pediatric extended care centers are constantly dependable so parents don't have to worry about their child or missing work during the day.
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PPEC_combined.pdf

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sara hall's comment, March 28, 2014 9:23 AM
(aspect 3)... Home nursing services can be very expensive, PECCs and places like it are great alternatives that are less expensive. They are very stimulating for a child in a social and nurturing aspect. In addition to the medical care the child receives they also get some educational care.
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34-PHHC-treatment-programs.pdf

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sara hall's comment, March 26, 2014 9:35 AM
(aspect 3) Pediatric extended care centers (PECC) and other similar facilities can care for and provide medical necessities for medically fragile children. Any person or child who needs any kind of medical technology to keep them alive or prevent their condition fro worsening is considered medically fragile. These places allow parents of medically fragile children to drop off their child and not have to worry wether or not their child is being properly cared for.
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legalissuesnap.pdf

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sara hall's comment, March 7, 2014 9:47 AM
A CRNA, or a certified registered nurse anesthetist, is a registered nurse who took more schooling to focus learning clinical judgment and critical thinking through a graduate curriculum. Doing such makes them an anesthesia specialist. When it comes to all aspects of anesthesia care a CRNA's education, licensure, and certification qualifies them to make independent judgments
sara hall's comment, March 24, 2014 9:31 AM
There is no liability differences, whether a CRNA is supervised by an anesthesiologist or not, the CRNA is the only person liable for their own actions. Basically even when an anesthesiologist is there supervising the CRNA the anesthesiologist can not be held liable for any of the actions of the CRNA or any other healthcare professional they are working with.
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Federal Supervision Rule/Opt-Out Information

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sara hall's comment, March 6, 2014 9:35 AM
As of 2012 these 17 states enacted the opt out policy:Iowa, Nebraska, Idaho, Minnesota, New Hampshire, New Mexico, Kansas, North Dakota, Washington, Alaska, Oregon, Montana, South Dakota, Wisconsin, California, Colorado, and Kentucky.
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Health Care Facility Directory -

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sara hall's comment, April 8, 2014 8:34 PM
(Aspect 3)... Since pediatric extended care centers are relitively new there aren't too many around. The only ones in Pennsylvania are Childs way, Frankies world foundation, Harleysville pediatric home care and extended services, helping hand children's center, Lauren's House, Pediatria Health care for kids, Wonder kids medical daycare, and Your childs' place. Plus Pediatria health care for kids has five different locations in Pennsylvania and Lauren's House has three. That is only a total of four-teen pediatric extended care centers in the whole state of Pennsylvania.
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FAQ's | Helping Hand

FAQ's | Helping Hand | nurse anesthetist opt out policy | Scoop.it
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sara hall's comment, April 7, 2014 9:44 AM
(Aspect 3)... Pediatric extended care centers are for any child with medical issues that makes them incapable of attending regular daycare services. Many of the more common medical issues you may see a child having at a PECC are: "seizure disorders, feeding tubes, tracheostomies, pulse oximetry monitoring, premature infants on monitors or oxygen, ventilators, cerebral palsy, and so many other possibilities.
sara hall's comment, April 7, 2014 9:48 AM
(Aspect 3)... All pediatric extended care centers have to be licensed by the Department of Health. The Department of Health has a set of rules and regulations that must be met and followed. The department of Health makes yearly inspections and can also have random inspections at their will.
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Pediatria Pediatric Day Health Centers - YouTube

Overview of Pediatria's pediatric day health centers. Pediatric nursing and therapies provided in a center based environment that promotes patient care and p...
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sara hall's comment, April 7, 2014 9:00 PM
(Aspect 3)... The medical services rovided by nurse at pediatric care centers play a role in the result of less visits to the ER, less hospital readmissions, and decreased outside additional nursing services. It is also much more cost efficient to have your child in a PECC benefiting from their services instead of spending more time in hospitals and paying the hospital bills.
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Broward Children's Center PPEC | Broward Children's Center

Broward Children's Center PPEC | Broward Children's Center | nurse anesthetist opt out policy | Scoop.it
Prescribed Pediatric Extended Care is for children who require constant medical attention. It delivers nursing care for up to 12 hours a day, 5 days a week.
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sara hall's comment, April 4, 2014 9:14 AM
(aspect 3) The typical services provided within PECC's are, "skilled nursing, respiratory care, developmental and educational programs, nutrition, occupational therapy, physical therapy, speech/ language therapy, social services, recreation, transportation, ARNP, and access to medical care and physician."
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CRNAs can help reduce health costs - Boston Globe

CRNAs can help reduce health costs - Boston Globe | nurse anesthetist opt out policy | Scoop.it
CRNAs can help reduce health costs Boston Globe The philosophical differences may be more difficult to overcome, while the regulatory barriers that prevent CRNAs from practicing with greater independence — as they should in Massachusetts and...
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sara hall's comment, March 24, 2014 12:35 PM
Allowing CRNAs to preform without an anesthesiologist gives more rural hospitals access to administering anesthesia. Having more access to administering anesthesia benefits consumers because of the improved competition it brings into the health care market place. With better access and improved competition it helps in lowering medical costs.
sara hall's comment, March 24, 2014 12:53 PM
CRNAs would not be taking the place of anesthesiologists. The opt out policy allows them to be just as effective and have no limitations they normally would. One thing that did limit CRNAs was only being able to prescribe medication within 24 hours of the patients surgery.
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What Does Opt-Out Mean to the Anesthesia Community?

What Does Opt-Out Mean to the Anesthesia Community? | nurse anesthetist opt out policy | Scoop.it
The opt-out was put in place to allow states the power to allow CRNAs to administer anesthesia without the supervision of anesthesiologists.
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sara hall's comment, March 7, 2014 9:16 AM
In order to enact the opt out policy in a state that governor must have a meeting with that state's board of medicine and nursing. In this meeting the governor needs to discuss a few specific things. First any problems with lack of access to anesthesia services and its quality. secondly, the governor has to suggest to opt out is best for the state. Lastly, the governor must clarify it doesn't disturb any state laws.
sara hall's comment, March 7, 2014 9:24 AM
If the opt out policy is approved there is no required public written notice or waiting period, it is in effect immediately. At any time the governor would have the power to withdraw the policy. If a state has the opt out policy it is at an individual facilities discretion to use anesthesiologists alongside CRNA's or not.
sara hall's comment, March 24, 2014 9:42 AM
The reason for creating the opt out policy was there was a lack of anesthesiologists throughout the nation. To fix the shortage it was decided that CRNAs were just as capable to administer anesthesia on their own.
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No Harm Found When Nurse Anesthetists Work Without Supervision By Physicians

No Harm Found When Nurse Anesthetists Work Without Supervision By Physicians | nurse anesthetist opt out policy | Scoop.it
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sara hall's comment, March 4, 2014 9:45 AM
<br><br><br><br><br><br>Medicar and Medicaid gave states the option o fan opt out policy saying that a CRNA can administer anesthesia without oversight of a surgeon or anesthesiologist. By observing Medicare data it shows there has been no increase in patient deaths or complications under the opt out policy.
sara hall's comment, March 5, 2014 9:25 AM
Approximately 37,000 independent CRNA's annually provide about thirty million anesthetics throughout the United States. About two-thirds of anesthetists in rural hospitals are these independent CRNA's.