Page 43 - 2022 Risk Basics - Anesthesiology
P. 43
SVMIC Risk Basics: Anesthesiology
Jurisprudence Proof of Facts, a legal compendium that is used
by lawyers and judges to research legal issues and find
caselaw, states in a recent edition in an article relating to
anesthesia and CRNA liability:
“Traditionally, physicians and hospitals have been held
vicariously liable for the nurse’s negligence under the
theories of agency or respondeat superior. However, since
studies have shown the absence of a significant difference
in the quality of care delivered by nurse anesthetists and
anesthesiologists, many states have now expanded by
statute the scope of the CRNA’s responsibilities. Today,
courts recognize that the CRNA and anesthesiologist do not
perform mutually exclusive functions.
In fact, it is often realized that the difference between
practicing medicine and nursing cannot always be
articulated with certainty. Like the anesthesiologist, the
nurse [anesthetist] may be in a position to make life-or-
death decisions for the patient.”
17
As previously indicated, some states require physician
supervision of CRNAs while others do not. Certainly, in states
where supervision is required, the anesthesiologist who is
supervising can expect to be named along with the CRNA in a
malpractice lawsuit. Also, if there is a contractual duty (e.g.
17 6 AmJur POF 3d Sect. 27
Page | 43