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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


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