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Originally Posted by StewartG
Kelli did not have to write a dissertation, only a master's thesis. She has a masters degree in nurse anesthesia. She is a CRNA (Certified Registered Nurse Anesthetist). I don't know if they have a similar position in Germany.
Essentially, she went through the full first year of medical school along with all the full M.D. track medical students. After her first year, she began a 2.5 year track of specialized training and internship in anesthesia. Once she passed her boards, she was licensed as an independent practitioner. That is to say, she can practice independently, open her own surgery center, administer anesthesia in an O.R. without an M.D. on staff, etc.
She's a pretty smart chick. Most of you medical people are! 
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See- that's where our medical systems are VERY different and where I'd hope Germany would do something.
Over here nurses don't do half of the schooling that is done in the States.
They go to their own little school for three years- and it mainly focuses on taking care of the patients on the units, with a bit of anatomy and pharmacology thrown in.
Some of them do specialize for OR and such- but their education level is WAY below the one of nurses in the States.
Hence they are not allowed to do ANYTHING without doctors orders, let alone give meds i.v. or such- most of them don't even know how to do a bloodtest.
The professions are completely split here- nurses take care of feeding, bedding, washing and changing bandages and such, also changing infusions after orders and recording vital sings. But that's about it.
EVERYTHING else is done by the docs- every descision, every application, every procedure, every diagnose.
One of the biggest bummers f.e. when on call for the docs is to get woken up to change blood infusions.
This due to the fact that we are the only ones allowed to do the final bedsite crosstest (which is nothing Einstein-ish and could easily be done by nurses as well)- so every time new erythrocytes are hung up the doc has to be there.
Which is a bummer- I know many nurses who are very clever and could easily do much more of a job, thus helping the docs.
It is much cleverer the way it is done in the States.