A Musical Note From a Former APRN: A Take on Ethics

            I wish the disservice being done to my former profession, as an APRN, would stop. It’s no wonder why physicians are more and more inclined to view APRN’s negatively.  Introducing oneself as a “nurse anesthesiologist” could be construed as violating the Code of Ethics for the Certified Registered Nurse Anesthetist (2). My purpose here is not to engage in a pissing match with my former profession, but to put forth that not all APRNs (or former APRN’s) have such a blatant disregard for a code of ethics or willful deception. “The American Association of Nurse Anesthetists (AANA) Code of Ethics offers guidance to the Certified Registered Nurse Anesthetist (CRNA) to make ethical decisions in all practice roles (2).”

What would happen in our world now if, flight attendants are now calling themselves pilots, paralegals are calling themselves attorneys, construction workers now calling themselves architects, auto assemble workers are calling themselves engineers, uber drivers are now racecar drivers. Or how about certified nurses aids calling themselves practical nurses, or licensed practical nurses calling themselves registered nurses, or registered nurses calling themselves APRNs. And on and on and on and on. But now we have CRNAs calling themselves anesthesiologists. This is why we have professional standards and codes of ethics in all professions. To keep us honest and free from deceit. Need I say more………. 


  1. http://www.fox35orlando.com/news/mobile-app-news-feed/nursing-board-signs-off-on-anesthesiologist-title?fbclid=IwAR2YD4mGvZE7N4P3a2uoup-9Uc7gD4yzBfkOiteqwD5awv9KBz0pke3PxH8
  2. https://www.aana.com/docs/default-source/practice-aana-com-web-documents-(all)/code-of-ethics-for-the-crna.pdf?sfvrsn=d70049b1_4

Robert Duprey MD

Robert P. Duprey Jr studied medicine as a 2nd career medical student who went to medical school in his 40’s after honorable discharge and ‘retirement’ from 25 years in the US Military (USCG & US Army). He was a registered nurse (RN) with specialty training as a psychiatric RN in the US Army for 15 years. During this time he also became a Master’s level psychotherapist in 2002. While on US Army active duty he also became a Psychiatric Nurse Practitioner while working full time in 2011. He served as a Psych NP on active duty, to include a combat tour in Iraq, until his ‘retirement’ in 2014 and moved to Philippines with his 3 children. At this time he started medical school overseas at Oceania University of Medicine based out of Samoa accredited by Philippine Accrediting Association of Schools, Colleges and Universities (PAASCU). He continued to work as a Psych NP throughout medical school to support his children and to not have to take out loans for medical school tuition. Originally from Rhode Island, he completed medical school clerkship rotations throughout the USA with a graduation in May 2019 earning the esteemed credential of MD. He has successfully completed USMLE Steps 1, 2CS, and 2CK. He will take Step 3 this September as he applies for Psychiatry Residency. Having been and RN, NP and now MD, he is a believer of Physician led multidisciplinary healthcare teams 

  4 comments for “A Musical Note From a Former APRN: A Take on Ethics

  1. Douglas Farrago MD
    September 1, 2019 at 5:10 pm

    Yeah, so here are my rules. If the CRNAs start jumping on this to have a bitch session then I close comments.

    • Victoria Eads
      September 1, 2019 at 5:30 pm

      Are you saying facts are “bitch sessions”?

  2. Victoria Eads
    September 1, 2019 at 4:36 pm

    I’m a CRNA, or nurse anesthesiologist. We ARE pilots, we ARE lawyers, and on and on and on. We practice anesthesia independently.

    Why are you, as a former psych NP, getting involved in this? Did you look into CRNA training, experience, licensing? Have you been in an OR?

  3. Brian
    September 1, 2019 at 4:11 pm

    I am a CRNA, practicing for more that 33 years, 30 of them without an mda. Let me say I’m not in favor of the terminology nurse anesthesiologist but for you to try to compare 1 flight attendant/pilot, 2 construction worker/architect etc is absolutely fantastical!! Do you not see the poor comparison? Let me help you. CRNAs do EXACTLY the same job as mda EXACTLY!! We work with or without mdas and have been for over 100 years. Get your facts straight before you spout to the public.


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