Nur613 Principles Of Anesthesia Exam 1

Front 1

CRNA possible referrals or request for consults to...

Back 1

assist with care for management of pain associated with obstetrical labor and deliver, management of acute and chronic ventilatory problems, or the management of acute and chronic pain through the performance of selected diagnostic and therapeutic blocks or other forms of pain management.

Front 2

CRNA scope of practice

Back 2

-performing and documenting a pre-anesthetic assessment(includes requesting consults/studies, pre-anesthetic medications and fluids, obtaining informed consent
-developing and implementing an anesthetic plan
-initiating anesthetic technique (general, regional, local, and sedation)
-selecting, applying, and inserting appropriate non-invasive and invasive monitoring
-administering anesthetics, adjuvant and accessory drugs, and fluids

Front 3

CRNA scope of practice

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-managing the patients airway and pulmonary status
-emergence and recovery with medications, fluids, and ventilatory support
-discharging from post anesthesia care and providing post-anesthesia follow up
-acute and chronic pain managment
-responding to emergency situations

Front 4

Additional possible CRNA duties

Back 4

Administration/management
Quality assessment
Educational
Research
Committee appointments
interdepartmental liaison
Clinical/administrative oversight of other departments

Front 5

contains detailed list of CRNA functions and practice parameters

Back 5

AANA Guidelines for Core Clinical Privileges

Front 6

Students enrolled in nurse anesthesia educational programs accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs practice pursuant to ...

Back 6

the Council's Standards and Guidelines.

Front 7

Standards for Nurse Anesthesia Practice

Performing a thorough and complete preanesthesia assessment.

Back 7

Standard I

Front 8

Standards for Nurse Anesthesia Practice

Obtain informed consent for the planned anesthetic intervention from the patient or legal guardian.

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Standard II

Front 9

Standards for Nurse Anesthesia Practice

Formulate a patient-specific plan for anesthesia care.

Back 9

Standard III

Front 10

Standards for Nurse Anesthesia Practice

Implement and adjust the anesthesia care plan based on the patient's physiological response.

Back 10

Standard IV

Front 11

Standards for Nurse Anesthesia Practice

Monitor the patient's physiologic condition as appropriate for the type of anesthesia and specific patient needs.

Back 11

Standard V

Front 12

Standards for Nurse Anesthesia Practice

There shall be complete, accurate, and timely documentation of pertinent information on the patient's medical record.

Back 12

Standard VI

Front 13

Standards for Nurse Anesthesia Practice

Transfer the responsibility for care of the patient to other qualified providers in a manner which assures continuity of care and patient safety.

Back 13

Standard VII

Front 14

Standards for Nurse Anesthesia Practice

Adhere to appropriate safety precautions, as established within the institution, to minimize the risk of fire, explosion, electrical shock and equipmen malfunction. Document on the patient's medical record that the anesthesia machine and equipment were checked.

Back 14

Standard VIII

Front 15

Standards for Nurse Anesthesia Practice

Precautions shall be taken to minimize the risk of infection to the patient, the CRNA, and other helathcare providers.

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Standard IX

Front 16

Standards for Nurse Anesthesia Practice

Anesthesia care shall be assessed to assure its quality and contribution to positive patient outcomes.

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Standard X

Front 17

Standards for Nurse Anesthesia Practice

The CRNA shall respect and maintain the basic rights of patients.

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Standard XI

Front 18

Standards for Nurse Anesthesia Practice were first adopted in

Back 18

1974

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Council on Recertification of Nuse Anesthetists was established?

Back 19

1978

Front 20

Credential CRNA was adopted by the members of the AANA in what year?

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1956

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Mother of Anesthesia

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Alice Magaw

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Sister Mary Bernard

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first nurse known to have specialized in anesthesia

Front 23

Frank vs South, Kentucky Court of Appeals ruled that nurse anesthetist Margaret Hatfield was not engaged in the practice of medicine when she administered anesthesia for surgeon louis Frank's cases. This took place in what year?

Back 23

1917

Front 24

The year Agatha Hodgins founded the National Association for Nurse Anesthetists (NANA)

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1931

Front 25

Chalmers-Francis vs Nelson, the California Supreme Court affirmed the Superior Court finding for nurse anesthetist Dagmar Nelson in a ruling that confirmed the legality of nurse anesthesia practice. This ruling came in what year?

Back 25

1934

Front 26

AANA administered first certification exam

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1945

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Scope of Practice statement first published

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1980

Front 28

When did Congress pass legislation providing CRNA's direct reimbursement under Medicare Part B?
When was it implemented?

Back 28

1986; 1989

Front 29

This agency published a proposed rule in 1998 to defer to the states on physician supervision of CRNA's for Medicare cases. When was the rule finalized?

Back 29

The U.S. Department of Health & Human Services' Health Care Financing Administration (HCFA)
2001 (last working day of Clinton administration)

Front 30

What were some of the problems with chloroform when used as an anesthetic?

Back 30

depresses respirations, has histotoxic properties, increases cardiac irritability and sensitizes to arrythmias caused by catecholamine response

Front 31

Who was the first to use O2/N2O technique?

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Agatha Hodgins

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Mother of Anesthesia Education

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Agatha Hodgins; director of Lakeside School of Anesthesia-closed and then reopened d/t legality of nurses administering anesthesia

Front 33

What was a pivotal moment in nurse anesthetist education?

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1955 the US Department of Health, Education and Welfare recognized the AANA as the accrediting agency for schools of nurse anesthesia.

Front 34

What is TEFRA?

Back 34

Tax Equity and Financial Responsibility Act;
**consists of 7 regulations that must be followed by physicians for reimbursement
-preop evaluation
-induction
-maintenance
-emergence
-critical points of case
-postop and release from PACU
**also states MD cannot supervise more than 4 CRNA's at one time

Front 35

When was TEFRA established and what does it define?

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established in 1982
defines reimbursement for Medicare parts A and B
--part A:hospital reimbursement for CRNA
--part B: reimbursement for professional services outside a hospital setting

Front 36

ASA
Standard for Basic Monitoring
Standard I

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Qualified anesthetist ust be present at all times

Front 37

ASA
Standard for Basic Monitoring
Standard II

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Oxygenation, ventilation, circulation, and temperature will be monitored at all times

Front 38

What type of monitoring is clarified in Standard V of the Standards for Nurse Anesthesia Practice?

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a. monitor ventilation continuously
b. monitor oxygenation continuously
c. monitor cardiovascular status continuously
d. monitor body temperature continuously
e. monitor neuromuscular function and status
f. monitor and assess the patient positioning