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31 Cards in this Set
- Front
- Back
William T.G. Morton
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1846
Dentist who 1st used ether for surgical anesthesia @ MGH Pt: Abbott Surgeon: Dr. Warren |
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1846
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First documented anesthesia usage for surgery
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Alice Magaw
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1893
The mother of anesthesia |
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1893
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Alice Magaw & textbook on nursing includes first chapter of nurses role in anesthesia
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Agatha Hodgins
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1914
founder of NANA/AANA declared CRNA's were the APNs |
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1914
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Agatha Hodgins becomes important
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NANA/AANA
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1931 - founded (in OH)
1932 - incorporated 1933 - first meeting (WI) 1939 - changed name from NANA to AANA |
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Isabel Hampton Robb
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1889 - nursing leader & superintendent of JHUSON
1893 - wrote textbook on nursing & included chapter on nurses in anesthesia |
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1944
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first African American in nurse anesthesia
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1945
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first certification exam in nurse anesthesia
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1947
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first male in nurse anesthesia
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1957
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CRNA title incorporated by AANA
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1974
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Standards of Practice adopted by AANA
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1989
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direct reimbursement for CRNAs under medicare part B
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1998
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graduate level education required for CRNA profession
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2001
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1st state to opt out of the federal physician supervision requirement - Iowa
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Standards
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rules or minimum requirements for clinical practice
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Guidelines
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recommendations to assist in decision making about health care
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Sole purpose of an anesthetist
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...to provide safety & vigilance.
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Standards of Nurse Anesthesia Practice
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- Perform & complete a preanesthesia assessment.
- Obtain informed consent - Formulate a specific plan-of-care - Implement/adjust plan based on patient's physiological response - Monitor physiologic condition - Documentation; complete, accurate & timely - Transfer of care to qualified providers - Adhere to safety precautions of institution - Minimize risk of infection - Assure quality and contribution to positive patient outcomes - Respect the rights of the patient |
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Standards of basic anesthesia monitoring
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- qualified anesthetist will be present at all times during general, regional and MA care
- during anesthesia the patient will be...monitored (including oxygenation, ventilation, circulation & temperature) - ...ensured adequate ventilation - ...ensured adequate circulatory function - Aided in body temperature maintenance |
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Insurances of anesthetist for adequate oxygenation
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oxygen analyzer & pulse oximetry
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Insurances of anesthetist for adequate ventilation
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- Qualitative signs (chest rise, auscultation of BS, ETCO2, observation of reservoir bag)
- Quantitative signs (volume of expired gas) ETCO2 detector Vent alarms |
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Insurances of anesthetist for adequate circulation
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Continuous EKG monitoring
arterial/NBP q5min cont eval of either palpable pulse, auscultation of heart sounds, monitoring of intrathecal pressure, US peripheral pulse, pulse oximetry/plethysmorgraphy |
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CRNA scope of practice
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1.) perform/document preanesthetic eval
2.) develop anesthesia plan 3.) initiating anesthetic technique 4.) select/apply/insert appropriate NI/I monitoring 5.) select/obtain/admin anesthetics/IVF 6.) manage pt's airway and pulm statues 7.) facilitate emergence/recovery from anesthesia 8.) d/c patient from PACU and provide f/u care 9.) implement acute & chronic pain modalities 10.) respond to emergency situations (airway management, IVF/drugs, BLS/ACLS) |
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CRNA code of ethics
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1.) preserve human dignity
2.) maintain competence in practice 3.) responsible/accountable for services provided 4.) collaborate w/ HCT; promote communication 5.) endorse products/services when safe & effective 6.) protect integrity of research/publication 7.) maintain ethical business practices in all professional settings |
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The gold standard for knowing correct ETT placement is...
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ETCO2 (easy cap, colorimetric detection)
**Can only determine the presence of CO2, but does not evaluate ventilation** |
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Set point for normothermia is...
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98-98.6*F
36.4-37*C At temp above set point, body will sweat (heat loss > heat production) At temp below set point, body will shiver (heat production > heat loss) |
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Credentialing
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Recognition of professional and technical competence and well-defined criteria-based mechanisms to verify information and evaluate applicant
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Core privileges
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Scope of procedures and activities within a specialty that each professional has the education, experience and competence to perform
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Clinical privileges
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The process through which individuals are credentialed within institutions.
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