AANA Structure Flashcards
Standard for Nurse Anesthesia Practice
a) Assist the profession in evaluating the quality of care provided by practitioners
b) Provide a common base for practitioners to use in their development of a quality practice
c) Assist the public in understanding what to expect from the practitioner
d) Support and preserve the basic rights of the patient.
CRNAs responsible for:
-the quality of the service rendered
CRNA should document any
a) Deviations from the standards of care and
b) STATE deviations on the patient’s anesthesia record
Standard #1
Perform and document a THOROUGH PRE-anesthesia assessment and evaluation.
Standard #2
Informed consent
A procedure with NO INFORMED CONSENT, you can be charged with
Assault /Battery
Standard #3
Anesthesia Care plan
Standard #4
Adjust plan based on PHYSIOLOGIC Status.
Standard #5
Monitor/Evaluate physiologic condition Attend patient until other anesthesia arrive a)Oxygenation b)Ventilation c) CV: Cardiovascular d)Thermoregulatio e) Neuromuscular f) P ositioning
Circles for anesthesia
Every 5 minutes
Heparin (Vascular surgery):
State main pharmacokinetics to remind surgeon
3 (peak)
30 (half life)
1 hour (Drug elimination)
Monitor and document every BP and HR
5 minutes
Alarms max silence time
Max alarms silenced 2 minutes
Look at the patient to determine oxygenation
Skin color ; continuously monitor with SPO2
Placement of Endotracheal tube, STANDARD OF CARE is _________
ETCO2
Kids with high metabolism rate
Inspired air vs expired air
INTUBATION : CAFE
Chest excursion
AUCSCULTATION
Fog in the mask
End tidal CO2
CV - 2 assessments (major)
Heart sounds
ECG
Thermoregulation is used for
CV/ Neuro procedure
Warm fluids for machine
NEED TO FUNCTION on HIGH FLOW
PUT PRIOR TO INDUCTION
Neuromuscular blocking agents : 2 things to assess
- assess depth of blockade
- degree of recovery.
Positioning
Patient and protective measures
FOCUS on continuous clinical observation primarily.
OBSERVATION and VIGILANCE
Signature required
LEGIBLE LAST NAME.
Handoff
DO NOT LEAVE THE PATIENT UNTIL PACU REPORT
Continuity of care
FOLLOW UP on cases.
ASSESS QUALITY –>
Ongoing review and evaluation of anesthesia care
Adopted in 1974
Standards of care for Nursing Practice
Scope of Anesthesia practice
CRNAs are APRNS
Education, accountability and leadership
Graduate
Pass NCE
Lifelong learning
Recertification
Most specific
1- FACILITY
State licensure
Credentialing
CERTIFICATION and RECERTIFICATION
Most specific for requirements
FACILITY
Have card for
CENTRAL LINE INSERTIONS
Post graduate pain fellowships
USF
Texas (TCU)
Middle tennessee
Undermining
Low H&H
wait a few hours after blood
When no chest rise.
chin-lift
oral airway
nasal trumpet
Wake
Pain –> ALways serious
Delirium
CVA
MI
Value
Urban, surbuban, rural
4 advance practice nurses types approved by NIH, and NC
NPs
CRNA
CNS
Nurse midwifes
CNS
experts in the clinical area
Anesthesia care team model
1 anesthesiologist
4 CRNAs
AANA
EDUCATION and practice standards and guidelines
1974
Adopted standarts for nurse anesthetists practice.
MOTTO
Safe and effective anesthesia care for every patient
Mission
Advance patient safety and our porfession through excellence in practice and service to members.
Gary brydges
President of the AANA
Debra Diaz
Florida
What year was the Standards for NA practice adopted? then public interested established?
1974; 1975
First qualifying exam -
1945
When was AANA founded ______by whom_______
1931; Agatha Hodgkins
CCNA administered CE for the first time computerized
1996
What is the vision of AANA
AANA is the transformative leader driving innovation and patient centered excellence in practice and service to members.
Core values
Quality Professionalism Service Collaboration Diversity and inclusion
Main SCOPE of practice issue accross all APRN specialties is
Independent Practice
APRNs are regulated PRIMARILY by the
STATE BOARDS of NURSING
State not requiring documentation of relationship between doctors and NP
CT
PA
IN
MN
CRNAs ability to practice without supervision is controlled by both
State and federal regulations
Adopted voluntary continuing education
1969
Council of recertification established
1978
Mandatory Continuing education adopted
1977
First Qualifying Exam
1945
NANA in
1931
CHANGED TO AANA
1939
AANA Standards for office based practice
1999
On the last working day of Clinton administration HCFA __________ in
HCFA published the final rule to defer to the states on physician supervision of CRNAs for medicare cases ; 2001
US departmemtn of Healthh & Human Services Health Care Financing administration (HFCA) services health care financig admininstation published a rule
1998
HCFA Announce that they will finalize the rule
2000
COA executive director
Frank Gerbasi
NBCRNA Executive director
Karen Plaus
Continuing professional certification program(CPC)
Must recertify every _____ years beginning ________
4; 2016
Must take CPC every _____ years beginning ________
8; 2020
Must pass CPC exam between
2028-2033
NBCRNA and COA
both adopt criteria for recertification
COA how many members
11
what are the 2 autonomous concils
COA
NBCRNA
Council responsible for their own
interal affairs
financial activities
Election of officers
Elected body (BOD) elected _____(how often)
Every year
Regional directors elected every ____. To run for national office an individual must have served at least ______term as an officer or director of a state association and be ________
2 years; one ; active in state or AANA affairs.
Each committee has at least
3 active members appointed by the president
Basis of safe anesthesia care
Continuous clinical observation
Vigilance
Standards of Nurse anesthesia Practice , how many
11
Standard XI
maintain the basic rights of patients.
The score of nurse anesthesia practice is determined by
Education
Experience
State and Federal law
Facility Policy
CRNAs are APRNs licensed as
Independent practitioners
What is the PO2 of gas contained in the anatomic dead space?
Same as INSPIRED AIR
Standards of care for Nursing Practice adopted in
1974
Regional 7 DIRECTOR of AANA
Debra Diaz
Four health care professions
Dentist
AA
Facility, local responsible.
Credentialing
