AANA Structure Flashcards

1
Q

Standard for Nurse Anesthesia Practice

A

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.

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2
Q

CRNAs responsible for:

A

-the quality of the service rendered

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3
Q

CRNA should document any

A

a) Deviations from the standards of care and

b) STATE deviations on the patient’s anesthesia record

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4
Q

Standard #1

A

Perform and document a THOROUGH PRE-anesthesia assessment and evaluation.

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5
Q

Standard #2

A

Informed consent

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6
Q

A procedure with NO INFORMED CONSENT, you can be charged with

A

Assault /Battery

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7
Q

Standard #3

A

Anesthesia Care plan

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8
Q

Standard #4

A

Adjust plan based on PHYSIOLOGIC Status.

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9
Q

Standard #5

A
Monitor/Evaluate physiologic condition
Attend patient until other anesthesia arrive
a)Oxygenation
b)Ventilation
c) CV: Cardiovascular
d)Thermoregulatio
e) Neuromuscular
f) P ositioning
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10
Q

Circles for anesthesia

A

Every 5 minutes

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11
Q

Heparin (Vascular surgery):

A

State main pharmacokinetics to remind surgeon
3 (peak)
30 (half life)
1 hour (Drug elimination)

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12
Q

Monitor and document every BP and HR

A

5 minutes

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13
Q

Alarms max silence time

A

Max alarms silenced 2 minutes

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14
Q

Look at the patient to determine oxygenation

A

Skin color ; continuously monitor with SPO2

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15
Q

Placement of Endotracheal tube, STANDARD OF CARE is _________

A

ETCO2

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16
Q

Kids with high metabolism rate

A

Inspired air vs expired air

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17
Q

INTUBATION : CAFE

A

Chest excursion
AUCSCULTATION
Fog in the mask
End tidal CO2

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18
Q

CV - 2 assessments (major)

A

Heart sounds

ECG

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19
Q

Thermoregulation is used for

A

CV/ Neuro procedure

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20
Q

Warm fluids for machine

A

NEED TO FUNCTION on HIGH FLOW

PUT PRIOR TO INDUCTION

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21
Q

Neuromuscular blocking agents : 2 things to assess

A
  • assess depth of blockade

- degree of recovery.

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22
Q

Positioning

A

Patient and protective measures

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23
Q

FOCUS on continuous clinical observation primarily.

A

OBSERVATION and VIGILANCE

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24
Q

Signature required

A

LEGIBLE LAST NAME.

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25
Q

Handoff

A

DO NOT LEAVE THE PATIENT UNTIL PACU REPORT

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26
Q

Continuity of care

A

FOLLOW UP on cases.

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27
Q

ASSESS QUALITY –>

A

Ongoing review and evaluation of anesthesia care

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28
Q

Adopted in 1974

A

Standards of care for Nursing Practice

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29
Q

Scope of Anesthesia practice

A

CRNAs are APRNS

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30
Q

Education, accountability and leadership

A

Graduate
Pass NCE
Lifelong learning
Recertification

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31
Q

Most specific

A

1- FACILITY
State licensure
Credentialing
CERTIFICATION and RECERTIFICATION

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32
Q

Most specific for requirements

A

FACILITY

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33
Q

Have card for

A

CENTRAL LINE INSERTIONS

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34
Q

Post graduate pain fellowships

A

USF
Texas (TCU)
Middle tennessee

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35
Q

Undermining

A

Low H&H

wait a few hours after blood

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36
Q

When no chest rise.

A

chin-lift
oral airway
nasal trumpet
Wake

37
Q

Pain –> ALways serious

A

Delirium
CVA
MI

38
Q

Value

A

Urban, surbuban, rural

39
Q

4 advance practice nurses types approved by NIH, and NC

A

NPs
CRNA
CNS
Nurse midwifes

40
Q

CNS

A

experts in the clinical area

41
Q

Anesthesia care team model

A

1 anesthesiologist

4 CRNAs

42
Q

AANA

A

EDUCATION and practice standards and guidelines

43
Q

1974

A

Adopted standarts for nurse anesthetists practice.

44
Q

MOTTO

A

Safe and effective anesthesia care for every patient

45
Q

Mission

A

Advance patient safety and our porfession through excellence in practice and service to members.

46
Q

Gary brydges

A

President of the AANA

47
Q

Debra Diaz

A

Florida

48
Q

What year was the Standards for NA practice adopted? then public interested established?

A

1974; 1975

49
Q

First qualifying exam -

A

1945

50
Q

When was AANA founded ______by whom_______

A

1931; Agatha Hodgkins

51
Q

CCNA administered CE for the first time computerized

A

1996

52
Q

What is the vision of AANA

A

AANA is the transformative leader driving innovation and patient centered excellence in practice and service to members.

53
Q

Core values

A
Quality
Professionalism
Service 
Collaboration
Diversity and inclusion
54
Q

Main SCOPE of practice issue accross all APRN specialties is

A

Independent Practice

55
Q

APRNs are regulated PRIMARILY by the

A

STATE BOARDS of NURSING

56
Q

State not requiring documentation of relationship between doctors and NP

A

CT
PA
IN
MN

57
Q

CRNAs ability to practice without supervision is controlled by both

A

State and federal regulations

58
Q

Adopted voluntary continuing education

A

1969

59
Q

Council of recertification established

A

1978

60
Q

Mandatory Continuing education adopted

A

1977

61
Q

First Qualifying Exam

A

1945

62
Q

NANA in

A

1931

63
Q

CHANGED TO AANA

A

1939

64
Q

AANA Standards for office based practice

A

1999

65
Q

On the last working day of Clinton administration HCFA __________ in

A

HCFA published the final rule to defer to the states on physician supervision of CRNAs for medicare cases ; 2001

66
Q

US departmemtn of Healthh & Human Services Health Care Financing administration (HFCA) services health care financig admininstation published a rule

A

1998

67
Q

HCFA Announce that they will finalize the rule

A

2000

68
Q

COA executive director

A

Frank Gerbasi

69
Q

NBCRNA Executive director

A

Karen Plaus

70
Q

Continuing professional certification program(CPC)

Must recertify every _____ years beginning ________

A

4; 2016

71
Q

Must take CPC every _____ years beginning ________

A

8; 2020

72
Q

Must pass CPC exam between

A

2028-2033

73
Q

NBCRNA and COA

A

both adopt criteria for recertification

74
Q

COA how many members

A

11

75
Q

what are the 2 autonomous concils

A

COA

NBCRNA

76
Q

Council responsible for their own

A

interal affairs
financial activities
Election of officers

77
Q

Elected body (BOD) elected _____(how often)

A

Every year

78
Q

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 ________

A

2 years; one ; active in state or AANA affairs.

79
Q

Each committee has at least

A

3 active members appointed by the president

80
Q

Basis of safe anesthesia care

A

Continuous clinical observation

Vigilance

81
Q

Standards of Nurse anesthesia Practice , how many

A

11

82
Q

Standard XI

A

maintain the basic rights of patients.

83
Q

The score of nurse anesthesia practice is determined by

A

Education
Experience
State and Federal law
Facility Policy

84
Q

CRNAs are APRNs licensed as

A

Independent practitioners

85
Q

What is the PO2 of gas contained in the anatomic dead space?

A

Same as INSPIRED AIR

86
Q

Standards of care for Nursing Practice adopted in

A

1974

87
Q

Regional 7 DIRECTOR of AANA

A

Debra Diaz

88
Q

Four health care professions

A

Dentist

AA

89
Q

Facility, local responsible.

A

Credentialing