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Class 1 Flashcards

1
Q

Horace Well and William Morton

A

Dentist who used anesthesia

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2
Q

Crawford Long 1842

A

Used Ether to remove a cyst but didn’t report the finding. One of the first ppl to use anesthesia.

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3
Q

Morton 1846

A

Massachusetts general hospital
Did surgery 1846 with ether In the ether dome..

He tried to patent ether..

Ether was difficult when pt went under they fought.. so they remember

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4
Q

Chloroform

A

rapid induction no ether frolic

After 3 deaths they stopped using it.

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5
Q

Megdison surgeon

Greener unfortunate pt

A

Pt took breaths and died really quickly!!

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6
Q

Problem with anesthesia

A

Infections
Occasional anesthetist - ppl didn’t know how to use it. Physicians didn’t want to do it. So they used interns to give ether. Interns wouldn’t pay attention to pt and pts. would die.

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7
Q

Harvey Cushing

A

Father of neurosurgery

When he was a student he gave anesthesia and the pt died. He was told not to worry about it. He never forgot to!!

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8
Q

Catherine Lawrence

A

A nurse in the service provided anesthesia for the wounded during civil war. She wrote a book. She felt it was important job and nurses were stepping up to do it.

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9
Q

Sister Mary Bernard

A

Sisters Of St. Joseph
1877 St Vincent’s Hospital in Erie, PA

1878 took over anesthesia duties of the hospital

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10
Q

Sister Mary Erhard

A

Maui Hawaii 1886

Administered anesthesia for 42 years

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11
Q

Sister St. Francis

A

Rochester Minnesota
1889 St. Mary’s Hospital Mayo Clinic
Trained Alice Magaw “The Mother of Anesthesia” trained really hard. Was a standout

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12
Q

Agatha Higgins

A

Lakeside Hospital late became Cleveland clinic

1908 personal anesthetist of Dr George Crile

She founded the American Association of Nurse Anesthetist

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13
Q

Alice Magaw

A

Established anesthesiology service at Mayo Clinic

Taught practitioners all over the world.

Published several different papers but physician presented them because women weren’t allowed.

Reported 14000 cases with on complications

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14
Q

Eva McNinch

A

PA hospital hired her as an anesthetist

Salaried and on call for the hospital

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15
Q

Alice Weinberg

A

Jewish Hospital Philadelphia 1915

Their first anesthetist

Chosen by Dr. William Teller because of her Pugnacity”

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16
Q

Agatha Hodgins

A

Introduce gas anesthesia nitrous oxide gas mix

Served with Dr. Crile In World War 1 France

I’m 1915 Set up the first organized school of nurse anesthesia In Cleveland at Lakeside Hospital

Physicians stated challenging nurses giving anesthesia without a physician
1st AANA PRESIDENT standardized education

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17
Q

Sophie Gran Winton

A

Awarded medals for heroism she was a civilian nor an office during ww1

Trained in Minneapolis

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18
Q

Alice Hunt

A

Appointed to Yale Medical School 1922

Wrote Anesthesia principles and practice 1946 first nurse Anesthetist to publish a book

She taught at the medical school

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19
Q

Helen Lamb

A

Performed the first successful pneumonectomy anesthetic in 1929

Dr. Graham got credit for it.

Established a school at Barnes Hospital in St. Louis.

Collaborated with Dr Richard Von fOregger for 20 years on an anesthesia machine..

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20
Q

1945

A

2 applications were approved for African American nurse anesthetist

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21
Q

Gertrude Fife

Called for protection of the community’s interest

A

2nd AANA president

Called for approval mechanism for schools

Wanted the school to only admit well trained nurses

Organize the profession to protect against outside threats

Wanted certification for grads!

22
Q

COA

A

Council on Accreditation

Standards guidelines and criteria for programs accredits educational programs and helps Anesthesia schools improve

23
Q

CCNA

A

Council on Certification of Nurse Anesthetist

Protecting and serving the public by assuring that practicing CRNA’s have met qualifications or standards for providing anesthesia services..

24
Q

PIA

A

Council on Public Interest no longer exist.

25
Q

Phyllis Robert

A

Student of Gertrude FIfe

Sole anesthesia provider for many rural history

Education director of VA hospital school of anesthesia

Wrote text on Regional anesthesia

26
Q

TEFRA

A

Tax Equity and Fiscal Responsibility Act of 1982

TEFRA

7 conditions an anesthesiologist must satisfy with regard to a procedure for medical direction is CRNA’s to her Medicare reimbursement

27
Q

TEFRA

A
  1. Perform preanesthesia eval
  2. Prescribe the anesthesia plan
  3. Personally participate in induction and emergence
  4. Monitor course is anesthesia at frequent intervals
  5. Be physically available for diagnosis and tx in emergencies
  6. Provide post anesthesia care
  7. Refrain from personally performing an anesthesia procedure when engaged in medical direction..up to 4 CRNA’s
28
Q

AANA standards of practice for Nurse Anesthetist

A

Standards that describe the rules and responsibilities anesthetist are held accountable. What is expected 8 or 9 standards

29
Q

AANA Vision Statement

A

Preeminent professional association. For healthcare and patient safety

30
Q

AANA mission Statement

A

Advancing patient safety practice excellence and its members profession

31
Q

AANA Core Values

A 
Quality 
Professionalism
Compassion
Collaboration 
Wellness
Diversity
32
Q

AANA Motto

A

Safe and effective anesthesia care.

33
Q

NBCRNA

A

Boards and recertification very 8 years we retest

34
Q

Legislative Branch

A

Medicare part A

TEFRA

Medicare part B

The Joint Commission

National Practitioner Data Bank

35
Q

Executive Branch

A

Federal
Department of Health and Human Services
Department of education
Department of Justice

State
State board of Nursing

36
Q

Criminal Law

A

To protect society from harm

Fraudulent filing of insurance and Medicare claims

Practice without license
Employ someone without license

Misuse is controlled substance

37
Q

Civil Law

A

Private rights and remedies

Area of most concern for CRNAs

Malpractice- torts

Intentional torts- assault, battery, false imprisonment

Unintentional tort - malpractice negligence
Something bad happened

38
Q

Tort Law

Non criminal cases

A

Plaintiff
Defendant
Action

39
Q

Tort Law

Criminal case

A

Prosecutor

Defendant

40
Q

Goal is Tort Law

A

To restore the party who has suffered a damage to a condition that existed before the damage. For the plaintiff to be made whole.

-there has to be proof of damage

41
Q

Negligence

A
  1. Duty a legal responsibility to provide service and to receive payment
    2.Breach of duty- they have to prove —————-commission do something wrong
    —————Omission not do something you were suppose to do.
  2. Cause—would damage have occurred if there was no breach of duty? Has to show a relationship
  3. Damage- prove damage
42
Q

Burden of Proof

A

Criminal beyond a reasonable doubt

Civil clear and convincing evidence

More likely than not preponderance is evidence

43
Q

Res Ipsa Loquitur

A

Defendant has to prove or wasn’t them.

Obvious negligence occurred or else it wouldn’t have happened. Foot drop

The act speaks for itself

Circumstantial evidence is allowable in this!

  1. Doesn’t usually happen
  2. Has to be under the control of the defendant
  3. Can’t be no fault of the pt.
44
Q

Assumption of Risks

A

Can’t be held accountable for things that we explained were a possibility of the procedure.

45
Q

Defenses to protect yourself

A
  1. Do no harm
  2. Communicate with pt and family
  3. Informed consent
  4. Accurate documentation
  5. Contributory negligence plaintiff contributed to issue
  6. Comparative negligence- shared fault each pays their percent
  7. Statue ofLimitations— 2 years unless you try to alter evidence then it can be extended..
46
Q

Liability Insurance

A

Occurrence policy- more preferred policy Anything that occurs while you have that policy is covered. In that time period.

Claims made policy is only enforced while you have the policy..

Tail coverage/ extended reporting period endorsement can be added if a claims made policy has ended and someone sues you after it the policy ended.

47
Q

Captain of the ship

A

Once surgeon assumes responsibility they are accepting responsibility for everyone. Not follows anymore

48
Q

Borrowed Servant

A

Doctor is responsible for anyone they direct ie. nurse

Not followed anymore

49
Q

Respondents Superior

A

Master is responsible for servants actions

Not practices anymore

50
Q

Vicarious Liability

A

Anesthesiologist is vicariously responsible for what we do even if they aren’t in the room..

Advanced Physical Assessment (1 decks)

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