History (2), Addiction(3), AANA(4), Legaleze(6)

Question 1

How to convince a CRNA/SRNA of AANA membership value?

Answer 1

Rewarding opportunities, supports our professional values, national voice for us, communication among CRNAs, adsvocation for us, awareness for us, it’s part of being professional.

Question 2

2 interests that the AANA serves

Answer 2

Public interest first, then CRNA interests

Question 3

Why does a professional develop its own standards?

Answer 3

Gain recognition as a profession and accountability

Question 4

Practice guideline vs. standard?

Answer 4

Standard: minimal requirement for practice. Guideline: commonly accepted behavior, not mandated.

Question 5

What are the Standards? (this one’s kinda long, and I’m not sorry one bit!)

Answer 5

I - PreAnes assess
II - Consent
III - Formulate plan
IV - Implement and adjust plan
V - Monitor pt
VI - Documentation
VII - Transfer of care
VIII - Adhere to saftey precautions
IX - Minimize risk of infection
X - Assess care for quality
XI - Respect and maintain pt privacy

Question 6

Addiction: % of admitted for addiction are anesthesiologists?

Answer 6

10%

Question 7

% of CRNAs admit to drug abuse?

Answer 7

10%

Question 8

Factors contributing to addiction?

Answer 8

1. Availability of psychoactive drugs
2. Role strain/stress
3. “Preaddictive personality”

Question 9

Who is a “Super-Nurse”?

Answer 9

YOU ARE!!!

Question 10

How to fix this?

Answer 10

Education
Prevention
Support
Treatment
Get a life!

Question 11

Legal basis of nurse anesthesia practice?

Answer 11

It is the practice of nursing when performed by a nurse. Know how legislative (law making), executive (execution of laws, administrative agencies), and judicial (judges laws; court decisions) branches affect the footholds we have gained thus far.

Question 12

Distinguish between civil and criminal law

Answer 12

Civil: between private parties (plaintiff v. defendant; ruled in favor of one party or the other)
Criminal: between private party and government (State v. person, the People v. person; ruling is guilty or not guilty)

Question 13

What makes a person an expert witness?

Answer 13

Can provide definition of standard of care at time of incident, qualified by the court, must testify in terms of medical probabilities, can not speculate to establish deviation from standard.

Question 14

Battery!! What is it and how to defend against it (allegation of battery)…

Answer 14

Battery: unwanted touching, if you know what I mean…

Defense against battery charge (insert Energizer joke here): INFORMED CONSENT!!

Question 15

Components of negligence (4)?

Answer 15

Duty
Breach of Duty
Causation
Damage

Question 16

How to determine “standard of care”?

Answer 16

Expert witness
Hospital/department policies and standards
Prof. organization standards (AANA)
Governmental guidelines

Question 17

Precedent (definition)

Answer 17

Principle established by court ruling in a previous similar case

Question 18

Res ipsa loquitor (definition)

Answer 18

“The thing speaks for itself”

• Injury happened in circumstances that would not normally cause an injury if nobody had been negligent.
• Injury result of something in exclusive control of defendant.
• Injury must not be due to any action on the part of the plaintiff.

Question 19

Evidence (definition)

Answer 19

what is included to assert truth of a situation

Question 20

Vicarious liability (definition)

Answer 20

Employer is responsible for actions of employee.

Question 21

Name some important early nurse anesthetists… (for more info, check out the study guide)

Answer 21

Sis. Bernard, Eltrich, Woenke, Secudina, Mindrup
Sisters of St. Francis
Edith and Dinah Graham
Alice Magaw
Agatha Hoghins
Agnes McGee (1909 1st NA school St. V's, Portland)
Alice Hunt
Gertrude Fife

Question 22

Year of NANA start?

Answer 22

1931 (June 17)

Question 23

Lakeside opens?

Answer 23

1915

Question 24

What did Alice Magaw do that really helped us out?

Answer 24

She went and got published in medical journals, like a big girl!

Question 25

Role of Frank v. South opinion in regulatory boards?

Answer 25

Boards are to uphold the protection of the public as a whole, not just the fiduciary interests of certain groups.

Question 26

In Chalmers-Francis v. Nelson, why did the plaintiff not pursue a criminal lawsuit?

Answer 26

Attorney General already had a supportive opinion of nurse anesthetists

Question 27

Repercussions of Chalmers-Francis v. Nelson?

Answer 27

Anesthesia is the practice of nursing when performed by a nurse; practice of medicine when performed by physician.

Question 28

What did the actions against the Lakeside Hospital by the Ohio State Med Board (McMechan) hope to accomplish?

Answer 28

They hoped to stop the production of NAs by threatening to halt the schools nursing program.

Question 29

Goals of AANA as proposed by Gertie?

Answer 29

Accreditation of NA schools

Initiation of national cert exams for NA

Question 30

Medicare A billing vs. Medicare B billing

Answer 30

A: Hospital bills for services
B: Anesthesia provider bills for services
-MDA can supervise up to 4 CRNAs concurrently (50/50% split per case)

Question 31

Would I also breeze over the Watchful Care notes we got?

Answer 31

Yes, yes I would.

Question 32

Who among us has the biggest pecker?

Answer 32

Wrong. Jack the Cat does.