History (2), Addiction(3), AANA(4), Legaleze(6) Flashcards
To become the best damn CRNA you can be, dammit!
How to convince a CRNA/SRNA of AANA membership value?
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.
2 interests that the AANA serves
Public interest first, then CRNA interests
Why does a professional develop its own standards?
Gain recognition as a profession and accountability
Practice guideline vs. standard?
Standard: minimal requirement for practice. Guideline: commonly accepted behavior, not mandated.
What are the Standards? (this one’s kinda long, and I’m not sorry one bit!)
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
Addiction: % of admitted for addiction are anesthesiologists?
10%
% of CRNAs admit to drug abuse?
10%
Factors contributing to addiction?
- Availability of psychoactive drugs
- Role strain/stress
- “Preaddictive personality”
Who is a “Super-Nurse”?
YOU ARE!!!
How to fix this?
Education Prevention Support Treatment Get a life!
Legal basis of nurse anesthesia practice?
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.
Distinguish between civil and criminal law
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)
What makes a person an expert witness?
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.
Battery!! What is it and how to defend against it (allegation of battery)…
Battery: unwanted touching, if you know what I mean…
Defense against battery charge (insert Energizer joke here): INFORMED CONSENT!!
Components of negligence (4)?
Duty
Breach of Duty
Causation
Damage
How to determine “standard of care”?
Expert witness
Hospital/department policies and standards
Prof. organization standards (AANA)
Governmental guidelines
Precedent (definition)
Principle established by court ruling in a previous similar case
Res ipsa loquitor (definition)
“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.
Evidence (definition)
what is included to assert truth of a situation
Vicarious liability (definition)
Employer is responsible for actions of employee.
Name some important early nurse anesthetists… (for more info, check out the study guide)
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
Year of NANA start?
1931 (June 17)
Lakeside opens?
1915
What did Alice Magaw do that really helped us out?
She went and got published in medical journals, like a big girl!
