Professional Associations & Practice Flashcards
AANA Motto
Safe & Effective Anesthesia Care
What Board of Nursing does for us**
Determine scope of practice based on interpretation of statutes
What is an AA
master’s prepared anesthesia provider who must be under the supervision of an anesthesiologist, can have bachelor’s degree in anything, practice under medical philosophy
Statutory Law**
Constitution provides for legislatures, state & federal, Federal broadest restriction, state can be more but not less restrictive and local can be more but not less restrictive than state
What do statutes do?
Outline standards of behavior (law), appropriate funds, determine punishments for crimes, enable agencies to interpret statues and fill in gaps
Agencies
FDA, IRS, state licensing boards, DHHS
What laws affect CRNA practice
Federal (CMS), state (board of nursing) Local (hospital by-laws)
How are rules made?
Informal - may be disguised as a policy (what “should” be done, not a law), formal - publish, notice, comment, testimony, hearings, etc - rule has force of law
TEFRA
Rules for medical direction (what a physician MUST do with a student) - perform preanesthesia exam/eval, prescribe anesthesia plan, personally participate in the most demanding aspects of the plan (intubation, induction, emergence), ensures a qualified provider performs procedures, monitors anesthetic at frequent intervals, remains physically present & immediately available, provides PACU care
Who makes laws?
Representatives/Senators
Who makes rules?
Agency personnel (not supposed to be influenced by money)
Who makes decisions?
Judges (not supposed to be influenced by money)
Types of law
Contract (binding agreement between 2 parties - breach of contract determined by judge), criminal (statutes in each state determine what is a criminal act & penalties, state is plaintiff- defendant is one that is charged, breach determined by judge), civil (private party against private party, may go before judge)
Negligence*
Malpractice, 4 elements must be present: duty (standard of care), breach of duty, harm, & causation (breach must have been proximate cause of harm and nothing else) - all must be linked to be held liable
AANA President
Sharon Pearce
